The long-predicted shortage of personal care aides is here. And it is creating enormous challenges for frail older adults and people with disabilities living at home as well as for operators and residents of nursing homes and assisted living facilities. This shortage inevitably will drive up costs for services that already are unaffordable for many consumers. They will increase financial [...]
Tough new rules proposed by the Trump Administration would make it effectively impossible for immigrants to come to the US to work as home health aides or as staff at nursing homes or assisted living facilities. Because at least one million aides (one of every four) is an immigrant, the complex rules Trump proposed over the weekend would dry up [...]
The Trump Administration’s increasingly tough crackdown on immigrants threatens to worsen an already severe shortage of aides who care for frail older adults and younger people with disabilities. The shortage of direct care workers will affect those living at home as well as those receiving residential care. The problem already is squeezing nursing homes and assisted living facilities, as well [...]
For the first time in years, maybe for the first time ever, a major presidential candidate has put family caregiving on the political front-burner. Over the weekend, Democratic presidential frontrunner Hillary Clinton proposed a package of ideas aimed at assisting those who are caring for aging parents or other family members. Her ideas are modest and won’t provide the level [...]
Should the aides who provide home care for frail elders and younger people with disabilities receive a living wage and decent benefits? If they do, how can families, who often are unable to afford care today, be expected to pay those higher wages and benefits? Should the market be allowed to set these prices, or should government intervene through minimum [...]
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 [...]
On New Year's Day, as part of the law that kept the nation from toppling over the fiscal cliff for two months, Congress quietly repealed the Community Living Assistance Services & Support (CLASS) Act, and created a new commission to recommend broad long-term care reforms that could affect financing, delivery and care workers. I was, and continue to be, very skeptical about the commission's ability to [...]
I spent this morning at an interesting Capitol Hill conference on an important—but often ignored —topic: What role should home health aides play in the delivery of care to people with chronic disease? Health care providers and policy experts are spending lots of time thinking about ways to better integrate medical and personal care. They are finally recognizing that people [...]