Long Term Care for The Aged: Hidden In Plain Sight
One of the most amazing things that happened to me while I was living in Doha was a conversation I had with a group of Qatteri and Palestinian women. We were talking about our summer plans, and when it was my turn, I told them I was going back to the US to take care of my Dad while my Mom had a knee replacement. They all looked at me in stunned silence, and I wondered what I had said wrong.
“You do this?” one of them finally asked me, “You take care of your parents?”
“Yes, of course,” I replied, not understanding her puzzlement.
There was a burst of excited chatter I couldn’t follow, and then one of the younger women said to me “but we NEVER see this on TV.”
Things have probably changed by now, with all the cable stations available, with Lifetime and a broader spectrum, but what they think of as America is Dynasty and – well, think of what your favorite programs are, and then imagine an alien culture watching and trying to figure out your culture from what you watch. If you are living with the aliens, they way we portray our own culture on television and in movies is appalling!
Long story short, most adults want to stay independent as long as possible. They never want to be a burden on their sons and daughters and grandchildren. I am willing to bet that this is almost universal. For one thing, from the point of view of the aging, if you live with someone else, you know you will increase their work load, and if you go to a facility, you lose a lot of options to choose. Being able to have someone to come into your own house allows you to remain independent as long as possible. If you live with one of your children, you still get to have home-care, which relieves a lot of the burden on those with whom you are living.
Here is an AOL Health News article on a ‘hidden’ provision of the new health care act which will make it possible to keep our elders at home longer. Believe me, this is a very good thing, if you have ever dealt with a rehab facility, or a residence for the aged.
Health Care Reform Will Impact Long-Term Care
From AOL News: HealthCare
Robert W. Stock
Contributor
(March 26) — As health care reform became the law of the land this week, a huge bloc of Americans with a unique interest in the outcome sat watching on the sidelines.
The 49 million people who care for older family members were hidden in plain sight, as usual, quietly shouldering a burden that so often takes a heavy toll on their finances and their physical and emotional well-being. Many of them — I know a few — are opposed to the new health care law, even though it includes one of the most important steps ever taken to improve caregivers’ lot, especially those of the middle-class persuasion. Of course, hardly any of them are aware of that.
The Community Living Assistance Services and Supports Act, otherwise known as CLASS, provides for a national insurance program to help cover the cost of long-term care — something 70 percent of people over 65 will need at some point along the way. The premiums will be much lower than those for private plans, and you won’t get screened out because you’ve already had some health problems. Once vested after five years, enrollees unable to care for themselves will be able to claim cash benefits for as long as needed.
Joe Raedle, Getty Images
A health aide helps a patient at his home in Miami. The new health care reform law could “transform long-term care” and make it possible for more patients to stay at home, said the chief of the National Council on Aging.
If you’re rich, you don’t require much financial help with long-term care. If you’re poor and can no longer fend for yourself, Medicaid pays the bills, often at a nursing home. For the rest of us, long-term care — at home or in an institution — now requires that we, or our caregivers, choose from among some unpleasant options.
We can spend down our retirement savings until we’re eligible for Medicaid funds. We can protect our savings by taking out expensive long-term care insurance — it costs my wife and me more than $5,000 a year. Or, depending on how dependent we are, we can throw ourselves, or be thrown, on the mercy of our families.
My friend — I’ll call him Frank — was a retired lawyer and in great shape until four years ago. He had just turned 90 when emergency surgery laid him low for months on end. Then his sight and hearing began to go. “I’m one of the lucky ones,” his wife, Helen, told me. “His mind is fine. But he can’t get around on his own — he falls, even with a walker. He can’t make a cup of tea or shower by himself.”
For now, Helen can afford to hire an aide for a few hours a day to help with Frank and allow her to get out of the apartment. “James gives me a life,” she said. The future looks darker.
Surveys show that 90 percent of Americans want to age at home. Frank is no exception, but he never signed up for long-term care insurance. “If I couldn’t keep taking care of him, I don’t what I’d do,” Helen said. “If he went into assisted living, it would use up all our money. It’s very scary.”
CLASS, one of the legacies of the late Ted Kennedy, offers caregivers and care recipients another option. “If it’s successful, if a large enough number of people sign up, it will transform long-term care,” says James Firman, president and CEO of the National Council on Aging. “It will create a market-based economy for keeping aging people at home.”
That’s an important “if,” since the program, by law, must be self-sustaining. Premiums will generally be collected as part of workers’ payroll deductions unless they opt out. The younger the worker, the smaller the premium.
There is a vicious circle built into the current arrangements. Many caregivers must hold down a job and maintain their own separate family household while also watching over an aging parent. That kind of pressure can have consequences.
