Reply to Harris Proposes that Medicar cover Long-Term Care at Home

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I have parents in assisted living because they couldn’t afford private care and needed more support, so I understand this issue well. I do love it, but I think this negatively impacts an entire demographic no one has mentioned - first-time home buyers.

If elders aren’t selling and moving in with relatives or ALFs, then we lose this housing option for young people.

Thoughts?[/quote]

Having some help in paying for home health aides won't keep people living independently in their homes for too long.

Unless they have family living with them to do the bulk of the caregiving (evenings, weekends, and all oversight of the caregivers) people who live alone will soon need to sell and move anyhow.

Who this WILL help?  People like me -- married to a disabled person.  We're not going to be selling this house anytime soon. Even if my spouse goes into a VERY EXPENSIVE nursing facility, the rest of the family still needs a house to live in. They won't let me move into the nursing home with him for free, either.

Who will this help?  Adult kids who move mom into the house with them, but who still need to work during the day.  Medicare could help pay for a caregiver to come during the day. Adult children still provide the care evenings, weekends.

If a single, elderly widowed lady is living on her own in a biig, big house?  Medicare paying for someone to come 25 hours a week, even 35 hours a week... only lets her stay there as long as she can handle evenings and weekends on her own.  Then, don't worry, she'll sell so younger people can live in that house of hers.

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Did Harris specifically say her intention is to only cover 25-35 hours per week?[/quote]

The plan hasn't been fleshed out yet as far as I know, and you are aware that it is Congress that will actually pass a plan - they will need to discuss and argue it, right?

For SURE any plan that gets passed will have limits on the amount of care.  Such limits will be called "population- based hours of service budget".

NO ONE is going to do something like manage to cover home health aides fo 40 hours a week so a family caregiver can hold down a fill time job.  They are going to calculate the patient's needs and come up with some kind of monthly budget, and pay the home health agency that monthly amount, and the HHA is going to be as stingy as possible in actually sending any aides.

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