America's Next Great Challenge

In today's Washington Post, former Senate Majority Leader Tom Daschle and former Secretary Tommy Thompson made a strong case for a constructive, national dialogue on long-term care. AARP agrees wholeheartedly.


Just this week, we joined with The Hill Newspaper to hold a briefing on long-term services and supports. We convened leaders from the federal and state levels to shine a bright light on the possible solutions and innovations that are happening across the nation.

>> Visit AARP's Caregiving Resource Center

Long-term care - an issue that affects people of all ages - is America's next great challenge, one that will have far-reaching implications for every generation and every corner of society.  I call it the 70 percent issue - seven of 10 people turning age 65 will need help to live independently at some point in their lives.

We know that the vast majority of Americans want to live independently, at home, as they age. And, they will count on family caregivers to make that possible.

Family caregivers are the backbone of long-term care in this country. They provide unpaid care valued at an estimated $450 billion annually. But, the number of family caregivers available to support older Americans will drop dramatically in coming years as the boomers age. Bottom line: More people will be dependent on fewer family caregivers.

  • From 1990-2010, boomers entered their prime caregiving years; at the end of those two decades, there were 7.2 potential caregivers ages 45-64 for every person ages 80-plus.
  • Over the next 20 years, as boomers become the population that will need the most care, the number of potential caregivers drops to 4.1.
  • Looking even further out, between 2030 and 2050, the number plummets to 2.9.

The demographics themselves paint a vivid picture of why we must develop more options to support family caregivers and to recruit and retain a strong, stable, paid workforce to help them.  We must also:

  • Improve the delivery of services and help people live independently in their homes and communities
  • Do a better job of educating people so that they can plan for the future and make informed decisions
  • Give people more and better tools to help them plan and pay for services
  • After all, the costs of long-term care - such as nursing homes - are becoming increasingly expensive and putting strains on family budgets.
  • And, private insurance options are becoming more scarce and too expensive (or unavailable) for most families.

AARP agrees with Sen. Daschle and Secretary Thompson. We call for a broader conversation about long-term care to identify reasonable and effective solutions.

As a first step, we believe that Congress and the Obama administration should take a serious look at the recommendations put forward by the federal Commission on Long-Term Care, as they explore ways to tackle the challenges of Americans who want to live independently at home and the family caregivers who help them.

We all have a role to play in this important dialogue - and the time for action is now. Share your thoughts with us on our Support Caregivers page.


Photo: Fred Froese/Istockphoto


Also of Interest


See the  AARP home page for deals, savings tips, trivia and more

ACA = Affordable Care Act = Obamacare


Search AARP Blogs

Related Posts
December 11, 2018 10:07 AM
In an election year filled with partisanship and political fights, it’s no surprise that many Americans feel that their voices aren’t being heard or that the issues that affect their lives aren’t being addressed. But, many outstanding elected officials work hard every day to make a positive difference for their constituents.  That’s why AARP recognizes state legislators, governors, and other elected officials – from both sides of the aisle – who have stepped up and worked together to write, support, and advance common-sense policies that help older Americans remain in their homes and communities and retire with confidence. AARP is proud to announce our fifth annual bipartisan class of Capitol Caregivers, who fought this year to increase support for family caregivers and their loved ones, along with our fourth annual bipartisan class of Super Savers, who championed policies that enhance retirement security.
December 05, 2018 01:06 PM
Caroline is a mother of two children and a preschool teacher who unexpectedly became a family caregiver for her father after he suffered a major stroke. Her father, Tom, now deceased, lost the use of his right side and his ability to speak. Multiple surgeries and rehabilitation treatments later, he was able to live at home with the help of nurses. But it was up to Caroline to provide daily care, such as overseeing appointments and handling certain nursing responsibilities, like managing his medications. “I became the person my father could rely on more than anyone in the world,” Caroline said. “I became his safe place and his best friend.” In communities across the country, family caregivers like Caroline are caring for older parents, spouses and other loved ones, helping them to remain at home – where they want to be. Their tasks are done out of love and commitment, but are not easy. That’s why AARP is fighting for family caregivers and their loved ones in every state. In 2018, AARP advanced new policies to provide more help at home, flexibility at work, training, relief and more, which will benefit over 30 million family caregivers. Here are a couple highlights:
November 27, 2018 08:55 AM
A few months ago, I wrote a blog about the vital role that transportation options play in what we at AARP call “livable communities” – great places to live for people of all ages. Being able to get around is critical to earn a living, raise a family, contribute and stay connected to your community and enjoy life. And, having alternatives to getting behind the wheel of your own car is particularly important for older adults who want to stay in their homes and communities as they age.