In recent studies, workers 18 to 39 years of age who were caring for an older relative had significantly higher rates of hypertension, depression and heart disease than non-caregivers of the same age. Overall, caregivers cost their companies an extra 8 percent a year in health care charges and many more unplanned days off.
In other words, the strains of family caregiving can hasten the caregiver’s need to be the recipient of care.
CLASS bids to crack if not break that vicious circle. Its benefits would make it much simpler and less expensive for families to make sure Mom gets the support she needs to be able to spend life’s endgame where she wants — in her own home. Good news for Mom, and good news for the future health of her caregivers.
In the last few days, I’ve conducted a poll of a dozen friends who have been closely following the health care reform debate. I wanted to find out how much they knew about CLASS.
Not one among them had even heard of it. It somehow seemed fitting that this major program, just like the caregivers themselves, was hidden in plain sight.
Before and Now
No, my house is not undergoing a ‘remodel.’ It is undergoing a rewiring. About the best that will happen is that when it is finished, it will look a lot like it looked before, except with invisible copper wiring instead of aluminum wiring, which, as it turns out, is problematic.
Sigh. And then again, what better time to have this all done than BEFORE you move in? If it had to happen, it couldn’t have happened at a better time, and we have some truly great contractors. How many times have you ever heard someone say that?
Today I went by the house to pick up the mail and holy smokes – the garage is full of ceiling, and my house is bare bones!
Here are some before and after shots:
Family Room Before:
Family Room Now:
Kitchen Before:
Kitchen Now:
Living Room Before:
Living Room Now:
And last but not least – the Garage before:
And the Garage now:
“Health Care Could be Fixed Overnight . . .”
Today, AOL ran commentaries on American health care and whether the new proposals will make a difference. The comment of one CEO who runs an enormous health provider, caught my eye. As I read it, I thought “he is talking about the USA, but the exact same thoughts apply to Qatar, to Kuwait, to Germany, where an epidemic of self-inflicted health problems is growing wildly.” And it also occurs to me that he is laying the accountability squarely where it belongs – on our shoulders.
David Feinberg, M.D., M.BA.
CEO, UCLA Hospital System
“The debate they’re having now in Washington is the wrong discussion,” says Feinberg. “They’re not talking about health-care reform. They’re talking about health insurance reform. The bill in Congress has nothing to do with health care.” He explains that health care could be fixed overnight if people would stop using alcohol and drugs, eat right and exercise.
“I have 800 patients in this hospital today, and I bet 50 percent of them have illnesses that could have been completely prevented,” Feinberg says. “That situation is not going to get better with a ‘public option.'”
He points out that even people without health insurance can receive care when they need it in the emergency room, and, while it’s not ideal, they’re not being denied care because they don’t have health insurance. “It’s impossible to give high quality, low cost care to everyone. What we need is to decrease demand for health care.”
According to Feinberg, some 75 percent of illnesses are treated at home, whether that’s a bad cold or a sprained ankle, and he says that health-care reform should be focused on home care. “When you compare us to other countries with similar Gross Domestic Products, they spend half what we do on health care because they have a different lifestyle,” he says. “We either need to change our lifestyle, or it’s going to be very expensive.”
“With all due respect,” he adds, “the surgeon general is obese. I don’t think the President of the United States should be solving this.” Rather, he says, each individual needs to come to terms with the fact that eating right, exercising, and avoiding smoking and alcohol will transform not only their own lives but the ever increasing cost of health care in this country.
You can read all the commentaries on AOL Health News. I know most of us in my age group need more exercise (not you, Big Diamond!) and are beginning to stave off the common age-related problems of high cholesterol, high blood pressure, obesity, diabetes, aches and pains, etc. We all KNOW we could be eating better and exercising more. We are smart educated people – but do we do what we know is best for ourselves? NNoooooooooooo!
I see the same epidemic striking in Germany, in Qatar and in Kuwait, people who have enough to eat are eating too much. Yes. Yes. I’m guilty. And I exercise a lot less than I need to. I was so happy to get back into a house, with stairs, so at least I would get the exercise of going up and down stairs a few times a day.
Japan has instituted a national policy of health, measuring citizens waists and penalizing them for carrying too much weight. I will be interested to see how it works out, if it pays off in health benefits and lowered costs down the road. It’s an inspired mandate.
Babies Love to Dance!
Now here is a study I love! Scientists studied babies movements to music and discovered – babies love rhythm, and love to move to the rhythm! Get those babies dancing!
If they find rhythm and music more engaging, sing to them!
They Got Rhythm, Study of Babies Finds
Lauren Frayer
Contributor
AOL News
(March 16) — Babies innately respond to rhythm more than speech, according to a new study that found dancing comes naturally to infants.
Researchers in Britain and Finland tested the responses of 120 babies ages 5 months to 2 years and found that infants are much more physically responsive to music than to speech and find it more engaging.
