Abstract
The elderly are a highly diverse population, and demographic projections indicate that the older population will increase in its diversity along lines of gender, race, ability, and income. The article examines the political implications of U.S. policy toward the elderly and the sensitivity of different policies to the increasing heterogeneity. The passage and repeal of the Medicare Catastrophic Coverage Act of 1988 is used as an example of the dangers posed by fissuring of elderly constituencies. The authors assert that focused, targeted, and specific policies are necessary in order to help the vulnerable people left unprotected by the broad-based policies of the past.
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