Most Canadians doubt health care system prepared to handle ‘tsunami’ of aging boomers, new poll shows

From:     Sharon Kirkey, Postmedia News  13/08/19

Three in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Canadian Physiotherapy Association/CNW GroupThree in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Canadians have little faith the country’s health system is prepared to handle the needs of a looming “tsunami” of aging boomers, a new poll has found.

Six in 10 Canadians surveyed said they lack confidence in the health system’s ability to care for Canada’s rapidly greying population.

Women, as well as Canadians aged 34 to 54, and those already caring for an elderly person, are among those least confident that hospitals and long-term care facilities can handle the demands of a population that is living longer than at any other time in the nation’s history, according to the Canadian Medical Association’s annual report card on health.

Only in Quebec does a majority (54 per cent) believe that hospitals and long-term care facilities in their area are sufficient to meet the needs of the elderly, according to the survey.

The anxiety Canadians have about health care in their so-called golden years is both real and well-founded

The Ipsos Reid poll of 1,000 Canadians was released to coincide with Monday’s opening of the CMA’s annual meeting in Calgary, where main items on the agenda include a special session devoted entirely to end-of-life care issues.

“The anxiety Canadians have about health care in their so-called golden years is both real and well-founded,” outgoing CMA president Dr. Anna Reid said in a statement released with the poll.

All levels of government, including the federal government, “need to act to address the demographic tsunami that is heading toward the health care system,” she said.

A vast majority of Canadians — 93 per cent — support a national, seniors’ health strategy for home care and long-term care, the poll found, with support highest in Alberta and Ontario, as well as among women and Canadians nearing retirement age (55 to 65).

Three in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Half are “very” concerned about maintaining their health in their retirement years; seven in 10 are worried about their financial future, the poll found.

Those already caring for an older adult are among those most worried about there not being enough services should they ever need home or long-term care in their own old age.

Reid, who has been caring for her own elderly father, who suffers from dementia, said more resources are needed for nursing care, home-based care and palliative care, particularly in smaller communities. “We know how to do good palliative care, it’s just not being practised across the board,” she said in an interview.

We could be saving the system an enormous amount of money by providing far more support in the home environment

It costs nearly $1,000 a day to keep a senior in a hospital bed, and $126 a day for a bed in a long-term care facility, said Dr. Louis Hugo Francescutti, incoming president of the doctors’ group.

“To keep them in home with supportive home care and assisted living costs about $35 to $50 a day,” he said. “We could be saving the system an enormous amount of money by providing far more support in the home environment.”

The average life expectancy of Canadians has increased by more than 30 years since the early 1900s, to 78 for men and 83 for women in 2011. But the number of years lived in good health is sliding. The majority of today’s seniors have at least one chronic condition; as many as one in four has two or more.

Overall, the 2011 census counted nearly five million people aged 65 and older in Canada.

By 2031, 22.8 per cent of the population will be 65 or older, jumping to one quarter — 25.5 per cent — by 2061.

The Ipsos telephone poll was conducted between July 17 and July 26. A sample this size is considered accurate within 3.1 percentage points.

Three-quarters, or 75 per cent, of those surveyed gave an “A” or “B” grade to the overall quality of health services. However, views on the future are split — about half think health services will get better and the other half believe things will get worse.

Only about half gave an “A” or B” grade to access to diagnostic equipment such as MRIs and CT scans, or access to specialists. The marks were worse for mental health, with only 41 per cent of those surveyed giving an “A” or “B” grade for access to mental health services.

Few — 29 per cent — gave the federal government top marks in dealing with health care in Canada.

Toil and trouble… then inequality

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Editorial of July 25, 2013:

After toiling through adult life and approaching that freedom 65 (or 60 for the lucky ones), Canadians can take solace in the fact they will finally be rewarded for their labours with a pension and an Old Age Security cheque.

For those who have laboured and paid taxes for 40 or more years, it’s time to get something back. For some, however, this return on their lifetime of work investment does not come so readily or equitably.

Recently in the Senate, P.E.I.’s representative there, Catherine Callbeck, spoke about the fact that single or divorced seniors aged 60 to 64 are not eligible for the Old Age Security allowance, even if they are considered low-income seniors.

Low-income married couples are eligible for this allowance, if one of them is receiving the Old Age pension and guaranteed income supplement. Low-income surviving spouses (aged 60-64) are eligible for the allowance for the survivor.

However, as the senator from Central Bedeque, who frequently champions the cause of senior Canadians, pointed out there is no allowance for single low-income seniors.

This is a flaw in the OAS allowance criteria that should be fixed. The criteria, as it stands, means single or divorced seniors are not eligible to apply for benefits that their married or widowed contemporaries are receiving.

Those single or divorced seniors are more likely to be in need of this allowance, having to rely on only one income while senior couples have two incomes to support one household.

If the OAS allowance goes to widows and widowers, why are those who have never married or are divorced, not eligible to apply for the same allowance? 

“The issue is quite simple,” said Callbeck during the debate in the Senate. “As it stands now, certain low-income seniors are being denied a benefit under the Old Age Security program – the OAS Allowance – simply due to marital status.”

Callbeck promised to continue to press for changes because of the number of Island seniors living below the poverty line who could really use this additional income.

“The fact that some low-income seniors are eligible for a benefit and others are not because of marital status is appalling,” says Callbeck. She’s right.

The federal government should not exclude one group of people from receiving assistance just because they never married or are divorced. That’s discrimination. The senator is right – it must be rectified.

CUPE calls for a real continuum of care based on the needs of seniors

Jul 29, 2013 03:59 PM    http://cupe.ca

CUPE calls for a real continuum of care based on the needs of seniors

CUPE is concerned about the either-or approach that provincial and territorial leaders appear to have endorsed at last week’s Council of the Federation meeting. In the post-meeting communiqué, the premiers stated they “will look at successful efforts to prioritize homecare over long-term care institutionalization and identify two to three innovative models for provinces and territories to consider adapting.”

This could mean a plan to shift even more resources out of residential long-term care to fund an expansion of home care. Home care is, and must be, a critical part of our continuum of care, but must come with additional resources, and not at the expense of long-term care. Shifting existing resources around without adding new funding just won’t work. 

We need additional resources for home care. Some provinces have used funding increases to home care to justify real reductions to long-term care and hospital care; that is just wrong.

The number of older seniors (85+ years old) is set to triple in the next 40 years from around 1-in-30 to around 1-in-10.  Older seniors face more complicated and serious health issues some of which cannot be met in a home care setting. The growing share of the population 85 years and older will result in much greater demand for long-term care beds.

By one estimate, the number of beds required in long-term care facilities could range from 565,000 to 746,000 by 2031. Currently, Canada has around 200,000 long-term care beds. Residential long-term care spaces will need to triple alongside the tripling in the numbers of older seniors.

Home care will need to be a key element of the continuing care system, but we desperately need public investment in our residential long-term care systems to meet this demographic challenge.

That is why CUPE is advocating for the creation of a new continuing care federal program which would cover home and community care, as well as long-term care. In addition, we are pushing for the expansion of the non-profit and public delivery of these necessary services, as these are areas that are highly privatized in some provinces.

CUPE represents approximately 72,500 residential long-term care workers and home care workers across Canada. Our members work every day to ensure patients in residential care facilities receive the highest quality medical care and personal attention under very difficult working conditions.