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Caregivers of the World, Unite

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There are 44 million informal caregivers just in the USA: family and friends. They all need support. Archives | Subscribe to Alerts Alerts Subscribe to Alerts | Feeds
   
Thursday, August 28, 2008
8:37:47 PM EDT
Feeling Cheerful
Hearing Mozart

Tele-helath via Caregivers


Dear CEO
 
We would like to team up with your group to implement tele-helath in our Gold Country, California location, then take it to all the communities. Of course we would share all the rewards with your group.
 
 
  50 million Caregivers as Tele-Health Reporters 
for 100 million people in need of care 
 
The most capable and committed potential workforce
to make tele-health workable and lower the cost of medicine.
 

 

 by  Janine M Lodato 

~|__
     ( o )\_

 

The future of the US economy will, to a large degree, depend on a good solution for the largest problem: the runaway cost of healthcare. Telemedicine, telehealth would be great help to solve this problem. The family and informal caregivers can become the ones who take and report the vital signs of the care recipients, thus lowering the cost of medicine.
 
The caregiver can also help the care recipient to participate in clinical trials and do the necessary reporting. The  monitoring  the general condition and vitals of the care recipient even when the caregiver is not on location can be accomplished via the Web by the ConnectR product of irobot.com or similar video capable Web terminal products allowing tele-conferencing so the care recipient would not feel alone.
 
In a recent statement by the family caregiver organization says it well:
There are more than 50 million family caregivers in the USA and they provide 80
percent of the long term care services to the 100 million homebound people in need of care. These uncompensated services provided by the caregivers amount to more than 400 billion dollars annually.
 
The caregivers could also represent alternative medicine and assistive technology oriented small businesses.
 
This very large group of caregivers and care recipients need local community support in the form of a Web Server, located in each community, providing Web 2.0 based collaborative services and applications. People would trust this service if it was offered  by the local government, or by the regional hospital, or even by the regional educational support system all supported by a significant IT company offering tele-health systems software.  .
 
This secure Web Server could also allow the caregivers to perform their regular jobs telework style from the home of the care recipient.
 
Of course tele-health services  must be enabled, enhanced and supported by telecommunication technologies.

These tele-health services can be made a reality if honest, smart and experienced politicians would put through the necessary legislation.  

John Garamendi and his Democratic friends, do  have a passionate and a deep understanding of what type of government support the people in need of caregiving and  their caregivers require. They could be the champions for tele-health.  

There are 50 million informal caregivers in the USA, approximately 5 million of them live and serve in California,  attend to the 100 million people in need of caregiving in the USA, 10 million of them in  California alone. Of course, the small businesses who employ caregivers would also support such an enlightened campaign supported by this very large voting block, 15 million of them just in California.

We need a tax break for businesses, especially for small businesses, when they hire and retain an informal caregiver as an employee. Businesses already have a tax break when they employ a disabled person. The same or similar tax break should be given to the business which hires informal caregivers or who already employ such caregivers.

 
It is imperative to create legislation which will enable the caregivers to do tele-work from the homes of the people in need of care. These are the so called informal caregivers, family and friends, who work without pay and provide unbelievably valuable service. Then the caregivers and care recipients would tele-campaign for legislation which would provide tax credits to the businesses who allow their employees to perform tele-work style.
 
There could also be major political support for this project by means of allowing businesses to receive carbon credits for each day they allow each of their employees to perform tele-work style. Then the business could sell these carbon credits, which is becoming a very large market.
 
In addition to allowing the caregivers to perform as the reporters of vitals for tele-health for the care recipients, from the  homes of  the care recipients, they could also participate in tele-training to improve their abilities. Then they can become field representatives for the assistive technology industry, for alternative energy industry, for independent living home improvement industry and tele-work part time to very efficiently serve these industries and allowing the companies of these industry segments to penetrate markets which would not be available to them otherwise.
 
