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Poverty & Inequality

More than a quarter of Californians live in or near poverty, and the longstanding divide between rich and poor poses a major challenge for our state and nation. PPIC builds understanding of what economic disparities mean for households and communities, while highlighting policies that can broaden opportunity and increase well-being.

blog post

How Telehealth Can Bring Equity to Health Care

By Paulette Cha

The expanded use of telehealth visits during the pandemic highlights their potential to increase health care access, especially among underserved groups.

blog post

Video: County Jails and the ACA

By Linda Strean

Helping jail inmates get health care coverage could have multiple benefits, according to a new report presented in Sacramento.

blog post

Immigration: What’s Next in California?

By Joseph Hayes, Laura Hill

More than one million Californians could be affected by President Obama’s executive order on immigration. Knowing where qualified undocumented immigrants live is essential to realizing the potential gains both to the state and to the immigrants themselves.

Report

Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

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