Journal of aging & social policy
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Committed "to care for him who shall have borne the battle and for his widow and his orphans," the federal government through its veterans' programs has long been a pacesetter in meeting some of the income-security and health-care needs of older Americans. But the Department of Veterans Affairs is short of funds. Key policymakers are genuinely divided over how much more they want to invest in the care of aging veterans. This paper assesses four options and concludes that it makes sense to strengthen DVA's internal capacity to meet its geriatric imperative.
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Review
The changing national policy system: complexity, Medicare, and implications for aging groups.
Changes in congressional processes, health agendas, and competitive positions of physician and hospital groups in the 1980s have produced important setbacks for such group interests within Medicare. Though united and successful in opposing Carter's 1977-79 hospital cost-containment proposals, these groups were subjected to severe new limits on hospital reimbursements under the 1982 budget reconciliation act. Thereafter, problems in protecting their interests continued or increased. ⋯ This projected narrow self-interest, thus decreasing the AMA's credibility. Further cost restrictions were imposed in 1985-86 budget acts. The problems of these organizations indicate that if aging groups are to protect their own stake in Medicare in the new political context, they must be particularly concerned with unity, credibility, and long-term perspectives.