Y. Nam, J. Huang, E. Lee, M. Sherraden
2017 Innovation in aging  
The rights to health and health care in the event of illness, disability, or old age are detailed in Article 25 of the Universal Declaration of Human Rights. These rights are fundamental to the well-being of older adults as demands for health care are closely related to the increase in chronic conditions that commonly occur with aging. Without adequate and accessible health care, rights are seriously impeded and the quality of life diminished. This paper discusses the two major health care
more » ... or health care policies in the USA, Medicare and Medicaid, affecting older adults and the ways in which the programs relate to human rights. Medicare, a federal health insurance program focusing on older adults was created in the 1960s and is composed of several parts. Part A covers in-hospital care while Part B, which is paid for through monthly premiums covers out-patient care. Prescription drugs are covered through a separate plan. Medicaid, also developed in the 1960's provides health care is a means-tested, needs based progam with eligibility dependent on income and assets. It is also the largest payor of long term nursing home care in the country. This paper focuses on the ways in which these two health programs relate and respond to human rights of older adults. Particular attention is given to the accessibility of services areas that are fundamental to the realization of human rights and well-being. Recommendations for making programs rights rather than needs based are given with examples of rights based health policies in other countries.
doi:10.1093/geroni/igx004.3037 fatcat:olpjg2uvkvddtfov3lvgvsl3im