Caring for the Elderly in America.

Although the care of older adults has historically been provided either by the individuals themselves or by the family or community, in twenty-first century America, there are a number of other options available to supplement or substitute for this care when necessary. Approximately two-thirds of older Americans remain in their own home or that of their children. However, the other third needs the care of a long-term facility. Even most of those remaining at home need additional care and services from time to time as their health deteriorates. Improved longevity and declining birth rates, combined with increasing costs of care, make paying for elder care an issue of increasing concern. More work is needed to develop plans that can help all Americans receive the care they need and deserve as they age.