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One indicator of sensible fiscal practices is maintaining balance between spending and revenues. Occasional deficits may be necessary.

At the federal level, the two categories of budgetary expenditures are entitlement and discretionary spending. 

Respect for patients’ autonomy and the right to self-determination are essential features of a high-quality health system.

A well-educated and highly skilled workforce is essential to achieving universal and equitable access to health care.

Licensing: Oversight by licensing boards ensures compliance with professional standards.

Residential care setting is an umbrella term for many types of certified and licensed housing plus services options.

Block grants and unfunded mandates are two government budgetary practices that can have significant implications for lower levels of government. 

Ensuring the quality of services for home care is difficult. No quality measures can assess every service delivered daily in hundreds of thousands of private homes across the country.

In 2021, an estimated 58.7 million adults age 18 and older in the U.S. had a mental illness. That is 22.8 percent of all adults. Prevalence among those over age 50 is 15 percent. 

The care provided in long-term services and supports (LTSS) settings is only as good as the personnel who provide it.