Regarding: Implementing Wage Proportionate Disbursements
Sunday, February 13, 2011
Dear Governor Sandoval, Chief of Staff Heidi Gansert, and Ann Wilkinson,
We should Implement Wage Proportionate Disbursements for Nevada Medicaid Homecare… Inaction will likely put vulnerable people at risk of unnecessary institutionalizationin in the years to come. We should act before we are stricken by a looming problem.
The Census Bureau facts demonstrate there will be a 7% influx of the baby boomer group into the very old person category. They also warn that half of these will require homecare assistance to remain outside of institutions, when they reach 85. This is a massive shift in our national demographic. This will occur in addition to the overall population growth.
In spite of the State's high unemployment rate, there are few career minded people applying for this type of work. The well-being of low-income people with disabilities and elderly folks, depends on our actions today. Cost-effective steps should now be taken to begin addressing the compounding problem.
Without causing any increase in the budget, the State can encourage higher wages for the underpaid caregivers. They can do this by applying greater discretion when paying out money for homecare. Prudently applying different payout rates, (wage proportionate disbursements), will reward the companies paying reasonable wages and will pay less out to the companies paying minimal wages. Generally, this will result in greater availability of higher quality caregivers.
Moreover, by advantageously adjusting the wage proportionate disbursement tiers, so that in total, the State pays out less than the current expenditure for identical hours of service, a significant cutback can be achieved… without harming the quality and availability of caregivers for elderly and disabled individuals who require these services.
The influx of the baby boomers into the old age group, plus the growing lack of quality caregivers to provide them homecare, can easily result in a shameful institutionalization. Prudence beckons your actions to implement wage proportionate disbursements.
These problems can cancel each other out in a complementary manner if we act innovatively. Let's do the math…
A. Nevada needs jobs.
B. Nevadans need quality caregivers.
Correct answer: Without spending more, implement this more discretionary payout system to encourage fair wages, which will equal more quality caregivers and more sustainable jobs. Or,
Do nothing answer: Neglect to protect caregiver wages, and so not encourage participation in the homecare field. This will leave us with an inadequate number of non-career-oriented, underpaid caregivers. Eventually, such inaction may force additional unnecessary institutionalization in our state.
What makes a great nation? Isn't how we treat our truly vulnerable people, a reflection of who we are? Isn't the kind of people we are, a foundational element of any success?
Thank you for drilling into these matters,
Rick Cline, (A People First person)