Perspective Roundtable

Long-Term Care in the United States — Problems and Solutions

List of authors.
  • Susan L. Mitchell, M.D., M.P.H.,
  • Shawn Bloom, M.S.,
  • David Gifford, M.D., M.P.H.,
  • David Grabowski, Ph.D.,
  • and Jasmine Travers, Ph.D., R.N.


The Covid-19 pandemic, with its devastating effects on nursing home residents and staff, has drawn renewed attention to problems in the U.S. system of long-term care. But the underlying issues are long-standing. In this Perspective Roundtable, moderator and geriatrician Susan Mitchell is joined by four experts in long-term care — Shawn Bloom, David Gifford, David Grabowski, and Jasmine Travers — in assessing the current system’s most pressing gaps and challenges and envisioning the most promising directions for the design and implementation of better solutions for the aging U.S. population.

View the video of this roundtable discussion. A transcript is available at

Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at

This article was published on May 14, 2022, at

Author Affiliations

From Harvard Medical School (S.M., D. Grabowski) and the Hebrew SeniorLife Marcus Institute for Aging Research (S.M.) — both in Boston; the National PACE Association, Alexandria, VA (S.B.); the American Health Care Association, Washington, DC (D. Gifford); and New York University Rory Meyers College of Nursing, New York (J.T.).

Supplementary Material

Comments (12)

Share your comments on “Reforming Nursing Home Financing, Payment, and Oversight” and “Perspective Roundtable: Long-Term Care in the United States — Problems and Solutions”