A recent testimonial

Like to share a letter that arrived today. The client used the CareLink Prestige service which supervised a MedReady medication dispenser.
“Dear SafeCall Team,
Thank you so much for the care and support you have provided for my mother Alma. It has been a relief to the family in knowing she was with the SafeCall team when we couldn’t always be with her. Your staff has always been very pleasant when we would contact to let them know she would not be home at a certain medicine time.
The installer was very pleasant in setting up the system for us and when picking it up.
Our family has truly appreciated the service, and will continue to spread the word to others who may need the same assistance”.
Signed,
Kristine, Alma’s daughter

Visit Seniors Helping Seniors booth-Grand Rapids Women’s Expo

SafeCall will partner with the Grand Rapids office of Seniors Helping Seniors who is hosting a booth (#513) at the West Michigan Women’s Expo, March 12-14, 2010 at the DeVos Place.

Have you seen how many seniors have started to play the Wii? Have you tried it?  Well, you can give Wii bowling a try at the Seniors Helping Seniors booth. All you have to do is knock down a pin for a chance to win one of the many prizes that will be appreciated by seniors and by their caregivers. Prizes include services from Seniors Helping Seniors, services from a local elder law attorney, prizes from safecall- including free installation of a help button other various prizes.

“We have already helped many families in the Grand Rapids area, but we know that there are still a lot of people in West Michigan that do not know we are around and we are excited to show them how we can make life easier for them or their loved one. We work with many family members who are taking care of an elderly parent and they are getting burned out.  We want to help the caregivers so they can help themselves.  A large number of caregivers are women, so we thought the Women’s Expo would be a great place to reach some of the women out there who are trying to juggle a career, kids and an elderly parent.  We could be the help they need! We are also very excited to be able to offer some relevant prizes, like Safecall’s CareLink Help Button installation because prizes like these can really help area seniors maintain their independence,” Amanda Thrush, Client Relations Manager, Seniors Helping Seniors.

Seniors Helping Seniors opened their doors to the Grand Rapids community in September 2009. Being a new business and a new concept to the area, it is very special for them to take part in the largest consumer show focused entirely on women. Seniors Helping Seniors will be present all through the Expo weekend explaining their in-home non-medical services for seniors by seniors.

The services offered by Seniors Helping Seniors allow senior citizens to  maintain their independence by having help with various activities including transportation, cleaning, meals, companionship, handyman services, yard work and any other help that one senior can provide another. The expo will be held March 12-14 2010 at the Devos Place; with show hours of Friday and Saturday 10:00 a.m. – 8:00 p.m. and Sunday 11:00 a.m.- 5:00 p.m. You can print a coupon for 1 dollar off the admission by visiting www.seniorshelpingseniors.com/grandrapids  Admission at the door will be $8 for adults and $6 for children ages 6-14.

Long Term Care Insurance: Is it for you?

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Last year, my wife and I purchased long-term care insurance policies from Massachusetts Mutual*. I am convinced that such policies are very important financial safeguards, ie. asset protection. Nationally, it is reported that 1 out of 2 people will need long-term care once in their lifetime. The average length of receiving benefits is three years as reported by several agents selling LTC insurance. As of early 2010, the average cost of assisted living in Michigan, my home state, is upwards of $36,000 annually and nursing home care is at least 50% higher. Our premiums are not even 10% of the assisted living figure. That is how LTC insurance protects your savings. In terms of affordability, it is recommended that LTC insurance premiums should not exceed 7% of your net income.

One of the basic choices you will have to make is – do I want coverage for a nursing home stay or do I want to be covered for home care. The answer is yes. Our policy covers both because who knows where you will receive medical treatment? Another key element is when will benefits begin. We looked at three different companies and they all used the same criteria: loss of two Activities of Daily Living (ADL is a standard qualifying measure of independence) or demonstrating Cognitive Impairment which means displaying the confusion and memory loss associated with Alzheimer’s Disease, among other conditions. Either of these conditions need to be certified by a licensed health care professional.

