Click here to read all posts in our Care Work series.
Allison K. Hoffman—
Caregiving has long been shunted aside and undervalued in the United States. Long-term care (LTC) is no exception. Sometimes called “long term services and supports,” LTC is the help that over 40 million Americans who are sick or disabled need every day to complete basic tasks like bathing, eating, getting dressed, going to the bathroom, paying bills, or buying groceries.
American social welfare policy has largely ignored LTC, and families, who are largely left to manage it on their own, increasingly strain to meet loved ones’ needs. This problem will only worsen with the collapse of private insurance for long-term care and the large number of people with dementia-related conditions.
Resistance to developing social policy to help people with LTC comes in two main forms: First, some people say the problem of designing public support for LTC is too big to solve. Second, others suggest that it’s not a problem at all—caregiving is just what families do, so the state need not intervene. Neither of these arguments holds up well. Continue reading