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EXECUTIVE SUMMARY <br />The aging of our population presents one of the most dif- <br />ficult social challenges facing our nation and our state — <br />how to provide for the long-term care needs of the <br />elderly Problems of caring for the elderly are being expe- <br />rienced by many families Government. too, is experienc- <br />ing increasing difficulty meeting the needs of its eluerly <br />citizens. especially those 85 and over. who are the fas- <br />test growing segment of the older population <br />There is a growing consensus among Minnesotans that <br />the long-term care system must change Public respon- <br />sibility for care of the elderly has increased greatly in the <br />last two decades Minnesota now spends $839 million <br />annually on Medicaid, two-thirds of this amount paying <br />r,r urn, for nursing home care The coming population explosion <br />txi tna: u, among the very old will push these expenditures conSid- <br />erably higher if we continue to care for the elderly as we <br />do today The elderly and their families also are dissatis- <br />fied with Minnesota s long-term care syStern. primarily <br />because It emphasizes costly nursing horse care that <br />can quickly drain a family's savings and force depen- <br />dence on public assistance <br />Services and pit. icts that would enable many older <br />people to remain Self -sufficient could benefit govern- <br />ment. taxpayers. the elderly. and their families alike Most <br />elderly and their families view nursing homes as a last <br />rescrt The elderly would prefer other forms of services <br />and housing that allow and encourage self-sufficiency <br />and support their continued independence <br />This report, developed through a partnership between <br />the pucltc and the private sectors. issues a chal'enge to <br />the leaders of government and businr.,s work together <br />to develop policies, programs and products that will sup- <br />per' ;elf -sufficiency and self -responsibility among the <br />elderly The challenge of 85 And Beyond represents an <br />opportunity for all segments of our community to improve <br />the security and well-being of Minnesota's older citizens <br />Wit-'i i strong and shared commitment to resolve this crit- <br />ical issue, and with leadership working in concert busi- <br />ness and government can meet this challenge <br />