President-elect Joe Biden has no shortage of ideas on how to change care. A striking feature of his team`s plan is not caring for seniors separated from child care or dividing plans to help family caregivers from those who care for paid caregivers. On the contrary, it supports Medicaid services for older and disabled adults, pre-primary education for young children and improved jobs for home care staff, all in an ambitious package of $775 billion over a decade. It deals with the health care economy holistically, across the entire age- range,” said Ai-jen Poo, Executive Director of the National Domestic Workers Alliance, which has been advancing many of these measures for a long time. “This is a big step forward.” Sign up for The Morning newsletter of the New York TimesThe same families who need daycares to stay employed are often responsible for the aging of the family, as she pointed out, and many work as paid guardians themselves. Elements of the Biden plan, announced last summer, will sound familiar. The campaign for paid family leave, whether for birth or for the care of elderly parents, goes back decades. Continued efforts to rebalance Medicaid, which means it is better to cover home care, where most older adults hope to stay, than in the care homes they fear. But the coronavirus pandemic and the accompanying economic crisis have highlighted the continuous and fragmented way in which the United States is addressing these problems compared to other industrialized democracies. Supporters see this emergency as both a ruinous situation for families and workers and an opportunity to address long-delayed needs.

A policy such as the transformation of the federal Family and Medical Leave Act, which requires only unpaid leave into 12 weeks of paid leave, as Proposed by Biden, could help get the country`s workforce back into the workforce. Working adults give in under pressure, on the one hand, to take care of the childcare and, on the other hand, to care for the elderly,” said Poo. “Women are leaving the workforce because they have impossible choices.” What was important to people became urgent,” said Fatima Goss Graves, President and Director of Business at the National Women`s Law Center. “There are times when acceleration is possible, and it is.” Despite its integrated approach, the Biden plan predicts that some programs are most likely to benefit seniors and their caregivers. For example, a tax credit of up to $5,000 is proposed to reimburse families for unpaid care costs. It helps people in the middle of the middle stuck between Medicaid” – which primarily benefits the very low income – “and those who can afford long-term care,” said C. Grace Whiting, President and CEO of the National Alliance for Caregiving. AARP last year said families donate about $7,400 each year out of pocket and nearly $13,000. caregivers lived an hour or more from their loved ones. In another AARP study, about a quarter of family leaders reported taking on more debt and depleting their savings. Whiting ticked off some of the costs that the credit could cover: “Budgetary expenses.

Paid help. Changes to the house. Remote devices for security surveillance. Devices like hearing aids. Medical expenses that are not covered by other payers. The Biden plan would also provide social security credits to family members for the time they spend at work caring for their loved ones. An analysis by the Urban Institute showed that this change would benefit the highest-income low-income workers by crediting them with an income equal to half the national average monthly wage, in addition to their other income, for each month in which they spent 80 hours or more of unpaid care. One of the most extensive components of Biden`s senior plan is Medicaid.

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