No, I’ve basically never heard geriatric care come up by either candidate, and rarely Medicare or Social Security in this cycle. Might be that people who’ve paid attention realize that Project 2025 wants to roll back laws that bolster Medicare and therefore make it worse, but I don’t think this is really a meaningful topic for the election.
SS has barely been discussed in this election, though Republicans have made a number of attempts in recent years to scale it back.
Seems like it would have a massive impact on the day to day lives of many American families. I find it strange that it’s not a meaningful topic nor SS for the election when they’re probably two of the biggest problems the country faces.
A friend of mine in Norfolk recently went through 2 or 3 years of her dad slowly dying and I was amazed at what the local(?) government funded to keep him in his home. They got a wheelchair accessible/disabled person shower and some ramps installed. I think they also funded home visits by barbers and maybe a dentist. Plus lots of help getting him started on home dialysis. It was probably a bargain for tax payers given the cost of care in long term care facilities.
Private Equity bought a big chunk of them over the last 15 years, and they have steadily been increasing the prices that customers (private or local) have to pay to astronomical levels (this is a problem because local councils have a statutory requirement to pay for adult social care).
Caring for them at home is also costly, its just less costly than a care home and the hospital (which creates its own set of problems).
In the UK, care costs are an obvious market failure but the solution (a public insurance pool where everybody pays in) is always resisted because many families want to pass on the costs of their care to the taxpayer (instead of using their own assets to pay for it).
Agree elder care should be a significant topic in our political discourse but I think there are a couple of reasons why it’s not mentioned in the last few cycles.
Trump has kind of sucked all the oxygen out of the room with his assault on our democracy. We’re all too busy fighting back against fascism (an immediate problem with obvious solutions). We don’t have the luxury of tackling elder care, or any of the other long-term problems with complex solutions. Basically we are forced to pick the low-hanging fruit. I think if we had an Obama/Romney type of contest we would here more about elder care in the debate.
The other reason neither side really wants to talk about it is because there isn’t an easy, inexpensive fix. Any proposed solution is going to be expensive and controversial, and that would be a tough sell in our polarized system.
I feel like the last paragraph is a universal thing. Australians often spend most of their superannuation money on a house improvement at age 60 or whenever they have access to the money to avoid having to use their own funds to pay for their own retirement. They can pass the house to the kids and they get an unreduced full pension from the government. In the US they put in a 5 year look back on assets because people were try to hide assets to pay for senior care. In Canada, there was lobbying (not sure if it was provincial or federal) to exclude personal assets, but did include income when determining how much people have to pay for care in a care home. They want/demand good senior care, but do not want to pay for it as it takes money from their kid’s inheritance.
to be honest, i know it can be unpleasant work but most people in healthcare are paid very well given the difficulty of the tasks. they know they have a lot of leverage. I think the way we train and recruit people in healthcare, MDs included, needs to be looked at. we have chronic shortage of workers and the demand will shoot up in the next 20 years.
David Hogg realized something that has been a real thing since 1970 or so. “These boomers will all get old (well, a lot of them), at about the same decade in the future.”