What Long-Term Care Looks Like Around the World
Most countries spend more than the United States on care, but middle-class and affluent people still bear a substantial portion of the costs.
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Most countries spend more than the United States on care, but middle-class and affluent people still bear a substantial portion of the costs.
The United States has no coherent system of long-term care, leading many to struggle to stay independent or rely on a patchwork of solutions.
Congress returns from its summer recess with a long list of tasks and only a few work days to get them done. On top of the annual spending bills needed to keep the government operating, on the list are bills to renew the global HIV/AIDS program, PEPFAR, and the community health centers program. Meanwhile, over the recess, the Biden administration released the names of the first 10 drugs selected for the Medicare price negotiation program.
Programs assisting people with dementia and their caregivers improve quality of life and care. But millions of unpaid family and friend caregivers may not know where or how to find help.
Turnover ails a program that allows low-income people who are older or disabled to age in place. To attract new workers and improve retention, the state is paying caregivers to develop new skills.
The death of a sharp but frail patriarch just days before Thanksgiving casts a shadow on a familys holiday season.
Assisted living was meant to be a home-like setting where older adults could interact with other residents while receiving help with daily tasks such as bathing and dressing. But as the concept has become more popular, residents are now older and sicker than in the past, and a panel of experts is calling for more focus on their medical and mental health needs.
Many Americans with intellectual and developmental disabilities do not have long-term plans for when family members can no longer care for them. Families, researchers, and advocates worry that has set the stage for a crisis in which people with disabilities could end up living in institutional settings.
An Indiana man's family sued a state-owned nursing home for alleged mistreatment. A U.S. Supreme Court decision in the case could determine the right of many Americans to sue government agencies.
Debt lawsuits long a byproduct of Americas medical debt crisis can ensnare not only patients but also those who help sick and older people be admitted to nursing homes, a KHN-NPR investigation finds.
The WA Cares Fund program, which would provide workers in the state a lifetime benefit of $36,500, was set to begin collecting money through a payroll tax in January, but it was delayed while lawmakers made adjustments to address equity problems. Now the payroll deductions will begin in July 2023, and benefits will become available in 2026.
To contain the spread of covid, hospitals and nursing homes barred visits. The separation and isolation took a toll on patients and families. Florida is one of the latest states to ensure access for visitors.
Add nursing homes to the list of industries jolted by Amazons handsome hourly wages. Enticed by an average starting pay rate of $18 an hour and the potential for benefits and signing bonuses, low-wage workers are fleeing entry-level elder care for jobs packing boxes.
A federal allocation plan meant to ensure equitable distribution of powerful monoclonal antibody treatments for high-risk patients fails to prioritize nursing home residents, a population that remains particularly vulnerable even after vaccination.
As covid case numbers rise nationwide, Georgia and some other states have restricted the case count data they share publicly.
Aduhelm, approved by the Food and Drug Administration last month despite questions about its efficacy, could be prescribed to at least 1 million patients a year, for a price tag of about $56 billion. Experts suggest there might be better ways to spend that money.
The covid pandemic and President Joe Biden's agenda a planned $400 billion infusion of support have focused national attention on the need to expand home- and community-based long-term care services designed to keep people out of nursing homes. But the need far outpaces the staffing.
Democrats in Congress and the states are devising strategies to expand health coverage through the Affordable Care Act, Medicare, Medicaid and a public option. But progress remains halting, at best. Meanwhile, lawmakers in Washington may have to agree on how to control prescription drug prices if they wish to finance their coverage initiatives. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Shefali Luthra of The 19th join KHNs Julie Rovner to discuss these issues and more. Also, Rovner interviews Michelle Andrews, who reported and wrote last months KHN-NPR Bill of the Month episode about a very expensive sleep study.
The number of Americans 65 and older is expected to nearly double in the next 40 years. Finding a way to provide and pay for the long-term health services they need won't be easy.
The underfunding of public health and political backlash destabilized Missouris vaccine rollout, creating racial inequity and forcing some residents to drive hours to get shots.
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