20130810_090543In many states, the “county home” is a dying institution.  Some would say, “good riddance,” and yet a careful review of the history of public care for older adults reveals states with well-run, publicly-supported alternatives for long-term care. 

Arizona has a unique history.  In 1909, handwritten-legislation was enacted in the territory to establish a house “for aged and infirm Arizona pioneers.”  Designed by female architect W.S. Elliot, construction was completed in 1911, a year before Arizona was admitted as the 48th state.  Admission criteria required proof that an individual had been a resident of Arizona “for not less than twenty-five years and … active in the development of Arizona … and who shall have reached the age of sixty years or over.”

Now in its 102nd year of operation, the Arizona Pioneers’ Home has capacity for 150 residents.  It continues with funding from several sources, including state land trusts, a miner’s hospital fund, and the state’s general fund.  In addition, residents pay for a portion of their care, according to their incomes.  The annual budget is reported to be appoximately $50 million. 

Criteria for admission has changed over the years.  The threshold age for admission is now 70 and residents must have a history of at least 50 years of residency in the state, with more relaxed standards for miners.

Situated on a hill with dramatic views overlooking Prescott (the mile-high territorial capital for Arizona), the Arizona Pioneer’s Home is a well-known landmark.  The state and its residents appear to take pride in its history, with a website devoted to famous (and sometimes infamous) early residents of the house.  The home and grounds have been kept up-to-date. 

Perhaps that sense of pride explains the state’s continuing public commitment to care. 

– Katherine C. Pearson, Professor of Law, Penn State Law

 

 

Photo of Katherine C. Pearson Katherine C. Pearson

Katherine C. Pearson is a Professor of Law and the Arthur L. and Sandra S. Piccone Faculty Scholar at Penn State Dickinson Law in Carlisle, Pennsylvania.

Her scholarship focuses on laws and policies connected to aging and she has frequently included age-related issues…

Katherine C. Pearson is a Professor of Law and the Arthur L. and Sandra S. Piccone Faculty Scholar at Penn State Dickinson Law in Carlisle, Pennsylvania.

Her scholarship focuses on laws and policies connected to aging and she has frequently included age-related issues in her teaching of courses on contract law, conflicts of law and nonprofit organizations law.  She is a regular speaker for continuing education programs, both for consumers and lawyers, to address cutting edge concerns in consumer protection for older adults.  She is the author of articles and chapters on access to justice, senior living options including continuing care and life plan communities, long-term care financing and filial obligations, and is the co-author of a treatise, The Law of Financial Abuse and Exploitation (Bisel 2011).

She authored chapters for the Research Handbook on Law, Society and Ageing, published in 2024 as part of a series on law and society handbooks offered by international publisher Edward Elgar. She is a 2024-2025 Fulbright Scholar in Canada and was in residence at the University of Ottawa in the Fall of 2024 as the Research Chair in Health Law, Policy and Ethics.  Her earlier experience as a U.S. Fulbright Scholar (based at the Queen’s University Belfast, Northern Ireland, and working in Ireland, Portugal, and the U.K. in 2009-10), resulted in publications, including an article with an international, historical perspective on ethical concerns for attorneys representing older adults, entitled “The Lesson of the Irish Family Pub,” published by Stetson Law Review.