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Autorica u ovom radu nudi, prije svega, pregled razvoja politike prema starima u SAD-u, od začetaka do najnovijih inicijativa. Poseban je naglasak na političkom i zakonodavnom kontekstu u kojem se razvijala politika prema starima. U radu se jasno nastoji pokazati kako povijesno naslijeđe i danas utječe na izbor određenih političkih mjera prema starima. Također, autorica pokazuje kako je etički i vrijednosni sustav bio povezan sa specifičnim političkim reagiranjima na potrebe starijih osoba. Osim toga, u radu se ekstenzivno raspravlja o modelu dugotrajne skrbi za stare, koji se trenutno nalazi u središtu pažnje američke javnosti. Kritički se razmatra čitav niz mjera i programa s humanog i financijskog stajališta, kao i sa stajališta pojedinih interesnih grupa. Na kraju, autorica analizira i ocjenjuje najnovije prijedloge Clintonove administracije te raspravlja o budućim pravcima razvoja politike prema starima. Ona zaključuje da većina Amerikanaca podupire model dugotrajne skrbi te je spremna plaćati posebne poreze u tu svrhu. Ona misli da će budući razvoj dugotrajne skrbi biti obilježen nastojanjima da se usluge pružaju u domovima starih osoba i njihovim lokalnim zajednicama (radi poticanja nezavisnosti u svakodnevnom životu). No, i buduća politika prema starima, smatra autorica, kretat će se u rasponu od ekspanzionističkog do redukcionističkog pristupa.In this paper the author provides, first, an overview of the evolution of aging policy in the United States, from its infancy to new policy initiatives. A strong emphasis is put on the ideological and legislative context in which aging policy has developed. The paper illustrates how institutional forms and policy legacies have affected aging policy choices. The author points out that ethics and value systems are also significant for aging policy making process in the United States. In addition, the paper deals with the community-based long-term care model that has received a great deal of attention by the American public. A range of programs and measures for the elderly is discussed taking into account human aspects, financial expenditures and special interest groups. Finally, the author analyzes and evaluates recent proposals by the Clinton administration and debates about the future of aging policy in the United States. She points out that a majority of American citizens support the long-term care model and are willing to pay additional taxes for it. She concludes that a mayor feature of the development of long-term care for the elderly will be emphasis on home and community-based services (promoting independence in everyday life). The author thinks that the pendulum of aging policy in the future will continue to swing back and forth between expansionist and reductionist policy solutions

Nacrt buduće javne politike prema starima u Sjedinjenim Državama: prošlost kao proslov