Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Republicans Hate the Care Economy in New Debt Reconciliation Bill

May 31, 2023

 

PATRIOTIC BADGE

Republicans hate the care economy so Joe Manchin, blocked the care economy bill  last year

Republicans hate the care economy. Joe Manchin blocked the Care Infrastructure Bill last year without clearly saying what he wanted, butting heads through press releases and conferences last night. Calling the bill welfare society legislation, Manchin was saying actually, no new programs like Medicare covering dental, vision, and hearing for seniors, which has left seniors below the top 10%  deaf, blind with rotting teeth, and women without free childcare, leaving working women paying 1/3 of their income in childcare to go to maintain a job.

If Debt Ceiling Bill Passes Medicaid Cuts for no Employment -from Hating Care Economy

Republicans hate the care economy today. If the new Debt ceiling bill passes, Medicaid recipients will just have no vision and dental, but no Medicaid at all -if they do not work while sick or disabled.

Republicans hate the care economy. The House debt-ceiling bill cuts would put more than 10 million people at significant risk of losing health coverage by instituting a failed policy that takes federal Medicaid coverage away from people who cannot prove they meet a work-reporting requirement or qualify for an exemption. When implemented in Arkansas in 2018, 1 in 4 people subject to the policy lost coverage in just seven months, while there was no increase in employment.

When Medicaid is Cut, so is the In-Home Supportive Services Program Part of the Hated Care Economy

In-Home, Supportive Services are part of the Medicaid and care economy. So under Republican make cuts, with the new debt ceiling bill when recipients of Medicaid who are considered disabled- will be denied Medicaid if they cannot work, and they will lose their care providers – the real care economy The In-Home Supportive Services (IHSS) Program is a statewide program in California called the Medi-Cal program. It provides long-term services and supports for California residents who are aged, blind, or disabled and are at risk of nursing home placement. Available benefits include personal care assistance and homemaker services to assist these individuals in living safely and independently in their home or the home of a loved one. Program participants can self-direct their care, allowing them to choose and hire their own caregivers, including friends and relatives.

Within IHSS, there are 4 programs, the first two of which serve the majority of IHSS program beneficiaries.

If You are a Geriatric Care Manager

Many of you must deal with only the 10%, as Medicare does not cover care management. But you need to see the whole picture of the care economy. Low-income seniors on Medicaid are as important as concierge seniors and should not be dumped from Medicaid because they cannot work while experiencing all the disabilities of aging. Plus, you should not risk your own business income that will lose in spades when the new debt reconciliation bill, like your ceiling, crumbles, and cracks and cascades down through your life, severing seniors’ social security and threatening your own care management agency. So contact your congressman or woman and tell them to vote for the debt ceiling bill Common Cause has this easy way to find and contact your congressman 

If You Are a Woman Work In Aging or a Democrat, Call Your Congressman

Care Infrastructure and deb ceiling failure, and financial catastrophe may be upon us if folks in health care, older constituents, and democrats of all ages do need to contact their congressman immediately and tell them to support this bill. They control the votes for the bill, and you must let them know you will only vote for them if they do. Common Cause has this easy way to find and contact your congressman. Tell them to vote for the debt ceiling bill and why.If you believe in Medicare, Medicaid recipients have the right to keep benefits without working, and for us all to go off the cliff – with the Debt Ceiling breach- social security checks not paid, our credit rate to skyrocket, the bond market to fall- what you pay for everything to soar- catastrophe all around – call not write your Congressman. 

Interested in starting a care management business or adding one to your business  to help seniors? Contact  Cathy Cress MSW

 

Filed Under: Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Bernie Sanders, Bernie Sanfers, Biden Infrastructure Bill Passing, Biden's Caregiver Bill, Biden's Caregiver Bill Trouble, Biden's Caregiver Infastucure Paln, Biden's VA Infrastructure Bill, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, Black Travel RN, Blog, Care Infastructure, Care Infrastructure, Care Infrastructure cut out, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, End of Life, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, hearing Medicare coverage, Infrastructure Bill, Joe Manchin, Medicaid caregiver, Medicaid Caregivers, Medicare, Medicare Expansion, Medicare For All, nurse advocate, nurse care manager Tagged With: aging life or geriatric care management, ALCA, Biden's Infrastructure Bill, Biden's infrastructure- Caregiver Bill, Blocked Care Infrastructure bill, Call Your Congressman, Care Economy, Care infrastructure, care management, care provider stress, Congress&Infrastructure Bill, geriatric care infrastructure, infrastructure Medicare jobs, Nancy Pelosi

Build Back Better Bill Could be Transformative- BUT -Running out of Time

December 15, 2021

9

Time About Out To Pass Build Back Better Bill

Biden’s Build Back Better Bill is dying. Decades of divestment have cost American families in time, opportunity, and money, with the greatest impacts landing on communities of color, seniors, the disabled, women, and LGBTQ+ people. Building a stronger, more equitable future requires investing in good jobs, quality care, education, and housing.  Senator Manchin and Sinema are blocking Biden’s Bill.

