by Stephen Moses
Georgia Public Policy Foundation
December 04, 2013
Long-term care for the elderly is already a large risk and expense for private citizens and public programs. Most expensive long-term care is paid for by Medicaid. Medicaid already strains federal and state budgets, including Georgia’s. Yet major initiatives at the federal level and in Georgia are under way that will expand Medicaid utilization in general. Georgia faces multi-faceted long-term care problems, including a rapidly increasing elderly population, very little private financing of long-term care to relieve the budgetary pressure on public programs, and heavy public dependency on social programs and a growing “entitlement mentality” among the citizenry. This report offers a way to take account of these broader challenges by applying an Index of Long-Term Care Vulnerability. It recommends that Georgia move in the direction of reducing dependency on public programs while attracting more private revenue into the long-term care financing mix.