Wednesday, May 25, 2011

Hurling Day cancelled?

For a change, I woke up to some good news. The Republicans lost a special election in New York state, the one to fill the seat vacated by the sudden resignation of Congress critter Chris Lee following his exposure as a Craigslist-trolling sleazoid, so maybe their plans for Hurling Day have been put on hold for awhile.

Hurling Day, as the S.O. reminded me yesterday, was the occasion when elderly dinosaurs hit the age (72) when they were considered past their sell-by date and were ritually hurled into the tar pits.

The woman who won the election, the Democratic candidate, isn't exactly a flaming liberal -- not surprisingly, given what a solidly conservative district it is, she gives every sign of a natural alignment  with the corporatist Blue Dogs in Congress, except she's not quite as openly willing to toss old people over a cliff as some of them, and she was also smart enough to claim she's not as evil as the Republicans. And that's what got her elected -- the willingness to say no to Hurling Day.

I do find myself wondering just when politicians will be able to grasp reality and approach the Medicare and Medicaid problems without getting bogged down in sound bites and fantasies. Because the naked truth is there is a problem, and it's growing: the proportion of the population who are the frail elderly, the octogenarians, nonarians, and geezers heading into their second century, is expanding, not shrinking. We've got more and more people living into their 90s and, let's face it, overall they're not a particularly healthy bunch. The geezers you see climbing mountains or going surfing are the exceptions, not the rule. Far more typical are the nonagerians who are frail and suffering from a multitude of chronic conditions: arthritis, congestive heart failure, chronic obstructive pulmonary disease, Alzheimer's. . . another sad truth is that the longer a person lives, the more likely it is he or she is going to slide over into dementia. It's all very well for politicians to bloviate about forcing people to retire later, but just how late in life can they realistically expect anyone to keep working? Even Walmart doesn't want 95-year-old greeters who are so frail from osteoporosis that a sneeze can crack a rib.

I lump Medicaid in with Medicare because it, too, has financial woes caused by an aging population. Medicaid is generally thought of as the welfare program that pays medical bills for the poor, i.e., those useless slackers on the dole. What most people don't realize is Medicaid is increasingly the program people rely on to pick up the tab for Grandma's nursing home care. Republicans have done a lot of talking about cutting the program -- I wonder how many of them have considered the backlash that's going to hit when more and more families get told to come pick up Gramps, he's being booted out of the nursing home for nonpayment? The alternative to Medicaid could be a hospital bed in an adult child's living room, which is definitely not a happy prospect for anyone.

2 comments:

  1. My oldest daughter, the social worker, says that when I get old she is leaving me on the ice.
    Everything comes at a price. Every medical breakthrough reduces the number of "natural causes" of death. We treat people because we can, because we must. To do other wise is to play God, a role best left to Her/Him.
    But the cost rises exponentially.
    Health care is rationed. By cost or by bureaucratic decision. Neither is perfect. Both are ruthless, just to different people.

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  2. Jesus people, just get dead already.

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