The Build Back Better Bill includes significant investments in our children, families, elderly and disabled 

Seniors will get New Medicare Hearing Benefit

Biden’s ill includes lowered drug prices, Medicare Part D Benefit Redesign according to Kaiser Foundation. But the bill also includes new  Medicare benefits  for seniors in:

  1. ACA Marketplace Subsidies
  2. Lowering Prescription Drug Prices and Spending
  3. Medicaid Coverage Gap
  4. Medicaid Home and Community Based Services and the Direct Care Workforce

Expanded Home & Community Based Care Included

Biden’s Build Back Better Bill , offers so much in caring for families, kids the elderly. In addition to expanding Child Tax Credit payments and ensuring the lowest income families receive the full benefit, would invest in-home- and community-based care services for the aging and people with disabilities; provide pre-k for 3 and 4 year-olds; invest in housing, child care, and nutrition programs; create good jobs, and so much more

Biden’s Bill would provide four weeks of paid medical leave, so the United States can join the rest of the industrialized world in giving its people the dignity of paid time off for a family or health emergency. So, if an aging parent or child is sick or there is a newborn, family can care for them and get paid.

 

 

Write or Call Your Congressman Fast Before Mansion and Sinema Destroy Biden’s Bill

Sign and send a letter to your Democratic senators: Care is infrastructure. The Build Back Better Act must include substantial investments in our families and communities.

 

Here are some quick tips when writing a personal letter or what to say on a call :

  • Keep your letter short or call and to the point;

  • Remind them that you are a constituent;

  • Share your personal story about your career as a care manager,  a social worker a nurse, a geriatric professional and your  client’s needing care, client’s  caring for a loved one, or the plight of a care worker
  • Emphasize that the majority of Americans support investing in human infrastructure, include: expanding Child Tax Credit payments, and ensuring the lowest income families receive the full benefit, investing in-home- and community-based care services for the aging and people with disabilities; providing pre-k for 3 and 4 year-olds; investing in housing, child care, and nutrition programs; creating good jobs; and more;
  • Encourage them to keep pushing to ensure investments in the care economy remain in the Build Back Better Act.
  • PLEASE DO THIS NOW ESPECIALLY FOR SENIORS IF YOU WORK WITH THEM

Filed Under: Biden Infrastructure Bill Passing, Biden's Care Infrastructure Bill, Biden's Caregiver Bill, Biden's Caregiver Bill Trouble, Biden's new Affordable Drug Bill, Bild Back Better Bill, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, Black Travel Nurses, Black Travel RN, Blog, Care Infastructure, Care Infrastructure cut out, Care Infrastructure Dental, Care Infrastructure Hearing, Care infrastucture Vision, caregiver infrastructure, Caregiver low salary, caregiver mental health, Medicaid caregiver, Medicare, Medicare Dental Coverage, Medicare dental vision hearing coverage, Medicare Expansion, Medicare Hearing Coverage, Medicare Vision Coverage Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, Biden Build Back Better Bill, Biden Build Back Better Bill Dying, Biden's Home Care Plan, Biden's infrastructure- Caregiver Bill, Build Back Better Bill, care manager, case manager, Dental Coverage Medicare, geriatric care manager, Mansion Blocking Build Back Better, Medicare expansion 2021, Medicare Hearing Benefit, Medicare Part D Redesign, nurse advocate, nurse care manager, Sinema Blocking Build Back Better

Biden’s Care Infrastructure Passed House -Wins & Losses 4 Seniors???

November 23, 2021

 

Biden’s Care Infrastructure Passed The House

Biden’s 1 Trillion $ Care Infrastructure Passed the House through the brilliant work of speaker Nancy Pelosi which was a great boost for deadly climate change, Child Tax Credits,paid parental leave and so much more. For seniors, the good news is it covers 

  • New hearing benefits for Medicare beneficiaries, including coverage for a new hearing aid every five years.
  • A $35-per-month limit on the cost of insulin under Medicare and a cap on out-of-pocket prescription drug costs at $2,000
    $1.2 billion in new spending for critical
    programs and services under the Older Americans Act (OAA).
     
  • Dental & Vision Coverages Dropped But Sanders Tries to Save

    The Care Infrastructure Bill passed but it dropped expanding dental and vision benefits after centrists called for paring down the overall cost of the package, which originally was proposed for $3.5 trillion.

