Anonymous wrote:Come on, there isn’t a plan. Do you believe everything you hear on Colbert of all places?
Anonymous wrote:i remember the early days of ACA, during Clinton's presidency, where there were so many naysayers who said it was too hard, too big, would bankrupt our country, etc. It took years, but it finally happened, and we are better off with it.
This has the same energy. There is definitely something here to work with. The American Dream isn't to work your entire career only to have to sell your home and assets in order to live out your final years in a group home.
Anonymous wrote:Anonymous wrote:Anonymous wrote:Vote buying--not sustainable.
It currently costs $30 per hour for home care.
It costs $262,800 for 24 hour care for a senior in home for 1 adult under care.
This is not fiscally supportable.
That is what nursing homes are for. You can get that care for $10-12K/month. Yes, not the same as 1-1 care, but fact is most cannot afford that. So most do nursing homes, with local family visiting as much as possible
Think outside the DCUM bubble. Most seniors can’t afford that.
This is not going to be a simple piece of legislation. Obviously there would need to be some serious hammering out. I do think it’s solvable and we can start with taxing billionaires. Healthcare in the US is a for profit industry. Estimating the cost of programs based on current care costs probably doesn’t yield a good estimate. Look at the salaries and bonuses paid to top Insurance execs and Eldercare company execs. They are enormous. Higher tax on UHNW and a system outside of the for profit industry are good places to start the framework.
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:We have a waiver program for the poorest but the income care is limited to 10 hrs a week. Would be lovely to see Medicare cover more!
So let's get some things straight.
Medicare is for elderly.
Medicaid is for the poor and has asset qualifications.
Both programs are currently going insolvent in the next decade - even without this program. So no people did pay in all that much over the years.
Even if this passes good luck finding reputable people to be in house aids.
Impossible. Impossible without massive immigration, anyway (as a pp pointed out).
It is 100% possible to find good people to work as home health aides, however, you need to pay them well. Medicare wages will not be "good"wages, I am sure of that.
Now, if the government wanted to start actually creating government home health aid jobs, where they are working for the federal government and getting benefits, etc? A "Home Health Aide Career Corps"? That would be something good.
Anonymous wrote:Anonymous wrote:Anonymous wrote:We have a waiver program for the poorest but the income care is limited to 10 hrs a week. Would be lovely to see Medicare cover more!
So let's get some things straight.
Medicare is for elderly.
Medicaid is for the poor and has asset qualifications.
Both programs are currently going insolvent in the next decade - even without this program. So no people did pay in all that much over the years.
Even if this passes good luck finding reputable people to be in house aids.
Impossible. Impossible without massive immigration, anyway (as a pp pointed out).
Anonymous wrote:Anonymous wrote:Anonymous wrote:We have a waiver program for the poorest but the income care is limited to 10 hrs a week. Would be lovely to see Medicare cover more!
So let's get some things straight.
Medicare is for elderly.
Medicaid is for the poor and has asset qualifications.
Both programs are currently going insolvent in the next decade - even without this program. So no people did pay in all that much over the years.
Even if this passes good luck finding reputable people to be in house aids.
It is 100% possible to find good people to work as home health aides, however, you need to pay them well. Medicare wages will not be "good"wages, I am sure of that.
Now, if the government wanted to start actually creating government home health aid jobs, where they are working for the federal government and getting benefits, etc? A "Home Health Aide Career Corps"? That would be something good.
Impossible. Impossible without massive immigration, anyway (as a pp pointed out).
Anonymous wrote:Anonymous wrote:Anonymous wrote: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?
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.
This is our case. We had to move my mom in with us. I had to quit my teaching job, which allows zero flexibility, to take care of her. She doesn’t need 24 hr care, but I am anchored to my house, and can only leave for a few hours at a time. If I could get some elder care help just four hours a day, it would be a huge help.
We are still have a teenager at home, and have had to miss several college events of our oldest kid. My mother’s social security check would not cover four hours of care per day. We are saving as much as we can for when she will have to be placed in a memory care facility. Any kind of help, would be welcomed! I would love to be able to go back to work. I am lucky my husband’s income can keep us all afloat, but with few to any luxuries.
Anonymous wrote:Anonymous wrote:Anonymous wrote: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?
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.
Did Harris specifically say her intention is to only cover 25-35 hours per week?