General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsSpread the word: the budget passed in the House eliminates nursing home funding through Medicaid.
And if you have an elderly parent whose nursing home care is being paid through Medicaid, in 30 states -- so far -- the legal responsibility for those bills would then fall on you.
http://www.medicareadvocacy.org/2011/04/21/what-happens-to-current-nursing-home-residents-if-the-house-budget-resolution-becomes-law/
Under the proposed budget resolution passed by Republicans in the House of Representatives, nearly a million nursing home residents could immediately lose coverage for nursing home care. Further, all of the standards that govern nursing home care today could disappear.
A study of the costs of nursing home care, released April 21, 2011 by John Hancock Financial, reports, "the national average annual cost of care in the U.S. is $85,775 for a private room in a nursing home; $75,555 for a semi-private room in a nursing home."[1]
The House Republican Budget Resolution purports not to change Medicare for new beneficiaries until 2022. But, for current Medicare beneficiaries who live in nursing facilities, the overwhelming majority of whom rely on Medicaid for their nursing home coverage, the impact of the Budget Resolution would be immediate and devastating. With the repeal of Medicaid, fewer residents would be covered by Medicaid and more of the costs of nursing home care would be dramatically shifted to residents and states, and, for the first time, to residents' families. Residents could be required to pay for prescription drug coverage under Medicare Part D, whereas, under current law, those with Medicaid have no cost-sharing. And all current federal standards of care for nursing homes could be lost.
SNIP
Relative Responsibility. Since 1965, the Medicaid program has prohibited nursing facilities from requesting or requiring contributions from residents families.[12] Adult children have never been legally responsible for their parents' nursing home care under the Medicaid program. That provision disappears if Medicaid is repealed. States could require residents' families to contribute to the cost of their relatives' care, even as they address their own health care needs or seek to help a child attend college.
SNIP
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A list of the states:
http://law.psu.edu/_file/Pearson/FilialResponsibilityStatutes.pdf
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The reason the state laws are not enforced any longer is that the Federal Medicaid law -- that the House Budget bill repeals -- supersedes them.
http://www.paelderlaw.com/budd.html
Can children be held financially responsible for the cost of their parents' nursing home care? You might be surprised to learn that, in Pennsylvania, the answer is yes.
Pennsylvania law has long provided that the husband, wife, child, father and mother shall, if of sufficient financial ability, care for and maintain, or financially assist an indigent relative. The statutory citation is 62 P.S. §1973.
http://www.elderlawanswers.com/resources/article.asp?id=5181§ion=4
In states that have so-called "filial responsibility laws," the nursing homes may seek reimbursement from the residents' children. These rarely-enforced laws, which are on the books in 30 states, hold adult children responsible for financial support of indigent parents and, in some cases, medical and nursing home costs.
HiPointDem
(20,729 posts)Do you think that Mr. Ryan has a deep seated hatred of the elderly? I mean doesn't his bio state that he helped to take care of his grandmother who suffered from either Alzheimer's or dementia?
Considering that the versions of his budget call for the axing of programs that help the elderly and the poor...one has to wonder if Mr. Ryan's possible resentment and hatred is finally surfacing, now that he is among others who seem to also hate the weakest members of our society!
It's just a theory!
undergroundpanther
(11,925 posts)he hates vulnerable people because deep down the rich know how vunerable they are.There is no ethical excuse or moral underpinning that would begin to justify for the rich to live like kings while citizens suffer.Corporate pigs depend on the weak,workers who are desperate will go for less,and that abuse to maintain their mostly unearned, insane wealth for themselves via corporate structures.They need suckers that'll shut up,produce and obey,who cares if a worker bee dies,the hive is all important to repugs because it's the 1%'s golden goose.They see the human condition, vulnerability like poverty,sickness old age,and it fills them with the fear of powerlessness.They fear the weak and so,they seek to kill them and those who care.
JHB
(37,161 posts)When your omelette is to get rid of "big government", you can't get it without breaking a lot of eggs.
You know what an egg looks like? Look in a mirror.
KamaAina
(78,249 posts)the Money Follows The Person program is a first step.
Simply throwing people (including not only the elderly but people under 65 with disabilities, who constitute one-quarter of the nursing home population) onto the street is not the answer.
pnwmom
(108,980 posts)is less costly than a nursing home would be.
But the Rethugs budget would eliminate that, too.
KamaAina
(78,249 posts)remember, Medicaid is actually a collection of 50 state programs, though the funding is federal.
