Long term Care in USA vs. Europe and East Asia Essay

Long term Care in USA vs. Europe and East Asia - Essay Example The major limitation associated with this informal arrangement of long term care provision by the USA is that there is no uniformity in the manner in which the frail, disabled and the individuals with chronic illnesses are attended to. Thus, those who are dependent on private long term care insurance and out-of-pocket spending eventually end up missing on quality long term care, considering that their resources are easily depleted, to a point where they can no longer be able to cater for such medical and non-medical needs of the deserving individuals (Saltman, Dubois & Chawla, 2006). It is against this background that the U.S. Congress is assessing the Community Living Assistance Services and Supports (CLASS) Act, with a view to establishing a formal program through which uniform long term care can be offered in the USA (Campbell, Ikegami & Gibson, 2010). According to the data released by the Center for Disease Control (CDC) in 2008, Medicaid accounted for 71% of the long term care services that were provided in the USA, while out-of-pocket spending followed at 18% and finally private long term care insurance at 7% (Harris-Kojetin, Sengupta, Park-Lee, Valverde, 2013). These statistics indicate that the only individuals who benefit from long term care in the USA are those capable of meeting the expenses through out-of-pocket paying, joining private long term care insurance or enrolling for the Medicaid plan. This leaves out the bulky of the frail, disabled and the deserving dependent senior citizens in the USA without the access of long term care services. This is contrary to the situation in Europe, where countries such as Germany, Norway and Denmark have a formalized program for supporting long term care for all the deserving citizens, without causing them to deplete their resources (Saltman, Dubois & Chawla, 2006). Additionally, long term care services in some of the East Asian countries such as