The brokerage model of long-term care: a rose by any other name.

The evolution of the organization of long-term care services in the United States has resulted in a fragmented non-system of long-term care for the elderly. The proposed solution to the crises in long-term care is to coordinate services through a pure brokerage model of service organization. The author argues that such a model cannot meet the criteria for a fully coordinated system because it does not restructure or reform the current organization of services. It is suggested that a consolidated model will restructure and reform the system.