The current long-term care model is designed to squeeze costs using a private delivery process. It is the state that sets the terms of spending and care delivery. The private system is being used to limit costs through obscuring the state's role in under-funding the service.
We are told that Capitalism, at its core, is a crisis-driven economic system. Crises are at the heart of its innovation, transformation of the economy, and are the reason creative destruction is the defining point raised by proponents of this economy-first, anti-social system. However, any reader of history knows that it is only through the leverage and investment of the state that capitalism can find the path around the economic crises it creates. Capital needs to be held-up and protected or -- like most short-sighted adventures -- it runs aground. The alternative is not to hold capitalism up, but to replace it and the response to COVID-19 shows a way forward.
The current economic crisis has led to unprecedented government spending. This spending is funded by borrowing or by 'printing money' (which has an effect similar to borrowing) to support furloughed and unemployed workers to the tune of roughly $80 billion and to subsidize corporate revenue. This has been necessary to prop up basic economic activity in an attempt to delay the impact of the economic consequences of the recession. Unfortunately, neoliberal policy makers are already trying to convince us that giving public services away to private interests is the only way to pay for this debt.