The Elderly: Things we throw away?

The REAL question is, “Do we care for ourselves… or not?”

If so, it’s time to put our money where out mouth is.

A society can be easily, and readily judged by how they care, or not, for their elderly.

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prospect.org

The Care Crisis Isn’t What You Think

By Dr. Laura Mauldin, PhD
January 3, 2022

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On a recent visit with research participants for my book on spousal caregiving, I sat with a man who had a stroke three years ago, at age 59. He can only use one side of his body, rendering him unable to work; his wife serves as his caregiver. He told me about how much he hated himself. “All I do is take resources. I don’t contribute anything.” Tears streamed down his cheeks.

President Biden’s signature Build Back Better bill, which includes funding for long-neglected social programs like Medicaid’s home and community-based services (HCBS), is facing an uncertain future. An upgraded HCBS program would allow millions of people currently stuck on wait lists to receive care at home, rather than in congregant settings. But facing questions from the likes of Sen. Joe Manchin (D-WV) about cost, the new investments in HCBS may not become law.

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What my research participant made clear to me that day is that the lack of robust and accessible social programs for long-term care is merely a symptom of a deeper, more poisonous problem: Disability is a part of life, and we hate it. Literally.

Here’s what we don’t talk about when we talk about the care crisis. When it comes to disability, we devalue care (both caregiving and paid care work) because we devalue the people who need it. It’s why we position care as a response to a horrible disaster. It’s why we refuse to adequately fund home care and fairly pay care workers. It’s why we rely on the 53 million (and climbing) unpaid family caregivers across the U.S. to provide care for free. It’s why disabled people internalize the idea that they are worthless “takers.” We tell people we don’t care about them when we refuse to provide the means for them and those who care for them to live well.

Euphemisms like “silver tsunami” let the idea of disaster stand in for disability.

In the lead-up to the BBB bill, there have been

There’s Much More Than Meets The Eye With Pro-Life Pro-Choice Stances

According to the Alan Guttmacher Institute, and the Centers for Disease Control, abortions are performed at a significantly higher rate in racial/ethnic minority communities (Negro & Hispanic) than in the White/Anglo majority community.

Having read an item on the website Black Community News about legislation sponsored by Ohio State Representative Bill Patmon (D, 10th House District, Cleveland) that would “block state funding” to Planned Parenthood, I thought it important to share some notes, observations and thoughts on the topic presented therein.

The legislation of which he is author and principle sponsor, HB 294, is “To enact section 3701.034 of the Revised Code to require the Department of Health to ensure that state funds and certain federal funds are not used either to perform or promote elective abortions, or to contract or affiliate with any entity that performs or promotes elective abortions.”

The Columbus Dispatch reported Wednesday July 29, 2015 5:33 AM on a pro-life event at the Ohio state capitol and wrote that

Research: Health Insurance Costs Grew Less in 2012 since 1997

At the time of publication of this report – September 2011 – the complete data was not in. However, initial results indicated that cost containment was well under way.

The news is good!

ObamaCare is WORKING!

However, much additional work remains to be done.

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Latest survey finds health benefit cost growth for 2012 likely to be the lowest in 15 years

United States , New York
Publication date: 21 September 2011

Early responses from a Mercer survey still in the field suggest that the average growth in health benefit cost will slow to 5.4% in 2012, the smallest increase since 1997. Still, cost growth remains well above both general inflation and growth in workers’ earnings (see Fig. 1).

 While this increase reflects cost-cutting changes employers will make to their current health benefit programs, such as raising deductibles or moving employees into lower-cost health plans, the preliminary survey findings released today by Mercer suggest that the underlying trend has slowed as well. Asked how much cost would rise if they made no changes to their current plans, employers reported an average increase of 7.1%. Over the past five years, this underlying health benefit cost trend has been running at about 9%.

The slower trend is good news for workers, because an employer’s first line of defense against a high initial renewal rate typically is to change plan provisions so that employees pay more out of pocket for health care. If the underlying trend is lower to begin with, employers will be likely to shift less cost. For the past several years, employers have reduced their initial renewal rate by about 3 percentage points on average; in 2012, they are planning to reduce it by about 2 points (Fig. 2).

These results are based on

Alabama Veterinary Board moves to Close Spay/Neuter Clinics

Alabama… what a fouled up, messed up, idiotic state.

Just follow the stink of money, and you’ll find the state’s politicians and business leaders copulating together in the filth of that slop trough.

Bunch of God damned bastards… every God damned one of ’em ought’a go straight to Hell.

