Holden K C, Smeeding T M
Institute of Public Affairs, University of Wisconsin-Madison 53706.
Milbank Q. 1990;68(2):191-219.
Although the elderly are as well or perhaps better off on average than younger groups, measures of the elderly's economic well-being have to gauge the security of their income and assets relative to the financial and health problems they may face. These measures include the adequacy of older Americans' health insurance vis-à-vis their health status, and the sufficiency of their resources to meet possible contingencies, such as severe inflation and costs of long-term care. By applying such measures to the 1984 Survey of Income and Program Participation, 4.5 million elderly may be categorized as economically insecure. Action is needed to ease the insecurity current public and private insurance policy implicitly imposes on this group, which constitutes 20 percent of the elderly population.
尽管老年人平均而言与年轻群体一样富裕,甚至可能更富裕,但衡量老年人经济福祉的指标必须考量他们的收入和资产相对于可能面临的财务和健康问题的安全性。这些指标包括美国老年人医疗保险相对于其健康状况的充足性,以及他们的资源足以应对可能出现的意外情况(如严重通货膨胀和长期护理费用)的程度。通过将这些指标应用于1984年的收入与项目参与情况调查,450万老年人可能被归类为经济上不安全。需要采取行动来缓解当前公共和私人保险政策隐含地强加给这一群体的不安全感,该群体占老年人口的20%。