Longterm Care in Denmark vs the United States


I'm Benjamin Day I'm Stephanie. Nakajima this is Medicare for all the PODCAST for everybody who needs healthcare except for the corona virus freedom fighters. They are really stand out to American values and God and so And this is actually related to the top. We're GONNA TALK ABOUT TODAY. because You know one of the one of the most shocking things in the US is that Somewhere between probably fifty and sixty percent of virus related deaths are happening in long term. Care facilities So these are you know. Nursing homes assisted living facilities. These are really wear. The hot spots and outbreaks are taking place and Part of this is related to the really terrible horrible. No good very bad. Long-term CARE system we have in the United States Well one of the two of us Stephanie. You have actually managed to escape Our our system and you're getting like an incredible window on the Danish long-term care system. Do you want to talk a little bit about it? Sure so last time I mentioned in the podcast that I was in Denmark. And the reason I'm here is not the best under the best of conditions. My husband who is Dane. His father who lives here in Copenhagen is really quite ill And he's been in the hospital for many days and you know with Karoon virus happening and everything it was. It's the exact wrong timing for him. Be Ill And so we sort of rushed over here. writes about the beginning of the corona virus pandemic And we've been here sort of helping him transition from the hospital into Rehab and then finally Land to an assisted living facility as living facility. So I've been sort of like a firsthand experience with the Danish long-term Healthcare System And I've been so impressed really just with how well everything is. Coordinated how How many resources there are for people and also just quality of the facilities the quality of the flat. He is going to be in and the the cost. It's only going to be seven thousand per month. Which is like just over a thousand dollars for This beautiful seventy meters flats with greenspace on the front of the back and then also in addition to that he'll be getting home help however many hours it is determined. He is needed as well for free. He's not bankrupting. The family for long term care it. There is a time where we were. We were looking at each other making on. I would just like tears in our eyes like I can't believe this is all you know working out for us and everything so so yes so. We a special guest Here today this is the first ever so exciting who is an expert on? Denmark's long-term healthcare system to give us sort of this personal experience and I want to hear more about it from the structural standpoint so I'm going to welcome our guest John Vista. He's professor at the Institute of Society and Globalization at Roskilde University here in Copenhagen Denmark and request has published on the long term healthcare system in Denmark as well as other areas of Danish social policy. So welcome professor crest very much happy to be nice to meet him so we have a lot of questions and we'll talk a little bit also about the US experienced but could you just kind of For folks who are not familiar with what long-term care is and what it covers Could you just give a very basic definition? Yes so so long. Term Care is about take off people who cannot take care of themselves so we would be frail people and what we're talking about. Today are people who are elderly. Who are frail so people who are unable to take care of themselves? They would get various types of support or so in the case so some of it will be homes like. Stephanie mentioned that her father in law moving into a home that is for made for elderly and I think it was together with staff associated with the home and he will have to pay rent so he would pay about a thousand dollars per month for this flat but we all pay money for our housing. So it's not like it's not like long term care is fine is actually not means. Tested needs tested. So you get long term care if you are needed independently of your financial situation then some of it you have to pay for like the red for the flat and for some practical help with laundry and shopping and food services so beside the home home care as a homes like institutional care and practical care. It can also be rehabilitated. Let's imagine that you elderly person at you have fallen then you will get a rehabilitation helping you to get back on your feet and to undertake daily activities Again vacuum. At what have you so we have been attention. Physical training assisting daily living activities. That sort of thing and the final thing is that you will also get a visit. A seventy five year will get once a year by a person who would come and ask you how you're doing and if you need any help to get paid life well that is such a contrast with what we have in the US. So I don't know if it's the same in Denmark but in the US also People with disabilities regardless of their age are in need of the long term. Care support except And so here in the US. A lot of people think that Medicare which is are sort of universal system for seniors sixty five and over would cover long-term care but it actually does not Medicaid. Which is our program for low income. People covers long-term care so if you Are in desperate need of long term. Care if you're just really not able to carry out daily activities like bathing and a shopping and going about the house You cannot get support. You don't qualify for nursing home or help in your own home unless you become poor. Enough to qualify for Medicaid. So it often happens and these are some of the most horrifying stories we see in the. Us is that Someone becomes disabled or they get older and have chronic disabilities and they they spend down all of their money on long-term care until they become poor and then they qualify for Medicaid and they get public coverage. But I'm assuming this is not how it works in Denmark. That's not the case. We have a so-called universal system which means basically everybody who I need so if it's locked so the elderly you have to be above sixty five years of age and then you go food at each test where they've seen. How can you such your toes Can you make your own food? These sort of issues. That would be crucial. Perry to it is once name is to increase the quality of life and the second goal is to increase your ability to take care of yourself because we know that Elderly other people. They liked to be independent and autonomous and not have other people to rely on in order to do whatever it is that they wanted to particularly

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