As a provider of home care technology for the past fifteen years, I have seen accelerating growth in this technology. It is becoming more affordable and more sophisticated every year. Your LTC policy needs to cover technology that is not yet available as these services may become very important to you in later years, when you start receiving benefits.

Professionally, I have been in thousands of homes. Many of my clients receive Medicaid benefits. This is what I’ve learned: when someone else is paying your long-term care bill, you receive care that fits The Program, not your wishes. And LTC insurance also has its limitations. However, my professional experience with Medicaid recipients and with privately-paying individuals create a strong desire for me to have more choices how our long-term care needs are decided. And don’t think that Medicare will provide for your long-term care needs; it doesn’t. Medicare’s services are limited to the days immediately following a three-day minimum hospital stay and may not cover beyond sixty days after discharge from a hospital or rehabilitation facility.

There are quite a few Internet resources that will help you to determine if LTC insurance is right for you, or if you can afford it. A Google search will turn up many objective resources. One that I like is on Smart Money’s site: http://www.smartmoney.com/personal-finance/insurance/the-smartmoneycom-ltc-insurance-evaluators-12864/

Another clearly written article on the subject can be found at http://assisted-living.aplaceformom.com/articles/long-term-care-costs/

It is in your best interest to apply while you are still healthy (no chronic illnesses) which is why we applied while we are in our mid-50’s. Our family histories have longevity and chronic diseases on both sides, so we felt the insurance was a safe bet.

*I am not explicitly endorsing Mass Mutual and have received no compensation from them for mentioning the company. I share their name as they offered the best overall policy and premium package among the three companies that we evaluated.

Moving…it’s not just getting from one home to another

SafeCall is committed to helping everyone find the local resources needed to keep our elderly loved ones safe at home, and living with dignity. We recognize that we don’t know all the answers and so have invited a number of our colleagues in Grand Rapids MI to use this blog to serve everyone interested in senior issues. Please keep checking the blog as we have some really great authors lined up.

This entry is from Elizabeth McCulloch, owner of Seniors Moving Smarter, LLC. She holds a Masters Degree in Social Work with extensive studies in gerontology. “I have been passionate about working with seniors since I was 15. My experiences range from providing personal care in both private settings and nursing homes, to working as a geriatric medical social worker and an admission director for a post-acute care provider.”

Moving a parent or a senior is a unique, often emotionally charged process. It can be stressful and overwhelming at best.  Moving later in life presents its own set of circumstances; health issues, financial issues, and family dynamics just to name a few.  Moving can evoke feelings of guilt, sadness, loneliness, and loss.  It is also filled with joy, relief, freedom, and hope.  Even with the best of intentions, adult children often hinder the opportunity for their parents to work through these emotions.

Moves often happen later than they should. If your parent or loved one is experiencing any of the following, then a move to a community setting (an independent living center, usually an apartment building where seniors reside) may be the answer:

  • Feelings of isolation and loneliness
  • Difficulty caring for oneself
  • Transportation issues
  • Difficulty maintaining the home
  • Decline or changes in health
  • Difficulty managing medications
  • Forgetfulness
  • Requiring more assistance from family and friends

When is the right time to plan a move? While your loved one is still happy and healthy. It allows them to have a say in where they move, but more importantly, they will be able to make friends and become engaged in their new life; rather than only dealing with health or other issues.

Tips for successfully moving your parent and/or loved one:

  • Decide where to move. Utilize professionals in the community to assist in finding housing
  • Choose a location that is easy to visit
  • Engage the older adult in every aspect of the move
  • Have them visit, enjoy lunch or other activities long before they move there
  • Determine what to take
  • Inventory the furniture and other items that are most important
  • Plan what furniture will fit AND be functional and safe
  • Decide what will be needed in the kitchen, storage units, etc.

