Long-Term Care Policy and Older Latinos
Long-term care policy for older Latinos occurs at the intersection of broader policy debates about the funding for long-term care in general, which includes little or no consideration of any racial/ethnic diversity of the population, and debates over issues such as immigration policy and health disparities, which includes little or no consideration of long-term care. Nevertheless, some contemporary efforts around long-term care are likely to benefit older Latinos, while other trends will bypass them. This chapter examines some of the historical trends in long-term care use to identify drivers of long-term care policy and their impact on Latino elders, followed by an overview of current policy trends and information on the perspective of Latino elders and their families as a window into the likely impact of policy changes on disabled older Latinos and their families.
KeywordsNursing Home Immigration Policy Nursing Home Care Latino Community Federal Poverty Line
- Agency for Healthcare Research and Quality. (2011). National Healthcare Disparities Report, 2010. Retrieved April 2011, from www.ahrq.gov/qual/qrdr10.htm.
- California Department of Finance. (2007). Population Projections for California and Its Counties 2000–2050, by Age, Gender and Race/Ethnicity. Retrieved July 2010, from www.dof.ca.gov/HTML/DEMOGRAP/ReportsPapers/Projections/P3/P3.asp.
- Dowd, J. J., & Bengtson, V. L. (1978). Aging in minority populations an examination of the double jeopardy hypothesis. Journal of Gerontology, 33(3), 427–436.Google Scholar
- Espino, D. V., & Burge, S. K. (1989). Comparisons of aged Mexican-American and non-Hispanic white nursing home residents. Family Medicine, 21(3), 191–194.Google Scholar
- Federal Interagency Forum on Aging-Related Statistics. (2010). Older Americans 2010: Key Indicators of Well-Being. Retrieved November 2010, from www.agingstats.gov.
- Fix, M. E., Capps, R., & Kaushal, N. (2009). Immigrants and welfare. In M. Fix (Ed.), Immigrants and welfare: the impact of welfare reform on America’s newcomers (pp. 1–36). New York: Russell Sage Foundation.Google Scholar
- Heckler, M. M. (1985). Report of the Secretary’s Task Force on Black and Minority Health. Washington, DC: U.S. Department of Health and Human Services.Google Scholar
- Kaiser Commission on Medicaid and the Uninsured. (2011). Federal Core Requirements and State Options in Medicaid: Current Policies and Key Issues. Washington, DC: Kaiser Family Foundationo. Document Number.Google Scholar
- Kelly, P. J. (1997). Creating a national home: building the veterans’ welfare state, 1860–1900. Cambridge, MA: Harvard University Press.Google Scholar
- Kietzman, K. G., Wallace, S. P., Durazo, E. M., Torres, J. M., Choi, A. S., Benjamin, A. E., et al. (2011). Holding on: Older Californians with disabilities rely on public services to remain independent. Retrieved January 2011, from www.healthpolicy.ucla.edu/pubs/files/holdingonpn1-31-11.pdf.
- Lake Research Partners and American Viewpoint. (2010). New poll shows California voters 40 and older largely unprepared for costs of long-term care services. Retrieved June 2011, from www.healthpolicy.ucla.edu.
- Massey, D. S., Durand, J., & Malone, N. (2003). Beyond smoke and mirrors: Mexican immigration in an era of economic integration. New York: Russell Sage Foundation.Google Scholar
- Massey, D. S., & Riosmena, F. (2010). Undocumented migration from Latin America in an era of rising U.S. enforcement. The ANNALS of the American Academy of Political and Social Science, 630(1), 294–321.Google Scholar
- McWilliams, C. (1968). North from Mexico: The Spanish-Speaking People of the United States. New York: Greenwood Press.Google Scholar
- Muramatsu, N., Yin, H., Campbell, R. T., Hoyem, R. L., Jacob, M. A., & Ross, C. O. (2007). Risk of nursing home admission among older Americans: Does states’ spending on home- and community-based services matter? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62(3), S169–S178.CrossRefGoogle Scholar
- Ochoa, E. C., & Ochoa, G. L. (Eds.). (2005). Latino Los Angeles: Transformations, Communities, and Activism. Tucson, AZ: University of Arizona Press.Google Scholar
- Office of Minority Health. (2007). National Standards on Culturally and Linguistically Appropriate Services (CLAS). Retrieved July, 2011, from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=15.
- Quadagno, J. (1988). The transformation of old age security: Class and politics in the American welfare state. Chicago: University of Chicago Press.Google Scholar
- Redfoot, D. L., & Houser, A. (2010). More Older People with Disabilities Living in the Community: Trends from the National Long-Term Care Survey, 1984–2004. Washington, DC: AARP Public Policy Institute. Document Number.Google Scholar
- Rothman, D. J. (1971). The Discovery of the Asylum. Boston: Little, Brown and Co.Google Scholar
- Ruggles, S., J., Alexander, T., Genadek, K., Goeken, R., Schroeder, M. B., & Sobek, M. (2010). U.S. Census American Community Survey. Integrated Public Use Microdata Series: Version 5.0 [Machine-readable database]. Retrieved June 2011, http://usa.ipums.org/usa/sda/.Google Scholar
- Seham, M. (1964). Discrimination against negroes in hospitals. Journal of the American Medical Association, 271(18), 940–943.Google Scholar
- Seyden, N., & Robert, B. (2006). The history of in-home-support services and public authorities in California. Retrieved July 2011, from http://cicaihss.org/ihss-public-authority-history.Google Scholar
- Smedley, B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2002). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press.Google Scholar
- Torres-Gil, F., & Treas, J. (2009). Immigration and aging: The nexus of complexity and promise. Generations, 32(4), 6–10.Google Scholar
- U.S. Bureau of the Census. (1906). Paupers in Almshouses 1904. Washington, DC: U.S. Government Printing Office.Google Scholar
- Wallace, S. P., Abel, E., Pourat, N., & Delp, L. (2007). Long-term care and the elderly population. In T. R. Ronald Andersen, Gerald Kominski (Ed.), Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management (3rd ed., pp. 341–362). San Francisco: Jossey-Bass.Google Scholar
- Wallace, S. P., & Brown, E. R. (2011). Health Barriers. In S. Loue & M. Sajatovic (Eds.), Encyclopedia of Immigrant Health. New York: Springer Science.Google Scholar
- Wiener, J. M. (2010). What does health reform mean for long-term care? Public Policy & Aging Report, 20(2), 8–15.Google Scholar