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Proposed Alabama vet board rule could close spay/neuter clinics

Published: Thursday, September 27, 2012, 10:40 PM     Updated: Friday, September 28, 2012, 7:48 AM

By Kim Chandler — Montgomery Bureau

Dr. Desiree Mason checks on a dog after surgery at the Alabama Spay/Neuter Clinic on Crestwood Boulevard. The State Veterinary Board is considering new regulations that could cause the nonprofit clinic others like it in the state that spay and neuter to shut down. The board is considering whether to change the rules which state that all the equipment in clinics must be owned by a vet. (Tamika Moore/The Birmingham News)

BIRMINGHAM, Alabama — Michelle Pierce waited Thursday at the Alabama Spay/Neuter clinic to pick up Mystery, the stray calico cat named after she mysteriously waltzed through Pierce’s dog door one evening, and the three kittens — Tigger, Chelssey and Zure — that came along with her.

“I think it’s better to go ahead and get them fixed even if I found them a home … . They multiply like rabbits,” Pierce said.

As the cats, still drunk from anesthesia, recovered in a dog crate, Pierce paid a total of $48 for having them fixed — a break over the clinic’s already low rates because she qualified for assistance.

Pierce said she wouldn’t have been able to afford the prices at a full-service veterinary clinic.

“I would have had to take them to the Humane Society. This place is a life-saver for animals and for folks with low income,” Pierce said.

Operators of the nonprofit spay/neuter clinics say

Reaching the End of Life: What Do We & Loved Ones REALLY Need?

Recollecting, one of my patients was similarly diagnosed, suffering terminal lung cancer of the small cell carcinoma type, and had one lung removed. He had presented to the ED (Emergency Department) with extreme hypoxia (lack of oxygen), to such an extent that his lips had a distinctive blue cast to them. His oxygenation was so exceedingly poor, that he would turn in bed, and his sats (oxygen saturation level) would drop to 70% – neither a good, nor one that would sustain life.

In conversation with him, I asked him what he wanted to have happen to him, how he wanted things to turn out for him. He wasn’t under any misguided notion about his state of well-being or health and wanted to depart the ICU.

He said, “I want to go home to die.”

I responded by saying, “We want you to go home too. Let’s see what we can do to get you back there.” At that point, I began some very simple teaching about his breathing. He was a habitual mouth breather, and he knew it. I’d glance up at him, and his mouth would be gaping open as he watched teevee. Problem was, that every time his mouth opened, his sats dropped, even though he was receiving high flow O2 therapy via specialized nasal cannula.

So I instructed him that by keeping his mouth closed and breathing through his nose, his sats would increase. And barring any other unforeseen circumstance, were his sats to consistently maintain above 90%, that would be the greatest step toward his objective to go home.

At the end of my shift, he was consistently satting 98%.

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Doctors are practicing irrational medicine at the end of life

by Monica Williams-Murphy, MD on September 22nd, 2012, in Physician

I just took care of a precious little lady, Ms. King (not her real name), who reminded me that, too often, we doctors are practicing irrational medicine at the end of life. We are like cows walking mindlessly in the same paths; only because we have always done things the same way, never questioning ourselves. What I mean is that we are often too focused on using our routine pills and procedures used to address abnormal lab values or abnormal organ function, to rightly perceive what might be best for the whole person, or even what may no longer be needed. Our typical practice habits may in fact become inappropriate medical practiceat life’s end.Ms. King was a case in point: She was a 92-year-old nursing homepatient on hospice for metastatic breast cancer. Ms King had been transferred to the ER for a sudden drop in blood sugar, presumably due to her oral diabetes medication. Her appetite had apparently been trailing off, as is common at the end of life, and her medication appeared to have become “too strong.” Her glucose level had been corrected by EMS during her trip from the nursing home to the Hospital, so when I came into see Ms King she was at her ‘baseline.’I opened the door to bed 24 and a grinning little white-haired lady peered at me from over her sheet. “Hi,” she said greeting me first.“Hi, Ms King,” I smiled back at her and picked up her hand.

She reached over with her free hand to pat me on my forearm, “You sure are a cute little doctor,” she said smiling.

I couldn’t hold back a little laughter. “Well, you sure are a cute patient too,” I smiled and winked at her.

She winked back at me.

“Wow, this is the most pleasant 90-year-old I have cared for in a while,” I thought to myself.

As we chatted it became clear to me that she had some mild dementia but had no pain or complaints at the time. She just said, “I think I had a ‘spell’” ( a “Southernism” for some type of unusual and undefined episode of feeling ill or fainting); and “I’m not hungry” when I offered her food.

