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Menampilkan postingan yang sesuai dengan penelusuran untuk Older Americans Act

Counting On Medicaid To Avoid Life In A Nursing Home? That’s Now Up To Congress.

Gambar
Ten years ago, a driver ran a stop sign as Jim McIlroy rode into the intersection on his motorcycle. Serious injuries left McIlroy paralyzed from the chest down. But, after spending some time in a nursing home, he returned to his home near Bethel, Maine. McIlroy does most of his own cooking since Maine’s Medicaid program paid for a stovetop that he can roll his wheelchair underneath to reach the food-prep area. His new kitchen sink has the same feature. Wheelchair- friendly wood flooring has replaced McIlroy’s wall-to-wall carpeting. The alterations plus a personal care aide — all paid for by Medicaid — enable McIlroy to stay in his house that he and his wife, who has since died, “worked really hard to own,” he said. The arrangement also saves Medicaid roughly two-thirds of what it would cost if he lived in a nursing home. McIlroy depends on the federal- state program ’s growing support of home- based care services — along with 2 million elderly or disabled Americans who rely on...

The Gentle Art of Poverty

I am an old man in his sixtieth year. I have entered that decade of life which destroys the last illusion and beyond which lies death, swift or lingering, actuarial or real. I am also poor, incontrovertibly, humiliatingly poor, for the first time in my life. My total annual income , from a modest pension ($1980) and the interest ($168.75) from an equally modest savings account , is 6 percent of what I earned in my prime-and less than two thirds of the property tax I once paid on a five-bedroom home with swimming pool in Westchester County, New York. I am divorced and living alone in an alien city of 800,000 strangers. My aging body betrays me day by day; the ground I am losing now I lose forever. So I perceived myself, at any rate, when the plane from a foreign country dropped me in San Diego one night seven months ago. Behind me stretched an aimless, six-year, expatriate trail through the South Seas, Asia, and Latin America that began when divorce and its inevitable byproducts-seco...