    The framework  of the Care Infrastructure Bill also doesn’t include legislation to give Medicare the power to negotiate for lower drug prices, but senators say that it would eliminate a rule that gets rid of the safe harbor for Part D drug rebates.

    Senator Bernie Sanders is trying to work vision and dental back into the Care Infrastructure  bill and is outraged that both were dropped. 2-5 voters want dental and vision back in the bill

     

    • Across political parties, 
    • Across political parties, voters’ top priority for the bill is adding dental and vision benefits to Medicare, which was cut from the White House’s latest framework after intense pushback from dental groups and amid concerns about the price tag. Still, Sen. Bernie Sanders (I-Vt.) indicated he is trying to work Medicare coverage for dental and vision services back into the final bill
    • If You Are In Aging Call Your Congressman

    Care Infrastructure Bill may not pass it’s next big hurdle , the Senate if folks in health care and older constituents do not contact their congressman or woman and tell them to support this bill. Your Congresswoman or man controls the votes for the bill and you have to let them know you will only vote for them if they do. Common Cause has this easy way to find and contact your congressman  If you believe in Medicare and senior’s right to to not have their teeth rot, not hear their grandkids or be unable to read a book-  so please  email, pick up the phone now.

Filed Under: Aging, Aging Life Care, aging life care manager, Bernie Sanfers, Biden Infrastructure Bill Passing, Biden's Care Infrastructure Bill, Biden's Caregiver Bill, Biden's Caregiver Infastucure Paln, Biden's VA Infrastructure Bill, Biden’ social and environmental infrastructure package, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, Black Travel Nurses, Black Travel RN, Blog, care economy, Care Infastructure, Care Infrastructure, Care Infrastructure Dental, Care Infrastructure Hearing, Care infrastucture Vision, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, case manager, Dental, Dental Coverage Medicare, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Hearing Coverage Medicare, Infrastructure Bill, Medicaid caregiver, Medicaid Caregivers, Medicare, nurse advocate, nurse care manager, Vision Coverage Medicare Tagged With: aging family, aging life care manager, aging life or geriatric care management, aging parent care, aging parent crisis, ALCA, Biden's Infrastructure Bill, Biden's infrastructure- Caregiver Bill, Call Your Congressman, Care Economy, Care infrastructure, Care infrastrucure Bill Passed, care management, care manager, care provider stress, case manager, Congress&Infrastructure Bill, Dental Coverage Medicare, geriatric care infrastructure, geriatric care manager, Hearing Coverage Medicare, infrastructure Medicare jobs, limit on cost insulin, Nancy Pelosi, nurse advocate, nurse care manager, Vision Coverage Medicare

FDA Proposal Would Allow Millions of Consumers to Buy Over-the-Counter Hearing Aids in Stores or Online

October 25, 2021

FDA to Allow Buying Hearing Aides over the Counter- But Free Hearing Benefits on Chopping Block in Care  Infrastructure Bill

 

A long-awaited Food and Drug Administration proposal would allow millions of consumers to buy over-the-counter hearing aids in stores or online without a prescription or medical exam.

More than four years after Congress ordered the agency to allow over-the-counter hearing aids, it took the first step Tuesday to broaden access to more accessible and affordable devices for millions of patients with mild to moderate hearing loss. The agency’s proposal would create a new category of over-the-counter hearing aids and supersede state-level regulations that require patients to go through physicians or audiologists to get prescriptions and fittings for them.

Infrastructure Trapped in Party Line Clash

President Biden’s Care Infrastruce bill is now trapped in a party-line clash where hearing benefits under Medicare will be ditched as the GOP is pulling away from the centrists that voted for it. Nineteen votes for the bill came from Republicans 2 months ago, as the Republican party is opposed to the Care infrastructure Bill 

Progressives Hold The Line for Care Infrastructures  for Seniors, Women Families

House Democratic Progressives held the line in a weeklong standoff with Speaker Nancy Pelosi, who reversed course and canceled plans to vote on the infrastructure bill with the support of President Joe Biden. He told House Democrats the votes weren’t there to pass that bill without the larger social policy bill.

Biden Says Care Infrastructure Price Tag Must Come Down

President Biden told Democrats the initial $3.5 trillion price tag would have to be reduced, and that the talks ranged up to $2.3 trillion, a source familiar with the meeting said Centrist Sen. Joe Manchin, D-W.Va., floated a $1.5 trillion counteroffer that some decried as being too small.  Sen. Kyrsten Sinema, D-Ariz., has declined to say what she’d back, frustrating her colleagues.

