Long-term care (LTC) provision and financing has become a major challenge for policymakers in the United States and worldwide. To inform associated policies and more efficiently allocate LTC resources, it is important to understand how demand for different types of LTC services responds to increased wealth. We use data from the United States Health and Retirement Study to examine the use of LTC services following plausibly exogenous positive shocks to wealth. We further account for time-invariant household-level characteristics, including the expectation of a wealth shock at an unknown future time, by employing household fixed effects. We find that large positive wealth shocks lead to a greater probability of purchase of paid home care but not of nursing home care. Our results imply that expanding home and community-based services and insurance coverage of home care for people without sufficient wealth is likely to be efficient and welfare improving and should be considered by policymakers.Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author 4 Given name: [R. Tamara] Last name: [Konetzka]. Also, kindly confirm the details in the metadata are correct.confirmedPlease confirm the city are correct and amend if necessary in Affiliations 1, 2, 3, 4.confirmed

长期护理 (LTC) 的提供和融资已成为美国和全球政策制定者面临的主要挑战。为了告知相关政策并更有效地分配 LTC 资源，了解对不同类型 LTC 服务的需求如何响应增加的财富是很重要的。我们使用来自美国健康和退休研究的数据来检查在看似外生的财富正面冲击后 LTC 服务的使用情况。我们通过使用家庭固定效应进一步解释了随时间变化的家庭层面特征，包括在未知的未来时间对财富冲击的预期。我们发现，较大的正向财富冲击会导致购买付费家庭护理的可能性更大，但不会导致购买疗养院护理的可能性更大。我们的研究结果表明，为没有足够财富的人扩大家庭和社区服务以及家庭护理的保险覆盖面可能会提高效率并改善福利，政策制定者应该考虑。请确认作者姓名是否准确并以正确的方式呈现序列（名、中间名/首字母、姓）。作者 4 名字：[R. Tamara] 姓氏：[Konetzka]。另外，请确认元数据中的详细信息是正确的。已确认请确认城市是正确的，如有必要，请在附属机构 1、2、3、4 中进行修改。已确认 姓）。作者 4 名字：[R. Tamara] 姓氏：[Konetzka]。另外，请确认元数据中的详细信息是正确的。已确认请确认城市是正确的，如有必要，请在附属机构 1、2、3、4 中进行修改。已确认 姓）。作者 4 名字：[R. Tamara] 姓氏：[Konetzka]。另外，请确认元数据中的详细信息是正确的。已确认请确认城市是正确的，如有必要，请在附属机构 1、2、3、4 中进行修改。已确认