Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

When elderly persons can no longer care for themselves, they usually have only two primary options: care at home by unpaid relatives or high cost care in a nursing home; it is clear, then that a new system is needed that will offer older people more options. This report presents the major policy questions America faces in the search for a better…