The 10 million people in California who are in need of an informal caregiver are the frail elderly, chronically ill and the disabled. This population sector is the fastest growing segment, due to the aging of the baby boomer population. And it is the same throughout the USA.

The Democratic party must create a campaign based on legislation which would provide a tax break to the employers of caregivers. This campaign issue would assure that such political  candidates certainly would be supported by much of the above 150 million population segment,  the combination of caregivers and care recipients, as well as by the small business owners. 

We could also save the environment and lower the use of petroleum if we gave the small businesses a large tax credit if they allowed their employees to tele-work.

The US Department of Labor predicts that by 2008, 54 percent of the work force will be involved in caring just for an elderly person making doctors' appointments, handling emergencies, giving transportation, buying and cooking food, all the basic functions of life the elderly person has difficulties performing.

A MetLife study reported that 16 percent of employees who perform as caregivers quit their jobs and 13 percent retired early in order that they could provide caregiving to the people in need. This study found that the average life-time loss per such person was an estimated $ 566 thousand in lost wages, $ 67 thousand in lower pension benefits, plus $ 25 thousand loss of Soc. Sec. benefits. Also, many of the employees who are caregivers get passed over for promotions and are the first ones who are eliminated when a downsizing of the business takes place.

The Democrats must solve this problem with legislation which would support the employers of the caregivers could also include a double or increased tax break for the employer if the business would allow the employees, who are involved in caregiving, to perform most of their work with great degree of flexibility such as telecommuting and flexible time.

In addition to allowing the caregivers to earn a living tele-work style from the  homes of  the care recipients they could also participate in tele-training to improve their abilities. Thus they could represent many different products made by small businesses. They can be field representatives for the assistive technology industry, for alternative energy industry, for independent living home improvement industry and tele-work part-time to very efficiently serve these industries, allowing the companies of these industry segments to penetrate markets which would not be available to them otherwise.

 
The combination of the informal caregivers and their care recipients do amount to half of the population of the USA. And it is the same in the other 9 industrialized countries of the G-10 group of nations.
 
Recently in a Fortune article Dr. Andy Grove made some very important and eloquent statement regarding the healthcare costs in the USA. His comments relate especially to the cost of care for the people who are in need of home based care: the frail elderly, the chronically ill and the disabled, about a 100 million in the USA alone. Medical spending in the USA is at 16% of the GDP and it is the fastest growing segment.  The average American spends 440,000 dollars in his/her lifetime on healthcare. 280,000 of which will be spent after age 65 and approximately 50% of this will be spent on assisted-living facilities and nursing homes.  So it stands to reason that if there were a way to keep the people in need of care in their own homes longer we would have a better and lower cost system: we could save $ 300 billion per year.
 
This community-wide broadband Web connection connected via the Ablery server portal, serving the caregivers,  can also  help the care recipients, the people in need of care. For this user group  a simple voice recognition capable community based Internet server  is needed. We have developed such a simple voice capability for the Ablery server. Indeed, all members of the community, the entire population of the community can use Ablery as well.
 
The Ablery server acts in Web 2.0 style, the social Web similar to MySpace, Wikia, etc.  The care recipient end user is  connected to the Ablery server through a simple laptop such as the reliable, low cost machine from Zonbu.com, or a Web enabled TV, or the OLPC by Negroponte, or the Intel 200 dollar laptop, or the ASUS laptop. This allows the care recipients to participate in virtual group sessions, visit people virtually and in general get involved. This virtual group participation can also be achieved with the Huddle.net system.
 
The caregivers also need political representation as well as non-profit support. They would be a loyal supporter of the Presidential candidate who represents them.
 
 
About the author
   I have gained deep insight into the requirements of the people in need of caregiving and their caregivers when I worked for John Garamendi, now Lieutenant Governor of California, then State Senator
 
   I have many years of personal experience using AT and found it very helpful in SPMS (secondary progressive multiple sclerosis) conditions as described below in a brief review of my personal experiences.
 
