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Elder Care in Crisis

Date: 1999, Sep 24
From: Sheri D. Fanning, RN,C <sheri@CareMate.com>

Elder Care in Crisis

by: Sheri D. Fanning, RN,C Medicare,

Medicaid and Social Security have been in crisis for years now, but we are now feeling it here on our communities. Medicare was a benefit designed to assist older adult pay for health services but never meant to pay for custodial care which means long term care needs. Medicaid was meant to help pay for services Medicare didnıt cover for lower income and the disabled. Social Security was meant to help replace income when the older adult or disabled could no longer work. All of these started out with good exspectation and intentions, but now we are seeing the systems taxed because of the unforseen growth in our aging population for a variety of reasons.

Our older population are living longer that is no secret but the resources that once seemed to help them obtain cares needed are no longer able to do so. Some have compared the situation to the great depression when choices had to made whether to put food on the table, clothes on our backs, or life sustaining medications in our bodies. With cuts in these local, state, and federal funded programs we as a society are faced with many choices, not only with how we will best deal with the problems in the future but how will we deal with the crisis at hand, and it is a crisis as many who are faced with these cuts everyday can attest to.

As I surf the internet to research how the same crisis we are faced with now are affecting other communities around the country I see we are not alone, although this was not news to me it is somewhat troublesome just the same. The papers, magazine and numerous publications are reporting on this crisis everyday. If you think politians are amunded to this crisis you are wrong a report in the Washington Post July 26, 1999 shows how this issue is hitting home even on Capitol Hill, the report tells the stories of Representative Richard Gebhardt, Democratic leader of the house, his wife Jane, Representative Nancy Johnson, Republican of Connecticut and a senior member of the Ways and Means commitee, and Senator Patty Murray, Democrat of Washington, all facing the issue of caring for their parents from actual hands on to helping make choices of what services are needed and who can best provide them. Capitol Hill is facing the same problems as many americans, balancing caring for their parent and managing their careers. Representative Gebhardt says it best when he says ³Until youıve gone through something, you donıt really understand it². This is where we as a society need to come together to help make a difference, if I can quote John F. Kennedy, ³ask not what your country can do for you, ask what you can do for your country², it may be an old saying but it says it best.

We as a society need to look at how we can make a difference not only for the future but now, now when so many of our elderly are suffering both physically, mentally and spiritually. We as communities can pull our resources together, be a volunteer, be proactive, make a difference in someoneıs life. We can help our children learn the value of living by encouraging them to volunteer to mow lawns, do yard work, shovel snow, visit and elderly neighbor who is lonely. We as adults can through commitees, community organizations, associations, find ways to help the elderly perhaps by forming groups that would volunteer to provide companionship, meals, light housekeeping. We do have some of these services in place perhaps you can join them.

One of the most important things we can do to ensure our older adults are getting the services they need where, when and how they need them is becoming involved and educated and donıt be afraid to ask for help from resourse centers, families or other trusted professionals such as geriatric care managers. The maze of choices we have and the unique needs of each of our elderly can be frightening but also rewarding. Making the best possible choices for our aging population can mean success or failure in dealing with this elder care crisis. The answers to the long range problem will not come easy nor will they come fast but we can help make a difference by helping here in our communities and by helping local, state and federal officials come up with solutions, get involved. If you arenıt faced with these problems now chances are you will be sometime in the not so distant future

 
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