"Wages for Caring" examines policies and programs of
compensation for family caregivers of the disabled elderly from a
broad analytical perspective, weighing current policies of home
care services against principles of access, equity, quality, and
funding of long-term care. Linsk, Keigher, Simon-Rusinowitz, and
England challenge widely held assumptions that currently hold the
family responsible for care, and accept the government's role in
deterring or delaying institutionalization. The authors focus on
programs and policies that already exist which could be adjusted to
include families and to promote support of family caregiving. In
assessing the potential of broad implementation of wages for
caring, they contend that if implemented appropriately, family
compensation may offer benefits not available through any other
kind of service system.
First, the authors review incentives to family care and services
to families providing home care, and include an overview of
attendance allowance and caregiver compensation programs in other
developed countries. Next, they present several original studies in
an integrated format to allow for the analysis of pros and cons of
several compensated family care programs. Third, they examine
provisions of Medicaid programs at the state level, as well as
provisions of the aging network and their potential to complement
family care. The focus is largely on poor clients and families, for
whom the burden of care has the most relevant costs in terms of
potential government liability. Finally, the authors develop
consumer centered criteria to evaluate policy and program
provisions, with special attention to the special needs of
low-income elderly and their families. Wages for Caring will prove
particularly useful to public policymakers, social workers,
gerontologists, and researchers.
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