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	<title>Experience Group &#187; Health Care</title>
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		<title>The &#8216;Bill&#8217; is in the mail</title>
		<link>http://experiencegroup.ca/health-care/the-bill-is-in-the-mail/</link>
		<comments>http://experiencegroup.ca/health-care/the-bill-is-in-the-mail/#comments</comments>
		<pubDate>Mon, 08 Mar 2010 18:18:34 +0000</pubDate>
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				<category><![CDATA[Family Matters]]></category>
		<category><![CDATA[Health Care]]></category>

		<guid isPermaLink="false">http://experiencegroup.ca/?p=4088</guid>
		<description><![CDATA[by David Russell, MBA, CSA, CFP, FCSI Nurse Next Door Home Health Care Services How much of the $150 billion elder care bill will you have to pay? Their love, commitment, and compassion for loved ones drove them to the edge, one martini away from a nervous breakdown. It&#8217;s not the beginning of a dramatic [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 10pt; font-family: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">by David Russell, MBA, CSA, CFP, FCSI</span><br />
Nurse Next Door Home Health Care Services</p>
<h4>How much of the $150 billion elder care bill will you have to pay?</h4>
<div>
<p><em>Their love, commitment, and compassion for loved ones drove them to the edge, one martini away from a nervous breakdown.</em></p>
<p>It&#8217;s not the beginning of a dramatic romance novel. It&#8217;s the common reality. At the end of a lifelong relationship, roles often change: from spouse, sister, daughter, or friend to <span style="text-decoration: underline;">elder care provider</span>.</p>
<p>Although some informal care givers report positive side benefits from providing the daily care needed by loved ones as they age, the vast majority are ill-equipped. This is a key reason why more than 40% of informal care providers suffer from depression and many more from burnout and eventually their own health problems.</p>
<h4>In two years the population of seniors in Canada will exceed the population of teenagers.</h4>
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<p>Add to this impending demographic issue, the fact that we are living longer, yet not necessarily healthier and we can begin to see some scary realities when we consider long term care prospects. The World Health Organization has even suggested that we are &#8220;not living longer, just taking longer to die&#8221;.</p>
<p>Today, patients suffering from age related illnesses receive care from three sources: long-term nursing-home-like facilities, community care services and help from family. The data suggests that the number of people living and receiving care in their homes will increase by about 510,000 people by 2038, due to the lack of long term care facilities at that time.</p>
<p>&#8220;<em>I will be approaching 60 and my own mother, who has longevity in her family, will only be 85 &#8212; seniors will be looking after seniors!</em>&#8221;</p>
<h4>Changing Landscape.</h4>
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<p>The changing landscape will lead us to bear an annual burden of $153 billion on the Canadian economy. It is $50 billion today. And this is not all. Since the demand for dementia care will drive more informal caregivers into patient homes, the opportunity costs related to this workforce will add about $56 billion to the annual burden.</p>
<p>When we put it all together, we see that there will be more elderly requiring care of various types, they will require care for longer than in previous generations, fewer young people will be available to provide that care, and government leaders are telling us not to depend on provincial programs and services when it comes to our long-term care needs.</p>
<p>Caregivers often face the challenge of trying to balance work, their own health needs, and care giving responsibilities. Stress and fatigue result, often to the point where caregivers become care receivers themselves. A proportion of caregivers reduce work hours, or leave employment altogether, for care giving reasons. These caregivers face immediate and long-term economic and non-economic repercussions. [refer to <a href="http://www.hrsdc.gc.ca/eng/cs/comm/sd/caregivers.shtml" target="_blank"><span style="color: #800000;">www.hrsdc.gc.ca</span></a> ]</p>
<div>
<h4>So what are some of the hidden costs of informal care giving?</h4>
<p>According to the Canadian Academy of Senior Advisors, working caregivers in Canada are growing in numbers &#8212; and employees and companies are both feeling the impact.</p>
<ul>
<li>77% of family caregivers are women.</li>
<li>The average women can expect to spend 17 years caring for a child and 18 years caring for a parent.</li>
<li>Of the informal caregivers in Canada, 77% of males and 63% of females have full time jobs.</li>
<li>Reduces taxes to the extent possible, in some cases by creating testamentary trusts for beneficiaries who are in higher tax brackets.</li>
<li>1 in 4 caregivers say their employment has been affected.</li>
<li>19% of those employed report &#8216;significant disruption’.</li>
<li>33% report &#8216;some disruption’.</li>
<li>66% report that employers help them balance their care giving responsibilities.</li>
<li>Working-caregivers, who are juggling care responsibilities plus work duties, cost Canadian employers $16 billion per year.</li>
<li>15% of caregivers admit to having physical or emotional health problems directly related to care giving.</li>
<li>Caregivers have a 63% higher death rate than other people their age.</li>
<li>Reduced availability for work, results in lower earnings often over an extended period of time, which results in lower savings rates, and often earlier retirement than planned, due to health failure.</li>
<li>Reduced work life, results in a substantial decrease in retirement savings and a longer period that those savings will be needed.</li>
<li>Burnout, stress related illnesses and lower retirement savings accounts result in a reduced quality of life for the caregiver.</li>
<li>The evidence is clear that the costs of care giving are rising and will increasingly become our own responsibility. Whereas many people feel an &#8220;obligation&#8221; to look after their elders, it is often financially, emotionally, and physically taxing on the individuals and the economy in general.</li>
</ul>
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<p>There is an entirely separate discussion on how to plan for and finance elder care, one of the obvious solutions is private home health care. A growing trend and one that has proven to be both cost effective and extremely beneficial, home health care allows the recipient to customize the amount and type of care that they get. In many cases, the home health care provider is part of the team of family care givers, providing supervision, respite and higher level care in conjunction with family and friends, therein helping seniors stay happy, healthy and at home.</p>
<h6><span style="color: #808080;">This report specifically written and published by David Russell, a Certified Senior Advisor and a Certified Financial Planner, and a managing partner with Nurse Next Door Home Health Care Services. <a href="http://www.nursenextdoor.com" target="_blank">www.nursenextdoor.com</a> It is presented as a general source of information only, and is not intended as a solicitation for services. . ©Nurse Next Door, Comments or questions – David Russell at Nurse Next Door (Kelowna) &#8211; (250) 450.9750 or by email <a href="mailto:kelowna@nursenextdoor.com">kelowna@nursenextdoor.com</a><br />
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