Contrasting Services to the Aged

Abstract

Old-age policy measures reflect a two-tier approach to the entitlements of the aged: constituent or interest group and welfare-based measures. Each reflects a different perspective on what is the necessary minimum of support that the government should guarantee to the aged. This article examines what happens when welfare-based Title XX services to the aged are combined with constituent-based Older Americans Act programs. The result is a convergence of contrasting perspectives on service minimums, the development of a continuum of care. There are both potential dangers and opportunities in this. In the face of limited resources, there is a potential danger that state and area agency mobilization of Title XX resources will result in a loss of resources to most disadvantaged members of the older population-the poor aged who are more likely to be comprised of the very old, the frail, the minorities, and widows. There is also an opportunity to develop a model of social care services to the aged which, while de...