The first-ever compilation of federal data profiles five types of long-term care providers in 2012. About 58,500 long-term care providers are divided among five groups, including nursing homes and adult day services. among 58,500 entities and nearly 1.5 million nursing employees and the people who use them.
More than 8 million people (mostly women and mostly older than 65) used services of a long-term care provider last year, according to the first-ever compilation of federal data profiling the types of providers in the USA and the people who use them.
The report, released Thursday, is based on the National Study of Long-Term Care Providers, a new effort by the National Center for Health Statistics to get a better handle on the options for care and determine trends.
“Most think of nursing homes, but because the long-term care industry has evolved over the past 30 years, nursing homes are still the major player in long-term care services but not the only provider,” says Lauren Harris-Kojetin, the report’s lead author.
The five areas of paid, regulated providers are adult day service centers, home health agencies, hospices, nursing homes, and assisted living and similar residential care communities. The report for 2012 includes some 2011 data; officials say numbers will be updated every two years.
Having the federal data will help providers and officials understand the scope of caregiving needs, suggests John Schall, CEO of the Caregiver Action Network, a family caregiver organization based in Washington, D.C.
“This confirms what we always suspected in terms of what those numbers would look like,” he says. “That’s a fascinating number (8 million) because we never actually had that number.”
However, Schall says the 8 million figure is still “a minority of people receiving care.”
“By far, the lion’s share of people getting care are getting it from their family caregivers rather than from paid care workers,” he says. “There’s no question that family caregiving is really the backbone of the long-term care support services in this country.”
Data released this summer from the Pew Research Center showed that 39% of adults in the USA say they are caregivers for someone with significant health issues, up from 30% in 2010.
In many cases, Harris-Kojetin says, the new information is “a piece of the picture” of people who may also be getting unpaid, informal care, “but at least some services from paid, regulated providers.”
The national report finds that about 58,500 paid, regulated long-term care entities are divided among the five sectors and employ nearly 1.5 million nurses and nursing aides.
The report finds that “a sizable portion of service users” in all five types of facility sectors had a diagnosis of Alzheimer’s disease or other dementias, ranging from about 30% of home health patients to almost half of nursing home residents.
The percentage of users of long-term care services diagnosed with depression was highest in nursing homes (48.5%) and lowest in residential care communities (24.8%), adult day services centers (23.5%) and hospices (22.2%)
Oh, the web of lies. “Obamacare will save each family $2500 a year”. All the “If you like your (fill in the blank), you can keep your (fill in the blank again) lies. Lies and more lies, and other people’s money handed out by the billions to cronies and community organizers to promote Obamacare to the idiot masses.
And 4/5 of the people currently enrolling in Obamacare are given Medicaid, the free health insurance program that is bankrupt and doesn’t even pay it’s bills now.
Obamacare will end up costing trillions while wiping out our entire healthcare system. Taxpayers will soon wish they were heading to the “death panels”. Here’s some interesting facts on what’s its already costing taxpayers. Now, bend over and take your Obamacare suppository.
Taxpayers Shell Out $14,000 per Obamacare “Enrollee”
$5.2 billion for just 364,682 “enrollees”
In her testimony before Congress today, Health and Human Services Secretary Kathleen Sebelius provided an updated dollar amount for the cost of HealthCare.gov: $677 million. In addition to the $677 million spent on the federal Obamacare website, the Centers for Medicare and Medicaid Services (CMS) has shoveled $4.5 billion of taxpayer money to promote Obamacare on the state level.
HHS also released updated “enrollment” figures for Obamacare. According to the agency 364,682 people have “selected a plan” – the equivalent of putting an item in your online shopping cart and leaving it there.
That means the taxpayer cost per “enrollee” is over $14,000.
($4.5 billion + $677 million = $5,177,000,000 ÷ 364,682 = $14,196)
Yojimbo, one of the original TBP Wise Men, asked me a question about what do I think young people should target as careers. I have spent a great deal of time thinking about this as my kids are entering young adulthood, and I hope their lives are not ones of endless struggle. I am not sure I have an answer for Yojimbo that is anything other than a generic guess, and a wild guess at that, but I will do my best, and I will try to reflect in this article what I have told my kids, and what I believe in general.
I believe that the economic position of the US relative to the rest of the world is going to fall – dramatically. I have previously stated that I do not believe it is possible for 5% of the world’s population to continue to consume 25% of the world’s resources. It simply will not continue. Either the entire world will consume many times more than it does – which will not happen – or the US will consume relatively less. I believe that the US, if it is lucky, may be able to consume perhaps 10 to 15% of the resources, going forward. So in that scenario, standard of living is likely to fall to 40 to 60% of its current position. That will be an unpleasant experience for most.
I believe that the US “middle class” institution is an unsustainable and unrealistic ideal. That hundreds of millions of people can live, by world standards, affluent lifestyles while possessing mediocre intelligence, skills, education and work-ethic is an unrealistic expectation. World competition will see that that scenario does not continue.
