Psychological Effects of Caregiving

It is no secret that the cost of American healthcare is becoming increasingly more expensive. However, the issue of the rising cost of healthcare and its severity needs to be recognized as a major problem. Health prices are steadily increasing in the United States, and there is no sign of it stopping. Since 1970, spending on American health care has grown 9.8%, which is a rate that is growing faster than the economy (“New Technology”.) Furthermore, health insurance premiums are also increasing at a rate five times faster than American salaries, which makes it difficult for families to afford health care coverage (Zuckerman 28). Therefore, it has become an obligation to address why the cost of American health care is soaring and to seek out a solution to lower the cost. Many would jump to the conclusion that the United States simply charges too much for their medical services, but there are deeper influences that need to be analyzed. The causes of the rising cost of health care are people not using preventive health care, the development of modern technology, and the treatments being overprescribed. A possible solution is to have preventive health care services available in clinics of low-income areas.

The challenge America now faces is the number of people reaching retirement will double in number by 2030, and the U.S. population will increase almost 20 percent ("Our Aging Nation," 2015). The goal is for the elderly to maintain and live with independence and dignity, as well as, provide a wide range of professional health and social service expertise, home care, and residential support and services that will be needed ("Our Aging Nation," 2015). Since the number of caregivers needed for this population will not be able to meet the demands other resolutions are considered necessary.

In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.

More and more people with medical insurance are relying on the health care system as new technologies and treatments become available. This leads to a grater number of claims for payment by insurance companies, the costs of which are passed back to health care consumers. The baby-boom generation is entering its peak health-care using period. Over eighty million Americans will turn 50 in the next 10 years. The cost of providing heath care for these individuals will be staggering

I was intrigued by the amount of pill bottles that one patient had in his kitchen cupboard which made me reflect on the cost of health care produced by the older adult. I began to research the cost of living longer and found that as of 2011, 24 percent of the Medicare population were over the age of 80. I also found that Medicare spending for those above the age of 85 averages around $14,745 (Neuman, Cubanski, Huaung, & Damico, 2015). So I ended up learning that the older

Statistically, the majority of older adults require continual health care for at least one chronic condition, half of this group for multiple chronic conditions, and more than half are managing multiple prescription medications. In older adult groups without chronic illness, there is still a high demand for health care access for “acute conditions as well as for extensive preventative care services recommended by evidence-based guidelines, such as medical screenings and vaccinations” (Thorpe et al., 2011, p. 2). Education from research is necessary to address the efficacy of health care delivery within the communities nationwide, and to mitigate the disparities within a flawed system. “As this vulnerable population is expected to double by the year 2030, efforts to identify and eliminate disparities in access for older adults are among the most pressing health care issues for the 21st century” (Thorpe et al., 2011, p. 2). Ultimately, through exploration of predictive risk factors in the older adult population, along with implementation of various approaches for intervention and policy, health care accessibility for this vulnerable population can be greatly improved.

Informal care is unpaid care that may be provided by family, friends or neighbours. (Brodsky, Habib and Hirschfield, 2003) state “Informal Care is by far the dominant form of care throughout the world.” This essay will state how important informal care is in modern society and how this has affected current social policy. It will define what the differences are between informal and formal care, what exactly informal care consists of, what a carer is, include statistics about informal carers, explain what the mixed economy of care means and conclude the importance of informal care in society.

One dominant economic feature of the healthcare industry is the growing need for both basic and specialized healthcare due to the continued aging of the “Baby Boomer” generation. This generation consists of over 79,000,000 individuals born in the US between 1946 and 1964. As this generation has aged, the need for healthcare has increased dramatically. Let us take a look at some statistics:

Health care in the United States is currently facing a looming crisis that requires an urgent response of intervention. With the baby boomers population on the rise, there will ultimately be an increased need for long-term care (LTC) services. Pratt (2015) defines baby boomers as “the name given to the large number of people born in the period following World War II, between 1946 and 1964” (p. 17). According to Mikulaschek (2013), “Beginning in 2010, the roughly seventy-eight million baby boomers began turning sixty-five at a rate of three to four million per year leading to growing concerns over meeting their healthcare demands” (p. 86). This brings the number from about forty million in 2010 to seventy-two million in 2030 causing them to account for almost twenty percent of the total U.S. population (Mikulaschek, 2013, p. 96; Pratt, 2015, p. 17). This alarming rate will correspond to the increasing number of elderly individuals with chronic conditions who depend on LTC services for daily functioning (Pratt, 2015, p. 17). This influx of baby boomers presents the health care industry with a plethora of issues related to costs, quality, and access to the LTC services that this population so desperately needs.

Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the

Roberto and Mancini (2009) states, “Informal care is generally provided by untrained social network members known as family or friends which generally takes place in the home of either the caregiver or the care recipient. Informal caregivers also play an important role in long-term care settings where they offer companionship, emotional support, and assistance with daily activities (e.g., feeding, bathing etc)”.

census discloses that the county age group is rapidly increasing and the trend will continue grow from a 99,086 to 140,000 by the year 2030 (Maryland Department of Aging, 2014). Research has shown that social inequalities are inter-reliant in the society and the impacts on health are present in all ages, however, it is predominant with the seniors leaving in the community. As it indicates, to reduce these disparities, it requires multi-interventional and collaborative approaches in addressing the various factors of health, it services and it cost. Although the United States has had some effective policies and few good health programs, however, providing a stable and adequate income for most of the seniors and providing a good public health care system goes a long way in improving their health and also increasing life expectancy. Much can and should be done to reduce inequalities that exist among the seniors and public health should take led in addressing the various aspect that affects the seniors. This paper has discussed the barriers to healthcare among the seniors and it has provided innumerable recommendations that would help improve their

living longer. It is estimated that the U.S. population of older adults who will turn 65 will

As the ageing population and the demand for social care provision increases (ARK, 2010), the demand for informal caregiving is becoming an important concern for researchers and policy-makers. The 2011 consensus of Northern Ireland carried out by Northern Ireland Statistics and Research Agency indicates that out of a population of 1.8 million there are 213,980 informal carers in Northern Ireland, this figure is higher than any other UK jurisdiction; informal care includes looking after fail, ill or disabled family members, friends or partners (NIHRC, 2014). Research undertaken by the University of Leeds found that the economic value of unpaid care in Northern Ireland is at £4.4 billion (NIHRC, 2014). However care can no longer be taken for granted and this notion of the ‘care gap’ has been highlighted due to key demographic, epidemiological and social changes (Hodgkin, 2014). These changes that challenge the informal care system are the ageing population, changes in the family structure and the entry of women in the labour market (Hodgkin, 2014). In addition to demographic changes, there has been a significant body of research with growing interest in the concern for informal caregiver’s social, financial and emotional wellbeing (Hodgkin, 2014). Research findings suggest burnout and the heavy burden on families may lead to aggressive behaviors towards the elderly and even physical and mental abuse (ARK, 2010). The caregiver burden refers to the multi-dimensional challenges of

Yet of perhaps greatest importance to the American healthcare system and industry is the demographical information of this older population in terms of its particular characteristics and disposition. More specifically, healthcare professionals and policy analysts must understand the aging populations’ economic and living situations, and their overall health status (Jacobsen, Kent, Lee & Mather, 2011). Economic factors are key as they directly pertain to the likelihood of reliance on publically-funded healthcare programs, while “the marital status and living arrangements of the elderly are closely tied to levels of social support, economic well-being, and the availability of caregivers” (Jacobsen et al., 2011, p. 4). The importance of this population’s general health status is, of course, self-explanatory.