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CountAllVotes

(20,878 posts)
Sun Feb 15, 2015, 03:44 PM Feb 2015

Health care in The Republic of Ireland today



My BIL (brother-in-law) was recently diagnosed with a very severe and aggressive form of Alzheimer's Disease. He is 86 years old and so far, out of 10 children born, he is the only one that has manifested this horrific illness. My husband is beyond devastated (his sister sent me a picture of his ailing brother at Xmas time and he has it next to the bed where he can see it).

In any event, I had to ask, "What will happen to him? Who will pay for this?". I've been quite worried as said BIL had been living alone most of his life, never married and living in a small cottage behind the main house he was born in.

I knew that the Irish government was helping him prior to this time by coming by to check on him a few times a week and taking him to medical appts. as needed and also providing food and other help needed at no cost. The family itself is far from being "broke".

In any event I asked my other BIL that lives south of where I live what sort of care was he receiving. He told me that he was moved to a care home in Galway City and that he is receiving "excellent care". The picture we were sent pretty much proves this as he is seated in a chair, is well dressed and looks just fine, which is why the picture will remain where it as as long as my husband sees fit.

EXCELLENT is the word I'd like to emphasize in this post.

Can we say that a person in this country would receive "excellent care" if they were to suddenly find themselves in such a condition (not that they would necessarily know!). In our country it would manifest nothing but worry worry worry.

While the Republic of Ireland sure has many problems, they have NOT FORGOTTEN its elderly and disabled citizens which is most certainly the case with our own country, the USA! What we do instead is threaten to cut the benefits that such citizens receive and offer them nothing at all in hopes that they'll just croak instead.

If the Irish can care for own, especially given their current state of financial affairs, America should be able to do the same, but it seems to me that the WAR is the answer to all that ails us as Americans.

God knows how sick I am of this and I'm thinking that Ireland does have their act together a lot more than the USA ever did when it comes to caring for its citizens. As for the cost of this, I never heard a word about it so I assume that the Irish government has stepped in and doing what it should for this fine man, my BIL. If there was a cost involved, believe me, I would have heard all about it by now!

Shame on you America for not caring for your own. I find in to be quite embarrassing to be honest with ya''ll that our country cannot and will not do the same!

In the meantime, prayers for my BIL John Joe are greatly appreciated! It is a sad sad thing to see happen to a man that I met some 30 years ago who worked the farm his entire life and became a highly regarded stone mason late in life being he knows a trade that is long forgotten. He enjoyed his stay in America for about six mos. and I know he was glad to return home to the "old country" so to speak and he never paid America another visit after that time.

Thanks for reading this post.





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Health care in The Republic of Ireland today (Original Post) CountAllVotes Feb 2015 OP
I am sorry about your BIL but so glad he is receiving the care he needs .... sabrina 1 Feb 2015 #1
He is not in a Catholic care home CountAllVotes Feb 2015 #3
I think it all depends in the USA on which state you live in. Nursing homes are inspected by the jwirr Feb 2015 #2
Frankly, I am personally ... CountAllVotes Feb 2015 #4
I hear you. Most states will not touch your home if one of you still are living in it. Also if your jwirr Feb 2015 #5
We do not qualify for Medicaid and we are both on Medicare CountAllVotes Feb 2015 #6
Medicare is the one that comes with Social Security and SSDI. Medicaid is the one that is means jwirr Feb 2015 #7
Yes we are both on Medicare CountAllVotes Feb 2015 #8
Look you are blaming they system for what your doctors are doing. And where you live. That is not jwirr Feb 2015 #9
I live in rural northern California in a low-income county CountAllVotes Feb 2015 #10
Thank you. In our state we have dentists who will not take "welfare" clients. The state passed a jwirr Feb 2015 #11
Many doctors are leaving this area CountAllVotes Feb 2015 #13
And no one to care or anyone. We need to be doing something about that because that you are not jwirr Feb 2015 #16
It is incredidly sad CountAllVotes Feb 2015 #19
A HUGE REC! BrotherIvan Feb 2015 #12
Why thank you! CountAllVotes Feb 2015 #14
I'm sorry for what you have gone through and are going through now BrotherIvan Feb 2015 #15
I wish we could go visit him before he passes away CountAllVotes Feb 2015 #17
I'm sorry to hear that BrotherIvan Feb 2015 #18

sabrina 1

(62,325 posts)
1. I am sorry about your BIL but so glad he is receiving the care he needs ....
Sun Feb 15, 2015, 03:58 PM
Feb 2015

I am familiar with the HC system in Ireland, which is vastly different to ours. Although the neo-liberal policies inflicted on Ireland among other nations in Europe, targeted, as they always do, their excellent people-oriented Social programs, have taken a toll on many of them.

