Americans 85 and older, our oldest old, are the Fastest Growing segment of our population. And this is the very population that is most at risk of the multiple and interacting Health Problems that can lead to disability and a need for longterm care. At the same time, declining birthrates mean that there will be fewer Family Members and paid caregivers to care for our nations growing aging population. Today, there are approximately seven potential caregivers for each person over 80, as this chart indicates. By the year 2030, there will be only for. And by 2050, the number drops to fewer than one in three. Fewer than three. As a consequence, more people will have to rely on fewer caregivers. What does that mean . What are the implications for the quality of care that will be given . It is clear that we have to do more to support Family Caregivers and to recruit and retain a robust and competent longterm care workforce. While there is a need for both public and private financing of Longte
Help me understand, because my perspective on our entitlement today is we cant afford the ones we have. The construct we work with is forget the multiple debt. The real challenge we have with our Pension Plans are underfunded, our health care weve are already exposed to come so were talking about a couple hundred trillion dollars of unfunded liability. I just dont know how thats a great question and im glad you asked because i will tell you, again because my professional background, the last thing you ever imagine myself doing as a budget analyst is suggesting we needed a new Government Program both trying to control the ones we had. But after looking at this for many, many years, and truly the idea ive been a pretty big fan, theres got to be a way we can add to work with the private longterm Care Insurance market to create both changes on the demand and supply side that would, in fact, really give many more americans a true opportunity to ensure. Because right now its my view that the
And in a speech be he delivered on the 10th of december this year, so a couple of days a he said there is no excuse for 750 billion u. S. Dollars in food waste per year. When we only need 80 billion u. S. Dollars to feed the hungry. And this comes from a businessman, one of the biggest businessmen there is. So he is really sincere. Im very convinced he is. Nevertheless, roughly i onethird of our food is waste, and i think others you will have better figures of that, but lets say in kilograms or pounds or whatever measurements, but onethird lets keep it at onethird. And it gets lost or it gets wasted. This washington causes emissions to the environment, pesticides, fertilizers, methane, and that is 23 times more potent greenhouse effect than co2. Than the food leads to loss of amounts of labor income, water, you know, agriculture uses loads of water. Its the first user of waters which, fresh water we have lack of in the world as well. Fertile soils get lost. In developing countries, of
Overwhelmingly, and it made it with Social Security actuarially sound for the next half century. That was 1983. So, those folks knew how to get along. Chairman nelson, Ranking Member collins and members of the committee, thank you for holding this hearing. And especially for the opportunity to testify about the future of the longterm policy. The perspective that im about to share comes from my work over the past 20 years of the office of management and budget as a person responsible for the Medicaid Budget. And also the last ten or 15 years consulting to a nursing home providers and assisted living providers and working with a number of my colleagues here on the panel and ideas including the class act. I just want to start by saying as many of you have noted we spent over 200 billion but we pay for very little care. We depend on over 60 million americans to provide most of the care and they provide it on paid and they do this because most americans are not insured against the financial
Support to perform the routine activities of daily living and to maintain their quality of life and their independence if possible. I appreciate you calling this hearing to try to improve our current long term financing and Delivery System. As the senate cochair of the Bipartisan Congressional Task disease, izheimers am particularly concerned and sensitive to the needs of alzheimers patients and their i particularly look forward to discussing ways to more support to the 62 million Family Caregivers who in 2009 provided an estimated 450 billion in uncompensated Long Term Care, more than double the value of all paid longterm care. Majorerm care is the Catastrophic Health care expense faced by americans today in these will only increase as our nation ages. Its not just that there will be a greater number of americans, it is also that Older Americans are living longer. Are ours 85 and older socalled oldest old. They are the fastestgrowing segment of our population. This is the very populat