Medicaid – Wicked Problems, Wicked Solutions

How to Fix the Nursing Home Crisis, Now and After the Pandemic

This piece first appeared in the Tampa Bay Times. The COVID-19 pandemic has caused tens of thousands of deaths and more than three million infections, with predictions of many more to come. Nursing home residents have been among the most affected by the pandemic. In some states, half or more of all COVID deaths have…

Puerto Rico’s Imminent Medicaid Fiscal Cliff: The Trials and Tribulations of the Oldest U.S. Colony

Puerto Rico has been an unincorporated territory of the United States since July 25, 1898, subject to Article IV, Section 3, Clause 2 of the United States Constitution, more commonly referred to as the “Territorial Clause.” Honest actors who want to avoid euphemisms and not shy away from the truth, however painful and disgraceful as…

Caregiving: Research and Realities

Those who study aging have known for decades that the effects of population aging are most visible in the growing proportion of the population requiring everyday care and assistance, usually by family members. If we aspire to be a society that values families, we need to do a better job supporting the needs of caregivers, particularly those who are the most vulnerable.