Policy Analysis of the Older Americans Act of 1965 Essay

The Older Americans Act (OAA) funds critical services that keep older adults healthy and independent—services like meals, job training, senior centers, caregiver support, transportation, health promotion, benefits enrollment, and more. The Act is overdue for reauthorization—and Congress needs to seize this opportunity to update and renew its commitment to these programs and those they serve. To ensure America’s aging population is able to maintain and live healthy lives provisions are needed to the current OAA. These provisions include:

The Americans with Disabilities Act, protects individuals on the basis of mental or physical disabilities. The Age Discrimination in Employment protects individuals 40 years of age and older.

As we become older, issues with our health begin to take affect and finding ways to fund for that care is becoming even more difficult. In the article “Some Elders Must Take Drastic Measures to Obtain Long-term Care”, national magazine journalist Mary A. Fischer (2011) states that many Americans must face demeaning and disempowering choices in order to qualify for Medicaid or Medicare—federal funded health insurance programs— such as refusing to pay for a spouses institutionalization, divorce, and spending down assets. The author argues that these choices leave the healthy spouse with decreased funds to plan for their own retirement expense (Fisher, 2011). Working in the health care field for 4 years, along with my family’s own personal experiences I can relate to this article, since I have seen a variety of ways that federal funded health insurances have been unable to meet the expectations and demands of its beneficiaries.

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

Identifying and addressing health disparities for the rural elderly has been a great challenge. Problems of the elderly who live alone in poverty in Baker County are considerable when additional factors such as increased physical limitations, medical needs, and social isolation are taken into account. As a vulnerable population, the rural elderly are affected by their low socioeconomic standing, lower literacy rates, declining health, declines in cognitive functioning and relative lack of available nearby health resources. Seniors often live on a fixed income from pensions or other retirement plans and social security. Additionally, inability to purchase affordable health insurance,

In 1965 the first Aging American’s Act was passed. This legislation was part of Lyndon Johnson’s Great Society reform. In passing this legislation nearly 50 years ago, the government created a new department the focused on the rights and needs of the gaining population called the United States Administration on Aging. The original legislation was complete with seven titles. The articles include Title I—the Declaration of Objectives for Older Americans; Title II—Establishment of Administration on aging; Title III—Grants for state and community programs on aging; Title IV—Activities for health and independence, and longevity; Title V—Community service senior opportunities act; Title VI—Grants

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

Seniors who fall under a coverage hole will start getting some help. Some are saying that seniors may lose Medicare benefits they now enjoy, but that is not true. The health reform act will not cut guaranteed benefits; a person will still be able to maintain the coverage they want. Americans on Medicare will receive free preventive care without co- payments or deductibles. Seniors will also receive $250 to help pay for their prescriptions. There will also be alternatives to nursing home placement, such as day-service programs, home-care aides, meal programs, senior centers and transportation services. A public, voluntary long-term care insurance program known as the Community Living Assistance Services and Supports, have enrolled individuals who have substantial daily needs to receive at least $50 a day. This money is to be used to defray the costs of services such as home care, family caregiver support, and adult day-care or residential care.

The objective of this study is to examine the evolution of programs and services for aging population over the last fifty years. Toward this end, this brief study will conduct a review of literature that addresses these shifts and changes in policy. The timeline of the history of the services and pogroms for the aging population in the United States is shown in the following timeline and an explanation for these develops will next follow the timeline.

The Older American Act of 1965, was a demonstration to help give help with the advancement of new or enhanced projects to help elderly individuals through earnings to the conditions of group arranging, directions, and preparing. Over the past couple centuries, Meals on Wheels has progressed over time. Meals on Wheels is found the whole way across America. There are a large number of areas that give to an entire scope of individuals with various explanations behind requiring this administration. This administration was picked on the grounds that it gives importance, satisfaction and life to our elderly seniors who feel that they do not have anything to do or anticipate. This keeps their mind dynamic and in addition giving their bodies the supplements

According to an article in the Health Affairs Journal there are approximately 60 million American citizens covered by state based Medicaid and Medicare programs. These individuals are at the highest risk of facing chronic health issues and has issues with their ability to access quality health care services. Low income seniors and adults with disabilities make up the vulnerable population within the United States. These individuals are the sickest and poorest individuals within the community and are dually eligible for government assisted health programs, Medicaid and Medicare. Based on an article written by Rostai, Russell, Peng, Brickner, Kurowski, and Sheehan, within today’s society, caring for the vulnerable population is fragmented,

As individual get older they will depend on children or other family member to help take care of their healthcare needs. Caring for the elderly has turned into a national issue that can be identified with by most individuals across the nation. It estimated that one out of every five homes within the United States of America over 22.9 millions home will have someone who is takes care of an elderly relative or friend. They are over an estimated 44.4 million individuals providing care in one form or another who are over the age of 18 as or 2004 per AARP.

census discloses that the county age group is rapidly increasing and the trend will continue grow from a 99,086 to 140,000 by the year 2030 (Maryland Department of Aging, 2014). Research has shown that social inequalities are inter-reliant in the society and the impacts on health are present in all ages, however, it is predominant with the seniors leaving in the community. As it indicates, to reduce these disparities, it requires multi-interventional and collaborative approaches in addressing the various factors of health, it services and it cost. Although the United States has had some effective policies and few good health programs, however, providing a stable and adequate income for most of the seniors and providing a good public health care system goes a long way in improving their health and also increasing life expectancy. Much can and should be done to reduce inequalities that exist among the seniors and public health should take led in addressing the various aspect that affects the seniors. This paper has discussed the barriers to healthcare among the seniors and it has provided innumerable recommendations that would help improve their

First and foremost, despite slight recent increases in the amount of income obtained by members of the older population, their economic status is still quite perilous (Federal Interagency Forum, 2012).1 Men in this category have a median income of $27,707, while women continue to lag behind with a median income of $15,362 (AOA & AOCL, 2012). A vast majority of these individuals cite Social Security as their primary source for this income, amounting to 86-percent of the total older population (AOA & AOCL,

The American population is getting older which presents us with many challenges but also present us with potential opportunities. With the length of life and quantity and fraction of older persons rise in most industrialized and many evolving nations, a crucial question is whether this population will be accompanied by continued or better-quality health, an improving quality of life, and adequate social and cost-effective resources. This answer lies in the ability of peoples and societies, as well as modern social, governmental, financial, and health service delivery systems, to provide optimum assistance to older persons.