And Oregon, I believe, is the national leader in what we call "rebalancing", that is, emphasizing HCBS over nursing home care.
pnwmom
(108,980 posts)deep in Rethug country.
vankuria
(904 posts)I tried to get medicaid funded in home services for my elderly mother and because her income was over the limit, she would have to do what they call a 'spend down". That would have left her with very little money to live on, in her case it was not possible.
ZombieHorde
(29,047 posts)get rid of them. I think we should replace nursing homes with group homes. I have worked in nursing homes and I have worked in group homes, and the group home model is significantly better. Better care, better treatment, better food, more rights (barely), etc.
pnwmom
(108,980 posts)in-home care of the elderly poor, if that is less costly than nursing home care would be. Of course, that would be eliminated, too, if the House Rethugs get their way.
KatyMan
(4,203 posts)in Texas it is covered under a waiver program through Medicaid
pnwmom
(108,980 posts)WI_DEM
(33,497 posts)this really would hit home for a lot of people who have parents or loved ones in a nursing home and Medicaid pays. How are people supposed to afford $85,000 per year to maintain somebody in a nursing home? This is insane!
Uncle Joe
(58,372 posts)Thanks for the thread, pnwmom.
pnwmom
(108,980 posts)yardwork
(61,671 posts)"Death Panels"
These so called "Christians" can afford care for their mom and dad, eff everybody else.
sellitman
(11,607 posts)Did they take the GOP under?
lovuian
(19,362 posts)Ryan is their worst enemy
they will give Corporations no taxes and kiss the rich butts
but the old poor will die on the streets
This is Horrible
My mother was on Medicaid and it was a God send
MrScorpio
(73,631 posts)How mighty Republican of them
glinda
(14,807 posts)Yo_Mama_Been_Loggin
(108,072 posts)It's come piss on it conservatism.
Devil_Fish
(1,664 posts)glinda
(14,807 posts)opihimoimoi
(52,426 posts)TheKentuckian
(25,026 posts)Just a simple mandate requiring all descendants, independent living sibling or parent, and spouse to pay the nursing homes instead of shirking responsibility and making all of us have to pay for their irresponsibility.
More mandates mean lower taxes and greater personal responsibility and these fucking "small people" need more responsibility and take the heat off our "job creators".
Mandates are so sensible and relatively frugal for the wealthy. SHIFT THE BURDEN OFF THE "JOB CREATORS"!
gadjitfreek
(399 posts)are talking about OTHER people taking personal responsibility but try to worm out of it when it's their turn. Oh...and as for the "job creators", the 1% who took in 93% of all new wealth in 2010...where the fuck are the "jobs"?
raccoon
(31,112 posts)are talking about OTHER people taking personal responsibility but try to worm out of it when it's their turn. "
TheKentuckian
(25,026 posts)By no means completely in jest, I think little of the entire mandate concept.
McCamy Taylor
(19,240 posts)Didn't think they would try this before the election.
pnwmom
(108,980 posts)they can say they have a mandate for all of this.
Festivito
(13,452 posts)How else are we going to pay back the rich for the money they told us they made.
Privatize Social Security, oops, dang, didn't work.
Get the post office to buy excess retirement pre-funding. CHECK. Working.
Claim SS is going bankrupt so we can get away with not paying back what we borrowed from SS. IN PROGRESS.
Claim Medicare is going down so that money can be diverted. COMING.
Drop Medicaid from people too weak to complain. TADA!
On and on we go.
Thinkingabout
(30,058 posts)They are for throwing Gramps and Granny off the cliff. They are also who wants to defund schools and food programs for the children not aborted. I get it don't abort, have them and the repubs will let them die and it would not be murder.
Thinkingabout
(30,058 posts)So ther will not be health care for those not aborted.
pnwmom
(108,980 posts)vankuria
(904 posts)If I read this right, "millions of nursing home residents could immediately lose coverage for nursing home care", what will all these people do? My dear mother who passed last May spent her last 2 years in nursing home. While I'm not a fan of nursing homes, I have to say she recieved excellent care and the staff were very kind and genuinely cared about her. My mom could not have lived there if it was not for Medicaid funding and I would bet most of the folks there also recieved Medicaid benefits. Even if folks are private pay at some point the money runs out and they have to go on Medicaid. If Medicaid will no longer fund this, how will this get paid? Are they gonna just release everyone into the streets in their wheelchairs?
pnwmom
(108,980 posts)But this shows how extreme that party has gotten.
