HEARING - U.S. Senate Special Committee on Aging

HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging

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31 approximately $700 to $800 a day. And we were not told at the time that she had used up all her hospital days, which I was not that fully acquainted with Medicare, and so the days that she was not entitled to, she had to pay for those days in her hospital stay. So up to date, from 1983, she has spent $41,000 all-told. Chairman MELCHER. Forty-one thousand dollars-of her own money? Mrs. FISH. Of her own money. Chairman MELCHER. Medicare paid most of it? Mrs. FISH. This is up and above what Medicare paid. The doctor bills range in price from $1 to $1,900 as each doctor sent his bills, which is something that should be controlled, in my estimation. Chairman MELCHER. You said your mother was 97 years old right now. Mrs. FISH. Right now, yes. Chairman MELCHER. So 4 years ago, she was 93. Mrs. FISH. Yes. Chairman MELCHER. And she had $40,000 cash? Mrs. FISH. Seven years ago she had approximately that amount, from the sale of their home. That is when my Daddy left, and we sold her home. Chairman MELCHER. How much more has she got? Mrs. FISH, That is what I am here for. At the present time she has $4,000 and $4,000 for her burial expenses. When one of the ladies from social services applied for mother's Medicaid, she was not eligible, because she does get $440 in Social Security, which pays for 2 weeks of part-time nursing care. I myself am a heart patient, and I take care of her exclusively myself when I do not have a nurse's aide for 4 hours and sometimes up to 5 or 6 hours a day, occasionally. Medicaid wanted me to get rid of that money, and then she could go on Medicaid. And I asked, "What will we do for funeral expenses?" and they did not care. The fact was that she still had that much money in her possession, which the $4,000 at $800 per month would be gone in approximately 3 or 4 months. To have available funds for good home care and TLC is what I'm mostly advocating for people like my mother-we do not see too many little 97-yearold ladies running around the streets. And this lady is one of the most alert people. I have a picture you gentlemen can pass around, and you will not believe this little lady is 97 years old. She is alert, and she was given up three times. They asked us if we wanted her to be a "no code," which means no resuscitative measures, and we said to do all they could for her, and it was worth it. She is 97 and still her mind is usually better than mine; a very alert "young" lady of 97 years old. My request is that mostly in our area of Michigan, what we need is home care services; just asking for part-time respite hours or dollars to help the family, and the Government, as we say, would still be saving tremendous amounts of money. It would still put people to work. There are nurses' aides all over, desiring work, and no place for them to work. If some formula or help would come in just getting people like myself part-time assistance, it would mean a lot. In the nursing home, she had to pay all that herself. She was not eligible for any assistance because she can feed herself, although

32 she has only 50 percent vision in one eye and the other eye is totally blind, and we can never leave her alone. In one of her major surgeries, she slipped off the edge of the bed, and hit the leg that was amputated, she broke the bone from the knee to the hip in half, which had to be removed. This was a major surgery that she was there for at great and enormous cost. So what my request is is for help in home care nursing, because the nursing homes in our area are consistently full. When I went for major shoulder surgery 3 months ago, there was not a bed to be had in a nursing home in Monroe, so we kept her at home, and I paid a nurse's aide around-the-clock, 24 hours. Chairman MFm.CHER. Over the weekend, I just came from visiting two of my aunts, one of whom is 93 and one is 94. Both are very alert, both are, in relative terms, very active, and are out and around. They do not drive a car anymore, but that is about the only thing they refrain from doing. Now, tell me about your mother. This all started at 93? Mrs. FISH. Well, her major.problem was through the amputation of her leg, and she had several strokes and was incapacitated for a couple weeks each time, but then improved. Chairman MELCHER. I understand. But was she up and around? Mrs. FISH. Yes, definitely, definitely, yes. She went with me everywhere I went; she was able to go. Chairman-MELcHERT.Was she-able to read at that ti mie?9 - Mrs. FIsii. Partly, yes. The eye has deteriorated considerably in the last 3 years. Chairman MELCHER. Was she living with you then? Mrs. FISH. She has been with me for 7 years, since the death of my father. Chairman MELCHER. All right. So she has been with you since she was 90 years old. Mrs. FISH. Yes. Chairman MELCHER. And she has been an active person up until the amputation? Mrs. FISH. It will be 4 years, yes, up until almost 4 years ago. Chairman MELCHER. Does she vote? Mrs. FISH. I do not think so. I do not remember taking her. Chairman MELCHER. That is the only thing she has given up-all right. Now, at 93 years of age, with 40,000-some-odd dollars in cash, she should have been quite secure, along with Medicare. Mrs. FISH. She would have been, yes. My father did not believe in hospitalization, and foreign people do not let their children tell them what to do. Although we tried very hard to take out hospitalization for them, he refused. And this is where, like you said, I really would push having people understand that Medicare does not pay everything; to start younger in life. I would have the reporters writing consistently about it, urging people to realize thiswhich my father apparently thought-he died at age 93 and had been hospitalized only three times in all of his lifetime, at the age of 93, that was quite a record. Chairman MELCHER. You are absolutely right on that, that people should understand very definitely what Medicare will pay for.