In the experiment, which was recorded on video, babies were perched on their mother’s or father’s lap while psychologists played a recording of music. The babies moved their heads, arms, legs and bodies in time to the beat of various different genres of music.
“Our research suggests that it is the beat rather than other features of the music, such as the melody, that produces the response in infants,” one of the study’s authors, psychologist Marcel Zentner of the University of York in England, said in statement.
In order not to influence the baby’s movements, the parent wore headphones to block out the sound of the music and was asked to stay still during the experiment.
The recordings included classical music, rhythmic beats and also speech. They also hired professional ballet dancers to analyze the babies’ movements and determine how well-coordinated they were with the music. All of the babies responded more to the music than to speech.
The findings suggest humans may be born with a predisposition to move rhythmically in response to music.
“It remains to be understood why humans have developed this particular predisposition,” Zentner said. “One possibility is that it was a target of natural selection for music or that it has evolved for some other function that just happens to be relevant for music processing.”
Zentner and Tuomas Eerola of Finland’s University of Jyvasklya also found that the more the babies’ movements were synchronized to the music, the more they smiled.
The study appears in the March 15 issue of the scientific journal Proceedings of the National Academy of Sciences.
Rapist Given Reduced Sentence
This is from the Gulf Times Court RoundUp
Life sentence commuted
A Doha appeals court has commuted to five-year imprisonment the life sentence given to a local teenager, who was convicted of raping a Sri Lankan housemaid.
Two Sri Lankan men in their late 20s were sentenced in absentia by a Doha court of first instance to 15 years imprisonment for helping the accused to perpetrate the crime.
The court heard that the two Sri Lankan accomplices who worked in a car washing facility told the main accused about the woman.
The rape took place soon after midnight on August 14, 2007.
According to the chargesheet, the main accused impersonated as a policeman and dragged the victim to his car, before they drove to a remote area.
“The two accomplices were paid money for their help and they left the car leaving the teenager with the 25-year old maid alone in a remote area.”
The court heard that the woman was too weak to resist the rapist, which was why no trace of violence was visible on her body.
“I shouted for help but in vain,” she said.
Explaining the commutation of the sentence, the court said that it took into consideration the young age of the convict and his clean record.
OK. So two Sri Lankan men tell a ‘local’ man about an Ethiopian house maid, and they plot to kidnap her, take her far out into the desert and to rape her.
Their plot succeeds, only somehow, they are identified and actually brought to trial.
The two Sri Lankans escape, and are convicted in their absence. The ‘local’ man is given a life time sentence. But wait! His sentence is commuted to five years because of his youth and clean record?
If I were a Qatteri father, I would want to know this man’s name. I would not want a man marrying my daughter who had a history of kidnapping a woman and raping her against her will way out in the desert. This man may be young, but he has already shown himself capable of doing something hugely WRONG, according to his own culture, and the law of the country. He plotted. He went to the trouble of impersonating a policeman to intimidate her into his car. He took her to a place where there would be no help for her, and she endured a terrifying experience, an experience she did not know she would live through, and an experience which will haunt her life and make her feel unsafe forever.
And this unnamed ‘local’ teenager gets five years in prison. Here is a good example of where a female judge might make a substantial difference in delivering justice for the Ethiopian housemaid.
First Woman Judge in Qatar
I am delighted to hear that Qatar has appointed its first female judge. I have to points of contention with this article. First – while I want women to have the same opportunity to be judges as men, I do not believe that because they are women, they can solve family rows better. I believe some female judges may be better than some male judges, but I don’t believe women will be better with family issues just because they are women. Women have agendas, too.
Second, one female judge does not fill a void. It sets a precedent. It breaks new ground. It IS a great and wonderful thing for Qatar.
It does not fill a void. Take all the judge positions in Qatar, and divide them by the percentage of females in Qatar – say like 50%. The void for female judges is equal to 50% of the positions. The void is not yet filled. Filling that void has just begun.
A woman judge can solve family rows better, say female lawyers
Web posted at: 3/13/2010 6:15:3
Source ::: THE PENINSULA
DOHA: Family courts in Qatar which hear marital disputes and claims for the custody of children from divorced or separated couples were in bad need of women judges, so with the appointment of Sheikha Maha Mansour Al Thani as an assistant judge, the dream has come true, say prominent women lawyers.
Being party to marital disputes or disputes involving the custody of children, women can be better understood by judges from their ilk.
So with Sheikha Maha having been appointed as judicial assistant, the void has been filled, said lawyer Neda Al Sulaiti.
She, however, clarified that she did not mean that women should be appointed judges only in certain courts.
“Women are capable, so they can be judges in all types of courts. It is another thing, though, that family courts here were particularly in bad need of female judges,” she told a local Arabic daily.
