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Replacing the nursing home
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Journal Article
Replacing the nursing home
1997
Overview
The basic problem with nursing homes that now house 1.7 million older Americans is not the misleading name. The institutions are costly, inhospitable structures that fail to meet the needs of the persons who must utilize them because better alternatives are not available. The $50 billion annual subsidy of nursing homes coming from government could be redirected to support alternative arrangements that better meet the needs of the disabled elderly. Three big problems of nursing homes will not go away: excessive cost, poor quality of care, and dehumanization. The cost of residing in a middle-range nursing home for a year now exceeds $45,000. Five alternative arrangements which, due to misguided public policy, are not in sufficient supply are home care, assisted living, group homes, hospices, and rehabilitation. Each of these alternatives is discussed. It is projected that if current policies persist, more than 40% of those reaching age 65 now will face the risk of entering a nursing home before they die.
