Stucki,
1998). Also, shrinking family size and greater geographic
dispersion of children may decrease the pool of family
caregivers who are available to provide unpaid care
(Mulvey & Stucki, 1998). Another significant impact
on the cost of long term care is the lack of skilled
professionals such as nurses and nursing assistants.
All estimates suggest that long term care costs will
increase, some more rapidly than others.