   In addition to my extensive experience with AT, I also have related graduate credentials from both California State Univ at Northridge (the center for AT corporate interactions) as well as CSU in Sacramento and UOP in Stockton.
 
   To compensate for a total loss of motor skills due to Multiple Sclerosis (MS), I have focused on the development and performance of mental tasks. I write articles. I create books, I play Scrabble all with the help of my caregiver hero husband Laszlo. We watch DVD movies and documentaries from Netflix, a great service indeed, and listen to magazines and books on tape provided by the Library of Congress, another worthwhile service to people with disability, delivered at no charge then we discuss the content of these.
 
   I am absolutely sure I am avoiding the onset of cognitive problems, dementia and Alzheimer's. I firmly believe that using my brain in activities requiring the mind will continue to keep me productive in spite of my severe physical disability. My husband even jokes that I am causing him to develop dementia  because I remember all the phone numbers, all the names, all the activities in which we have participated, so he gives himself permission to forget such information.
 
   There are things I can still do such as think, talk, observe, feel, react, compose: all mental functions. I have been forced to concentrate on the mind oriented activities.
 
   People around me marvel at how I seem so normal, even though I am very physically limited I am also very mentally active. Yes, I have a disability, but my mind and emotions still work fine, maybe even better thanks to my husband‘s efforts to keep me involved.
 
   My husband reminds me frequently that "no one is disabled when on the Internet, when one interacts via the Web". So I use him as my VoxBot (voice robot) and KeyBot (a keyboard robot) when I want something quick via the Web.
 
   I am the luckiest person on the face of the earth, as Lou Gehrig so appropriately announced in his farewell speech, that I am surrounded by the support of my hero husband, my family and my friends and they all appreciate my mind and ignore my physical disability.



Janine M. Lodato
P.O.Box 838
SAN ANDREAS,  CA.
95249-0838
~|__
( o )\_





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Sunday, June 4, 2006
1:21:21 PM EDT
Feeling Anxious
Hearing Orff

Caregivers Support by Politicians


 
 
 

  The Greatest Equalizer and Democratizer: The Web   

by Janine M Lodato 

(The most important campaign issue for all politicians)

I have been fighting MS, in specific SPMS, for the last thirty years and now I am a cripple in a wheelchair. At present I am in the process of writing important books and technical articles. I enjoy being busy. However, after fighting off an assault of multiple sclerosis (MS), my hands can no longer type.

I am quadriplegic and most people when they see me cannot deal with my problems. I am a useless cripple in their eyes, a burden on society. But my aging geek husband and caregiver, a Hungarian revolutionary, said it well: "nobody is a cripple on the Internet". The Internet is a great equalizer, the greatest ever invented.

So we had to put it in a poem. Poems are a great and short way to communicate, perfect for the Internet especially on small size screens like a mobile phone or a PDA.


There once was a girl from the hills

Who had lost all her motor skills

So she uses the Net

It is a safe bet

For information and writing drills


The Web is her means to explore

The world's mysteries in digital store

A cripple she is not

Her brain is still hot

With Internet she is equal or more


The Internet can also be great benefit or extreme danger to mankind. While it can enable and equalize and democratize all the people of the world it can also serve a great tool for destructive elements in our populations: the terrorists, the sexual abusers, the pedophiles, the scam artists and many others. Each new great invention has the potential for both uses: doing great good, but doing great evil as well.

In order to continue writing, I now rely on voice recognition technology to do my typing for me. Baby boomer that I am, I must learn new tricks of the trade, with new tools of the trade, taking into account the effects of my multiple sclerosis. Once connected to my new technology, I feel connected to the world via email and word processing.

