These problems carry enormous consequences for our future system. Recent policy debates about family issues demonstrate the lack of societal consensus about the appropriate role of government, family and private sector in caregiving across the life cycle. The primary proposals for balancing the responsibility for care have focused on family leave, workplace flexibility, employer-supported daycare, tax credits or incentives for caregiving, and expanded coverage for respite and homecare. Financing and Formal Delivery Systems. Family and informal support will no doubt remain part of the foundation of our long-term care system.
Public dollars are another cornerstone of the system.
Although the delivery system of the future is yet to be developed, its design clearly will not involve simply multiplying the current approach by three. A new focus has emerged on maximizing autonomy and choice for those using services. The explosion of assisted living, inhome services and interest in consumer choice and self-directed care are all indicators of the rising demand for a system with options. Adequacy of the Workforce. Worker shortages in all service settings are paralyzing the current system.