Leaving her room still smiling after our pleasant exchange, I went back to look at her medical record from the nursing home and two things immediately struck me:

Former Tennessee Senator & Cardiothoracic Surgeon Bill Frist, MD enters healthcare dialogue

Face it. Sooner or later, you’re going to die. Death is a part of life. Making a decision about whether or not you want to be connected to belts, tubes, hoses & pumps to circulate your blood, food & oxygen when your body would have naturally expired is essentially what the discussion is about.

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The Bill Frist ℞

By: Brett Norman
September 16, 2012 11:06 PM EDT

Meet former Sen. Bill Frist, a renegade “Obamacare”-loving Republican who is in the mood for some real bipartisanship.

Yes, the same Frist who as Senate majority leader led an army into the culture wars over Terri Schiavo and whose efforts in 2004 to unseat his then-rival, Minority Leader Tom Daschle, led to a nasty — and personal — Washington battle royal.

Now, Frist is pushing for a national conversation on end-of-life care and dismissing “caricatured”talk of death panels. He’s committing Republican heresy in endorsing elements of the loathed Affordable Care Act. He’s standing shoulder to shoulder with Daschle in search of a bipartisan way to tackle one of the thorniest problems around: how to get control of health care costs before they sink the economy.

Frist is pushing for a national conversation on end-of-life care. | AP Photo

The Frist-Daschle reconciliation, in particular, is a source of amazement to some longtime Washington observers.

“I didn’t think they would ever talk again,” said Bill Hoagland, a budget expert and former aide to Frist who has joined the duo on a health cost control initiative at the Bipartisan Policy Center. “I was surprised, pleasantly, that they would work together.”

Daschle told POLITICO, “He’s been a very important partner and I would say has become a friend in spite of the fact that we’ve had a difficult history.”

“That is past and we now find much more in common than not,” he added. “We both know that we need to find a consensus way forward.”

Frist, a heart and lung transplant surgeon who is now focused on research and policy, is working on

Michelle Obama fires up America with Keynote Speech to Democratic faithful in Charlotte

Not only was her speech more well received than Republican Ann Romney‘s, but that one night of the DNC was more enthusiastic – i.e., FIRED UP – than was the entire RNC event in Tampa.

It was EXCITING to know that the Average American does NOT want to return to the “Bad Old Days” of bad policy as they experienced under the Bush II administration, which was responsible for the bail-out called TARP, starting wars in Iraq & Afghanistan, outsourcing American jobs, increasing the size of government, cutting taxes on the wealthy, the so-called “doughnut hole” in the Medicare prescription program (written by BIG PHARMA), and a whole lotta’ other genuinely bad things.

It was EXCITING to know that personal freedom – religious, private, healthcare – is an instrumental part of the Democratic Platform, as opposed to the RNC which supports… going back via the legislative time machine to the 1800’s, when child labor was common, women couldn’t vote, any non-white person was a second-class non-citizen & couldn’t vote, etc.

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Transcript: Michelle Obama’s Democratic Convention Speech

September 4, 2012

Below is the full transcript, as prepared for delivery, of First Lady Michelle Obama‘s speech to the Democratic National Convention on Tuesday night.

Thank you so much, Elaine…we are so grateful for your family‘s service and sacrifice…and we will always have your back.

Over the past few years as First Lady, I have had the extraordinary privilege of traveling all across this country. And everywhere I’ve gone, in the people I’ve met, and the stories I’ve heard, I have seen the very best of the American spirit.

I have seen it in the incredible kindness and warmth that people have shown me and my family, especially our girls.

I’ve seen it in teachers in a near-bankrupt school district who vowed to keep teaching without pay.

I’ve seen it in people who become heroes at a moment’s notice, diving into harm’s way to save others…flying across the country to put out a fire…driving for hours to bail out a flooded town.

And I’ve seen it in our men and women in uniform and our proud military families…in wounded warriors who tell me they’re not just going to walk again, they’re going to run, and they’re going to run marathons…in the young man blinded by a bomb in Afghanistan who said, simply, “…I’d give my eyes 100 times again to have the chance to do what I have done and what I can still do.”

Every day, the people I meet inspire me…every day, they make me proud…every day they remind me how blessed we are to live in the greatest nation on earth.

Serving as your First Lady is an honor and a privilege…but back when we first came together four years ago, I still had some concerns about this journey we’d begun.

While I believed deeply in my husband’s vision for this country…and I was certain he would make an extraordinary President…like any mother, I was worried about what it would mean for our girls if he got that chance.

How would we keep them grounded under the glare of the national spotlight?

How would they