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Long-Term Care Needs Its Paris Moment

  • .
  • Jul 16
  • 2 min read

This is a summary of “Long-Term Care Needs Its Paris Moment,” written by Dr. Jane Barratt and originally published in The Arc of Ageing on Substack.


Long-term care is becoming one of the most urgent social and policy challenges facing countries around the world. As populations age, families become smaller and demand for care continues to grow, governments are confronting many of the same concerns—including workforce shortages, limited access to appropriate care, rising costs, fragmented services and increasing pressure on families.

Despite these shared challenges, countries often continue to address long-term care in isolation. In this article, Dr. Jane Barratt asks why long-term care does not yet have a dedicated international forum where governments, experts, service providers, older people, families and advocates can come together to compare experiences and develop a more coordinated response.

The article reflects on the different approaches taken by countries such as Australia, Canada, Denmark and Japan. Each has made different decisions about how long-term care should be organized, where care should be provided, who should pay for it and how responsibility should be shared among governments, communities, individuals and families. No country has fully solved the challenges of long-term care, but each experience offers important lessons that could help others avoid repeating the same mistakes.

A global “Paris moment” for long-term care would not necessarily mean creating one model for every country. Instead, it would mean recognizing long-term care as a shared international priority and creating a place where countries can exchange evidence, compare policies, learn from successful and unsuccessful reforms and confront the wider social and economic impact of ageing.

The article also reminds us that long-term care is not simply a government or health-system issue. It is something that will directly or indirectly affect almost every family. Many people will eventually provide care, arrange care for someone they love, help pay for it or depend on long-term care themselves.

Dr. Barratt’s article calls for a shift away from repeatedly responding to individual crises and toward long-term planning, international cooperation and shared responsibility. The central message is clear: long-term care is a global issue, and countries have much to gain by addressing it together rather than continuing to work alone.



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