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Home Care

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Home Care

Care at home – the continuum of oversight needs a reality check

 Okay, okay, we get it – everyone wants to age at home.  How do we know?  AARP say so. Forget that AARP’s survey sample might be skewed towards the younger end of fifty- and sixty-somethings, not 80-90 year olds. Forget that life expectancy is lengthening -- the good life or the not-so-good – apparently indistinguishable among the life expectancy extender-types, aka the healthcare system.  Forget that this is a gloomy and isolating picture for those with limited transportation in their 80’s and 90’s, those living alone with mild to moderate dementia, and those for whom it is a great chore just to get up and about. 

An industry thrives -- the worker, not so much


The sound of one hand clapping.  We're apparently headed into a wave of hiring of home care workers, according to a new Senior Helpers study. Yay, I guess, for the job 'opportunities' for 100,000 additional in-home senior care workers in 2011.  It's a good thing that the article offered up an observation by one franchise owner who "said many of the caregivers employed were middle-aged women who were in the job because they wanted to help, rather than for the money."  Yes, of course.  They can't be in it for the money. Note the Bureau of Labor Statistics about the fastest growing job occupations.  Note the only one with an annual average wage below $20K -- yup, that's the personal care worker, one of the few on the list with only 'on-the-job training'.  One in three have no health insurance, which for a single individual (healthy) under the age of 65 requires an average premium cost of nearly $3000.  And sure enough, the industry is lobbying to be exempt from requirements to insure their workers, also admitting that for those who are currently insured, that the coverage “is probably not up to what will be required.”

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