Cathy Cress

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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

Why There So few Caregivers to Recruit in Health Care ??????

October 20, 2021

Where did the Caregiver all over the Nation Go?

When the COVID-19 pandemic hit and 13.7 million workers in roles comparable to direct care lost

their jobs in early 2020, they did not turn to direct care jobs, a recent study found. 

Of the 9.1 million who have now found a new job, “an immeasurably small number of workers” entered the direct care workforce, despite high demand for staff, a study by consulting firm PHI and the Health Workforce Research Center on Long-Term Care at the University of California San Francisco found.

Women, the main caregiver are leaving the workforce in record numbers, and it’s not just a result of the pandemic. 

The pandemic was the catalyst for millions of women leaving their jobs, but not the root cause. Since 2009, the number of women in the workforce has been decreasing because we haven’t made investments in child care and paid leave. Now the gap between men and women in the workforce is widening, while in most other countries the gap is shrinking. That’s leaving our whole economy vulnerable.  

Right now, women’s workforce participation is at 55.9%. The last time it was that low was 1987) 

Workforce for Women Caregivers and all Working women with Children Became Nightmare in Pandemic

The pandemic opened many eyes to the realities of child care in America when schools went virtual and many day-care centers closed. Covid-19 forced millions of working parents, especially women, to leave the workforce to care for their children. Following up on a campaign pledge to “make high-quality child care affordable,” President Joe Biden has asked Congress for hundreds of billions of dollars for early childhood care and education.

 

 

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

Care Infrastructure may be dead 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 senior’s right  to not have their teeth rot, not hear their grandkids or be unable to read a book- please do it now

 

 

 

Filed Under: Blog, care economy, Care Infastructure, caregiver childcare problem, caregiver loss to home care, Caregiver low salary, caregiver mental health, caregiver pain, caregiver recruitment, Caregivers collapsing, Caregivers contracting COVId, caregivers leaving workforce, Pandemic & childcare Tagged With: aging family, aging life care manager, aging parent care, Biden Infrastructure Plan for Rural areas, Biden's Home Care Plan, Biden's infrastructure- Caregiver Bill, Black, black american geriatric care managers, black american social workers, Black caregivers, Black geriatric care managers, Black start-up geriatric care management, Black travel nurses, Call Your Congressman, Care Economy, Care infastructure, Care Infastructure Frozen, care manager, case manager, free child care, free day care for working mothers, heath care workers leave worksforce, nurse advocate, nurse care manager, Pandemic's effect on work force, Woman leaving workforce, women leaving workforce

NY Times-The Mushrooming Home Care Aide Crisis

October 8, 2021

Crisis in Homecare Aides NY Times

The New York Times featured a story on the crisis in home care aides on September 25th,2021.The NYT article warned ranks of home care aides are expected to grow by more than those of any other job in the next decade, according to the Bureau of Labor Statistics.But It’s also among the lowest paying occupations on the list. Yet in spite of geriatric care managers  and homecare’s dependence on these aides ,nearly one in five aides lives below the poverty line.  So we have a crisis built on high demand and low supply.

Geriatric Care management depends on home care aides.

Whether a Geriatric Care Manager is placing aides through a partnership with a private duty Home Care agency or employs them by being  a Care Managed Home Care Agency- working with elders means 90% of the aging clients will need  from 4 to 24 hour care from home care aides.

Home Care Aide Top Job In Growth

 

The ranks of home care aides are expected to grow by more than those of any other job in the next decade, according to the Bureau of Labor Statistics. It’s also among the lowest paying occupations on the list. Yet .in spite of geriatric care managers dependence or these aides ,nearly one in five aides lives below the poverty line. 

Seniors Want To Remain at Home

 By 2030, 21 percent of the American population will be at the retirement age, up from 15 percent in 2014, and older adults have long been moving away from institutionalized care. According to an AARP survey, three-quarters of Americans age 50 and older

indicated they prefer to remain in their current residence or community for as long as possible as opposed to a senior care facility.The

preference among older adults to remain in familiar homes and communities is termed “aging in place   “ 

Home Care Industry in Dire Straights

In 2019, national spending on home health care reached a high of $113.5 billion, a 40 percent increase from 2013, according to the most recent data from the Centers for Medicare and Medicaid Services.

But this growing industry , which Geriatric Care Managers and all aging services  critically need to support aging in place or care at home rather than an institution,  is in dire trouble.

The pandemic only made things worse. It exposed the vulnerability of not only the

elderly and infirm but also of those who care for them. As Covid-19 spread across the country, many families turned to home health care as an alternative to nursing homes, which had become hot spots for the virus. Shortages of personal protective equipment made the work risky. Many home care aides have not been able to work due to their own underlying conditions, family concerns or general anxiety. This has caused a crisis in the Home Industry, which care managers depend upon for staffing cases. Now with the Biden Mandate of requiring Medicaid and Medicare home care providers to get vaccination, there will be a whole new crisis with care providers under those giant government programs or work in hospitals .

Solutions to the National loss of Home Care Aides

There are many other factors fueling the loss of  paid care providers and there are great solutions offered by Leading Age a national non profit for aging and home care.

This includes , expanding training, increasing pay and increasing the caregiver pipeline to include college students, high school students and recent immigrants.

Filed Under: Blog, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, Caregivers collapsing, Caregivers contracting COVId, COVID Homecare aide exposure, COVID impact homecare, homecare aides contract COVID, homecare living wage, homecare low wages, homecare staffing crisis Tagged With: AARP, Aging In Place, COVID-19 exposure, geriatric care manager private duty home care, home care aide crisis, home care aide low salary, Homecare industry disorganization, homecareaides live in poverty, New York Times, not enough private caregivers, private duty home care, solution homecare aide loss, Staffing crisis

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