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CONTROVERSY 5



YES, Families Should Provide
       for Their Own

     Katelyn Harwell
     Stephanie Lide
      Jason Sirmon
• Population aging; older couples risk
  spousal impairment, turning to adult
  children for help
• ↑ life expectancy= ↑ need for long-term
  care
• Long-term care is very expensive!
• Jane Quinn- “finds transfer of assets to be a troubling
  practice on the borderline of legality and social morality”
   – Care will worsen as more well-off people exploit the system
• Stephen Moses- impoverishment due to nursing home
  expenses
• Suzanne Kunkel- directly paying family members to
  care for older adults at home (consumer direction
  programs)
   – “Consumers hiring primarily family members were healthier,
     safer, and are more satisfied with services”
   – “caring for love and money is possible”
Morals SHOULD be > $$$
*Filial Responsibility= adult children’s job to care
  for parents; considered law, custom and ethics
*Exchange Theory of Aging= reciprocal balance;
  parents care for children knowing they will
  receive help when needed
***Help available for caregiver burden ex) social
  supports and respite care
Mom with autistic daughter fears
                        losing Medicaid waiver services
                        because of state budget cuts


• Medicaid is the central reason for states’ budget
  and financial crisis
  – There is a limited amount of money available
  – Medicaid “introduces inequities across families, age
    groups, and social classes”
• Older adults prefer family members over
  strangers to care for them;
  – desire to remain at home
• Issues revolving around paying family
  caregivers
  – Concerns of “neglect, safety and negative
    effects on family relationships”



• As adult children seek the best care for
  their aging parents will consumer direction
  become a permanent policy?
Filial Responsibility
“Responsibility of caring elderly by adult children”

30 US states have laws but are rarely enforce



Alaska                 Arkansas         California
Connecticut            Delaware         Kentucky
Georgia                Idaho            Indiana
Maryland               Nevada           N. Carolina
Singapore’s
   “Maintenance of Parents Act”


60 yrs of older
Sues the children
Lump sum or monthly allowances
Basic amenities (food, shelter, clothing)
Illegitimate, adopted and step-children
22 Million in Stimulus
        Dead People or Inmates


89,000 of $250 each

$18 million dead (72,000 checks)

$4.3 million prison inmates
US Government pays out ½ trillion to 46 million
60 million dollar fraud business
Florida puts Medicare fraud above cocaine
LA Homeless to 3 squares, drugs for millions in fraud
6 times as much as Wal-Green
550 million from Obama to help fix the problem
September 2010 / CBS news
Your Tax dollar


       19   Social Security
       19   Defense (discretionary)
       13   Medicare
$100   8    Medicaid
       16   Other Mandatory programs
       20   (small potatoes)
26 seconds caregiver abuse

94 Year Old Woman Caught On Tape

Armenian gang arrested for US healthcare fraud

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Controversy 5

  • 1. CONTROVERSY 5 YES, Families Should Provide for Their Own Katelyn Harwell Stephanie Lide Jason Sirmon
  • 2. • Population aging; older couples risk spousal impairment, turning to adult children for help • ↑ life expectancy= ↑ need for long-term care • Long-term care is very expensive!
  • 3. • Jane Quinn- “finds transfer of assets to be a troubling practice on the borderline of legality and social morality” – Care will worsen as more well-off people exploit the system • Stephen Moses- impoverishment due to nursing home expenses • Suzanne Kunkel- directly paying family members to care for older adults at home (consumer direction programs) – “Consumers hiring primarily family members were healthier, safer, and are more satisfied with services” – “caring for love and money is possible”
  • 4. Morals SHOULD be > $$$ *Filial Responsibility= adult children’s job to care for parents; considered law, custom and ethics *Exchange Theory of Aging= reciprocal balance; parents care for children knowing they will receive help when needed ***Help available for caregiver burden ex) social supports and respite care
  • 5. Mom with autistic daughter fears losing Medicaid waiver services because of state budget cuts • Medicaid is the central reason for states’ budget and financial crisis – There is a limited amount of money available – Medicaid “introduces inequities across families, age groups, and social classes” • Older adults prefer family members over strangers to care for them; – desire to remain at home
  • 6. • Issues revolving around paying family caregivers – Concerns of “neglect, safety and negative effects on family relationships” • As adult children seek the best care for their aging parents will consumer direction become a permanent policy?
  • 7. Filial Responsibility “Responsibility of caring elderly by adult children” 30 US states have laws but are rarely enforce Alaska Arkansas California Connecticut Delaware Kentucky Georgia Idaho Indiana Maryland Nevada N. Carolina
  • 8. Singapore’s “Maintenance of Parents Act” 60 yrs of older Sues the children Lump sum or monthly allowances Basic amenities (food, shelter, clothing) Illegitimate, adopted and step-children
  • 9. 22 Million in Stimulus Dead People or Inmates 89,000 of $250 each $18 million dead (72,000 checks) $4.3 million prison inmates
  • 10. US Government pays out ½ trillion to 46 million 60 million dollar fraud business Florida puts Medicare fraud above cocaine LA Homeless to 3 squares, drugs for millions in fraud 6 times as much as Wal-Green 550 million from Obama to help fix the problem September 2010 / CBS news
  • 11. Your Tax dollar 19 Social Security 19 Defense (discretionary) 13 Medicare $100 8 Medicaid 16 Other Mandatory programs 20 (small potatoes)
  • 12. 26 seconds caregiver abuse 94 Year Old Woman Caught On Tape Armenian gang arrested for US healthcare fraud