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Why does life in the USA cost so much, would be a better question.
When you think on it, the cost of a single room in ALF at 5,000 a month covers a LOT in a good facility: food, activities, cleaning, laundry, beautiful grounds, staff, assistance, transportation and etc.
In a poorly run facility, however, it's no bargain. So it is a matter of finding a good facility, something my brother was lucky enough to do.
Then you have the fact that these facilities are often run by huge companies, owning many facilities with huge staff, both local staffs and out of state. I think one would actually have to work in the industry to make any judgements on your question, but when you see that now Hospice models are much changed from when they were real vocations and missions, and when you note this happened when they began to be bought up by hedge funds? Well, it is a matter of following the money.
My brother is gone now for some three years. His ALF was wonderful and worth every penny. I follow it because his ex partner and friend still lived there until his recent death, and this ALF in Southern California is STILL wonderful.
As a nurse I became acquainted with and aware of a few family-run Board and Cares in my area back in the day. And all I can say is I don't know how they did it for the cost--a tough job.
So there are many factors here, and your question would be a great one for "Discussions" on AC.
or
Why is anything / everything so expensive.
Who ever thought we would pay $6.00 for a dozen eggs....and that is after the price has sort of come down.
Are you sick of the term "supply chain shortage" yet?
Add to all the reasons below this..the strides being made in developing new drugs, new treatments has been phenomenal. But with that comes cost. Keeping people alive for far longer than ever thought possible. This might be good...it might not be so good. Let us all keep QUALITY of life balanced with QUANTITY of life. (good time to talk to your family about what your wishes are and to make sure that you have filled out papers indicting that you want no "extraordinary" measures taken.)
The cost also varies by location, by how "fancy" the facility is and the amenities it offers, and by the ratio of staff to resident. Right now there is a labor shortage (even for unskilled labor) which is driving up costs.
I volunteeted once for a week in a NH. It takes a LOT of people to run these places. Cooks, cleaners, carers, one RN oer shift, a Manager. I had food thrown at me, yelled at, was nearly biten, saw more wee & poo than I ever want to, yet also saw staff who really cared, family who cared.
Love. Money. It all makes the world go round.
Then, you add in the costs of medicines, medical supplies, testing, ERs, surgeries, food, housing, and transportation. I’m sure there are more costs that I haven’t thought of.None of the above comes cheap.
It would certainly be nice if the cost of living wasn’t so high in our world today.
It’s a shame that the caregivers who work so hard caring for the elderly aren’t getting paid enough. They are struggling too. The only people making lots of money are the business owners.
There are tons of opportunities for people who are interested investing in assisted living facilities. Sadly, not everyone can afford it.
If you do not have sufficient income then you will have to apply for Medicaid.
I wish you all the best in finding the support that you need to find suitable elder care.
All health care, medications, treatment, surgery, all free.
All housing, power, heating, cooling free. Food free too.
Seriously, it is hard.
Hard to get all the care you need for a loved one - with loads of money, some money or nothing much at all.
Do the best you can with the resources you have.
If Dad has no money, then Medicaid. Either for homecare or a facility.