Whenever I criticized my son for doing something that rubbed me the
wrong way, he calmly told me: "Relax, Dad. It's an education." He was
right, of course. Anything that happens in this world is an education.
For instance, there's the stroke that changed my active, mentally
alert sister into a person who could not walk, read, write or express
herself, even though she was aware of everything around her. That truly
painful education included two rehabilitation centers, two hospitals, a
nursing home, emergency surgery, and ultimately hospice care.
I'm grateful to the conscientious nurses and health-care workers who
did their best to keep her comfortable through her ordeal, but I'm
furious, frustrated, and embittered by a system that allows a person's
life savings to be drained away simply because he or she had the
misfortune to be struck by a catastrophic illness.
Medicare coverage is fine as far as it goes, but when it's used up,
you're on your own. As a Board of Education employee in Philadelphia
for 35 years, my sister was fortunate enough to have saved a modest
amount of money, which seemed quite substantial at the time. But when
the nursing home began sending bills between $7,500 and $9,000 a month
- an average of almost $100,000 a year - it suddenly became obvious
that her "substantial" savings would go down the drain very quickly. If
she lived three more years, she'd be penniless and wind up on
government Medicaid.
Seniors like my sister face financial ruin. Our government's policy
forces people in her condition to be virtually broke before they are
eligible for financial help. Under Medicaid rules, most nursing-home
residents are allowed to have no more than $2,000 in savings. Although
Medicaid imposes severe limits on gifts, under current rules assets can
be distributed if the senior retains enough funds to pay privately for
care until mandatory penalty periods have expired.
The federal government is considering changes that would create even
greater hardships for seniors dealing with long-term illness. For
example, the new rules would put even tighter restrictions on asset
transfers. These proposals have been pushed by lobbyists and
commentators who paint a picture of "wealthy and greedy seniors" taking
advantage of the Medicaid system. A Feb. 24 editorial in the Wall
Street Journal condemned the prevalence of "Medicaid for millionaires."
In reality, millionaires can afford 24-hour home care or an
assisted-living facility. But most seniors lack the financial means to
do so.
It's so wrong for our government to tell its citizens: Work hard,
save your money, attain the American dream - so that when you're old
and sick we can take it all away from you, including your pride and
dignity.
People who work hard all of their lives should have access to needed
care without impoverishing themselves. They followed the rules. They
paid their taxes, raised their families, and served their country
during wartime. We shouldn't punish their virtue. It's immoral and
un-American. We are the richest nation on Earth. We send billions of
dollars in aid around the world. It's time that we took care of our own.
Sidney B. Kurtz writes from Pennsauken.