The quality of care for the frail elderly and adults with disabilities and the assistance available for their family caregivers varies widely among the states. Now, for the first time, researchers at AARP have tried to measure where you can get the highest quality care. And the differences among the states are even more dramatic than I thought. A handful, including Minnesota, [...]
My dad, who had congestive heart failure, lived on the second floor of a garden apartment building that had no elevator. As the disease made him weaker, he could no long walk down the stairs. And for the last year of his life, he was trapped in his own apartment. An "outing" was a slow walk, and eventually, a wheelchair ride about 100 feet to the [...]
It isn't news that Americans are reluctant to buy private long-term care insurance. Only 7 million have policies and the market is essentially dead in the water. But why don't we plan for the risk of needing assistance at some point in our lives? After all, 7 of every 10 of us will need care sometime after we reach age 65 and others will need it at [...]
Read this powerful story by Sally Jenkins about University of Tennessee women's basketball coach Pat Summitt, who, at 59, was recently diagnosed with early onset Alzheimer's. Despite the disease, the legendary coach says, "You don't quit living. You keep going." In fact, Summitt isn't even planning on quitting coaching--at least not for a while. For now, she'll rely on her assistants to [...]
Elder abuse is hard to define, and it is a challenge to know how widespread it is. But it is a deeply serious problem and I recently came across two elder abuse stories worth passing on. If you are an elder care professional or an adult child caring for parents, read them carefully. And beware. The first is courtesy of Steve Goldberg, a Washington, D.C. investment adviser and contributing [...]
In a move that shocked many in the elder care community, California has ended funding for its adult day care program. The question now is what will happen to the nearly 5,000 others that operate throughout the country. California's $169 million program serves about 35,000 low-income seniors and other adults with disabilities. The program will end in January when state Medi-Cal funding (the state's [...]
At first glance, it looks like Medicaid and other key government programs for the frail elderly and others with disabilities avoided a major hit in the debt limit agreement reached by Congress today. But in truth all of these programs remain in severe jeopardy. The complex deal calls for several stages of deficit reduction. The first is a cut of $25 billion [...]
A bipartisan deficit reduction plan proposed by the so-called "gang of six" Democratic and Republican senators would repeal the Community Living Assistance Services and Supports (CLASS) Act. CLASS, a national, voluntary long-term care insurance program, was included as part of the 2010 health law. The new budget plan, which President Obama called a "very significant step" also proposed significant, but unspecified [...]
A new study released today by AARP estimates the economic value of family caregiving was $450 billion in 2009. In other words, if those family members were paid for the personal assistance they provided their loved ones, it would have cost $450 billion. That is twice the cost of paid assistance by home health aides, nursing facilities and the like. It is almost four [...]
I am a huge fan of efforts to increase awareness of palliative care among physicians, health systems, patients and their families. And I wanted to pass on information about three major efforts to do that. The first is a landmark study by the prestigious Institute of Medicine on the importance of managing pain. The report, Relieving Pain in America: A Blueprint [...]