Remember that just because they used to use it, doesn’t mean these items will be used in their new place.  Be realistic.
Sort through the household goods. Work in only one area of the home at a time. Start with the area that has the least sentimental attachment for them. Keep these points in mind:

  • Only work in small increments of time (15-30mins)
  • Focus on what is NEEDED in the new home
  • Schedule your movers in a realistic time frame
  • Give your loved one plenty of time to be ready and to prepare emotionally
  • Pack only what is to be moved
  • Make a plan for your loved one on moving day
  • Get them settled quickly
  • Now go back and deal with what’s left in the house

Take pictures of the old home’s interior before moving which can be useful for remembering that familiar environment once the move has occurred. These photos also make a great gift later on. Children should now take what they want from the house. Leftover items can be sold, donated, or discarded. Now is a good time to get a real estate agent involved in order to get the home ready for the market.  Continue to engage your parent and/or loved one in all aspects of selling the home.

For over 20 years, I’ve been helping seniors and their families deal with major life changes.  Understanding their needs and desires, supporting their families, and guiding them through the moving process gives my clients peace of mind.   There’s plenty more to learn about moving an older adult and I offer free initial consultations.

Liz McCulloch, MSW
1414 Ridgewood Ave SE
Grand Rapids, MI 49506
(616) 855-6548
www.SeniorsMovingSmarter.com
Liz@SeniorsMovingSmarter.com

Transition Tips for Seniors Moving Out of Their Home

SafeCall is committed to helping everyone find the local resources needed to keep our elderly loved ones safe at home, and living with dignity. We recognize that we don’t know all the answers and so have invited a number of our colleagues in Grand Rapids MI to use this blog to serve everyone interested in senior issues. Please keep checking the blog as we have some really great authors lined up.

This entry is from Cliff Burgess a former clergy member who now serves the elderly population, and their caregivers, of west Michigan. He had a few suggestions on preparing an elderly loved one for moving day.

Transition can be especially hard for seniors.  Not only are they nervous about something new, but there is that feeling that they are one step closer to the end.  Moving to a new environment can also make them feel like they are losing both their home and their sense of identity.  Help your family and yourself by reviewing these ideas on how to simplify the transition process.

Prior to beginning your search…

  • Plant the idea of moving early on.  Take things slow and get your parent(s) accustomed to the idea.  Remember: any kind of change can be horribly scary.
  • Promote open communication and positive dialog.  Talk about how the move may promote more independence without the maintenance of a big house.  Also talk about the opportunity for increased involvement in activities with other people.
  • Most importantly, be prepared.  Plan ahead.  Don’t wait for a crisis to hit.  If there is a broken hip, a car accident, a medication overdose, or some other emergency that forces you to rush the decision, it will be substantially more traumatic than it needs to be.

While you are searching…

  • Choose a home that reflects and meets the social and physical needs of your family member.
  • Let your family member be involved with as much of the process as possible.  Avoid making them feel like they’ve lost control.  The more input they have in the process – from the choice of facility to furniture arrangement – the more easily they will adjust to their new home.

After you have made your selection…

  • Don’t rush the move.  Reduce the tension by having the whole family come together and work through the downsizing process.  Allow and encourage your parent to say good-bye to the old, and have the whole family encourage them to look forward to the new.
  • Let the professionals who work in these facilities assist you.  They should be very willing to help you with the transition process, and they know how to deal with it.  Have a member of the facility establish a relationship with your parent by “dropping by to visit because they are in the neighborhood.”  Then take your parent to visit “that nice person” when you are out and about.  That way they can see the home in a non-threatening way.
  • Create a sense of belonging by visiting prior to moving.  Engage in a meal-time visit, or in an activity.
  • Ease your parent into the move by going with them on an outing or activity hosted by the facility.  Your presence may help to soothe some of those “first time” insecurities.
  • Make an effort to find another resident who shares similar interests or background.  Make an introduction, so that they know at least one person to chat with during meals or activities.
  • Place favorite treasures (furniture, pictures, mementoes) in the new environment to evoke a sense of home.
  • Find opportunities for your parent to get involved and feel needed.  Check with the facility for available volunteer opportunities.  (Ex: bingo, serving lunch or playing the piano.)

