World News | In Nursing Homes, Impoverished Live Final Days on Pennies
Get latest articles and stories on World at LatestLY. New pants to replace Alex Morisey's tattered khakis will have to wait. There's no cash left for sugar-free cookies either. Even at the month's start, the budget is so bare that Fixodent is a luxury. Now, halfway through it, things are so tight that even a Diet Pepsi is a stretch.
Philadelphia (US), Mar 15 (AP) New pants to replace Alex Morisey's tattered khakis will have to wait. There's no cash left for sugar-free cookies either. Even at the month's start, the budget is so bare that Fixodent is a luxury. Now, halfway through it, things are so tight that even a Diet Pepsi is a stretch.
“How many years do I have left?” asks 82-year-old Morisey, who lives in a Philadelphia nursing home. “I want to live those as well as I can. But to some degree, you lose your dignity.”
Also Read | Pakistan Court Stops Police Operation Outside Imran Khan's Residence Till March 16.
Across the US, hundreds of thousands of nursing home residents are locked in a wretched bind: Driven into poverty, forced to hand over all income and left to live on an allowance as low as USD 30 a month.
In a long-term care system that subjects some of society's frailest to daily indignities, Medicaid's personal needs allowance, as the stipend is called, is among the most ubiquitous, yet least known.
Nearly two-thirds of American nursing home residents have their care paid for by Medicaid and, in exchange, all Social Security, pension and other income is rerouted to go toward their bill.
The personal needs allowance is meant to pay for anything not provided by the home, from a phone to clothes to a birthday present for a grandchild.
One problem: Congress hasn't raised the allowance in decades.
“It's really one of the most humiliating things for them,” says Sam Brooks, an attorney for The National Consumer Voice for Quality Long-Term Care, which advocates for nursing home residents and has urged an increase in the allowance.
“It can really be a point of shame.”
Especially when an individual has no close relatives or no one able to financially help, the allowance can breed striking need. When Marla Carter visits her mother-in-law at a nursing home in Owensboro, Kentucky, the scene feels more 19th-century poorhouse than modern-day America.
With just a USD 40 allowance, residents are dressed in ill-fitting hand-me-downs or hospital gowns that drape open. Some have no socks or shoes. Basic supplies run low. Many don't even have a pen to write with.
“That's what was so surprising to us,” Carter says, “the poverty.”
Medicaid was created in 1965 and a 1972 amendment established the personal needs allowance, set at a minimum of USD 25 each month. Had it been linked to inflation, it would be about USD 180 today.
But regular cost-of-living increases were not built into the allowance and Congress has raised the minimum rate only once, to USD 30, in 1987.
It has remained there ever since.
Some politicians have tried to fix the problem, including Rep. Jennifer Wexton, a Democrat from Virginia who in 2019 introduced a bill to raise the minimum allowance to USD 60 and cement annual increases tied to those for Social Security.
It didn't even get a hearing.
“I was shocked,” Wexton says. “It's about dignity for these people.”
Faced with federal inaction, states have taken it upon themselves to raise allowances. Even so, most remain low. A majority of states – 28 – have allowances of $50 or less, according to a state-by-state survey by the American Council on Aging.
Just five states grant residents USD 100 or more each month, including Alaska, which stands alone in offering USD 200 monthly, the maximum under federal law.
Four states – Alabama, Illinois, North Carolina and South Carolina – remain at the USD 30 minimum.
“As soon as I get it, it's gone,” says Chris Hackney, a 74-year-old resident of a nursing home in Durham, North Carolina, who spends his USD 30 monthly allowance on body wash, toothpaste, deodorant and some items his facility used to provide but has cut back on, wipes and diapers.
Down the hall, 56-year-old Janine Cox gets an occasional bag of chips from the vending machine and scrimps to add to the collection plate at church. Her neighbours are even worse off. “It's like a fight for them to survive another day,” she says.
With no financial wiggle room, nursing home residents find what little freedom they have evaporates even more, putting out of reach the chance to take a taxi to see a friend, to get lost in a newly purchased book, or to escape the monotony of the cafeteria with some take-out food.
Even after two years of institutionalised life, it is a confounding truth for Morisey.
With each USD 45 allowance he receives, a monthly juggling act begins.
Can his razors last a bit longer to put off refills? Can he squeeze a bit more out of the Fixodent tube? Has he cut corners enough to get some aftershave or peanut butter crackers?
“It's the little things,” he says. “You don't think about these things until you no longer have them.”
He is a lifelong Quaker, has always cherished living simply, and accepts his situation with a smile. But it doesn't seem too much, he says, to ask for a soda. (AP)
(The above story is verified and authored by Press Trust of India (PTI) staff. PTI, India’s premier news agency, employs more than 400 journalists and 500 stringers to cover almost every district and small town in India.. The views appearing in the above post do not reflect the opinions of LatestLY)