The Evolution of Long-term Care Programs; Comment on “Financing Long-term Care: Lessons From Japan”

Document Type : Commentary


Department of Gerontology, John W. McCormack Graduate School of Policy Studies, University of Massachusetts, Boston, MA, USA


The need for long-term care (LTC) represents a “new social risk,” one that overlaps with and complements systems of care that pre-date such programs, complicating LTC program design. This commentary expands on Ikegami’s discussion of how these structural factors must be accommodated, as well as historical and cultural factors that influence public expectations of such a program. The commentary specifically focuses on the role of cash payments, caregiver benefits, and the sometimes indistinct line between LTC and health systems. The experiences of countries operating LTC program in a wide range of contexts can illuminate common challenges, as well as some potential solutions to these vexing design and operational issues.


Main Subjects

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Volume 9, Issue 1
January 2020
Pages 42-44
  • Receive Date: 15 August 2019
  • Revise Date: 16 September 2019
  • Accept Date: 17 September 2019
  • First Publish Date: 01 January 2020