Comment on Doesn't add up
WoodScientist@lemmy.world 6 hours ago
I’m no libertarian, but a major problem is that a lot of our industries are severely over regulated. Regulations are usually a good thing, but often they are pushed by big business to prevent future competition. If the only way to comply with the law is to retain a staff of lawyers, then it becomes impossible for individuals to set up small operations.
For example, there’s no reason we couldn’t have micro nursing homes set up in individual private homes. Maybe a trio of licensed nurses can operate one out of a home. Maybe they can care for up to half a dozen patients.
Yes, this does induce additional risk of abuse and neglect, but I would argue that is probably less likely to occur at such a human facility than one run by a big corporation. And maybe accepting a bit more risk is worth it if it allows people to get card they otherwise would be shut out from.
AA5B@lemmy.world 6 hours ago
Like a group home?
WoodScientist@lemmy.world 6 hours ago
Yes, but more for nursing home care.
AA5B@lemmy.world 6 hours ago
Supposedly “The Villages” in Florida has phased life care where you can live in a setting for the care you need, then move up to more care as needed.
This is directly from a friend, so I don’t know the facts behind it, but also the claim that it makes in-home care much cheaper. You not only have appropriate settings for the care you need but there’s a lot of them in one spot, and of course it’s Florida so the caregivers are probably exploited to hell and back, so it’s all cheaply available.
While there’s a lot of negativity to that specific retirement area, I really think they have something by doing it at scale
Duranie@leminal.space 4 hours ago
There are many places across the country with staged levels of care offered. I’m in the Chicago suburbs, where based on the facility it can cost $3500-5000/mo per person for independent living (essentially your own apartment/townhome space where support services are available very quickly) $4000-10,000/mo for assisted living (someone is checking on you multiple times a day and potentially delivering meals/helping with meds) or $9000-16,000+/mo for nursing care (full care.)
The devil is in the details though. I know many facilities have different practices, but it’s not uncommon for a facility to require proof that you already have 2 years worth of payments on hand before letting you move in. Also some will just let you sign over your property/home as security.
I knew a man a few years ago that had moved with his mother to an independent living where he cared for her. He was there over 30 years, having “purchased” the unit for $275,000 and paid around $3000 mo in maintenance fees. She had passed away at some point, he continued to live there. When he sustained a fall and hit his head, they moved him into the nursing unit as it appeared he would pass soon. They cleaned out his home and sold it, “securing” the proceeds to pay for his care. He ended up recovering more than anyone expected, at which point he was told he only had enough money for about 18 months of care, then he would be moved to a Medicaid room where he would have to share his room. A friend helped him find a less expensive place, but with his belongings sold he had to buy furniture. He passed alone a couple years later. Through all of this he never questioned whether or not any of this was right or wrong, just shrugged it off and accepted that this is the way things happen.