The culture there is very different, and in many other developed countries, so its not a surprise they would care about people over profits.

Not sure if this is still the case in Ireland, but taking care of the very sick and poor used to fall to the nuns, who viewed this as a 'calling' and were taught to treat each patient as if he were 'Christ'.

I visited someone in the hospital, run by the nuns, in Ireland once. The atmosphere was one of great care and even love for some of the patients who had no family to visit them.

Our system is so different. Though I do have great respect for hospital staff in some of the hospitals where I have visited relatives and friends, especially the nursing staff.

CountAllVotes

(20,878 posts)
3. He is not in a Catholic care home
Sun Feb 15, 2015, 04:21 PM
Feb 2015

The entire family has pretty much gone the view of the Roman Catholic Church with good reason and a good number of them have converted to Buddhism and they now have a small temple on their land (and no, I am NOT JOKING!).

One thing about the Irish, they NEVER FORGET (unless they end up with some form of dementia!).

I am in constant contact with my in-laws and the BIL that lives south of me is the family patriarch so to speak. He knows all that goes on with every member of the family and calls us a few times a month to "check" on us as he knows that neither of us are not in a great situation health wise.

I have traveled to Ireland a few times in my life and twice has been since the Euro became their currency.

I find it quite amusing to say the least as the Irish view this whole scenario with the European Union (they sort of do their best to ignore them IMO!).

You are not allowed to drive after you are 73 years old thanks to EU rules and gee, it was my 75 year old sister-in-law that picked me up at the airport in Dublin and she was telling me about how her 92 year old husband drives around in circles for hours searching for the cheapest gasoline to purchase (sounds kind of familiar eh?) and that he has it in his mind that she is having an "affair" with someone. In fact, he was suspicious of her the day she came to meet me at the airport and queried her extensively and wanted to know "WHO" I was! So much for that no driving after 73 years of age law eh?

As for the rest of it, I am very glad to know they haven't caved in and dumped the elderly and the disabled as America is doing its best to do. It is quite sad as I find myself trying to comfort my husband and he can only say to me a few words about life these days and they tend to be the same too often and they are, "What happened to all of the old people? We worshiped them when I was growing up in Ireland as they had much knowledge that was passed down from generation to generation and if it weren't for them, we'd have no identity to find from the days of the Famine except for the old graves found on my family's property".

Do we value our elders? I rather think not. Sad as all hell IMO.



jwirr

(39,215 posts)
2. I think it all depends in the USA on which state you live in. Nursing homes are inspected by the
Sun Feb 15, 2015, 04:06 PM
Feb 2015

state, worker's wages are determined by the state, education requirements are determined by the state, etc. So if you live in a state that does not have good programs in general the patient is probably in trouble. On the other hand my mother had excellent care in the last years of her life with Alzheimer.

With all healthcare systems I think it comes down to the attitude of the local officials and caregivers. The federal government can make wonderful laws but if the state and local officials ignore them they are not going to be working in your area. Likewise if local officials who do the inspections and local hands on caregivers do not comply then it is again be a bad system.

CountAllVotes

(20,878 posts)
4. Frankly, I am personally ...
Sun Feb 15, 2015, 04:25 PM
Feb 2015

Scared sh*tless.

I have MS and my elderly husband is going blind. We need help and there is NONE for us unless we dump everything we've got and go the poverty route. NO MEDICAID for the likes of us and gee, guess what pays for nursing homes if you have no long-term care? YOU PAY until YOU are flat broke and do the "spend down" thingy to get that crap thing called "MEDICAID"!

My late mother died of cancer. She had no long-term care and guess who paid the bills while she was in a care home? It was I, that is who, and her "wonderful" Federal health care benefits did not pay a dime towards it. I never told her about this and assured her that everything was being taken care of (but I did not tell her who was taking care of it) and not to worry and to concentrate on getting better! She died not knowing the reality of the America that my father fought in WWII for and that she herself worked a long 25 years for. She had a paltry life insurance policy that was worth $4,000.00 when she died and that was about the end of it.

Ireland looks good as of recent. Damn good.



jwirr

(39,215 posts)
5. I hear you. Most states will not touch your home if one of you still are living in it. Also if your
Sun Feb 15, 2015, 04:42 PM
Feb 2015

husband is over 65 he can get Medicare. Also if you have MS I think you can also get Medicare. That would take care of your medical bills. As you said it will not take care of the nursing home.

You are correct that if you get Medicaid they will expect you to use your own resources first but as I said above they will not take the home if one of you still needs it. This law was originally put into place so that the rich could not pass their wealth on to their children and then let Medicaid pay for their care in the nursing home. The resources are seen as part of your retirement plan. Plus when this bill was passed it was not unusual for an elderly person to treat the nursing home as a retirement home - going there long before they needed to. Today most people stay at home until they need intensive care. So back then it made a lot of sense.

