These included homes for clients who were non-ambulatory, clients who had profound health issues and one home for dd-so. Besides living and healthcare expenses, the agencies had regulatory overhead imposed by 3 different governing agencies.
Even with all of this, the clients had lives with daily offsite activities, jobs, public events, theme parks, etc.
The per-client budgets of these group homes were tiny compared to nursing homes. They were funded by client SS disability payments, supplemented by some modest public funding.
These homes where founded and administered by boards made up of the client's families. Importantly, they were non-profit; they lacked the massive overhead that comes with shareholder obligations and executive salaries+perks.
They've been providing superior care for over 4 decades. After I left, they began to experience a persistent risk of funding cuts. These were driven by a major hospital chain executive who became governor and then state senator.
it's just that everything else's price dropped (economy of scale, new technology etc.) while nursing stayed as expensive as ever.
1. And other goods mass manufactured.
So in other words you are covering the loaded labour rate for about 1 salary per occupant.
There's some schadenfreude seeing the boomers complain about getting the enshittification treatment they themselves got rich off.
A shareholder relationship is parasitical and exploitive by it's nature, as defined by Dodge Brothers v. Ford.
Making pension funds feed on that relationship - that is whatever that is. I couldn't call it a necessary evil because it's by design.
People born after 1945 are used to making their own choices and living by their own rules.
The same line boomers enjoyed riding on while their property and other investments went up massively without any effort on their part, at the expense of subsequent generations.
Now, they're getting a taste of their own medicine as someone else (private equity in this case) wants to ride the line going up and even just robbing subsequent generations isn't enough to pay for it.
Not so. Or at least not so much. I'm part of the group that's responsible for every atrocity, avoidable disaster and systemic failure in history. Adults.
Adults are also the cluelessly stupid group that endlessly blames teens and kids for crap.
Boomers coasted off the success of the postwar era, and now we're all poorer for it.
My parents were silent generation and I'm endlessly surprised how little adults of that generation understood about truly basic things, like psychology.
To be fair, they generally parented a few hours a week. That wasn't much, not compared to the 24/7 adulting that was required of my generation (and is now the standard for every gen of parents).
But... With our modern, unsustainable parenting requirements, birth rates are plummeting. More competence, fewer kids.
You are correct. However, I couldn't see how we could have fixed it before. In the US, every possible group of people was fully mired in a state of
No One Anywhere Wants To Clean Their Own House.
'Not being wrighted' means a whole lot of boomers won't be getting in-home care, or absolutely terrible minimum "care".
But this started with the Mergers and Acquisitions crisis back in the 80's, and vulture capitalism has really taken off in the last 30y.
Oh, and my SO was a in-home healthcare person. They got paid a WHOLE $14/hr, no benefits naturally. You can probably guess the type and quality of most the candidates and workers. Even a few of them did the petty and felony theft from their dementia/Alzheimer's clients. Not like they'd miss what was stolen :(
Realistically the only way to stabilize the price of caregiving is to automate the hell out of it, like Japan is trying to do. It's a rather dystopian thought that the only way senior care won't bankrupt us is if we have robots do it all, but what can you do.
Labor, who pays a sizeable chunk of their income on rent... and rent, well is rent. Rent is only expensive when demand outstrips supply, and demand keeps being artificially constrained by existing property owners (of which boomers are a large chunk) not willing to take a hit on their property value. Seems like a self-inflicted problem.
This is the crux of it. The government should also subsidize and directly administer more senior care, especially given the economic drag from having family members step into these roles
All of my ancestors came over and did hard jobs for low pay, which is essentially what is being suggested here. The cycle repeats.
I always thought this would be a market Japan would dominate with their aging population and early development in robotics, but I don't think I'm seeing that.
https://www.the-independent.com/news/world/americas/us-polit...
As just one example, my cardiologist recently scheduled a rigorous stress test for me. The day before the test, I got an unexpected call from some woman at the hospital, who told me that the test would cost $1,700 if I paid right then and there on the phone. If I waited and paid in the morning, it would cost $2,100.
It was like I was dealing with a used car salesman!
I canceled the test instead, deciding on the spot that I'd rather take my chances. I refuse to fund an industry that wants to use my wellbeing against me as ransom.
I'd cancel because I don't have $1700. But then again, if I get a treatable ailment (that risks my life otherwise), I die. Me and millions of other Americans.
The award-winning ABC series ‘Old People’s Home for 4Year Olds’ and 'Old People's Home for Teenagers' were not only heart-warming shows. A new Griffith University study found the series have been instrumental in public recognition of the social and health benefits of intergenerational practice.
~ https://iview.abc.net.au/show/old-people-s-home-for-4-year-o...
There's a lot I can say about older populations and their abilities despite being old, right now I'm have to step out for the day for several hours, possibly more, so I'll just leave this one approach above that's been tried and works well.
Also, the elder population aren't homogenous by any means, there are a good number that can assist others with meals, gardens, etc.
https://www.vanityfair.com/news/2020/03/dan-patrick-coronavi...