Navigating the highly complex and deeply fragmented systems of medical and long-term care is one of the biggest challenges family caregivers face. How do I find a reliable home care aide? Where is a good adult day center? How can I coordinate dad’s medical treatment with his personal care? Now, new care navigation services are filling the gaps, many offered [...]
Progressives are fuming over the decision by eight Senate Democrats to support a bill to reopen the federal government without an agreement on extending enhanced Affordable Care Act health insurance subsidies beyond December. Allies of President Trump are gloating at what appears to be Democratic capitulation to the White House’s hardball tactics. But while Democrats lost this skirmish in the [...]
Even as most policymakers continue to ignore the looming insolvency of Social Security—and the 23% reduction in benefits it will produce in seven years—policy experts across the political spectrum increasingly are leaning into the challenge, often in creative new ways. While they have developed broadly different solutions, they share similar goals: To restore long-term solvency of the program while improving [...]
A recent column in The Washington Post by housing finance expert Jim Parrott placed much of the blame for the current housing shortage on a tax that, he argued, discourages older adults from selling their homes. I’m glad Parrott raised the important issue of seniors staying in their homes as they age. But his diagnosis is largely wrong. Tax law [...]
The inability of Congress and President Trump to agree on a government funding bill, and the shutdown it caused, could have a severe impact on the well-being of older adults and younger people with disabilities. While Social Security and Medicare benefits appear safe, sufficient staff may not be available to issue or replace lost cards, or address eligibility issues. Funding [...]
The latest vaccine recommendations by a federal Centers for Disease Control advisory panel could put older adults at risk for severe illness. Not directly, perhaps, but due to growing uncertainty over the risks and benefits of vaccines. In addition, the changes may end up costing the government, through Medicare and Medicaid, as well as private insurance, billions of dollars—costs that [...]
I and others have written endlessly about the importance of supporting family caregivers. They are the backbone of the system of care that supports frail older adults and younger people with disabilities. Often, their assistance is vastly more important than costly medical treatment. But many family members provide this care with little or no training, no guidance about services that [...]
Three things are true about long-term care, though many Americans don’t want to believe it: You are very likely to need it in old age. It will cost a lot more than you think. And, no, Medicare won’t pay for it. Two recent studies help explain how Americans think about the financial aspects of their long-term care needs, and why [...]
I recently visited a friend who is in his 80s and was hospitalized after a fall. He did not know where he was, was convinced lawyers had come to visit him in the night (a truly horrifying thought), and was extremely agitated. While it still is not clear what happened, he may have been experiencing delirium, which happens to as [...]
Since Congress passed the big tax and spending bill on July 3, most observers have focused their attention on its cuts to Medicaid, the program that helps support low-income older adults and people with disabilities. But the Trump Administration is quietly making big changes to Medicare, the program that insures nearly 70 million seniors and younger people with disabilities. Just [...]