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In joining the debate on the role of government in the long-term care of the dependent elderly and the disabled, Mark Pauly and Peter Zweifel analyze the economics of such care and consider the effects of government policies in the provision of public and private insurance.

The economic effects of government programs and tax policies are central to the issues now being debated in Congress and state legislatures. In this volume is a serious discussion of the shortcomings of present policies in both the United States and Europe and suggestions about how governments might more effectively achieve their objectives.

Mark V. Pauly is the Bendheim Professor and professor of health care systems, insurance, economics, public policy, and management at the Wharton School at the University of Pennsylvania. Peter Zweifel is professor of economics at the University of Zurich and a member of the Working Party for Health Economics of the German Economic Association. James Reshovsky, a research fellow at the Center for Delivery Systems Research of the Agency for Health Care Policy and Research, and Joshua M. Wiener, Senior fellow in the economics studies program at the Brookings Institution, contributed commentary.