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Ideally, the federal government should finance LTSS through a universal, comprehensive, and publicly administered program such as Medicare or similar social insurance program of shared risk.
Federal and state governments should continue to provide public funding for OAA programs and outreach to increase participation by diverse communities in low-income benefit programs.
If a public social LTSS insurance system is enacted, private long-term care insurance (LTCI) should be designed to supplement its benefits.