Background
Wiener, Joshua Mark was born on April 29, 1949 in Washington, District of Columbia, United States. Son of Jack and Florence Wiener.
(The United states is engaged in a critically important an...)
The United states is engaged in a critically important and contentious debate on how to overhaul the health care system. The Clinton administration's call for major health care reform has brought national attention to solving the dual problems of uncontrolled cost increases and the lack of adequate health insurance. Although this debate focuses primarily on acute care, it is also about long-term care and about how to restructure the way that care is financed. Today the families of Americans suffering from chronic conditions that require long-term care either at home or in nursing homes often face financial catastrophe. With the ever-increasing elderly population the need to address long-term care financing is more crucial than ever. Sharing the Burden examines a wide range of financing approaches to reforming long-term care and the impacts each would have over the next twenty-five years. It tackles the central issue in the long-term care debate - the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict that it will grow. Nevertheless, private insurance will probably play a modest role in financing nursing home and at-home care. For this reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and limited nursing home care, liberalized eligibility requirements for medicaid so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle-income and wealthy elderly. Using their original computer simulation model, theauthors examine the costs of various public and private initiatives and who would pay for them. They conclude that the best strategy for reforming long-term care is a mix of public and private initiatives and, within the public sector, a combination of social insurance and medicaid
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public health service officer researcher
Wiener, Joshua Mark was born on April 29, 1949 in Washington, District of Columbia, United States. Son of Jack and Florence Wiener.
Bachelor, University Chicago, 1971. Doctor of Philosophy, Harvard University, 1981.
Program analyst New York City Department of Health, New York City, 1973—1974. Staff project analyst New York State Moreland Act Commission on Nursing Homes and Residential Facilities, 1975. Policy analyst United States Congressional Budget Office, Washington, 1976.
Coordinator long-term care and finance analysis Massachusetts Department of Public Health, Boston, 1976—1979. Program analyst Health Care Financing Administration, Washington, 1980—1984. Senior fellow The Brookings Institution, 1982—1996.
Principal research associate The Urban Institute, since 1996. Chair advisory panel on health services research National Multiple Sclerosis Society, New York City, 1996—2002. Co-chair long-term care committee Mayor's Health Policy Council, Washington, since 1996.
Member committee quality of care in long-term care Institute Medicine, Washington, 1998—2000.
(The United states is engaged in a critically important an...)
Clinton for President. Member Advisory Committee on Health Care, Washington, 1992—1992. Member of Academy Health, Gerontological Society of America, National Academy Social Insurance.
Married Susan Frances Klinger, October 20, 1978. Children: Jeremy, Noah Klinger, Michael.