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Abstract
Aging in place is a core component of the policy on aging in Israel. This was well expressed in the Long-Term Care Insurance law enacted in 1986 and implemented in 1988. Under the law, disabled persons can receive in-kind home- and community-based services to enable frail older adults to age in place and to complement or supplement the care provided primarily by family caregivers who are legally responsible for caregiving of their elderly family members. This article presents the main principles of the law and reviews the amendments that this law has undergone during the past 22 years. Finally, some core issues and dilemmas are discussed.
Notes
1. In 1990, the rate of NIS per USD was 2.314; by 2009 it had increased to 3.775.
2. There is no means (assets) test but only a current monthly income test.
3. The average wage in the market relates to the average monthly salary, currently 8,172 NIS, which equals US$2,141.
4. Sheltered housing is in some aspects similar to assisted living in the United States.
5. Age of retirement for women has been gradually raised from 60 to 64 in 2003.
6. Cash benefit is increasingly an option, but remains the exception. Most recipients of publicly funded home- and community-based care receive in-kind benefits.