RKP5637
(67,111 posts)and a collection of un-American activities.
BlueIris
(29,135 posts)Last edited Wed Apr 4, 2012, 07:22 AM - Edit history (1)
As someone who has spent the better part of a decade caring for two largely nonfunctional parents, I can tell you that very few members of our society will be able to do this without going insane. And a large number of U.S. adults (one in four, I believe) now provide unpaid care to an adult. It is brutal. For all adult children or relatives to be responsible for their indigent senior family members?
That's going to be a lot of seniors dying in the street. Most people aren't going to be able to "take it."
Habibi
(3,598 posts)I spent a year living with/caring for my evil MIL. Developed health problems from the stress. If we were forced to care for her again ('cause ain't no way we could pay for NH care), I'd probably kill myself.
BlueIris
(29,135 posts)Non-stop. No let up. No relief.
What's coming for our society WRT the expenses of the graying population is unimaginable.
Good luck keeping your MIL out of your house.
Habibi
(3,598 posts)I hope you are coping okay. I just can't imagine.
Tarheel_Dem
(31,235 posts)tooeyeten
(1,074 posts)They "hate old and sick people."
jwirr
(39,215 posts)get to go to a nursing home if you need one. The states are going to have a fit if this passes. That would leave each state holding the bag for all those who need this type of care and that will mean more debt/taxes at the state level.
Is this piece of shit expected to pass in the Senate and get signed by the President? If it does they are crazy.
tilsammans
(2,549 posts). . . is the physical burden of caring for an elderly, incapacitated loved one. My mother spent the last 18 months of her life in a nursing home with Parkinsons and other infirmities. As the 30-something sole caregiver, I could NOT even begin to provide the round-the-clock care she needed, regardless of the ability to pay. And forget about getting help from family or so-called faith-based groups.
The Democrats need to make sure that the public knows that this is happening NOW!!!
October
(3,363 posts)They have a name for adult children with sickly parents who also have young children "The Sandwich Generation." Aren't they clever? <sarcasm>
It was hard enough to take her out for a day -- what with pushing her wheelchair, reading for her, tending to her in public restrooms that in no way accommodated her -- all whilst watching my young child!!! It was insane. She weighed more than me, and the chair was nearly impossible to manage alone -- and I had to watch for my child in parking lots, etc. OMG, isn't it enough that the nursing home took every penny from the sale of her home, car, and possessions -- and then got her monthly social security and pension?????????
I will never get over it -- and now they want to make it even HARDER for families?
You cannot imagine the stress unless you've lived it.
vankuria
(904 posts)I took care of my elderly mom for as long as I could until the time came when she needed 24 hour care. I felt terrible putting her into a nursing home but she had a host of complicated medical issues and needed professional care that I couldn't provide. Her life was extended for 2 more years because of the wonderful care she recieved and I have the greatest respect for nursing home staff. Without Medicaid funding she would not have been able to afford this. What is our society coming to that we will deny services to those that need it most, is this Nazi Germany?
pnwmom
(108,980 posts)Or an elderly spouse.
The physical labor is that much more impossible.
lpbk2713
(42,762 posts)(That's Alan Grayson)
Cleita
(75,480 posts)AsahinaKimi
(20,776 posts)taught_me_patience
(5,477 posts)In 2010 Repukes won women 60+ by 12% and men 60+ by 20%.
http://www.nytimes.com/interactive/2010/11/07/weekinreview/07marsh.html?ref=weekinreview
Fucking dupes. They deserve what they voted for.
a kennedy
(29,682 posts):kick:
Ilsa
(61,695 posts)I never thought they'd stoop so low as to pushing grandma with her pill-rolling hands from Parkinsons out into the streets so they could give Mitt RMoney and others another tax cut.
Monk06
(7,675 posts)Kicking old age pensioners out onto the street. These fucker's need to disappear
or go to jail. While lawyers are fighting over who pays the bills and getting rich going
to court old folks are going to die.
If you can't take care of your old folks you aren't the greatest country in the world.
You aren't worth shit.
snappyturtle
(14,656 posts)taught_me_patience
(5,477 posts)Maybe that's what they wanted? They are getting exactly what they voted for.
Worried senior
(1,328 posts)for the tea party and can't for the life of me figure out why they did.
I wonder how many elderly that have their mental capacity but can no longer function will consider suicide if this happens.