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102 Minn. L. Rev. Headnotes 1 (2018)

handle is hein.journals/headnotpan102 and id is 1 raw text is: 











Essay


Improving Familial and Communal
Eldercare in the United States: Lessons
from China and Japan


H.  Hunter   Brutont

                       INTRODUCTION
    [I]n this world, nothing can be said to be certain except
death and  taxes.' Eldercare policy strives to postpone the for-
mer  without increasing the latter. As the elderly population in
the United States grows, policymakers struggle to reduce elder-
care costs while improving eldercare quality.2 Strengthening fa-
milial and communal  eldercare structures could accomplish both
seemingly  competing goals. However, the relationship between
government  action and strengthening these institutions remains
complex  and unclear. As our population ages, America  is run-
ning out of time to experiment. Untested, broad shifts in national
or state eldercare policy carry grave consequences.3




   t  Duke University School of Law, J.D. 2016; University of North Carolina
at Chapel Hill, 2012. Thanks to Duke University School of Law generally, and
the Law Teaching Committee specifically, for providing me with abundant sup-
port for my scholarly endeavors. Thanks to Judge Allyson K. Duncan, who has
been an invaluable mentor and teacher. Thanks to Professors Kathryn Webb
Bradley, Ralf Michaels, and Joan Magat for their helpful comments and edits.
Copyright © 2018 by H. Hunter Bruton.
    1. Benjamin Franklin, Letter from Benjamin Franklin to Jean-Baptiste
Leroy (Nov. 13, 1789), in 10 THE WRITINGS OF BENJAMIN FRANKLIN 68, 69 (Al-
bert Henry Smith ed., 1907).
   2. See, e.g., Marshall B. Kapp, Home and Community-Based Long-Term
Services and Supports: Health Reform's Most Enduring Legacy?, 8 ST. LOUIS U.
J. HEALTH L. & POL'Y 9, 28 (2014).
    3. See Stephen Crystal & Michele J. Siegel, Population Aging and Health
Care Policy in Cross-National Perspective, in INTERNATIONAL HANDBOOK OF
POPULATION AGING 610 (P. Uhlenberg ed., 2009) ([H]ealth care costs burden
has more to do with national health care policy choices than it does with popu-
lation aging.).


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