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12 J.L. & Pol. 195 (1996)
Misinformation and Self-Deception in Recent Long-Term Care Policy Trends

handle is hein.journals/jlp12 and id is 205 raw text is: Misinformation and Self-Deception in Recent Long-Term Care Policy Trends Jan Ellen Rein* SUMMARY The topic of this article is both timely and highly controversial. The fate of the federal program of long-term care assistance under Medicaid is a key issue in the clash between the Congress and the White House over the recently vetoed Balanced Budget Act which, in its Medigrant provisions, would dramatically alter long-term care policy as we know it. As this is written, the issues examined are the subject of heated debate in the White House, United States Congress, state legislatures, mayoral offices, health care agencies, and affected citizens throughout the land. The following analysis provides information and insight needed by policy makers and health care analysts from the grass roots up and from the Presidency on down. No matter what happens to the Medicaid program this year, the issues raised will be debated at the community, state, and federal level for years to come. America's wealth transmission system accommodates a property owner's desire to transfer assets remaining at death to loved ones. However, a curious deviation from this time-honored tradition appears in policy discussions and legislation in the context of wealth retention * Professor of Law, University of the Pacific, McGeorge School of Law; Member, New York State Bar & Washington State Bar. B.A., 1962, Wellesley College; LLB., 1965, Georgetown University Law Center. I gratefully acknowledge the excellent research assistance of Eric Graves and Scott Isherwood, McGeorge School of Law, Class of 1995; Alan Sozio, Jennifer McGill, Shelly Longaker, and Ellen Kim, McGeorge School of Law, Class of 1996; and Colette Skaggs, McGeorge School of Law, Class of 1997, with special thanks to Mr. Isherwood, Ms. Longaker, and Ms. Skaggs for their extra work on this project. Special thanks also to McGeorge School of Law reference librarians Evelyn Posamentier, Louise Roysdon, Susan Van Syckel, and Sue Welsh for their unstinting help with difficult research tasks. I wish to thank Catherine L. Hughes, Esq., Ira S. Wiesner, Esq., and Professors Michael Berch, Jonathan Barry Forman, Martin J. McMahon, Jr., John Sprankling, Michael Vitiello, and Phil Wile for their helpful comments on portions of this article. I also gratefully acknowledge the administrative and financial support for this project provided by McGeorge School of Law. The views expressed in this article are solely the author's and do not necessarily reflect the views of those whose commentary or financial assistance helped forward this project.

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