Howard Gleckman, senior research associate at the Urban Institute and moderator of the Genworth 2009 National LTC Symposium, and others look on as paid caregiver Ancil Alexander speaks.
“It’s more dangerous to be a home health aide than it is to be a coal miner.”* Howard Gleckman, senior research associate at the Urban Institute, said that as he described the state of home health care in the U.S. at Genworth Financial’s Fourth Annual Long Term Care Symposium on Monday, September 14, in Washington, D.C.
As aging baby boomers put unprecedented demands on the nation’s long term care resources, Gleckman, who served as moderator of the Symposium, also noted that 80 percent of the long term care giving taking place in the U.S. is done by informal caregivers, often family members or close friends who receive no financial compensation. As most people who require long term care services prefer to be taken care of at home rather than in a nursing or assisted living facility, Gleckman said that it is becoming critical that society acknowledge and address the stresses being placed on caregivers, most of whom have no formal training in providing care.
Genworth Financial’s Long Term Care Symposium is held annually to discuss and evaluate public policy issues surrounding the state of long term care across the nation. As Congress addresses healthcare reform and its many components, this year’s event emphasized the need for a national long term care strategy including funding, education and support for the caregiver. Additionally, the event served to highlight the viability of numerous legislative proposals in support of caregivers aimed at helping to solve the nation’s long term care challenges.
Part of the emotional strain facing many home care givers results from low wages paid for providing such services. According to Genworth’s “A Workforce to Care for our Aging” 2008 white paper, 19% of home care aides and 16% of nursing home aides are compensated at a level insufficient for them to rise above the poverty line. The report adds that the typical working family caregiver loses approximately $110 per day in wages and health benefits due to care giving responsibilities. Suzanne Mintz, co-founder of the National Family Caregivers Association (NFCA) added, “The wellbeing of family caregivers and direct care workers are inextricably tied together. As the wages of the latter go up, it makes it that much harder for family caregivers to purchase the services they need. The solution to this ironic situation is that easing the financial strain on family caregivers must go hand in hand with raising the wages of direct care workers.”
Recognizing the urgent need for a comprehensive national long term care strategy, Representative Charles W. Boustany, Jr., (R-LA) said in his opening remarks that, “We’ve got to do much more with regard to long term care and how it’s provided, how it’s financed.” He noted that “most seniors did not realize that Medicare doesn’t do much in terms of providing for long term care.”
Author and expert on aging Virginia Morris said national education campaigns – like Genworth’s “Let’s Talk” program (www.genworth.com/lets-talk), aimed at providing families with the planning tools necessary to prepare for future long term care obligations – “will be critical in the years ahead.”
To view excerpts from Genworth Financial’s Fourth Annual Long Term Care Symposium, visit http://genworth.edgeboss.net/download/genworth/5700_ltcsymp_akamai.wmv.
* Bureau of Labor Statistics, The injury rate for coal miners is 3.6 per 100 workers. The official rate is 4.1 for home health aides.
Most people associate long-term care with the elderly. But, long-term care also applies to the ongoing care of individuals who no longer can perform tasks independently – no matter the age. These activities of daily living, also called ADLs, include bathing, dressing and eating. The inability to conduct an ADL includes illness, injury or a cognitive disorder.
Medicare Part A is the portion of Medicare that is available premium-free to all eligible individuals. This part of Medicare benefits provides services associated with hospital, hospice, skilled nursing care and home health care. While you may have read that Medicare Part A covers all costs incurred with hospice, or palliative, care, this is not the case when it comes to custodial care.
You may decide that long-term care insurance (LTCI), or insurance that provides for long-term care after you can no longer work, is not for you. After all, you may never use the insurance, it’s expensive and not everyone qualifies for the insurance. But, what are your other options to LTCI?