Eighty-give percent of physicians say that unmet social needs lead to worse health outcomes, according to a new survey sponsored by the Robert Wood Johnson Foundation. But only 20 percent are confident in their ability to help patients and their families meet those needs. Talk about good news and bad news! The survey asked about a wide range of social [...]
Congress is slowly starving senior services programs. In the 2012 budget it passed as it was leaving town last weekend, Congress froze or cut spending for a broad range of government programs aimed at seniors and their caregivers--everything from Meals on Wheels to long-term care ombudsman training to information and referral services. Most of these cuts were not dramatic and only a handful [...]
Government funding for programs to support aging in place was still growing through 2008, but much more slowly than in the past. At the same time, states were making it harder to enroll, limiting benefits, and forcing people to wait longer before they could participate in these programs. And all that was happening before Medicaid home care faced major budget cuts in the face [...]
Frail seniors, as well as adults with disabilities, often need help with routine medical care such as taking pills, receiving injections, getting oxygen, or managing catheters. Traditionally, this assistance has been provided only by nurses. But, especially for people living at home or even in assisted living facilities, having a nurse provide this routine care is prohibitively expensive and can lead to long delays in [...]
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 [...]
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 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 [...]
My caringforourparents blog last week on the desperate need for transportation services for seniors generated lots of comments on elder care message boards. Most shared their frustration with the lack of public transit, but others tipped me off to some great ideas for community-based transportation services. The timing is important, given today’s headline that House Republicans are planning on cutting [...]
When I talk to community groups about long-term care, I almost always get a question about dad's car keys: An adult child fears for the safety of dad (and other drivers who share the road with him). Dad is terrified that he'll lose a huge piece of his independence when he can no longer drive to the supermarket or visit friends. And, in truth, dad isn't wrong. In too [...]