Building an Accessible Long-Term Care System for the Future
The nation’s long-term care system has struggled for many years, and those constraints are expected to deepen as our nation ages. In 2019, Washington State became the first in the United States to pass legislation that would enable a public state-operated long-term care insurance program, the Washington Cares Fund. We conducted research with the goal…

The report examines the challenges and opportunities in creating an accessible long-term care system, using Washington State’s Washington Cares Fund as a case study.
It highlights the need for culturally and economically tailored outreach, strong consumer protections, and the involvement of employers and community organizations, offering recommendations for program design that can inform similar initiatives in other states.
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