On Monday, I participated in a PBS NewsHour panel on how to improve services and supports for an aging America. PBS brought together a diverse group of long-term care experts to discuss some interesting international models for delivering supports and services to the frail elderly in a way that allows them to preserve their dignity and independence. The models ranged from [...]
On Monday, Nov. 4, I’ll be on a panel with a group of some highly respected long-term care policy experts to discuss some international creative models for delivering supports and services. The program, which will be held in Washington, is sponsored by the PBS Newshour and funded by the SCAN Foundation. We’ll be discussing a broad range of ideas—from the [...]
Why is there no catastrophic long-term care insurance? It could benefit millions of middle-income people who are able to pay for a few years of services and supports on their own but need to protect themselves against the risk of a very long period of need that would impoverish all but a handful of us. Even though catastrophic coverage is a [...]
Americans have little idea how long-term supports and services are paid for, according to a new poll by Harris Interactive and the medical publishers HealthDay. Yet, they are worried about the cost, believe most people should buy long-term care insurance, and also favor a new government program to pay some or all of the costs of LTC. It is hard to [...]
Where in the world would you want to age? According to a comprehensive new study by the group HelpAge International, you want to live your golden years in…Sweden. True, it’s cold. Really cold. But based on more than a dozen key indicators, including income security, health status, employment and education, and ability to live independently, Northern European countries such as [...]
How will Washington’s ongoing budget crisis affect seniors? Not much, at first. But it could become very costly in just a few weeks. One big unresolved question: Will Social Security benefits be paid if the government breaches the debt limit? Many seniors programs will continue to operate for at least a while. For now, Social Security checks are going out [...]
If, like millions of Americans, you need personal assistance and run out of money, you may be eligible for long-term care under Medicaid. But in order to get those safety net benefits, you may have no choice but to move into a nursing home. This is true even though most people prefer to stay at home and most of the [...]
The Obama Administration announced this week that home health aides and other direct care workers are entitled to protections under federal labor laws, including the right to both the minimum wage and overtime pay. The new rules, under the Fair Labor Standards Act (FLSA) won’t take effect until 2015. But they should be a significant benefit to many direct care [...]
A divided congressional long-term care commission has adopted a package of recommendations aimed at improving the nation’s long-term supports and services. However, while a majority of the panel agreed on some modest delivery and workforce reforms, it could not reach a consensus on all-important financing solutions. In effect, the commission will recommend changes that would effectively retain the current framework of financing [...]
Almost one of every five patients in the intensive care units of a major teaching hospital got treatment that was futile or “probably” futile, according to the doctors who treated them. And older patients—especially those admitted from a nursing facility—were most likely to get care that does nothing to improve their quality of life, or even keep them alive for [...]