CountAllVotes

(20,878 posts)
6. We do not qualify for Medicaid and we are both on Medicare
Sun Feb 15, 2015, 04:48 PM
Feb 2015

Because we have more than $2,000.00 in our savings account we do not qualify for Medicaid. Period.

As for the house I live in and own, I am beginning to wonder how much longer we will be able to stay here. Recently we had to take out a $10,000.00 loan to make improvements on the property that were critical.

As for upkeep, it is becoming very difficult. My husband can still do some things but not nearly what he used to be able to do. I'm fairly useless given my condition which is confined to bed more days than I care to admit. So, this leaves us in a bad situation at best.

While my husband has a lot of relatives, I have basically none left that care about me except for a few Native American foster relations (mother was adopted by the Cherokees in 1925). A sad life it has been for the most part and I actually look forward to death as I have nothing to look forward to except getting worse and perhaps ending up in a "hell hole somewhere" as the former parish priest put it. He if any one would know as this is what a priest does -- visits and tends to the elderly and infirm and he too is from Ireland and he knows what "excellent" care is without strings attached!

Sadly, said priest is now retired and living elsewhere. Best I know he is still around however.





jwirr

(39,215 posts)
7. Medicare is the one that comes with Social Security and SSDI. Medicaid is the one that is means
Sun Feb 15, 2015, 04:52 PM
Feb 2015

tested and requires you to use your resources first.

CountAllVotes

(20,878 posts)
8. Yes we are both on Medicare
Sun Feb 15, 2015, 05:02 PM
Feb 2015

and yes, we do have a fairly good "supplemental plan" that costs about $1,000 a month. We are very lucky to have it and I know it and if it weren't for this insurance plan that I worked for and receive as a retirement benefit, we'd be screwed and then some as my husband requires eye surgery every 2-3 mos. for the rest of his life. UGH.

Sadly, my doctor and his doctor have closed their practices to Medicare patients. They want MORE money that is why and they don't get enough to bother with us because we aren't worth it to them. My husband's doctor is as old as he is I'd guess and who will take him when his doctor retires being most of the doctors where we live are closing their practices to Medicare patients? My doctor is a few years younger than I am and I can only hope she doesn't opt to retire soon as I'll be in the same boat too.

Tell me again how great the American health care system is and why we need "Medicare for All"? We won't be needing Medicare for All very soon as the way it is going as it seems that no doctor in their right mind will bother to take it due to its low rate of payouts.


jwirr

(39,215 posts)
9. Look you are blaming they system for what your doctors are doing. And where you live. That is not
Sun Feb 15, 2015, 05:14 PM
Feb 2015

the health care industries fault and it is not the systems fault. Since I do not know about the area you live in I cannot begin to understand what to do about it. I only know that here in MN it works and it works for everyone.

CountAllVotes

(20,878 posts)
10. I live in rural northern California in a low-income county
Sun Feb 15, 2015, 05:18 PM
Feb 2015

The house is a very small house that we got about 14 years ago via the Rural Housing Service (USDA program that is now closed down in this county recently due to budget cuts). It was a broke down house in need of a lot of work which my husband was able to do at that time fortunately as he is a skilled tradesman. It is anything but a mansion, believe me! You cannot make a silk purse out of a sows ear and that's what we've got here, a sow's ear! Glad to have it nonetheless but it is a financial drain on a combined income of $25k/year!

Even trying to move at this point without a lot of help is out of the question for us. WHO will help us? BIL south of us would help but he is 83 years old and not in the best of health (heart condition) and I would not consider asking him for help.

We could sell the house and move but where would we go? Would it be any better than where we are now? I was a renter for 27 years and I know all about renting.

I really do not know what the hell we will do I must admit.

My husband left Ireland never to return in the mid-1950s. I could move there if I care to do so but ... Americans are viewed as being rich pigs by many people I've met up with during my travels and that includes some people I've met up with in Ireland as well. It is too bad that some Irish do not realize that there are some 75,000,000 Irish-Americans in the USA!!

Tip: Do not ever go to and ER in Hungary! Wow!



jwirr

(39,215 posts)
11. Thank you. In our state we have dentists who will not take "welfare" clients. The state passed a
Sun Feb 15, 2015, 05:34 PM
Feb 2015

bill saying they had to each take so many clients and now we have to shop around for a dentist who will take another client family. My guess is that the only thing you can do is get on the phone and call around asking if they take Medicare. In other words shop around. There are still good doctors who are in it to serve where they are needed.

Other than that I do not know what to say.

I was once setting talking with a bunch of seniors in a high rise about this very subject. They all had some money left to live on and were wondering about what would happen to them when it was gone.

