Three generations shared life together for decades in one household. Daughter and granddaughter set aside their lives to care give for two family members at home. Life challenges of undiagnosed advancing Lewy Body Dementia and medical challenges of MRSA tore apart the family unit. Writing, reflecting and researching then and now to shine light into holes in our society's safety nets for the aging, care givers and families.
Saturday, September 12, 2015
Medicaid: Being At The Mercy Of The System
Before the experience with Mom, I
looked at receiving Medicaid as a Senior as the last resort but a “safety net” when
Now, I realize once on Medicaid, as a Senior, your
life is truly at the mercy of those who administer the program: facilities,
State agencies and departments. And, unfortunately, as many who have the services at younger
ages will tell you, it’s degrading, dehumanizing and often provides far less than you’re told
when you agree to entering the process.
With generations in their 90’s and
beyond, 80’s and even 60’s through 70’s who went through financial downturns of
decades, wars and confrontations, and even economic times and lack of ability
of programs and plans, our society faces continuing challenges maintaining
quality of life and independent abilities as most States and the Federal
Government state they advocate and support.
The Answer: Effective use of current
State laws, rules and regulations AND the powers that be, the regulating
authorities, realize the importance of not only advocating and promoting but of
regulating through enforcement of specific corrections that mean the most to
facilities – loss of income, loss of new residents.
an online list of all facilities by State joining together the many State
Authorities under one “banner” with EVERY SINGLE REPORT GENERATED available to
click through – AND NOT JUST THE SUMMATION OF FINDINGS.
Clear Reference: A checklist of
complaints by area, number of people/times reported and outcomes.
STATISTICS CLEARLY AND ACCURATELY AS PART OF THE MANDATE FOR TRANSPARENCY AND
facility, by month, male/female, age at time of death, number of years spent in
that facility; total number of years spent in facilities by type
cases of pneumonia per facility by month; male/female
falls by person and reasons provided for falls in record of facility
cuts, bruises, abrasions or any other skin compromise per month per facility We keep hearing how falls and infections are rampant in the elderly but we don't hear the details of the sources of these challenges.
an accounting by the State Departments of Health, those who oversee the
nation’s welfare in long term care facilities in a format and easily accessible
with updates at least on a yearly basis if not on a quarterly.
the computer age. Colllecting data is easier. Mandate facilites report by
computer, don’t just say you’ll take paper. If they’re not using computers for
their work, how can we believe these businesses are well managed and well run?
Computer entries can be tracked far easier than adjustments to “written”
reports. Move Forward, DHSS!