Voice recognition technology is still in its infancy, and has provided me with some amusing and frustrating moments. Finding a voice recognizable to readers is tricky. Finding a voice recognizable to a computer is even trickier. But voice recognition plus my husband who works as my InfoBot: I tell him what I want and he keyboards it into the computer, thus he is an information robot of mine. These capabilities allow me to become involved with the world in spite of my quadriplegic condition. I find this involvement very beneficial for my mental conditions and even my physical well being. By concentrating on something which is worthwhile I do not feel that anybody who reads my articles pays any attention to the fact that I am handicapped.

In order to connect to the Internet one must have a PC (personal computer) and the Windows version by Microsoft just simply will not do. Windows based PCs by Microsoft are maddeningly complex, insanely unreliable and criminally expensive.

The Internet can be very good or it can be a pain: and it can be summed up in the following poem:

Data, data everywhere, not one chance to think;

Email, email overbear, one can hardly blink;

Virus, virus constant scare, Windows, you sure stink;

Promo, promo all unfair, in trivia we sink;

But,

Info, info searched with care, to knowledge one can link.

What we need is a simple, reliable, clean, low cost PC like the ones running Linux and just equip this simple machine with web search capability, e-mail features, instant messaging features and simple document generation capabilities. That is all needed to get involved.

The best way to control someone's chronic conditions or disabilities is through involvement and the positive effects such activity brings about. The so called mind body interaction and it therapeutic capabilities. Most of the 100 million population segment of the USA who are in need have major difficulties to participate in face to face group interaction which would be very beneficial to bring about health improving effects. But they can do it and can get involved in a "virtual" manner via the Internet: instant messaging, blogs, emails, group teleconferencing are all potential tools offered by the Internet.

We also need a tax break for businesses, especially for small businesses, when they hire and retain an informal caregiver as an employee. This tax break could allow the employer to pay for high speed Internet access at the location where the caregiver has to provide care: the home of the care recipient.


Businesses already have a tax break when they employ a disabled person. The same or similar tax break should be given to the business which hires informal caregivers or who already employ such caregivers.


There are 44 million informal caregivers in the USA. These informal caregivers are members of the family or friends of the person in need of caregiving. There are 100 million people in the USA who are in need of an informal caregiver. These are the frail elderly, chronically ill and the disabled. This population sector is the fastest growing segment due to the aging of the baby boomer population.


A courageous and enlightened candidate for political office should create and push through the legislation which would provide a tax break to the employers of caregivers, it would assure that such politician or candidate certainly would be supported by much of the above 144 million population segment: the combination of the informal caregivers and the people who are in need of care.


The US Department of Labor predicts that by 2008, 54 percent of the work force will be involved in caring just for an elderly person making doctors' appointments, handling emergencies, giving transportation, buying and cooking food, all the basic functions of life the elderly person has difficulties to perform.

But the informal caregivers who are also full time employed have a major problem; not everyone is able to manage the conflicting demands of working and caregiving.

A MetLife study reported that 16 percent of employees who perform as caregivers quit their jobs and 13 percent retired early in order that they could provide caregiving to the people in need. This study found that the average life-time loss per such person was an estimated $ 566 thousand in lost wages, $ 67 thousand in lower pension benefits plus $ 25 thousand loss of Soc. Sec. benefits.


Also, many of the employees who are caregivers get passed over for promotions and are the first ones who are eliminated when a downsizing of the business takes place.


These problems of the employees, who are also serving as caregivers, could be almost eradicated if the employers of caregivers would let their caregiving employees to perform telework style for some or much of their workload. About only one in four businesses offers employees who are caregivers such advantages as flexible hours, telecommuting, paid leave in case of emergencies and compassionate understanding.


The legislation which would support the employers of the caregivers could also include a double or increased tax break for the employer if the business would allow the employees, who are involved in caregiving, to perform most of their work with great degree of flexibility such as telecommuting and flexible time.


So let us organize a strong campaign for the Democratic primary and then the Presidential elections, both which could include in their platforms the special tax break for the businesses who employ and appreciate employees who are also dedicated caregivers.






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