Medicaid Is About Grandma

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Image result for medicaid grandma in nursing home

Why don’t Democrats more often make the point Sen. Chuck Schumer made this week about the consequences of GOP efforts to scuttle Medicaid:

Medicaid is for poor people, but also 60 percent goes to people in nursing homes. And that affects not only them, but their kids. You’re a kid 45 or 50, your Mom or Dad is in a nursing home. They could be kicked out after this bill passes. What would you do? You have to take them at home, stop working to take care of them. Or you have to shell out thousands of dollars out of your pocket. — Schumer press conference (3/13)

Bill Clinton routinely made this point when Medicaid was debated during his presidency. Inexplicably he is among a surprisingly few Democrats who stress the program’s service to elder Americans in dire need of long term care. But the GOP continues to get away with feeding the illusion that it mostly serves malingerers who’d rather take a federal handout than get a job.

Baby boomers everywhere are facing the painful needs of parents who need nursing home care. Many are finding that Medicaid is their only choice. That’s the political pitch that can save Medicaid.

‘America’s Other Drug Problem’: Copious Prescriptions For Hospitalized Elderly

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Harriet Diamond at the UCLA Medical Center in Santa Monica, California, on Thursday, May 5, 2016. (Heidi de Marco/KHN)

An increasing number of elderly patients nationwide are on multiple medications to treat chronic diseases, raising their chances of dangerous drug interactions and serious side effects. Often the drugs are prescribed by different specialists who don’t communicate with each other. If those patients are hospitalized, doctors making the rounds add to the list — and some of the drugs they prescribe may be unnecessary or unsuitable.

“This is America’s other drug problem — polypharmacy,” said Dr. Maristela Garcia, director of the inpatient geriatric unit at UCLA Medical Center in Santa Monica. “And the problem is huge.”

Elderly Hospital Patients Arrive Sick, Often Leave Disabled

Elderly Hospital Patients Arrive Sick, Often Leave Disabled

Ron Schwarz, 79, was hospitalized after falling in the shower. Schwarz is a patient in a special ward at the San Francisco General Hospital known as the Acute Care for the Elderly unit, or ACE. (Heidi de Marco/KHN)

Not A Priority

Hospitals can be hazardous places for elderly patients, who are at increased risk of falling, drug-induced injury and confusion.

But as the nation’s senior population grows, many facilities are ill-equipped to address their unique needs.

Kaiser Health News visited hospitals around the country, reviewed data and interviewed dozens of patients, family members and health providers to document the extent of the problem and highlight possible solutions.

How hospitals handle the old — and very old — is a pressing problem. Elderly patients are a growing clientele for hospitals, a trend that will only accelerate as baby boomers age. Patients over 65 already make up more than one-third of all discharges, according to the federal government, and nearly 13 million seniors are hospitalized each year. And they stay longer than younger patients.

Many seniors are already suspended precariously between independent living and reliance on others. They are weakened by multiple chronic diseases and medications.