I also see the “distribution of wealth” commentary as false. Wealth will continue to accumulate in very few hands. Attempts to prevent it will be destructive – to penalize the best, brightest, and most hard-working in order to benefit the least, dullest, and laziest will have negative affect. That is not to say that steps should be made to prevent a system where upward mobility becomes entirely impossible – in other words, hereditary and class systems need to be dealt with in order to prevent wealth from accumulating via hereditary and class stucture. I believe the nature of skill, ability, work-ethic, etc. will ensure that a huge disparity of wealth exists. The simple fact is that people of average intelligence, skill, and ability or even those at the 80 or 90% mark, are vastly less able than those at the 99% level. The difference is extreme and is marked. People in the top 1% of intelligence are simply capable of reasoning far beyond someone just cracking the top 10%. And if those folks are also hard-working and well-skilled and trained, then they will be vastly more successful in general. And it will not even be close.
I recently went on a tour around a large part of Europe, where I saw unemployment rates for young adults consistently around the 50% level. And that included highly educated individuals. Many of these individuals had targeted careers in what had previously been the blue-chip government sector. Those jobs are no longer available. Nor are law positions, engineering positions, and especially university teaching positions, or positions relating to “liberal studies”. And the European kids do not know what else to do – they are accustomed to a welfare state lifestyle. The ones I spoke to talked bout moving to the welfare states offering the best benefits. Imagine that. Cannot get a job in your own welfare state, so you move to another welfare state where you cannot get a job, but where welfare pays better. Imagine the joy those states will feel, and how long that will last.
So, all of this is just background to what I believe young people should do. What I believe is that the young should not focus on “careers” but rather on skills and abilities and education – the right type of education. They should come to understand what hard-work is, and they should become extremely versatile individuals. They should be part country boy/girl and part computer geek.
- they should take up manual jobs at a reasonably early age, so that they become accustomed to hard-work.
- they should work their way through college so as to avoid education debt, if their parents cannot fully fund college.
- they should study computers, science, mathematics, and have a good English education. In other words, they need to be well educated in the 3 Rs, augmented by science and computer science.
- they need to understand that in order to thrive, they are going to have to compete ruthlessly against not only their countrymen and women, but against the population of the world. They need to understand that only the most capable, most hard-working, most prepared, and most versatile will do well in the coming economy.
- they need to learn fiscal responsibility, and avoid debt at all costs. Instant gratification is something they need to avoid their entire lives.
- they need to ensure that they keep up with technological developments. By this, I do not mean they need to buy every new igadget. I mean they need to understand and keep abreast of what cloud computing is, what 3D printing is and how it may impact business, etc. They need to know not just how to use products, but what tech drives the products.
- I think they need to abandon the idea that they need “a job”. They do not need a job – they need to support themselves. A job is just one way. Their own business is another – as a small business person, an independent contractor, etc. I cringe when folks talk about there being no “jobs”. That is a very limited view of making a living.
- They need to keep their personal lives clean. By that I mean they need to keep out of debt, off drugs, etc. They need to align themselves with people that are hard-working and goal-oriented. Perhaps most importantly they need to find/choose spouses that are on the same page – hard-working, thrifty, dedicated, and versatile. Failure to do this will be disastrous.
As for careers that may be good choices – I do not know. I used to think that medical careers would be stable, but I no longer think that. I think that there will be new jobs/careers coming, but those jobs will require versatile people with excellent tech and communication skills.
And so, in sum, what I think is that in order to have the best chance, young people need to abandon the idea that they are entitled and that life is and should be comfortable. They need to embrace competition, and they need to educate and skill themselves in tech and traditional math, science, and English. I think that they should become accustomed to hard physical work, as there are times that may be required. I believe that skills and abilities will be more useful than choice of career.
As an aside, Yojimbo asked about apprenticeships. Personally, I believe that they will not be especially beneficial. They will provide certain skills, but most will lack much tech (ie computer) training, and a breadth of education/skills will not be available through apprenticeships. Looking at the “old style” apprenticeships – pattern and tool making, auto mechanics, fitter and turners, etc. – many have disappeared or are disappearing. I think that carpenters/plumbers/electricians will still be needed, but I think opportunities may be limited. But I may be wrong.
So, in summary, I believe that young folks need to acquire the mindset of those that lived in the Great Depression – willing to do whatever it takes to survive – augmented by very high skills in math, science, English and tech. And they need to be ruthless competitors – only the most capable will thrive in the coming economy.
I know this is all pretty vague. I do not have a crystal ball, but I believe very hard times are coming, and that the world will be a place vastly different from the one that young people have known to date. For most, they will not be prepared, and they will suffer life-long as a result. What people do by age 25 largely sets their plate for the rest of their lives. I believe that the prepared may actually end up doing very well. I think that those who are prepared for the times that come will eat very well on the carcasses of the sheep that are not.