The results point to the need to focus efforts on retaining older volunteers to maximize volunteer engagement during later years. Recruiting older adults in volunteer activities early on, ideally before they retire, could also help meet volunteer needs.
These results highlight the need to update poverty measures so that they better reflect older adults' circumstances. This will become increasingly important as policymakers consider reforms to improve solvency in the Social Security and Medicare programs that may require benefit cuts or increased cost sharing.
Simulation techniques are used to analyze the changing profile of the elderly from 1990 to 2030. The results show that the future demand for long-term care services is likely to be greater than many realize. Increases in the number of elderly who are 85 years of age and older, who have health limitations, or who live alone are likely to outpace the general increase in the elderly population. Although there will be a very large group of elderly at risk, their economic status will be better than that of today's elderly population. The percentage of elderly who can afford insurance premiums for broad long-term care coverage will increase in the future, but most older Americans probably will not be able to afford insurance. Although policies that reduce the cost and encourage the purchase of long-term care insurance could help to expand coverage, a large long-term care financing gap is likely to remain for the future elderly population.
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