A recent study conducted by the AARP Public Policy Institute has ranked Massachusetts 30th of all U.S. states in affordability, quality, and availability of long-term nursing facilities and at-home nursing care. With prohibitively high costs, lackluster quality, and limited accessibility, Massachusetts seniors are often going without the nursing care they require and deserve.
In the study, it was discovered that only Maine, New York, Connecticut, Rhode Island, and Alaska had higher nursing care costs. According to a Boston Globe article, one in seven seniors in Massachusetts are paying for nursing home care with their own personal funds. Often times, these funds are not enough to cover the escalating costs of care in the state. Massachusetts AARP director Deborah Banda argues in the Globe that nursing care costs need to be addressed by state leaders as part of the healthcare overhaul in Massachusetts, stating that "this really screams that we need to have affordability as a part of the discussion about payment reform."
Moreover, despite Governor Deval Patrick's efforts to increase at-home and community-based care in Massachusetts, the state ranks 40th for low-income nursing services. The report also showed that Massachusetts spends far less than other leading states on state-funded long-term care for our elders. Dr. JudyAnn Bigby, the state's secretary of Health and Human Services, notes in the article that state leaders are working to devote more attention to seniors in need as part of the changing healthcare landscape. For now, though, Massachusetts lags behind the vast majority of states in terms of overall senior care.
According to Massachusetts attorney Peter Bellotti of the Bellotti Law Group, "Senior citizens are perhaps the most vulnerable and defenseless demographic in our society." As our senior population continues to rise, many families have trusted nursing homes to provide quality care for their loved ones. Unfortunately, nursing home abuse and nursing home neglect is all too common. As attorney Bellotti notes, "What is most discouraging...is that the majority of nursing home abuse and neglect cases go unreported."
Unfortunately, this can take many forms--physical, emotional, mental, financial, and sexual. Signs of nursing home neglect and abuse are often identifiable. Physical abuse is frequently evidenced by bedsores and bruises, broken bones, medication overdose, and sudden or unexplained sickness or weight loss. Neglect often translates into dehydration, malnourishment, poor hygiene, and dirtied bedding. Emotional abuse is often easier to pinpoint, mainly by the elders' loved ones who are familiar with their personality traits.
Nursing home regulations are comprised of a mixture of federal and state laws. Massachusetts nursing home residents have a right to sanitary and safe living conditions, proper medical care, physical necessities, and freedom from suffering injuries, abuse and neglect. Under federal law, a nursing home "...must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being [for each resident]..." Massachusetts regulations, developed by the Department of Public Health and Massachusetts Attorney General, further secure these rights. Yet, these guidelines are often ignored, at the expense of our elders. Many times, nursing home facilities are so understaffed, they knowingly hire repeat offenders and unqualified caregivers. We all have fond memories of our parents and other loved elders being the strongest, most vibrant people in our lives. It is difficult to see our loved ones age. At the very least, however, these people have earned the right to the best possible care, security, and comfort.
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