The Biden Administration has announced it will impose new minimum staffing rules for nursing homes. But the regulations appear to give facilities time to meet the requirements. Separately, the Administration also is requiring that home care agencies allocate at least 80 percent of their Medicaid payments to staff compensation. States would have flexibility to adjust the rules for small and [...]
In a letter to investors, Larry Fink, who is CEO of the massive investment firm Blackrock, warned that retirement “is a much harder proposition than it was 30 years ago. And it’ll be a much harder proposition 30 years from now.” One reason, he says: “As a society, we focus a tremendous amount of energy on helping people live longer lives. [...]
In response to the recent burst of inflation, the government increased Social Security benefits significantly in the past two years. But compared to average pre-retirement income, net benefits have been falling for decades. And the trend will continue. One big reason: Rapidly rising Medicare premiums that usually are deducted directly from Social Security checks. Think about Social Security benefits in [...]
Too often, physicians are reluctant to give patients a diagnosis of dementia, even when cognitive testing shows memory loss or other symptoms. And when doctors do provide a candid diagnosis, they may send their patients and their families home without any guidance for what to do next. No practical advice. No sense of hope. And too often, not even any [...]
Caring for a chronically ill parent, spouse, or other relative is hard. And, without support, it can seriously interfere with paid jobs, disrupting not only employees’ lives but their workplaces as well. There are lots of good reasons for firms to assist workers who are caring for loved ones. Unfortunately, many don’t make the effort, perhaps because they are worried [...]
Congress is debating whether to impose new restrictions on immigration as the price of a deal to provide new aid to Ukraine and Israel. But some of the biggest victims of this misguided policy will be frail older adults, younger people living with disabilities, and their families. For their sakes, Congress should make immigration easier, not harder, for the nurses [...]
There is a seemingly endless debate about whether Americans have sufficient savings for retirement (see here and here). The answer is that many do. But tens of millions do not. Overall retirement assets have grown enormously in recent years-- to $36 trillion, despite a terrible stock market in 2022. But looking at total retirement plan savings, or even average 401(k) [...]
The US is desperately short of nurses, personal care aides, and other direct care workers who help frail older adults and younger people with disabilities manage their days. Instead of dealing with the problem, policymakers have, predictably, devolved into their usual partisan blame-mongering. Watch, if you can, this recent hearing of the House Energy and Commerce Committee on the worker [...]
In a long-awaited and highly controversial decision, the federal Centers for Medicare and Medicaid Services (CMS) has proposed that nursing homes provide at least three hours of staff time daily for every patient or resident. Would it meaningfully improve care at nursing facilities? Not by much. The rule would require facilities to provide enough staff to deliver 33 minutes (.55 [...]
You might think that the aging of the Baby Boom generation, with the Gen Xers following close behind, would make geriatric medicine a popular specialty. Almost as attractive, perhaps, as orthopedic surgery. But you’d be very, very wrong. In 2000, there were only about 10,000 board-certified geriatricians to care for 35 million Americans age 65 or older. That was bad [...]