The House is scheduled to vote tomorrow on a constitutional amendment to require the federal government to balance its budget every year. Lawmakers would be more honest if they just called it a Constitutional Amendment To Cut Benefits For Old People. Because that’s who’d likely bear the brunt of the spending cuts needed to comply with such a balanced budget [...]
Most seniors want to age at home rather than move to a senior living facility. But this choice brings many challenges, including the risks of social isolation, limited access to medical care and supportive services, and the potential for falls or other injuries that come from living in a home that is unsafe for a frail older adult. But there [...]
The huge 2018 budget bill Congress passed last week includes significant new money for dementia research and modest additional funding for many programs aimed at assisting frail older adults. The final $1.3 trillion bill was a dramatic about-face for President Trump and House Republicans, whose own budget plans would have slashed or even eliminated funding for many seniors’ programs. The [...]
Isolation and loneliness are serious problems for older adults. They become less mobile, their friends and relatives die, hearing loss and other physical limitations make it harder to communicate with others, and seniors are often reluctant to even try to make new friends. Young people, they say, are not interested, and, as for other older people, why bother, they will [...]
As we age, become frail, and need personal assistance, we will increasingly require paid aides to help us with routine daily activities, such as bathing, dressing, or cooking. Demand for those aides will increase by 50 percent over just the next decade, to 3 million. But where will they come from? Aides are poorly paid, have little opportunity for advancement, [...]
President Trump has proposed deporting hundreds of thousands of immigrants and backed curbs on legal immigration into the US. The president’s aggressive views on immigration have generated intense debate over the past year, but much of that discussion has ignored a key issue: What immigration restrictions would mean for the long-term health of Social Security. A new study by my Urban Institute [...]
While most proposals in President Trump’s newly released 2019 budget are unlikely to become law, the fiscal framework does show the White House’s priorities for government over the coming year. And those apparently don’t include support for older adults, younger people with disabilities, or their families. For example, the budget would: Restructure the Medicare drug benefit to reduce costs for [...]
The huge two-year budget agreement reached by Congress early this morning will, for the first time, allow Medicare to pay for some long-term supports and services. Medicare managed care plans, called Medicare Advantage (MA), can now include non-medical services, such as home-delivered meals or rides to a doctor, in their benefit packages. The bill includes other changes to Medicare, including [...]
Here’s a word association game: I say, “long-term care” and you will probably respond, “nursing home.” But the truth is that there are nearly twice as many assisted living (ALF) and other residential care facilities (more than 30,000 in 2014) in the US than nursing homes (about 15,000). And there are more than 800,000 people living in residential care facilities, [...]
Two years ago, the Long-Term Care Financing Collaborative proposed a public catastrophic long-term care insurance program. In effect, people would use private insurance, savings, or home equity to pay for the first few years of their care needs, then the government would pick up costs for people with true catastrophic needs. Today, two highly-respected long-term care experts offered an important [...]