The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
September 1988 (Volume 66)
Quarterly Article
A. E. Benjamin
Nov 5, 2024
Oct 30, 2024
Oct 23, 2024
Back to The Milbank Quarterly
The driving concern of policy thinking in regard to both the elderly and AIDS patients has been cost containment. It has been presumed that the best way to cut costs, as well as to serve the medical and emotional needs of AIDS patients, is to limit hospital and nursing home stays and expand the role of community-based services. The experience of the elderly has demonstrated, however, that these services have had little impact on the use of institutional care, only limited outcome benefits, and have not reduced the overall costs; rather, they have increased the utilization of all services and total expenditures. In the case of AIDS patients, a preoccupation with community care alternatives to hospitalization fails to acknowledge the central role of medical care in the management of the disease.
Author(s): A. E. Benjamin
Download the Article
Read on JSTOR
Volume 66, Issue 3 (pages 415–443) Published in 1988