The Early History of Long Term Care in the United States

In the United States at the beginning of our country the population was much younger. Life expectancies were less and the immigration into our country was mostly young people and families. A very small percentage of our population was categorized as old age. This category was affected by poor medical care and a much lower standard of living.

Immigration was hazardous and very dangerous. The immigrants who came here voluntarily were poor and hoping for a better life in the new world and the risk was worth the potential rewards. Also many slaves were imported into the new country and only the healthiest and strongest were even considered. This also added to the overall younger population.

Those we did live a longer life expectancy were often dependent on their children and there was almost no old age security blanket other than the charities of churchs which were often modest. The family needed and depended on the care of one another. Due to the need to provide for the family most groups were in rural settings where crops could be grown and livestock could be raised. There was very little industry and only a very small percentage of the population lived in urban areas. The family was the key to survival and many different jobs and occupations were created from farming to butchering to educating the children

The public welfare system in the country was dependent on local assistance and the federal government had no part in it. Many local government established laws to create a system of aid and assistance to the population that evolved into our modern welfare system. This system eventually provided houses for the poor and homes for children which became orphanages. These systems were funded by tax dollars and were often attached with a stigmatism of lower class or the unworthy. It also created a system for abuse. Many people presented themselves as poor to receive room and board and many parts of the county even used these people as class slaves and were forced to work even though they were medically unable. Abuse was equally shared by both the people and the system.

Poor camps developed and these people roamed the countryside using a local system until authorities moved them along and out of their community. These camps were reminiscent of the gypsy movement began in Eastern Europe.

Eventually responsibility was aided by known groups who became responsible for the caring of others. These systems ere occasionally churches and other organizations such as Revolutionary War Veterans of America.

Funds were entrusted to these groups and they accepted responsibility of paying for and providing for members of their organizations. This proved to be a more efficient method of providing assistance and became the early basis of our modern welfare system.

As the tax base increased and the federal government became more dominate the argument between the states and the federal government became greater and more in contrast. Eventually the states accepted control over the system and the federal government agreed to provide some funding although almost all responsibility fell on the states responsibility. One positive move the federal government did was to in 1776 was to authorize pensions for disabled Revolutionary War Veterans. The initial military pension law offered partial pay for the rest of their lives to soldiers who were disabled in the war that they were unable to work for a living. It wasnt until much later in the history of our country that the federal government asserted its power over the states and gained control over the welfare system.

The history of long term care for those in need changed over the years as a better tax base was established and the interaction between state and federal governments improved. In the 1960s with the establishment of Medicare and Medicaid newer and better programs became available and more services were offered.

Even today thee programs continue to evolve and change as the needs of our populace changes.

Bill Broich is thirty year annuity salesman who seniors manage their retirement money. To discover more visit his website: Annuity Quotes

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