【正文】
or older people faced persistent criticism as these trends became apparent. From the early nineteen sixties, local authorities were required to plan health and welfare services. The aim was to enable older people to remain in their own homes for as long as possible. But this increased concern about the lack of coordination between free health and paid for social care. Through the nineteen seventies, a number of measures sought to improve matters. However, at a time of financial crisis, funding diminished and little changed. In the 1980s, the government cut spending. Meanwhile, preference for private over public services made management even more difficult. Simultaneously, the number of sick, older people grew. Governments emphasized the need to improve services. They did so though, while doing little to stop the erosion of available aid. Services were irregular cross authorities unless you were prepared to pay. They were increasingly difficult to obtain for any but the most severely disabled. Why has sixty years of criticism produce so little change? Discrimination against older people has a long history. Additionally, those affected by inadequate health and social care are too vulnerable to launch the protests that have addressed other forms of discrimination. 22. What is one cause of the current crisis in care for the elderly in England? 23. What does the speaker say about residential and munity care? 24. What made management of care toward elderly more difficult in the 1980s? 25. What does the speaker say about older people in England? 第 6 頁 共 6 頁