Many were looking forward to the Biden administration’s infrastructure plans. The plan will provide $ 400 billion to improve home care and community-based care. However, it is unclear if that part will survive as the president and Republicans are vying for the size and scope of the proposal.
Meanwhile, parents carry a relentless burden and are becoming more and more lonely.
Wage gap widens due to pandemic
A nurse who cares for a medically vulnerable child at home has the same responsibilities as in a hospital, but without emergency medical assistance. This is a high hurdle, and experts say that general wages do not reflect that difficulty.
Federal guidelines allow almost anyone to go bankrupt at the price of 24-hour nursing, so the state Medicade program allows home care for eligible children, regardless of family income. It has been. However, states generally pay home care nurses at a much lower rate than comparable care in hospitals and other medical centers.
Roger Neuess, a spokesman for the New York State Home Care Association, said, “They have effectively established a benchmark for the compensation of competitively disadvantaged workers in this area. The state-certified home care institutions that offer them are low-paying and rarely offer health insurance or other benefits to the nurses they employ.
So home care is more appropriate for medically vulnerable children, but hospitals receive about half of their Medicaid spending in these cases, but 2% for home care.
Covid-19 also created competing demand for nursing, further reducing the home care workforce. Pandemic and surge, Northwell Health, the state’s largest health provider, will hire 40% more nurses year-on-year in 2020 and will sign 1,000 temporary nurses when the local employment pool is depleted. did.
Robert Pasera, CEO of Caring Hands Home Care, Henry’s case agency, noticed the change in January as nurses began reducing opportunities to pick up shifts and fewer new applicants. It was.
Impact of lack of nursing on families of children with disabilities
Source link Impact of lack of nursing on families of children with disabilities