• 01. Who Will Take Care of Me in 2020? (Full text)

      Downey, Edward H.; Guhde, Robert; The College at Brockport (1980-04-10)
      In the Summer of 1979 Profs. Robert Guhde and Ed Downey of the Department of Public Administration at the College at Brockport offered a special seminar to consider ways to deal with rising health care costs with a focus on long term care. The seminar called Public Management Simulation included a competition among MPA students from Brockport, Syracuse University, and SUNY Albany to see who could come up with the best solutions. The seminar and competition were funded by a grant to the Department of Public Administration from the 1979 Title IX Higher Education Act. Papers from the students were edited and published as a book entitled: Who Will Take Care of Me in 2020? A Speculative Look at Government-Funded Long Term Care. Prof. Guhde submitted the paper written by the Brockport students (Laura Volk, Jeanne B. Hutchins, and Jean S. Doremus) to the Public Administration Review, where it won the prestigious Garvey Award and was published in the Sep. – Oct. 1980 edition of the journal. This work is of interest today because it chronicles earlier attempts to deal with rising health care costs and provides insight into some of the policy and administrative remedies under current discussion.
    • 02. Front Matter - Who Will Care For Me in 2020?

      Downey, Edward H.; Guhde, Robert; The College at Brockport (1980-04-10)
      In the Summer of 1979 Profs. Robert Guhde and Ed Downey of the Department of Public Administration at the College at Brockport offered a special seminar to consider ways to deal with rising health care costs with a focus on long term care. The seminar called Public Management Simulation included a competition among MPA students from Brockport, Syracuse University, and SUNY Albany to see who could come up with the best solutions. The seminar and competition were funded by a grant to the Department of Public Administration from the 1979 Title IX Higher Education Act. Papers from the students were edited and published as a book entitled: Who Will Take Care of Me in 2020? A Speculative Look at Government-Funded Long Term Care. Prof. Guhde submitted the paper written by the Brockport students (Laura Volk, Jeanne B. Hutchins, and Jean S. Doremus) to the Public Administration Review, where it won the prestigious Garvey Award and was published in the Sep. – Oct. 1980 edition of the journal. This work is of interest today because it chronicles earlier attempts to deal with rising health care costs and provides insight into some of the policy and administrative remedies under current discussion.
    • 04. Introduction

      Downey, Edward H.; Guhde, Robert; The College at Brockport (1980-04-01)
      The Public Management Simulation (PMS) was conceived as a unique way to combine teaching and research in, public administration. The ideal of combining teaching and research all too often finds its expression as a classroom lecture on somebody's pet study or as the lonely process of grinding out a dissertation or thesis. While both of these methods have undeniable merit, they tend to lack the vitality and challenge that comes from working with a group of intelligent and informed people to understand complex social phenomenon. PMS provides an alternative that utilizes the students as policy researchers with the added stimulus of an adversary setting. In this instance the PMS was used to develop alternatives for government funding of Long Term Care.
    • 11. Concluding Comments

      Downey, Edward H.; Guhde, Robert; The College at Brockport (1980-04-01)
      The time to consider our futures, who will care for us when we are the sick and the aged, is now! Today, the answer to that question is often the skilled nursing facility, the most expensive way for society to bundle off the chronic health problems associated with aging. As the elderly increase as a portion of the population, the increase in payments for LTC will cause a massive redistribution of wealth, far outstripping inheritance taxes and other mechanisms for transferring wealth from one generation to another. It will eat away at our national savings and the domino effect it generates may affect the housing industry, industrial investments and other forms of industry reliant upon a ready supply of capital.