According to her, Sheikha Maha’s appointment to this elevated judicial position is a tribute to the rising clout of Qatari women. “They carry out in an excellent way whatever responsibility is assigned to them,” said the lawyer.
Qatari women are highly qualified and talented. They are in the ministry and the Central Municipal Council (CMC). So it was high time they were represented in the judiciary as well.
When women can be good lawyers why they cannot be good judges, she argues.
Flat Stanley: Oh The Places You’ll Go!
This title refers to two classic American books that most kids are familiar with. The first book,
Flat Stanley (at Amazon.com) is about a boy who is flat and figures out that he can go places by envelope. The second book is a book by Dr. Seuss, Oh! The Places You’ll Go by Dr. Seuss (at Amazon.com) one of those books parents read to their children and at some point the children say “Look! I can read!” and they will appear to be reading the book because they have heard it so many times.
Some really smart and creative elementary teacher figured out how to turn Flat Stanley into a lesson combining writing and geography, and now kids are making flat versions of themselves and mailing themselves to far-away places. My friend, Grammy, has received requests to help with these projects at least twice – and oh, the fun we have with these flat kids.
You take pictures. You explain what Stanley is doing. You make a slide show and send it to the kid to share with his class. What a wonderful way to make another country come to life! These kids will know where Doha, Qatar is! They will know some of the sights in Doha. Can you imagine? I wish geography had been so much fun when I was a kid!
It also reminds me to tell you, our friends in the states, that living in places like Doha is NOT SCARY. Look at the faces of all the people who helped us with Flat Stanley. Every single person we encountered was delighted to help us. No one ever said no, and some even volunteered extra ideas. In the souks today were some school children groups, and they helped too, although I am not posting photos because I don’t have their parent’s permissions, but it was one of the sweetest moments of the day, with these adorable children holding Flat Stanley.
Stanley visits the maker of lutes:
Stanley rides a camel:
Stanley takes a ride on a dhow:
Stanley visits the falcon souk, only sadly, falcon season is over, so there are no live falcons 😦
Stanley takes a rest in an incense burner:
Stanley visits the scribes:
Stanley hitches a ride with a souk cop on his Segway:
Stanley tries out a model tent at the tentmaker’s souk:
Stanley visits our friend, the Yemeni honey man, who also sells some of the worlds most wonderful baskets from the Asir in Yemen:
The weather is perfect. Take a trip to the souks. Get outside your normal boundaries and explore a little. Doha is a sweet family city, with lots to do, lots of family activities, great places for walking (the Corniche, Aspire Park, the beaches). Do it now, before the weather gets intense!
Unexpected Blessings
Yesterday I received an unexpected thrill – a letter from a publishing house in Zambia asking to use a photo of a quilt I made in a textbook they are publishing for Namibian children. We have traveled often to Zambia, and once to Namibia. Namibia is a thrilling country, as hot and dry and dusty as Qatar and Kuwait, and as rich, due to diamond deposits.
This is the quilt they will be using. I made it for my husband when I first started quilting, and more experienced quilters said I was crazy. It is a huge quilt, ample for a California king sized bed, but I knew I needed 3″ squares (I had some giraffe fabric I wanted to use) and as the quilt assumed a life of its own, it ended up much larger than I had planned.
It has many African fabrics, one a piece I bought in Tunisia about 30 years ago. I put a piece of it in all my map quilts.
Here are a couple of my more recent quilts. The first is the one I made for my new grandson 🙂
This one is one I started many years ago, but didn’t know how to make it work the way I wanted it to. Twelve years later, I pulled it out and knew exactly what to do and had it pieced together in one morning. 🙂
All these years of living abroad, with AdventureMan working long hours and often traveling, quilting has kept me sane. It provides me with friends who speak the same language – patterns, textures and colors – no matter where I go in the world. It is so absorbing that sometimes I look up and an entire day has passed while I work on a quilt, and it’s time to fix dinner . . . Dinner? No! No! I am going to sew for another hour and order out!
One of the things quilting groups do is to help you stretch and to try new things. Literally, the groups hold CHALLENGES. This was a challenge where it was to show you and a facet of your personality – so this is how I see me with the green Gulf in the background. I made this while living in Kuwait and participating in the quilting guild which is part of the Kuwait Textile Arts Association there. 🙂
There is a wonderful guild in Qatar, the Qatar Quilters. They meet once a month and have nearly 100 members – imagine! Women who quilt come from all Qatar to attend. At the meetings, they show what they have been working on, and teach one another new ways to create quilts. They share information on where to find quilting tools and which shop has recently received a new shipment of fabrics.
You can learn more about the Qatar Quilters by visiting their blog: Qatar Quilters The lady you see in the first photo is one of the Qatar Quilter founders.
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