My grandfather’s story is not unique; in fact, one of the significant challenges our country is facing today is that we are aging and consequently aging into disability. According to the U.S. Census Bureau American Community Survey, 70 percent of adults older than the age of 65 will need homecare supports in their lifetime. Since approximately 14 percent of our country’s population is older than 65, this means roughly 4.4 million Americans will need homecare in order to continue living independently in their communities.
My colleague, Alice Wong, wrote an excellent article published on Disability.gov’s blog, entitled “Consumer Directed Personal Care as a Human Right.” In her post, she describes the cost-effectiveness of personal care versus nursing home care and/or other medical institutions. As she notes, California spends three times more on nursing facility care ($32,406 per user) than home and community based services ($9,129 per user). She also discusses the value of consumer directed personal care programs like In-Home Support Services (IHSS) in California and describes the tremendous impact they have on keeping individuals with disabilities living and working in the community.
Unfortunately, there is still a gap in services for many people with disabilities, as not everyone has access to government care programs. To qualify for programs like In-Home Support Services, an individual must meet Medicaid eligibility criteria. Typically, this means having limited assets (less than $2,000 per individual) and a total income below Social Security’s Substantial Gainful Activity Level (currently $1,090).