Edward Alan Miller – författare

The surprise election of Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic – not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a historic opportunity for change. The role of older Americans has been critical in both shaping and reacting to this political moment. Their political orientations and behaviors have shaped it through their electoral support for Republican candidates. But, older Americans stand as highly invested stakeholders in the policy decisions made by the very officials they elected and as beneficiaries of the programs that Republicans have targeted for cuts or elimination.

This comprehensive volume explores the ways in which Trump administration policies are likely to significantly undermine the social safety net for near-elderly and older Americans, including long-term care, housing, health care, and retirement. The authors also explore how the Trump administration might shape politics and political behavior through the policy changes made. The response of older voters, in upcoming elections, to efforts by the Trump administration and its Republican allies in Congress to draw back on the federal government’s commitment to programs and policies affecting them will shape the direction of aging policy and politics for years to come.

This book was originally published as a special issue of the Journal of Aging & Social Policy.

The surprise election of Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic – not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a historic opportunity for change. The role of older Americans has been critical in both shaping and reacting to this political moment. Their political orientations and behaviors have shaped it through their electoral support for Republican candidates. But, older Americans stand as highly invested stakeholders in the policy decisions made by the very officials they elected and as beneficiaries of the programs that Republicans have targeted for cuts or elimination.

This comprehensive volume explores the ways in which Trump administration policies are likely to significantly undermine the social safety net for near-elderly and older Americans, including long-term care, housing, health care, and retirement. The authors also explore how the Trump administration might shape politics and political behavior through the policy changes made. The response of older voters, in upcoming elections, to efforts by the Trump administration and its Republican allies in Congress to draw back on the federal government’s commitment to programs and policies affecting them will shape the direction of aging policy and politics for years to come.

This book was originally published as a special issue of the Journal of Aging & Social Policy.

The COVID-19 pandemic has impacted the lives of people throughout the world, either directly, due to exposure to the virus, or indirectly, due to measures taken to mitigate the virus’ effects. Older adults have been particularly hard hit, dying in disproportionately higher numbers, especially in long-term care facilities. Local, regional, and national government actions taken to mitigate the spread of COVID-19 have thus served, in part, to shield older adults from the virus, though not without adverse side effects, including increased social isolation, enhanced economic risk, revealed ageism, delayed medical treatment, and challenges getting basic needs met. This book explores the myriad ways in which the COVID-19 pandemic has affected older adults and their families, caregivers, and communities. It proposes policies and strategies for protecting and improving the lives of older people during the pandemic. It draws lessons for aging policy and practice more generally, given underlying challenges brought to the fore by government, provider, community, and individual responses to the pandemic.

This book was originally published as a special issue of the Journal of Aging & Social Policy.

The COVID-19 pandemic has impacted the lives of people throughout the world, either directly, due to exposure to the virus, or indirectly, due to measures taken to mitigate the virus’ effects. Older adults have been particularly hard hit, dying in disproportionately higher numbers, especially in long-term care facilities. Local, regional, and national government actions taken to mitigate the spread of COVID-19 have thus served, in part, to shield older adults from the virus, though not without adverse side effects, including increased social isolation, enhanced economic risk, revealed ageism, delayed medical treatment, and challenges getting basic needs met. This book explores the myriad ways in which the COVID-19 pandemic has affected older adults and their families, caregivers, and communities. It proposes policies and strategies for protecting and improving the lives of older people during the pandemic. It draws lessons for aging policy and practice more generally, given underlying challenges brought to the fore by government, provider, community, and individual responses to the pandemic.

This book was originally published as a special issue of the Journal of Aging & Social Policy.

The COVID-19 pandemic has disrupted life globally through virus-related mortality and morbidity and the social and economic impacts of actions taken to stop the virus’ spread. It became evident early on during the pandemic that older adults are especially vulnerable to morbidity and mortality from COVID-19, and the adverse consequences of strategies taken to mitigate its effects. While no more likely to become infected than younger populations, the risk for hospitalization and death rises considerably with age. Residents of long-term care facilities have been among the hardest hit. The pandemic has brought many facets of ageism to the fore. Community stay-at-home messages, lockdowns, social distancing requirements, and visitation restrictions contributed to a concomitant epidemic in social isolation and loneliness. Economic and social impacts have been dramatic; so too has been the disproportionate hardship experienced by members of racial and ethnic minority communities.

This book reports original empirical research and perspectives on the ramifications of the COVID-19 pandemic for the older adult population, and draws lessons for policy, research, and practice. Key issues pertaining to the impact of COVID-19 on older adults and their families, caregivers, and communities are highlighted. Four main areas are examined: personal experiences with COVID-19; long-term care system impacts; end-of-life care; and technology and innovation.

