The US desperately needs more direct care workers to provide personal assistance to frail older adults and younger people with disabilities. Many native-born Americans were unwilling to do this work even before the Covid-19 pandemic. Now, shortages are far worse. Yet, the US continues to bar entry to those who are willing and able to care for frail older adults [...]
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 Trump Administration believes that caring for babies is so important that employers should give their parents up to six weeks of paid leave. It apparently doesn’t believe it is as important, or as disruptive to work life, to care for aging parents or other relatives in need of personal assistance. That, at least, is the message it is sending [...]
Yesterday, the CEO of the nation’s largest long-term care insurance company, Genworth, acknowledged the US needs a new model of LTC insurance that includes some government role. Tom McInerney estimated that between half and two-thirds of Americans simply cannot afford to buy insurance in the traditional private market. A 50-something can expect to pay an average of $2,500-$3,000-a-year for a typical [...]
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 [...]
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 [...]
In the past few weeks, no fewer than three highly respected groups have proposed major health care reforms. They all promise greater use of patient-centered integrated care, but none include supports and services for frail elders or younger people with disabilities. It took four decades to incorporate a drug benefit into Medicare. Now we seem to be in the same place [...]