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December 2007 (Volume 85)
Quarterly Article
Karen Buhler-Wilkerson
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
The problems of caring for patients with disabling illnesses who neither get well nor die are not new. Such patients have always required assistance at home from family, benevolent volunteers, or paid caregivers. Despite two centuries of experimentation, however, no agreement exists concerning the balance between the public and private resources to be allocated through state funding, private insurance, and family contributions for the daily and routine care at home for chronically ill persons of all ages. This article examines these issues and the unavoidable tensions between fiscal reality and legitimate need. It also uses historical and policy analyses to explain why home care has never become the cornerstone for caring for the chronically ill.
Author(s): Karen Buhler-Wilkerson
Keywords: home care; chronic illness; Medicare; nursing
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Volume 85, Issue 4 (pages 611–639) DOI: 10.1111/j.1468-0009.2007.00503.x Published in 2007
