Home Care

Largest city in the US shows a path for an aging society.  New York has long been a host and leader in supporting older adults, from being a WHO Age Friendly City, to acknowledging the presence of Naturally Occurring Retirement Communities (NORCs) starting in 1994, to being the home of the first Virtual Senior Center (VSC). In addition, technology leadership initiatives have been offered via SelfHelp in Queens, and Senior Planet, a technology exploration center that offers tech training for adults 60+. So many people aging, many needing the skills to find and keep jobs. So they utilize services like OATS and Senior Planet, or senior centers, training in libraries, carrier stores and online sites like AARP TeK Academy.  

Consider the Gallup-Healthways survey about community well-being.  Naples, Florida, is at the top. Really? Perhaps this caught your eye last week when you saw the Gallup survey about well-being.  For those who missed it, the survey ranked well-being of adults 18 and older in a community (town) by specific factors -- Purpose, Social, Financial, Community, and Physical.  At the highest level, Naples was followed by the town of Barnstable on Cape Cod. Consider that the attribute ‘Physical,’ for example, meant “Having good health and enough energy to get things done daily.” So look past the survey. These towns are comparatively wealthy by national measures -- the median income for a household in Naples is $66K and for those over age 75, it is $71K.  For Barnstable, median income is $62.1K – and note that 20% of the Barnstable population is 65+, higher than the 135 national percentage. In Naples, the median age is 60 and an eye-popping 42% of the population is aged 65+.

Shortage of paid care workers – a growing problem, not well-quantified by region.  As AARP predicted in 2013, by the time the boomers arrive in their 80’s, just nine years from now, there would be a population deficit of prospective care providers aged 46-64 – the caregiver support ratio (CSR). But perhaps the more intriguing question – where are the workers who could, should, or would provide care? In a study released in December 2015, the U.S. Bureau of Labor Statistics (BLS) stated that the compound annual growth rate for home care services, particularly personal care aides, between 2014 and 2024 would be nearly five percent, the highest among all industries. Compare the number of workers that provide direct care ( for example, personal care aides) to retail – these jobs are low-paying at approximately $11/hour and most would say the work is physically more difficult than other low-paying categories.  And tech-enabling the care, while streamlining sourcing and tracking, does not close the available labor gap.