Senior living’s caregiving sectors — nursing homes, assisted living and home care — share problems and needs in varying degrees. But what they get from long-term care (LTC) research is seldom what...
President Biden, tear down this wall
By
Stephen A. Moses
Jun 23, 2021
“Socialism in general has a record of failure so blatant that only an intellectual could ignore or evade it.” Thomas Sowell “It is hard to imagine a more stupid or more dangerous way of making decisions...
Long-term care’s problems are bad and getting worse — but fixable
By
Stephen A. Moses
Oct 01, 2021
The long-term care business is hurting: labor shortages, wage pressures, vax mandates, too much Medicaid, too little private pay, value-based reimbursement, MedPAC vs. Medicare and so on and on. What should...
The social contract for long-term care
By
Stephen A. Moses
May 17, 2021
America has a social contract for long-term care. It’s rarely acknowledged, but here it is. If you are stricken by a need for long-term care that you cannot afford, we help you even if you are not poor....
Great moments in unintended LTC consequences
By
Stephen A. Moses
Jul 26, 2021
Reason.com publishes a video feature called “Great Moments in Unintended Consequences.” Each episode features three problems, three “solutions,” and comical coverage of the unanticipated results....
What works for long-term care and what doesn’t
By
Stephen A. Moses
Nov 17, 2021
The history of long-term care is best understood as a tension between public and private financing. Over and over again, the private sector has intervened to fix or improve unfortunate conditions created...
The Medicaid LTC snafu
By
Stephen A. Moses
Apr 15, 2024
Long-term care operators were sold a pig in a poke. When Medicaid started paying for nursing home care after 1965, it looked like a pretty good deal. The new revenue stream vastly expanded severely limited...
Problems with the CLASS Act
By
Stephen A. Moses
Oct 23, 2009
The Kaiser Family Foundation recently held a briefing on the much-touted CLASS Act. There was much praise to go around. I heartily disagreed with most of it.
How government prevaricates about long-term care
By
Stephen A. Moses
Feb 23, 2024
Most federal officials and the analysts who advise them are progressives. They prefer public over private sector solutions for most social problems. Sometimes progressives bend the truth to tip public...
LTC insurance sales suddenly surge
By
Stephen A. Moses
Aug 10, 2022
Long-term care is a high risk and huge potential cost for aging Americans. Yet few plan ahead, and fewer still insure privately for this impending peril. Until now. Private insurers report that 140,000...