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Assisted Living

Discussion in 'Expat Section' started by PatO, Jul 7, 2025.

  1. PatO

    PatO DI Forum Luminary Highly Rated Poster Showcase Reviewer Veteran Marines

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    I want to sound the alarm. US insurance company stats say 80% of age 65+ will need eventually need assisted living. I am very fortunate to have it and could not get by without help. Something profound to think about.
     
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  2. Show Pony

    Show Pony DI Forum Patron Highly Rated Poster Showcase Reviewer

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    Do you have any concerns about your wife and son getting health care in the US?
     
  3. john boy

    john boy DI Forum Luminary Highly Rated Poster

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    When everyone in this so called modern world, has been de- humanised by Dictators and Warmongers.
    The very essence of compassion and care will be taken away, ( already happening in parts of the world ) from the majority of people,
    only those with privileges or money will recieve the necessary care and attention they require.
    Medicaid and Medicare, and in my opinion to be closely followed by the UK, National Health Service given time, will become an
    Insurance driven luxury. Like car insurance, claim sickness benefits to often, you might find it impossible to get cover.
    Sadly......Assisted Living, might well become Assisted Dying.
    God forbid
     
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    PatO

    PatO DI Forum Luminary Highly Rated Poster Showcase Reviewer Veteran Marines

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    The only plan at this point is hoping my boy could get into the US Air Force Academy, or maybe just Silliman College here.
     
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  5. Dutchie

    Dutchie DI Senior Member Showcase Reviewer Veteran Army

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    There's several things in this thread that I'd like to comment on, and it may end up being a rant.
    First off, I will try to stay away from politically charged comment, but most (probably all) developed nations have avoided to have a moral discussion about the ethics of insuring medical treatment. This has lead to the cost of medical care rising much faster than national income ever since the early 1970's. Obviously, the problem with an expense that grows faster than your income is that in the long run it gets totally unaffordable.
    The ethical dilemma that's not being discussed is when is a "revolutionary new treatment" for a serious illness simply too expensive to apply and the other would be along the lines of "do we really want to give a 96 year old a new hip after a fall". Not having that discussion leads to medical care absorbing an ever bigger share of our income.
    If we want to keep somewhat affordable health care society can't avoid these discussions much longer. We can't leave these decisions to doctors, it is not fair to them and they will struggle with the "too expensive" thing because of their oath.
    Basically my conclusion is that the only way out is healthcare "not for profit" combined with a law that forces a compulsory insurance system that's based on shared risks across generations, rather than based on age and pre-existing conditions.
    If you fund healthcare from general taxes, people will never agree to have this ethical discussion because they have no clue how much of their taxes is spent on healthcare, so paying insurance premiums is the way to go.

    As for assisted living, well there used to be old age care homes where there were different levels of assistance, from a "lean to bungalow with an alarm button" to having a apartment in the building with meal delivery and cleaning services, to having a bedroom and assistance to help you get in and out of bed, get dressed etc.
    Those have all been demolished by now, but I have my doubts whether the modern version of that (the assisted living), with caregivers running around to people's home to assist them for 10 minutes and moving on to the next address is really all that much more efficient (cheaper). It sure as hell is demoralizing for the person needing the assistance, laying in their bed waiting for the caregiver to arrive and not get held up for some reason and arrive late or not at all.
    We are lucky Pat, to live here and have affordable help and/or a loving asawa to make sure we get that help and don't wither away without much social contact.
    I couldn't get my compression socks on without help and I'm happy my wife helps me with that. I don't even want to think about how I would organise that while living on my own in Europe.
     
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  6. john boy

    john boy DI Forum Luminary Highly Rated Poster

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    Interesting comment Dutchie, living in the Philippines does have some advantages when it comes to compassion or a loving asawa, however, from the stories I've heard, some Filipino Expats here in UK send quite substantial amounts of money home to Philippines, for hospital treatment of their ageing parents.
    Once again the UK Government has had rebellions within its own party more recently over plans to cut health and disability benefits.
    As protesters gathered outside Parliament, one placard I notice on the TV news, said "Welfare not Warfare" personally I felt in agreement.
     
    Last edited: Jul 13, 2025 at 2:32 AM
  7. Dutchie

    Dutchie DI Senior Member Showcase Reviewer Veteran Army

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    As for Filipino expats (most are called OFW's here -Overseas Filipino Workers-) sending money home, yes they do and also for the purpose you mentioned. Obviously that is because a lot of the medical care in this country is "for profit" and the public insurance scheme (Philhealth) doesn't cover even the most basic health care expenses.

    Meanwhile, even from far away, I can assure you the British government has no plans to declare war on anyone. In other words, the text on that placard was a bit naive.
    It's not like policy choices are made in a vacuum. A fairer way to depict the dilemma would be "welfare not NATO membership" but obviously that would not look so attractive.
     
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