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An ever-more diverse America is getting older, but American policies are not growing with the needs of the ethnic and ageing society. This text explores the distinct characteristics and unique social, political, economic and cultural situations of America's aged, while highlighting the common needs and objectives among all ageing Americans. origins, Native Americans, socio-relgious groups, women, gay men and women and the rural aged this study broadens our perspective on the issues of long-term care, and provides a valuable guide for future public policy as we enter the 21st century.

America is getting older, but her policies are not growing with the ethnic and ageing societies needs. This text explores the distinct characteristics and unique political, economic and cultural situations of the aged, while highlighting the common needs and objectives among all ageing Americans.

In 1965, the United States government enacted legislation to provide low-income individuals with quality health care and related services. Initially viewed as the friendless stepchild of Medicare, Medicaid has grown exponentially since its inception, becoming a formidable force of its own. Funded jointly by the national government and each of the fifty states, the program is now the fourth most expensive item in the federal budget and the second largest category of spending for almost every state. Now, under the new, historic health care reform legislation, Medicaid is scheduled to include...