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Social care financing options in the United States: who is responsible and which options do people support?

2016 Conference Presentation

(Inter)national systems United States

5 September 2016

Social care financing options in the United States: who is responsible and which options do people support?

Joshua Wiener, RTI International, United States

Abstract

This paper assesses attitudes of the general population regarding financing social care in the United States.

Using data from the Long-Term Care Awareness and Planning Survey, we find that most people supported individual responsibility and voluntary options. Approximately 62% of respondents said that they ‘strongly agree/agree’ with the view that it is the responsibility of individuals to finance their social care; conversely, about 37% of people stated that they ‘strongly agree/agree’ with the view that it is the responsibility of government to help pay for social care.

Among policy options presented, about two-thirds of respondents supported tax incentives or other mechanisms to encourage private long-long care insurance. While only 18% of respondents supported a mandatory public long-term care insurance program, support for a voluntary public insurance program was high. Distrust of government to run a public long-term care insurance program (53%) was higher than distrust of private insurers (32%). Unexpectedly, there were few differences by sociodemographic characteristics.

Slides