McKnight's December 23, 2025
In 1990, Senator Jay Rockefeller (D-WV), in introducing a report to Congress from the U.S. Bipartisan Commission on Comprehensive Health Care (also known as the “Pepper Commission”), wrote that with long-term care, “no entrenched system of private insurance is threatened by government expansion, and providers stand to gain considerably from broader public support.”
Unlike the commission’s healthcare reform proposals, its long-term care proposals received bipartisan votes from the commission members, including having the federal government pay for home care and the first three months of a nursing home stay, and pay for long-stay nursing home care where a resident would otherwise deplete personal assets beyond a “floor of protection.”
Of course, nothing came of any of these recommendations. Just as...
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