Unfortunately, only rich people can afford quality long term care because they have the means to buy long term care insurance. Medicare does not cover long term care for elderly and not everybody qualifies for Medicaid. Middle class and upper middle class elderly citizens need first to exhaust1 their finances and be declared “low income elderly” before they can qualify for Medicaid long term care which unfortunately offers only substandard quality care 2(Whitaker, Weismiller, & Clark, 2006a). Many of our elderly came from Depression Era, and they have worked very hard to make a decent life for their families, and they saved for their children and grand children. However, when the need for a long term care arises, they are left with nothing. This is completely unfair. What are the steps taken to address this issue, if there are any attempts at all? There is a need for Medicare reform, in order for human beings to retain their dignity while aging.
Old people have many occurring needs. As people grow old their physical bodies deteriorate and also their mental state. According to the Department of Health and Human Services, the psychosocial long term geriatric care needs are usually overlooked and minimized resulting to decrease of quality life and increased risk of problems (Department of Health
Abuse, neglect, and other forms of elder mistreatment; about 1 to 2 million old adults are affected by mistreatment and in every one case reported another thirteen go unreported according to the study (National Center on Elder Abuse [NCEA], 2005).
These behavioral health problems are usually undetected, untreated, and unreported due to the complexity of the geriatric condition and ageism among health care and long term care providers (AGS, 2005a, 2005b). Poverty also affects one of every ten adults within the age 65 and above. These are also unreasonably affecting older adults who are Alaska native, American Indian, Latino, or Black; also women