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#AssistedLiving

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Thinking back to having dealt with assisted living communities with 3 of our 4 parents, and the absolutely enforced togetherness and activities they provided has me wondering if anyone is working on communities like these for introverts?

Because the setup in the ones I've dealt with are a vision of hell for me.

Continued thread

One of the most horrifying things about the fascist Trump regime that nonetheless remains slightly below the mainstream radar, is the objectively eugenicist undercurrent that runs through most of the government's public health and spending decisions. This ablest ideological plank built around the idea that Americans who can't work, are not valid members of our society, and active leeches on limited public resources, most recently burst into view during RFK Jr's dehumanizing rants about autism and autistic Americans, as well as ongoing GOP attempts to defend the homicidal class war budget reconciliation bill they're trying to ram through the Senate. These openly eugenicist declarations are always hidden behind a commitment to protect society's "most vulnerable people" but the proof is in the policy pudding, and everything about the Trumpenreich agenda seems to either ignore the existence of, or actively harm, anyone who cannot work even through no fault of their own - including aging and disabled Americans in the labor class.

Now, a recent report on the regime's proposed budget for the upcoming fiscal year makes it clear that this targeted neglect and rampant ableism is woven directly into government policy. The Trumpenreich plans to defund "the Administration for Community Living (ACL) and related grant programs" in a heartless decision that seems likely to harm up to "one in five older Americans" and over 17 million disabled Americans who depend on ACL programs to lead fuller, happier, non-institutionalized lives.

truthout.org/articles/trumps-b

Trump’s Budget Would Limit Investigations Into Abuse, Neglect of Disabled People

"If these programs are not funded, experts warn that an increasing number of disabled and aging Americans could be institutionalized with little oversight to ensure their rights are protected against abuse and neglect. The National Disability Rights Network (NDRN) called the plan to eliminate the programs “a direct and deliberate attack on people with disabilities, their families, and the systems that protect their rights, health, and independence.”

Alison Barkoff, who served as ACL’s acting administrator and assistant secretary for aging during the Biden administration, is now director of George Washington University’s health law and policy program. “The dismantling of ACL combined with the elimination of programs and these big Medicaid cuts are literally going to roll back decades of progress,” Barkoff told Truthout. “In terms of people with disabilities, the default [could become] people in institutions that are very unsafe with huge rights violations.”

There are two stories going on here simultaneously, and both of them are horrible fascist atrocities. In a pure material sense, the Trump regime plans to force your grandparents and millions of people with disabilities off of effective and vital assisted living programs that allow our loved ones to remain cherished parts of our communities, so they can give billionaire nazi broligarchs more cash to buy everything that isn't tied down in our society. The end result of these budget decisions will be more Americans who, and I cannot stress this enough, are capable of living happy, healthy, and cherished lives in our homes and communities, being warehoused in often abusive, dehumanizing institutional settings with little government oversight to prevent atrocities against our friends, families, and other loved ones. That isn't an ideological position, that's just the bottom line and it fits in perfectly with a larger pattern of disdain and neglect towards poor and marginalized people displayed by Trump, his administration, and the wealthy donors who own them; after all, rich ppl can afford the care necessary to keep their family members out of institutional settings, right?

As the article goes on to note however, this horrifying decision to purposely rewind time to a darker era of American disability rights and standards of care, isn't entirely financial in its motivations. Indeed, whatever savings the government is hoping to accomplish here are purely paper artifacts because public institutionalization of elderly and disabled Americans is going to cost the state a lot more money in the long run. No, the bald truth here is that this decision is rooted deeply in the Pork Reich's open disdain for the American people, and ideological belief that the labor class in this country is nothing more than a commodity; useful at times in terms of economic inputs, but an active blight on society to be eliminated once we can no longer serve our purpose of extracting wealth for the ruling classes. The billionaire nazis running this global far right political project are planning for a world with far less humans, and the puppets they own, including the Trump regime, are helping sort out who gets to survive to see the brave new world they envision.

Truthout · Trump’s Budget Would Limit Investigations Into Abuse, Neglect of Disabled PeopleDismantling a key HHS agency, gutting important programs, and cuts to Medicaid will roll back decades of progress.

Essential read: #death & #dementia in #assistedliving. But the daily suffering, #Bedsores, #restraints, #overmedication.

F for care
A for linguistic malevolence: "a fatal elopement"

#Florida, which should be the gold standard isn't: "In Florida, the GAO found, deficiencies had been documented in 40 percent of facilities."

$15.39 hourly average staff salary.

"In one California facility, staff tried to secure a broken door w/trash bags & a tin can."

washingtonpost.com/business/in (gifted)

The Washington Post · An alarming number of assisted-living residents die after wandering away unnoticedBy Christopher Rowland, Todd Frankel, Yeganeh Torbati, Julie Weil, Peter Whoriskey, Steven Rich

Dying broke… #HealthCare in America is mostly about profits!

These highly profitable facilities often charge $5,000 a month or more and then layer on fees at every step. Residents’ bills and price lists from a dozen facilities offer a glimpse of the charges: $12 for a blood pressure check; $50 per injection (more for insulin); $93 a month to order medications from a pharmacy not used by the facility; $315 a month for daily help with an inhaler

#KFFHealthNews #assistedliving #nurses
kffhealthnews.org/news/article

KFF Health NewsExtra Fees Drive Assisted Living Profits - KFF Health NewsThe add-ons pile up: $93 for medications, $50 for cable TV. Prices soar as the industry leaves no service unbilled, out of reach for many families.

So I was very much looking forward to #NaNoWriMo next month, complete with a new and really cool idea I had ... but the (good, right) decision we reached today (with the agreement of the principal) to move my mom into #AssistedLiving from her current Independent Living sitch means ... yeah, November's going to be a *very* complicated and time-consuming month.