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Although 88% of countries surveyed have included long-term care in national legislation, policies or plans, only 15 of PAHO’s 35 Member States report having a formal, publicly funded system.Washington, D.C., 28 October 2026 (PAHO) – As the population of the Americas ages, the need for long-term care is growing, but fragmented services and insufficient public financing are leaving families to shoulder much of the responsibility and cost, according to a joint policy brief by the Pan American Health Organization (PAHO) and the Inter-American Development Bank (IDB).