The wonderful families I met while writing Caring for Our Parents had many things in common: The made tremendous sacrifices to help frail parents or spouses, they brought deep love and great patience to this responsibility. And under great physical, emotional, and financial stress, they often ignored their own health. It may sound selfish, but if you are assisting a loved one, [...]
In the past two weeks, The Washington Post published two op-ed columns on the end-of-life provision in the House's health reform bill, one by Post editorial writer Charles Lane and the other by house conservative Charles Krauthammer. The proposal would permit Medicare to pay doctors for discussing issues of death and dying with their patients. But the two columns, each [...]
I got back last night from two days in St. Paul, Minn, where I worked with a few dozen deeply commited people who are looking for concrete solutions to the challenges of long-term care. The program was sponsored by the Citizen's League, and it brought together nursing home executives, retired physicans, lobbyists, state officials, advocates for the elderly and the disabled, care [...]
I'm off to St. Paul to particpate in a two-day workshop on long-term care sponsored by the Minnnesota Citizens League, a non-profit dedicated to finding common ground on important policy issues among business, government, community organizations, and individuals. The progam, entitled Creating Incentives for Personal Responsibility in Long-Term Care, has exactly the right goal: Finding community solutions to the challenges of caring for [...]
In recent weeks, we've heard end-of-life counseling compared to government run "death boards." This rhetoric is beyond irresponsible, but it lays bare a very important problem--too many of us have no idea what living wills and other advance directives do, or how they work. So, a brief primer: In short, these legal documents allow you to tell doctors and hospitals [...]
The most bizarre episode so far in Washington's health care debate is the persistent rumor that the House version of reform would force Medicare patients to participate in counseling sessions where they would "learn how to end their life sooner." This is a lie. The House bill would do no such thing. Yet the myth persists, thanks to constant repetition by conservative radio talk show hosts such [...]
How much can technology help the frail elderly live independently? The promise of high-tech assistive devices and monitoring systems has attracted the attention of many long-term care families, desperate for new ways to keep an eye on mom. Not surprisingly, some big companies, including GE and Cisco, as well as smaller start-ups and university research labs, are increasingly interested as well. [...]
The House Energy & Commerce Committee has added Senator Ted Kennedy's national long-term care insurance proposal (the CLASS Act) to its version of health reform legislation. This is another remarkable step forward for the measure although, as I've noted before, the fate of this and other long-term care provisions won't be decided until Congress writes a final health care bill sometime this [...]
A new poll suggests the public would like to see long-term care reform included in any congressional remake of the health system. While many respondents were concerned about their ability to pay for care, their biggest interest was in better coverage for home and community supports that could keep them out of nursing homes. The survey, done by Lake Research Partners for [...]
For those interested in long-term care, the House Democrats' consensus health reform bill is pretty disappointing. Unlike the Senate Health, Education, Labor, and Pensions Committee version, it includes no proposal for national long-term care insurance. And it largely ignores efforts to expand access to home care for those on Medicaid, who now often can only get care in nursing facilities, or to better coordinate care [...]