The chapters in this book were originally published as a special issue of the Journal of Aging & Social Policy.

The COVID-19 pandemic has disrupted life globally through virus-related mortality and morbidity and the social and economic impacts of actions taken to stop the virus’ spread. It became evident early on during the pandemic that older adults are especially vulnerable to morbidity and mortality from COVID-19, and the adverse consequences of strategies taken to mitigate its effects. While no more likely to become infected than younger populations, the risk for hospitalization and death rises considerably with age. Residents of long-term care facilities have been among the hardest hit. The pandemic has brought many facets of ageism to the fore. Community stay-at-home messages, lockdowns, social distancing requirements, and visitation restrictions contributed to a concomitant epidemic in social isolation and loneliness. Economic and social impacts have been dramatic; so too has been the disproportionate hardship experienced by members of racial and ethnic minority communities.

This book reports original empirical research and perspectives on the ramifications of the COVID-19 pandemic for the older adult population, and draws lessons for policy, research, and practice. Key issues pertaining to the impact of COVID-19 on older adults and their families, caregivers, and communities are highlighted. Four main areas are examined: personal experiences with COVID-19; long-term care system impacts; end-of-life care; and technology and innovation.

The chapters in this book were originally published as a special issue of the Journal of Aging & Social Policy.

The rapid onset of the COVID-19 pandemic presented a multi-faceted challenge to older adults, carers, and care institutions globally. Despite a wide range of policies that achieved some success in protecgting older adults from serious illness and death from COVID-19, older adults continue to bear the burden of risk for these most severe outcomes. Additionally, some early efforts to protect older adults, often via extreme isolation measures both within care facilities and in the community, yielded unanticipated health and psychosocial impacts on older adults and care and service networks and revealed systemic ageism in health and social policies worldwide.

This book compiles research conducted both during and after the height of the COVID-19 pandemic on the impacts of immediate response efforts, while delving into the longer-term differential effects across population subgroups and organizations. Four main areas examined in the volume’s 25 chapters: Flexibility and innovation in early responses; ageism and isolation; long-term care and the direct care workforce; and disparities in access and experiences.

Governments, agencies, and aging services organizations will benefit from fully considering lessons learned and incorporating them into future emergency response efforts, accounting for similarities and differences in manifestations and consequences across different subpopulations and organization and policy contexts.

The rapid onset of the COVID-19 pandemic presented a multi-faceted challenge to older adults, carers, and care institutions globally. Despite a wide range of policies that achieved some success in protecgting older adults from serious illness and death from COVID-19, older adults continue to bear the burden of risk for these most severe outcomes. Additionally, some early efforts to protect older adults, often via extreme isolation measures both within care facilities and in the community, yielded unanticipated health and psychosocial impacts on older adults and care and service networks and revealed systemic ageism in health and social policies worldwide.

This book compiles research conducted both during and after the height of the COVID-19 pandemic on the impacts of immediate response efforts, while delving into the longer-term differential effects across population subgroups and organizations. Four main areas examined in the volume’s 25 chapters: Flexibility and innovation in early responses; ageism and isolation; long-term care and the direct care workforce; and disparities in access and experiences.

Governments, agencies, and aging services organizations will benefit from fully considering lessons learned and incorporating them into future emergency response efforts, accounting for similarities and differences in manifestations and consequences across different subpopulations and organization and policy contexts.

Medicaid is the largest grant-in-aid program in the United States. Reform in this area, therefore, provides a unique opportunity to study the intersection between federal and state policy making in an area recently characterized by substantial uncertainty deriving from the lingering effects of the Great Recession, ongoing debate over the federal budget, and implementation of the Patient Protection and Affordable Care Act. Invariably states reform the way health care is delivered, regulated, and financed within broader parameters established by federal statutes and regulations. It is critical therefore that effective strategies be put into place if both current and future health and long-term care reform efforts are to have their greatest chances at success. Rhode Island is the first state to receive permission to operate its entire Medicaid program under a global cap. As a consequence, it has entered the national consciousness as a key data point potentially supporting the block grant approach to Medicaid reform.

In this book, Edward Alan Miller identifies factors that either facilitated or impeded the design and implementation of Rhode Island’s Global Consumer Choice Compact Medicaid Waiver in order to draw broader lessons for the Medicaid block grant debate and health and long-term care reform more generally. Evidence gathered from archival sources and in-depth interviews with key stakeholders exposes the role that provider capacity has played in the implementation process, including adult day care, assisted living, home maker, and other home- and community-based services. The impact of the Global Waiver on the nursing home sector is examined as well, in addition to new authority to obtain federal matching dollars for previously state-only funded programs.

By providing a sophisticated understanding of factors enhancing or impeding state health reform, this book will contribute to improvements in the development and administration of policy development at both the state- and federal-levels.