A Supplement to James Sherlock’s Post
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13 responses to “A Supplement to James Sherlock’s Post”
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HB 1446 came out of the Joint Commission on Health Care. Here is the link to its report: https://rga.lis.virginia.gov/Published/2022/RD849/PDF
Also, I found the report for a study done last year that you might find useful:
STUDY MANDATE
CHAPTER 559 OF THE 2022 ACTS OF ASSEMBLY, DIRECTED THE SECRETARY OF HEALTH AND HUMAN RESOURCES (SHHR) TO “STUDY THE CURRENT OVERSIGHT AND REGULATION OF NURSING HOMES, ASSISTED LIVING FACILITIES,AND OTHER CONGREGATE LIVING SETTINGS
TO IMPROVE EFFICIENCY AND EFFECTIVENESS OF REGULATION AND OVERSIGHT, PROVIDE BETTER TRANSPARENCY FOR MEMBERS OF THE PUBLIC NAVIGATING THE PROCESS OF RECEIVING SERVICES FROM SUCH FACILITIES, AND BETTER PROTECT THE HEALTH AND SAFETY OF THE PUBLIC.” THE STUDY MANDATE IS INCLUDED AS APPENDIX A. THE SECRETARY
OF HEALTH AND HUMAN RESOURCES IS TO REPORT FINDINGS AND RECOMMENDATIONS TO THE GOVERNOR AND THE CHAIRMEN OF THE SENATE COMMITTEES ON EDUCATION AND HEALTH AND FINANCE AND APPROPRIATIONS AND THE HOUSE COMMITTEES ON
APPROPRIATIONS AND HEALTH, WELFARE AND INSTITUTIONS.Here is the link to the report: https://rga.lis.virginia.gov/Published/2022/RD817/PDF
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Thanks. Obviously, I did not go far enough in my research.
That study by the office of the Secretary of Health and Human Resources was a big fat waste of time. The study group met twice and produced a report that consists primarily of descriptions of the regulatory responsibilities of several agencies. Its only recommendations concerned developing a one-page guide to congregate living facilities for consumers. It did identify other issues for further consideration, which Sherlock has been talking about for several years.
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Hate to ask these questions to men gazing in their microscopes, but what’s it like in the best of States? What’s it like in the best of countries? What, for example, are God’s Waiting Rooms like in Oregon, Idaho, Sweden, or France?
Are we better than an ice floe?
Are we just waiting for it to be “invented here”?
Adults who are racked with death anxiety are not odd birds who have contracted some exotic disease, but men and women whose family and culture have failed to knit the proper protective clothing for them to withstand the icy chill of mortality. -Irvin D. Yalom, psychiatrist and professor (b. 13 Jun 1931)
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Good point. Just to follow up on your question, I looked at Sweden. Oh, to grow old in Sweden. The care of the elderly is primarily the responsibility of municipalities. The aim is to keep the elderly in their own homes and independent as long as possible. https://sweden.se/life/society/elderly-care-in-sweden
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Sometimes, not often, I ask the question AFTER finding the answer.
The best nursing homes in the US are those associated with retirement villages. They are constantly under the watchful eyes of those who will shortly avail themselves of the service.
The others are problematic.
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That makes excellent sense. Will keep that in mind. Where we ended up putting my mother was problematic, but it was very close to Dad and he was an aggressive advocate.
Dick, this is just another example of the kind of issue that does not become partisan at the GA, making it easier to find solutions and fund them. But it is the classic problem of regulation: make everything perfect and it becomes soooo expensive. Same with child care, the regs have made the costs insane. The balance is hard to find.
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That makes excellent sense. Will keep that in mind. Where we ended up putting my mother was problematic, but it was very close to Dad and he was an aggressive advocate.
Dick, this is just another example of the kind of issue that does not become partisan at the GA, making it easier to find solutions and fund them. But it is the classic problem of regulation: make everything perfect and it becomes soooo expensive. Same with child care, the regs have made the costs insane. The balance is hard to find.
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Without waxing philosophically, it’s in our DNA. Rather than simply endure the expense of death, if someone can make a penny from a last gasp then they will.
Cheapest solution is rarely a solution.
If a nursing home is needed for Dad (odds are not) then count on one year, although that would be an anomaly. We’re lucky in that respect. 90 days is an eternity for men.
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It can be a lot longer. For my Dad it was about a 7 year slide, around half that in a nursing home (Biden seems on a similar trajectory). That last 90 days likely qualifies for Hospice Care.
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When you visited him in the home, didn’t you notice how few men were there?
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Even severely impaired he got a lot of attention.
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The upside of the downside?
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I suppose so, but it’s not a trade you’d choose to make.
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