Funding and Long-Term Health Care

This research described a political intervention designed to alleviate the problem of funding for longterm health care for the elderly. Most of the 10 percent of the population requiring longterm care for chronic ailments are elderly. Where only 10 percent of the total population requires longterm care, 50 percent of those individuals aged 80 years or older require such care.

The proposed political intervention is to lobby for a fully funded national health care insurance program for all persons aged 65 and older. Power restructuring is required to succeed in implementing a national health care system for the elderly, because the traditional power in the US tends to believe in selffunding. Through the use of expert power and personal power, the invested power base legislative representatives must be induced to restructure traditional values towards the funding of health care in the US.

Negotiation will be required to create a restructuring of traditional power values. What must be negotiated are the specifics of services and funding. What must not be negotiated is the basic concept of federal funding of health care for the elderly.

A political action committee must both coordinate and do most of the communication with Congress members. Letter writing campaigns should also be considered, but only in coordination with the efforts of the political action committee. The political action committee must create a n

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the provision of health care services for the elderly. In 1984, approximately 28.3 million persons were aged 65 years old or older (Paxton, 1985). Between 1970 and 1980, the total population of the United States grew by 11.3 percent (Paxton, 1985). That segment of the population aged 65 years old or older increased by 27.5 percent, or an annual compounded rate of approximately 2.24 percent (Census, 1986). Thus, the problems and costs associated with the delivery of health care services to the elderly will likely increase for an extended number of years. Cost increases may be expected in the delivery of health care services for the elderly for reasons other than those associated with the growing proportion of elderly persons in the population. The advances in medical science and in biological science have, in the past, not only resulted in increases in the types of health care services available, and improvements in general health levels, but also, in the total cost of health care services. Cost increases resulting from medical and biological advances are due to the following factors: 1. An increase in the level of treatment and care provided to individuals. 2. Increases in the costs of health care services, as a re

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