Cliff Burgess, Senior Care Consultant  616.881.2870   cburgess@choiceconnections.com

Recommendations from a realtor on moving an elder

SafeCall is committed to helping everyone find the local resources needed to keep our elderly loved ones safe at home, and living with dignity. We recognize that we don’t know all the answers and so have invited a number of our colleagues in Grand Rapids MI to use this blog to serve everyone interested in senior issues. Please keep checking the blog as we have some really great authors lined up.

This entry is from Beth Mans, a certified realtor with Greenridge Realty.

As a professional realtor, I am often asked, “Is this the right time to sell a house with the market as flat as it is?”  “Should we wait to put mom’s house on the market?”  My answer is, “If mom will be free of financial burden, have less work to do,  live in a safe environment, secure friends and find enjoyable activities to engage, of course, do it now!”  The priority is the quality of living for your loved one!

There are many factors to consider when assisting a senior citizen in this important decision.  The issue can be daunting when considering the health, mobility, financial, and emotional status of the senior citizen.

IT’S HARD TO LEAVE A GOOD FRIEND… YOUR HOUSE.

In talking to my senior clients who have lived in their house for many years, they sensitively share their feelings about sadness and loss in relation to selling the family house.

Loss is felt deeply.  This is where the senior has raised the family, enjoyed good times with friends and neighbors, and finds personal peace. It is difficult to think of replacing this “good friend” with a stranger.

Anger is an emotion seniors sometimes feel as they travel through the process of letting go.  Reasons beyond their control have forced them to consider selling the family house.  Deteriorating health, financial concerns, and a changing environment are a few of the realities facing them.
Fear is another strong emotion that can overtake the senior in the process of selling a house.  Making a new home in a different setting can evoke anxiety and stress.

RECOMMENDATIONS FOR THE CAREGIVER & SENIOR

A SMOOTH TRANSITION TO NEW LIVING QUARTERS

  • Call or visit the  Area Agency of Aging (google Area Agency on Aging your state) for a list of services and various kinds of housing available.
  • Visit senior communities and senior apartments in the area.  Marketing directors will be happy to give you a personal tour.  They will assist the senior in analyzing financial capabilities.  They are trained to assess each particular situation and recommend a type of housing to match lifestyle, health needs, and personal preferences.
  • Talk with a Senior Real Estate Specialist, such as myself, to determine how much equity is in the home, what costs are involved, and what dollar amount can be expected upon the sale of the house.  I can offer suggestions for top dollar return, as well as provide referrals for reputable repair services, packing services, and estate sale companies.
  • Talk with trusted advisors, such as, clergy, a family attorney, a physician, and family members to clarify issues.
  • Encourage the senior to network with friends and family members who have already moved into a new living environment.
  • Make a list of the ‘pro’s and con’s’.  Discuss the advantages and disadvantages of selling the house and moving with your senior.

By honoring the history behind the walls of the house, everyone involved in the moving process can help make the transition smoother and less stressful for the senior.

As a Senior Real Estate Specialist, I have learned that the 1st step in serving my clients is to ask questions and to LISTEN carefully to their responses. Once the past has been honored, people can begin to look forward, knowing they are not abandoning their past, but bringing those important memories to a new beginning.

Beth Mans

Senior Real Estate Specialist

Certified Senior Advisor

Greenridge Realty, Inc.

6140 28TH Street

Grand Rapids, MI  49546

(616) 214-0909

bmans@greenridge.com

Will a Cell Phone Keep the Elderly Safe at Home? Pt.2

My last post described the various problems associated with using a cell phone as a home safety device for an elderly person.
So what can you do to keep your elderly loved ones safe in the home? The most reliable method to date is still the Personal Emergency Response Service or help button, ie. help I’ve fallen and can’t get up. It is simple to use, waterproof and does not require periodic recharges. You can be visually impaired or have a hearing loss and your safety will not be compromised.

