O2-01-02: Translating the Care of Persons With Dementia in Their Environments (COPE) Intervention for Use in Publicly Funded Home Care Programs in the United States

2016 ◽  
Vol 12 ◽  
pp. P221-P221
Author(s):  
Richard H. Fortinsky ◽  
Laura N. Gitlin ◽  
James Grady ◽  
Catherine V. Piersol ◽  
Laura T. Pizzi ◽  
...  
2019 ◽  
pp. 203-238
Author(s):  
Cati Coe

This chapter examines how workplace conditions and benefits shape care workers’ national belonging. It discusses the home care field, including its historically unregulated character due to its categorization as domestic service. Agencies are currently responding to new regulations regarding overtime and health insurance, which have had contradictory effects on workers. It also discusses the amount of profit agencies are making from care workers. Care workers feel that they are denied reciprocities to which they are entitled through their labor. This is thus a complicated sense of belonging, in which they belong enough to feel entitled to reward, but not enough belonging to feel that they can work in unison against this system. Many, instead, decide that this state of affairs confirms that they belong in their home countries rather than in the United States. It is there that they imagine that they will reap the rewards of their labor and attain a dignity that is denied in the United States.


Author(s):  
Fadi Saleh

This first-person activist reflection discusses the author’s experience immigrating to Canada as a queer AIDS activist. The author situates his experience navigating HIV-positive-exclusionary immigration policies where the only avenue for immigrating while HIV-positive is through gay marriage. Canada maintains a draconian set of discriminatory laws regarding the so-called “excessive demand” HIV-positive immigrants put on the publicly funded health care system in Canada. This piece briefly looks at the history of HIV travel and immigration bans as well as proposed HIV quarantine legislation across Canada. While Canada is often regarded as more progressive than the United States in many ways, its HIV immigration ban and high prosecution and conviction rate for HIV nondisclosure make Canada one of the most legally precarious countries for HIV-positive people in the west.


2021 ◽  
pp. 48-76
Author(s):  
Richard Schweid

This chapter begins by assessing the psychological and emotional demands of home care work. It then explains how home care, like other aspects of health care in the United States, is a marketplace commodity. Because need is so great, this commodification of home health care has proved tremendously profitable to the agencies serving as middlemen. In theory, these agencies impose a certain quality control, carefully screening and training the aides they send out to work. Unfortunately, this is not always the case. Those agencies that work on a strictly private-pay basis and do not accept Medicaid clients are not subject to the federal regulations and are not legally required to provide aides with any training whatsoever. Moreover, the high cost of using agencies has generated a vast gray market for aides who work freelance and privately, without working for an agency or under any supervision other than that of the client and the client's family.


1998 ◽  
Vol 26 (2) ◽  
pp. 138-148 ◽  
Author(s):  
Ted Schrecker

Toronto physician Brian Goldman had thought about “joining the camp that favours private health care for Canada.” Writing in the Canadian Medical Association Journal, he tells us that he changed his mind after one of his cats experienced a series of illnesses and misadventures that resulted in a Can$3,101 medical bill. “I’m just glad,” he says, “that the cost of health care never entered my deliberations.”’Canadian citizens and permanent residents are similarly free from most worries about the direct costs of their own medical care, and have been for more than a generation. This reflects a fundamental difference between the Canadian and United States contexts for health policy. Since the failure of President Clinton's first-term efforts to provide something approximating universal health insurance, reforms to the existing regime of providing and financing health care in the United States have been incremental, and primarily responsive to the changing nature of the health care marketplace. In Canada, universal publicly funded first-dollar coverage for most physicians’ and hospitals’ services has been a reality since the early 1970s.


Author(s):  
Laura Lein

Child care services, enabling parents to commit themselves to paid employment while providing a supervised environment for their children, have a long and complex history in the United States. Child care services can provide children with educational and other advantages, as well as custodial care. In fact, the United States has multiple kinds of services providing child care and early childhood education. Publicly funded services have concentrated on care for impoverished children and those facing other risks or disadvantages, but many of these children and their families remain unserved because of gaps in programs and lack of support for subsidies, while other families purchase the services they need.


Sign in / Sign up

Export Citation Format

Share Document