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Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.

The federal government should create a public social insurance benefit that provides coverage for LTSS. It should be within Medicare or in a new public program. 

Until a comprehensive national LTSS program is implemented, the following intermediate steps should be taken: 

The federal and state governments should conduct regular, thorough, and consistent oversight. Oversight should include evaluation of consumer outcomes to the extent feasible.

Consumers and their family caregivers, as appropriate, should be the focus of all LTSS programs and services.

Medicare coverage of health services for those with chronic illnesses and disabling conditions should be improved (see also the following sections in