The button component (remote activator) is comfortably worn on the wrist or around the neck. The buttons are also exposed to vigorous shock, heat and water testing to ensure they can withstand soaking, temperature extremes and being dropped on a hard floor. This is true if the PERS unit carries the UL (Underwriter’s Laboratory) certification. Check your provider. Not all PERS units are UL-certified.

Additional features include text and voice messaging to responders (for those of us who do use cell phones daily) and online/email reporting to keep other family members in the loop if they live too far away to be physical responders.

Adaptive switches are available for people whose motor functions are severely limited by stroke, Muscular Sclerosis, spinal cord and head injuries or even near-complete paralysis. Many reputable companies sell these services including SafeCall www.safecall.biz, the company I started in 1995. This service costs about $1/day and has a long history of providing home safety to the elderly and disabled.

The PERS unit is the gateway to numerous other beneficial products. Automated medication dispensers, motion sensors, pressure-sensitive floor pads, door alarms and smoke detectors are among numerous accessories that integrate with a PERS to contact caregivers within seconds of alarming.

While the cellular phone industry has begun to recognize the safety needs of the elderly (which don’t include texting, music players and downloading apps), they still need to overcome issues of battery life and signal loss in large apartment buildings and rural communities. And cell phones still need to be designed for users with unsteady hands, poor sight and hearing. Home medical alarms manufacturers resolved these issues years ago.

© Sanford Freed 2009.

Will a Cell Phone Keep the Elderly Safe at Home?

Grandpa had been feeling ill and needed to go to the bathroom. He got out of bed slowly. His 83-year old legs were weak. He reached for the cell phone that his daughter gave him for emergency use and gripped it tightly. Grandpa took one step, then another. The bathroom was a few feet away. He took another step, felt his right foot dragging along the floor and then, it caught on something. Grandpa fell; the cell phone bounced away and came to rest somewhere under the bed as he went down, its little green lights glowing tauntingly. Grandpa was on the floor, too weak to move. He was scared. He felt a sharp pain in his knees. He lay there on the cold floor for 16 hours.

This is every elderly person’s nightmare. But Grandpa was lucky. His fall did not leave him permanently disabled or even severely injured. Grandpa returned home after a short hospital stay. But he began to reconsider whether or not he should trust his life to a cell phone.

Cell phones are everywhere. Everyone seems to have one, even elementary school kids. We receive endless offers for new plans; ads with unbelievably happy people enjoying the dickens out of life catch our attention daily. Yes, cell phones are everywhere, but we never see the elderly in those phone ads. That’s because cell phones aren’t marketed to the elderly. The physical limitations we experience as we ago create a number of serious barriers to cell phone usage, especially as a home safety device.

Problem #1 – Cell phones have small buttons; some are even flat. Small, flat buttons may be very difficult to press when you have diabetes (nerve loss at the finger tips) or suffer with arthritic fingers. Pressing tiny buttons require good small-muscle coordination. Many elderly people have lost a considerable amount of small-muscle control and may be struggling with hand tremors as well. Buttons appear dimly lit, at best, when you have macular degeneration, glaucoma or other vision problems. Grandpa didn’t have a chance to retrieve his glasses.

Problem #2 – Listening through a cell phone’s tinny little speaker port doesn’t present a problem when you still have the majority of your hearing. But aging is often accompanied by hearing loss – more than 30% of people over 65 have lost enough hearing to benefit from hearing aids (Hearing Loss Association of America, www.hearingloss.org). Grandpa can only hear the tiny sounds emitted by cell phones when he has properly aligned the speaker hole with his ear. Limited hand control makes this very challenging for older people.

