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Caring For Our Seniors - Long-term Implications of Changes To Our Healthcare System

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By RedElf


I am privileged to live in a great country - one that prides itself on its universal health care system. Recently though, changes have been proposed as "cost saving measures". Those changes would not only erode the truly universal nature of our current system, they would affect some of the most vulnerable members of our society - seniors.

So much time and effort has been put in to initiatives to ensure our seniors have a significantly enhanced quality of life. Such initiatives include "aging in place" where seniors are matched with the resources they need to allow them to remain in their home, universal supplementary health care insurance, prescription drug programs, and increased long-term care beds to help relieve the pressure on critical care beds in hospitals.



Two issues in particular are of grave concern - one involves long-term care beds for seniors, and the other is a proposed "reform" to prescription drug benefits.

When Alberta Premier Ed Stelmach took office, among his "Seniors' Initiatives", touted as his party's support of seniors in this province, was the promise of the creation of 600 new long-term care (nursing home) beds for seniors.

At the time this was hailed as a forward thinking measure that could potentially save millions in health care by freeing up acute care beds.

Alberta currently has 1500 seniors assessed as urgently requiring these beds, and about half of them are currently occupying acute care beds in Alberta hospitals.

It has recently been proposed, however, that as a cost-saving measure, construction be halted on these long-term care beds. This will leave many seniors, who are assessed as needing long-term care, with no alternative care after a hospital stay.

They will be returned home, where they cannot be adequately cared for, until their health deteriorates again, forcing another hospital stay in an acute care bed.

They will continue to be bounced back and forth from home to hospital, at an increasing cost to family and their own well-being, until they are finally forced to remain in the acute care bed..

This flies in the face of reason. It cost thousands of dollars a day to provide care for these seniors in acute care facilities, as opposed to the mere hundreds of dollars per day required to maintain those same seniors in long-term care facilities.

This is a clear case of short-sightedness. Yes, money will indeed be saved by freezing construction at its current level.

It is also a case of penny-wise, pound-foolish thinking. Though the money is saved now, it will be gobbled up by the actual costs accrued by leaving those seniors in the acute care beds.


The proposed change to current prescription drug strategy is equally short-sighted.

Though laudable on the surface, the plan to provide free prescription drugs to poor seniors will seriously impact those who will have to pay for it.

It has been proposed that seniors be subjected to a means test, and those seniors who are deemed to be able to afford it be required to lay out up to 5% of their gross income as a deductible on their prescription drug coverage.

Income disparity is already adjusted to a great extent through the taxation system with the flat-rate provincial tax set at 10 %.

That is to say, regardless of our income, we would not be taxed more than ten per cent of our taxable income.

The proposed deductible would be based on gross income, a form of double jeopardy, or double dipping by the tax man that targets middle-income seniors who are chronically ill.

Many seniors have paid into plans such as Blue Cross for many years on the assumption that the plan would be there for them in their senior years.

Now they are facing the possibility of paying for the drugs they require at a much higher cost than they had planned, or for which they have been able to prepare.


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Jennitasia profile image

Jennitasia  says:
2 months ago

Our seniors should be taken care of properly and give much respect that they long to deserve. Thanks for your hub.

kartika damon profile image

kartika damon  says:
2 months ago

Thanks for writing this hub! I really admire the Canadian health care system and wish we would follow your lead, and I hope the efforts to erode the quality of health care are not successful! Kartika

RedElf profile image

RedElf  says:
2 months ago

Thanks, Jennitasia, I couldn't agree more! You are most welcome - anything I can do to highlight an issue!

Greetings, kartika. There is a lot of good in it. It is frightening though that some of our politicians are trying to emulate a business model approach to health care.

maggs224 profile image

maggs224  says:
2 months ago

I think that if we do the right thing for the right reasons in the first place that will prove to be the most efficient and cost effective way to do it in the end also.

SEO Expert Kerala profile image

SEO Expert Kerala  says:
2 months ago

Please take care of the health care reform issues to kids and teens

RedElf profile image

RedElf  says:
2 months ago

maggs, you hit the nail on the head - it's just a case of getting people motivated to do so!

Yes, Kerala, there are many things right about our health care system, but also many things we need to fix.

Enelle Lamb profile image

Enelle Lamb  says:
2 months ago

I agree with your comment to Kerala - and we need them fixed as soon as possible.

Waren E profile image

Waren E  says:
2 months ago

That's a sad situation on top everything those folks must face!

I visited a Home for the aged a few times,the nurses were yelling at the elderly and being very rough with those elderly people,as a man I can say I was shocked and a little bit scared as well, seeing I might be next in line for such bad treatment 3 or 4 decades down the road ,I believe respect and care for seniors should be taught to all at an early age, if this trend is ever to be overcome!

God bless and thanks for sharing this hub!

Waren E profile image

Waren E  says:
2 months ago

Those crazy health care bills stems from one thing,the practice of taking the elderly for granted as though they no longer matter!

RedElf profile image

RedElf  says:
2 months ago

Yes, Enelle, we do need to get things fixed, and stand up for the reforms we have...or stand the risk of loosing them too.

Waren, some of the practices towards the elderly makes me wonder where these people were raised - or HOW they were raised. You are right. We need to teach these values from childhood, because it's so much harder to drum them into adults, unfortunately. As for taking people for granted, the elderly are not alone in that regard. There are many who have been disenfranchised and marginalized by our society. Doesn't speak well of us as a people, the way we devalue the elderly!

starme77 profile image

starme77  says:
2 months ago

Nice informative hub - Thanks

RedElf profile image

RedElf  says:
2 months ago

You are most welcome, starme77, thanks for stopping by to comment.

Duchess OBlunt profile image

Duchess OBlunt  says:
2 months ago

thank you for bringing an awareness to this need. Our seniors (our being a relavite term, I mean All Seniors) deserve to be treated with respect! They have earned it.

Every county should be holding their seniors in the highest of esteem. They are the reason we are where we are.

RedElf profile image

RedElf  says:
2 months ago

Right you are, Duchess! My pleasure, indeed. It's something we need to hear and say often.

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