31<br />

approximately $700 to $800 a day. And we were not told at the<br />

time that she had used up all her hospital days, which I was not<br />

that fully acquainted with Medicare, and so the days that she was<br />

not entitled to, she had to pay for those days in her hospital stay.<br />

So up to date, from 1983, she has spent $41,000 all-told.<br />

Chairman MELCHER. Forty-<strong>on</strong>e thousand dollars-of her own<br />

m<strong>on</strong>ey?<br />

Mrs. FISH. Of her own m<strong>on</strong>ey.<br />

Chairman MELCHER. Medicare paid most of it?<br />

Mrs. FISH. This is up and above what Medicare paid. The doctor<br />

bills range in price from $1 to $1,900 as each doctor sent his bills,<br />

which is something that should be c<strong>on</strong>trolled, in my estimati<strong>on</strong>.<br />

Chairman MELCHER. You said your mother was 97 years old right<br />

now.<br />

Mrs. FISH. Right now, yes.<br />

Chairman MELCHER. So 4 years ago, she was 93.<br />

Mrs. FISH. Yes.<br />

Chairman MELCHER. And she had $40,000 cash?<br />

Mrs. FISH. Seven years ago she had approximately that amount,<br />

from the sale of their home. That is when my Daddy left, and we<br />

sold her home.<br />

Chairman MELCHER. How much more has she got?<br />

Mrs. FISH, That is what I am here for. At the present time she<br />

has $4,000 and $4,000 for her burial expenses. When <strong>on</strong>e of the<br />

ladies from social services applied for mother's Medicaid, she was<br />

not eligible, because she does get $440 in Social Security, which<br />

pays for 2 weeks of part-time nursing care. I myself am a heart patient,<br />

and I take care of her exclusively myself when I do not have<br />

a nurse's aide for 4 hours and sometimes up to 5 or 6 hours a day,<br />

occasi<strong>on</strong>ally.<br />

Medicaid wanted me to get rid of that m<strong>on</strong>ey, and then she could<br />

go <strong>on</strong> Medicaid. And I asked, "What will we do for funeral expenses?"<br />

and they did not care. The fact was that she still had that<br />

much m<strong>on</strong>ey in her possessi<strong>on</strong>, which the $4,000 at $800 per m<strong>on</strong>th<br />

would be g<strong>on</strong>e in approximately 3 or 4 m<strong>on</strong>ths. To have available<br />

funds for good home care and TLC is what I'm mostly advocating<br />

for people like my mother-we do not see too many little 97-yearold<br />

ladies running around the streets. And this lady is <strong>on</strong>e of the<br />

most alert people. I have a picture you gentlemen can pass around,<br />

and you will not believe this little lady is 97 years old. She is alert,<br />

and she was given up three times. They asked us if we wanted her<br />

to be a "no code," which means no resuscitative measures, and we<br />

said to do all they could for her, and it was worth it. She is 97 and<br />

still her mind is usually better than mine; a very alert "young"<br />

lady of 97 years old.<br />

My request is that mostly in our area of Michigan, what we need<br />

is home care services; just asking for part-time respite hours or dollars<br />

to help the family, and the Government, as we say, would still<br />

be saving tremendous amounts of m<strong>on</strong>ey. It would still put people<br />

to work. There are nurses' aides all over, desiring work, and no<br />

place for them to work. If some formula or help would come in just<br />

getting people like myself part-time assistance, it would mean a lot.<br />

In the nursing home, she had to pay all that herself. She was not<br />

eligible for any assistance because she can feed herself, although

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