Problem #3 – Cell phones are powered by rechargeable batteries. If Grandpa doesn’t use his phone regularly, he may not notice that his battery charge has been depleted. Someone who keeps a phone around just for emergency use will often find the batteries drained of power in their time of greatest need.

Problem #4 – EMS providers report that they cannot quickly locate a cell-phone caller. It looks so easy in the movies, but the reality is far slower. Unless Grandpa can state his address, response to his call may take quite a while. Also, check that there’s adequate signal coverage throughout Grandpa’s home in order for his cell phone to be useful. And make sure that Grandpa can handle the phone when he’s using his cane or walker. If Grandpa drops the phone, he might trip on it and fall, or worse, fall while he’s bending over to find it on the ground.

Problem #5 – Cell phones aren’t waterproof, so they can’t be carried into the shower. This is a serious problem as most elders will say they are scared to death of falling when they are in the bathroom. Will a cell phone ease their fears? Not once they’ve seen an electronic gadget burst into pieces when dropped on a hard floor.

With the best of intentions, we make decisions for our elders without fully understanding how aging affects their perceptions and physical abilities. Technology’s rapid development leaves many of us breathless and struggling to keep up. The features that give cell phones their cool factor – touchscreens, synthesized sounds, tiny buttons – baffle the elderly.

Try this – give Grandpa your phone and have him make a call and carry on a conversation. It isn’t as easy for him as it is for you. Now imagine the same thing occurring during a crisis where Grandpa has fallen and needs emergency help.

There are a small number of cell phone companies trying to serve the elderly population like the Jitterbug www.jitterbug.com. But beware. There are a number of consumer complaints of the Jitterbug and Great Call Inc., which can be found by Googling jitterbug phone complaints. Verizon Wireless www.verizonwireless.com also offers a number of phones made by Samsung, Nokia, Motorola and LG which are designed to be used by the elderly. But making the buttons larger and more brightly lit and simplifying the interface doesn’t solve all the problems inherent with cell phone use; incomplete coverage areas, not being water- or shock-proof, and keeping the phone charged are still serious shortfalls.

End of part 1; come back to safecallblog.wordpress.com next week for part 2: Safety in the Home Solutions.

Ten Tips for Home Medical Alarms

Family caregivers often provide the link for senior citizens to live at home as their health declines. Home medical alarms help the caregiver to maintain a safety net around their loved one. Often, home medical alarms are indispensable to an aging senior’s independence especially when they are a fall risk or suffer from daily confusion or memory loss. Here are ten tips to help you understand when a medical alarm is appropriate to your situation.

1. Stay off the ground
A fall is the critical incident which often begins the decline of an elder’s independence. More than 30% of people over 65 years fall annually. The time spent on the ground may determine the severity of the fall’s effects. A Personal Emergency Response Service (PERS), or help button, greatly reduces the time spent waiting for someone to come and help you.

2. Peace of mind reduces stress and anxiety
Caregivers suffer higher rates of depression and anxiety than the general population. A help button or medication dispenser provides peace of mind and reassurance to counter those emotional states. Caregivers know that when a help button is installed in a loved one’s home they can be contacted within minutes of it being activated.

3. Have your support information reviewed several times a year
A help button system works best if the responder information is current. Ask your provider how often your response information is updated. Better yet, can you review this data online?

4. Digital phone warning
Personal Emergency Response Services are not yet compatible with digital phone systems, also called Voice Over Internet Protocol (VOIP). If you or your loved one have phone service through a cable TV provider or as a bundled service – usually voice/data/cable tv – you will need to check with your help button provider to see if an adapter is needed for your service to operate reliably.

5. Caregivers don’t need to sleep with one eye open
The stress from not having a restful night’s sleep increases the intensity of caring for a dementia sufferer. Caregivers ‘sleep with one eye open’ in case the dementia sufferer wanders, which is more likely to happen overnight. A wander alarm can alert the caregiver that their loved one is leaving a room or opening a door. These alarms are set to alert caregivers if an outside door is opened or if a pressure-sensitive floor pad is stepped on.