They all knew that I was poor. I looked at them and said, "It is your economic group that wonders where you are going from here but I can tell you that if you truly become poor there is help." I don't know how much of that is going to hold true after the Rs get done with us in the next two years but it was true. If you are really poor there is help. If you have some money in savings the world is going to expect you to take care of yourself first. The poverty programs are only supposed to be a safety net.

CountAllVotes

(20,878 posts)
13. Many doctors are leaving this area
Sun Feb 15, 2015, 05:48 PM
Feb 2015

They are moving south to San Francisco and the Bay Area where they will likely make more money and who cares about Medicare being they no longer take it?

I find this shameful myself as it leaves a person with few options.

There is not much of anything in this neck of the woods. The county is the size of a state and have just over 100,000 occupants. As you can guess this is why they economy sucks so bad here. The timber industry cleaned it out and left and there is no work here.

So, you have a county filled with the elderly and the poor. We are not popular and as for dentistry ... good luck!




jwirr

(39,215 posts)
16. And no one to care or anyone. We need to be doing something about that because that you are not
Sun Feb 15, 2015, 06:07 PM
Feb 2015

alone in this country. When you describe the area I see why the doctors are leaving. Not a lot of patients and few who can afford to pay their own way. I remember when it was the east coast mining region that needed doctors so badly in the 70s - that it would be a California county now is shocking.

CountAllVotes

(20,878 posts)
19. It is incredidly sad
Sun Feb 15, 2015, 06:33 PM
Feb 2015

Last edited Tue Feb 17, 2015, 10:43 PM - Edit history (1)

What a sad reality it is in America for people like these people I discuss -- they are what you call the middle class -- Americans that are like most Americans in this country and people just like this are what made America what it once was a long time ago that I still remember. It is wrong, plain wrong!

As for the timber industry, we won't go there.

BrotherIvan

(9,126 posts)
12. A HUGE REC!
Sun Feb 15, 2015, 05:45 PM
Feb 2015

I wish the best for your family and your brother-in-law. I too have experienced European health care and it is night and day to US healthcare. When my mother had cancer, we took a second mortgage on her house to pay for her care and blew through $250,000 in two and a half years. Yes, that number is correct. What if you don't have that kind of money? I can tell you, I have been to Medicaid nursing homes and they were not good. Not at all.

So yes, our European peers are much, much better off. It is good whenever anyone shares these personal experiences because it counteracts the media lies about socialized medicine. I have experienced nothing but top notch, excellent care in Canada and Europe.

CountAllVotes

(20,878 posts)
14. Why thank you!
Sun Feb 15, 2015, 05:53 PM
Feb 2015

And I cannot disagree with a word you have written for it is the truth.

The health care system in America is GREAT if you have money to pay for it. If you don't, good luck!

I'm sorry to read about your mother's cancer and how it wiped you out like that. In my mother's case, she was gone in three of the longest months I've ever lived in my life. I cannot imagine having to go through that as long as you did!

Caregivers never get the respect they deserve and as I posted in my original post, America should be ASHAMED of themselves for the way they care (or fail to care) for their citizenry!

The land of the free and the home of the brave my arse!



BrotherIvan

(9,126 posts)
15. I'm sorry for what you have gone through and are going through now
Sun Feb 15, 2015, 06:01 PM
Feb 2015

Dealing with the illness and grief for those you love is the hardest thing I have ever experienced. And yes, my mother's illness almost killed me too. It was awful and dealing with the medical system definitely made it worse.

The only thing that kept me from having a nervous breakdown was when she finally relented and signed up for hospice--though she was eligible almost a year earlier as she could not physically stand the cancer treatment and it had made her bedridden. She didn't want to admit that she was going to die. But the hospice workers and the whole system itself is wonderful and they do their best to support the patient and the caregivers. They are angels on this earth and I am so grateful to them. I do think it's because there isn't a lot of profit in hospice, so there you are getting more compassionate care.

I hope your family gets a chance to fly out to visit your brother-in-law at least once. It does the heart good to say goodbye in person. But I am sure it is a big relief to know he is receiving excellent care.

CountAllVotes

(20,878 posts)
17. I wish we could go visit him before he passes away
Sun Feb 15, 2015, 06:11 PM
Feb 2015

However, he might not know who my husband is I think. It sounds like he's in rough shape from what my other BIL tells us. My husband has no desire to go to Ireland as he "doesn't want to see what the EU has done". He's well-apprised of the situation naturally as am I.

I am not physically well enough to travel anymore sadly. I did it while I still could do it though knowing that time is clicking away and that if I'm going to do something and think I can do it, I do it!

However, my last trip abroad I ended up in an ER in Hungary (hahahaa) and ended up in the ER when I got home as well. I was advised to not try to travel via air anymore because of what happened to me (an allergic reaction to the TSA perhaps?). Just kidding, well not really ...




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