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Supervision & assistance is provided by the people at home, either women home with small children, older children after school or if funds allow, a paid woman to come in. Work collegues of mine have these arrangements in their birth countries accross Asia. Interestingly, my work collegue from Africa said he did not believe they had Dementia in his birth country - he only found out about it working in the health industry. He then realised what was called 'seeing ghosts' could be called hallucinations. What was known as 'old prople being possessed by evil spirits' could actually be mood & behavioir changes of dementia. Family managed those aflicted as best they could in their homes.
Just as it proved more economical to bunch young children together for care (aka daycare) while women worked, it is similar for the older, more infirm people. To provide care for a group is more economical (aka aged care). It is happening in many parts of the world. Not saying it is a good system, but the alternatives seem to be either 1. Privately hire a Nanny for young children & a private Carer for adults needing care (disabled or elderly) or 2. Oppress some family members into being 'care servants' for the family, with no freedom of other career choice.
If their monthly income is too high, you may be able to visit an Elder Law Attorney and set up a "miller trust" in order to get their income down to the needed (lower) levels required to apply for Medicaid (usually somewhere below $3k per month). I believe up to $4k a month can usually be put into a miller trust, BUT not all states allow for miller trusts. Again, see a lawyer and find out more. Call around to see which lawyers can talk to you about this, and many may offer a free initial consultation.
Then, if the person is eligible to use a miller trust to apply for Medicaid, you can research which facilities in your area take Medicaid (or Medicaid waiver programs like PACE).
In some states, MC is indeed covered by Medicaid (such as my state of CO)...but your choices are limited. There are other states where you can find this, but I suggest starting with your local Care Patrol people. Look up "Care Patrol" online and put in your zip code, then give them a call. They are amazingly helpful! They can help you find out what your options are. In states where MC is not covered by Medicaid, you will probably be forced to placed your loved one in "skilled nursing," which may not be as nice (all types of homes can vary for sure) but they will definitely keep him/her as a resident, no matter what types of needs they develop, which is helpful.
Is your reference to "skilled nursing" a nursing home?
Thank you for this information. I never heard of the Miller Trust. Maybe that is what you mean MT instead of MC. Gena
speak to an elder law attorney in your area and they will help you. There are many rules about Medicaid and the attorney will look at any assets and advise you properly.
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