 

  • Senate Majority Leader Chuck Schumer, D-N.Y., said he aims to pass a bipartisan infrastructure bill and Democrats’ broader investment in the social safety net and climate policy by the end of October.
  • The House delayed a vote on the Senate-passed infrastructure proposal as progressives sought an agreement on the larger piece of President Joe Biden’s economic agenda.
  • Democrats are negotiating a compromise between centrists and progressives on a plan to invest in child care, paid leave, health care, education, and the fight against climate change.

 

If You Are a Woman or Work In Aging Call Your Congressman

Care Infrastructure may wait long if folks in health care and older constituents do not contact their congressman and tell them to support this bill. They control the votes for the bill, and you have to let them know you will only vote for them if they do. Common Cause has this easy way to find and contact your congressman. If you believe in Medicare and seniors’ right not to have their teeth rot, not hear their grandkids or be unable to read a book- do it now.

Sign up for my new free Webinar, How to Sign Up Concierge Clients When Adult Child Calls in Pain

 

Filed Under: Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Bernie Sanders, Bernie Sanfers, Biden Infrastructure Bill Passing, Biden's Caregiver Bill, Biden's Caregiver Bill Trouble, Biden's Caregiver Infastucure Paln, Biden's VA Infrastructure Bill, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, Black Travel RN, Blog, Care Infastructure, Care Infrastructure, Care Infrastructure cut out, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, End of Life, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, hearing Medicare coverage, Infrastructure Bill, Joe Manchin, Medicaid caregiver, Medicaid Caregivers, Medicare, Medicare Expansion, Medicare For All, nurse advocate, nurse care manager Tagged With: aging life or geriatric care management, ALCA, Biden's Infrastructure Bill, Biden's infrastructure- Caregiver Bill, Blocked Care Infrastructure bill, Call Your Congressman, Care Economy, Care infrastructure, care management, care provider stress, Congress&Infrastructure Bill, geriatric care infrastructure, infrastructure Medicare jobs, Nancy Pelosi

Biden’s Caregiver Infrastructure Plan Crumbling

June 16, 2021

Caregiver Infrastructure Bill in Shreds

President Biden’s caregiver infrastructure bill appears to be in deep trouble . In fact the entire bill in is jeopardy.

The president set his sights on a sweeping infrastructure bill that would both revamp the nation’s roads and bridges as well as boost spending on services including healthcare and child care — though Republicans reject the idea that those latter priorities even qualify for the label “infrastructure.   

Republicans Do Not see Care As Infrastructure

Many Republicans question government funding for care of the elderly and children, especially at the levels Biden wants. He initially proposed $400 billion for elderly and disabled care, and another $200 billion for childcare. Republicans want this entire Caregiver infrastructure section removed from the bill.

Congressional leaders have a math problem to pass the bill. To get through the evenly split Senate under the normal process, legislation would need support from all of the Democratic caucus and at least 10 Republicans — or more if any Democrats defect. If Democrats try to approve legislation on their own using budget reconciliation, they cannot lose a single vote.

What Will Biden’s Investment  Create- in Jobs and the Economy

What are these lawmakers questioning? Basically the women who hold up half the sky of care in the United States by doing it through their low paid or no paid jobs. Like American bridges these

caregivers are collapsing.

Sixty-five percent of the jobs — approximately 1.5 million jobs —resulting from Biden’s investment would be in child care, residential care, and home health care. An additional 225,000 jobs can be created or supported in sectors that support care work, and over 500,000 jobs would be supported in other sectors as direct care workers spend their wages on goods and services.

Biden’s Plan of investing $77.5 billion per year would support over two million new jobs, at an average cost of $34,496 per supported job. Over 10 years, this translates to 22.5 million new jobs. Annually, a $77.5 billion investment in new jobs translates into $220 billion in new economic activity. 

If Aging is Your Field Call You Representative Now

So find your local representative  and tell them to support Biden’s bill if you care about aging or caregivers or women or  shoring up the frayed- fraught care infrastructure.I have done a series of blogs on the bill . Check them out now 

 

Filed Under: Aging, Aging Life Care, aging life care manager, Biden Infrastructure Bill Passing, Biden's Caregiver Bill, Biden's Caregiver Bill Trouble, Biden's Caregiver Infastucure Paln, Black Entrepreneur RB, Black Entrepreneur RN, Black RN, Black Travel RN, Blog, care economy, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, Caregivers collapsing, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Infrastructure Bill, intergenerational conflict, nurse advocate, nurse care manager Tagged With: aging life and geriatric care manager, Biden's infrastructure- Caregiver Bill, Care infrastructure, infrastructure Medicare jobs

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