6. Get help to reduce medication confusion
Some seniors take an average of 32 different medications daily. Anyone would have difficulty managing that much medication! Confusion and poor memory make the task far more challenging and often lead to medication errors. Many seniors lose their independence by not accurately following their medication regimen. When confusion and/or memory issues contribute to medication non-compliance, an automated medication dispenser will help to keep elders independent. These devices secure the medications internally and deliver the right dose at the right time.

7. When repeating instructions doesn’t work; you need something extra
Plastic medication organizers don’t protect a disoriented elder from medication non-compliance. A quality automated med dispenser has a secure lock that keeps the med doses tamper-free and a battery backup keeps the dispenser working during power outages. The latest medication dispensers utilize active communication features like text messaging and email to alert family members that the senior needs to be contacted about their medication.

8. Online alerts can help caregivers share their responsibilities
The Internet is changing home care. Medical alarms now report their activity on password-protected web sites. You can receive alerts via email, text messages and phone calls. Caregivers can also receive secure online reports from their loved ones’ home medical alarms. Family members can see if Mom needs reminders to take her medication or if Dad needed the neighbor to help him up, along with a variety of system reports that let you know of any potential problems, such as a power loss or disconnected phone line.

9. When you’re not saved by the bell
Moving quickly to reach a ringing phone can cause an elder to fall. A help button can be used to answer the telephone – without moving from the bed or couch. It works this way: the button is pushed to answer the call. The caller is greeted and a conversation is started by speaking through the speakerphone/base unit, which picks up sound around the home. Then the elder can stand up to get to the phone, slowly and carefully, before hanging up the base unit by again pushing the help button. No sudden movements. No increased falling risk.

10. Are you losing, or keeping, your independence?
Elders may argue that they don’t need a home medical alarm. They are often afraid that it means they are losing their independence. The truth is that these alarms assist elders in retaining their independence just like using a walker, extended toilet seat, shower bars and other home medical equipment maintain independence, instead of diminishing it.

The tools of home care are no longer limited to the caring nurse or home health aide. Those strong components have been strengthened even more with devices that communicate a variety of needs. Home medical alarms are the important tools that assist the caregivers to keep their loved ones in their home.

©SafeCall 2009

Will the health-care debate benefit caregivers?

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I don’t know about you, but I’ve found this national debate to be very disappointing. Like passengers on a sightseeing cruise, it seems like our national attention is moved from port to stern as different subjects (death panels, public options, medical co-ops) become the hot topic du jour. We get jerked from one emotional trigger-point to another with the effect being an almost-toppled boat. This is so discouraging because we’ve lost sight of the problem!

We need to acknowledge that America’s health care is under-serving us. We don’t have the best health care system in the world. We have a higher infant mortality rate than 2 dozen other countries. 20,000 people die every year because they can’t afford to see a doctor. 700,000 people are driven to bankruptcy annually by their medical debts. And that doesn’t even touch hospital errors, responsible for thousands of deaths a year.

While our life-expectancy rate is higher than it’s ever been, we are still elapsed by two dozen other countries, including such health powerhouses as Monaco and Andorra. If our health-care system was so good, why are so many Americans going to destinations like India and Mexico for operations paying cash for their procedures (go and google medical tourism if this is news to you)?

And what about supporting family caregivers? Has anyone heard anything in the health-care debate about this?

Why is family caregiver support important? The estimated value of family caregiving is estimated to be over $300 billion a year, more than double the combined size of the home care AND nursing home sectors ($158 billion), according to a paper on ‘Economic Value of Informal Caregiving’ presented to the VA in 2006. It is no stretch of the truth, or the imagination, to say that unpaid, family caregivers are the glue holding our nation’s health together. And I’ve not heard any political leaders speaking to their importance or how system reform will accomodate their contributions.

Do you think the debate over national health care has lost sight of the importance of family caregivers?