Preferences for long-term services and supports involve judgements about who should provide help as well as in what settings. In a supplemental module (2012), NHATS asked older adults to select the best care option for an 80 year-old with health problems who needs help with bathing, dressing, and getting around inside. We examine variation in preferences for in-home care (family vs paid helpers), living with children, assisted living/CCRC, and nursing home settings. Overall, almost half selected aging in place as the best option, but over a quarter selected assisted living/CCRC. Preferences are examined by age, gender, race, SES, health and functioning, and current living arrangements. Congruence between care preferences and care provision in subsequent years (2013–2015) is analyzed. Expectations regarding ability to pay for future daily care are examined. Results have implications for care settings and sources of help, as the U.S. population ages.
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