The Lack Of Age Appropriate Transportation Services For The Elderly And People With Disabilities

The negative impacts of limited or lack transportation services on rural population include rescheduled or missed appointments, delayed care and missed or delayed medication use (Syed, Gerber & Sharp, 2013). Mattson (2010) claimed that the delay in medical appointment for rural clients not only resulted in missing the care at the time they most need it, but it also can be more serious and costly

According to Heller and Factor (as cited in Wood & Jackson, 2003) the number of “older adults age 60 and older who are diagnosed with mental retardation or developmental disabilities is expected to reach 1,065,000 by 2030.” In fact, “in the last 30 years, the life expectancy of people with intellectual disability has increased more dramatically than that of the general population” (Bigby, 2010). Doka and Lavin (2003) report that advances in medical care and a shift to deinstitutionalization have contributed to this increase in life expectancy for developmentally disabled adults. Increasingly, federal policy has linked addressing the housing needs of older adults with those of low-income and non-elderly disabled individuals, according to

Barriers to healthcare include factors that restrict or hinder people from receiving adequate and quality health care service. Health care disparities are those differences that negatively affects less advantaged group (Mehta, 2014). Health care barriers play a significant role in comprehending causes of disparities. This paper will discuss the obstacles and disparities that exist and affects healthcare.

Lack of transportation can sometimes force an elderly people to disengage. They may be unable to attend health meetings, appointments, to see family members etc. This can affect the elderly individuals as this could have an impact on their mental and physical health as they will disengage and no longer

Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.

The lack of accessibility is crippling for physically disabled people. This often leads to isolation and depression. Many disabled people have to move to big city to have the accommodations they need (special doctors, accommodating transportation, disabled friendly activities, etc.). The cost of living in these cities is so high that on top of therapy

Physical accessibility is a multifaceted problem facing individuals that reside in rural communities as well as urban areas. Closely related to deficiencies in supply and demand, physical accessibility is dependent on a sufficient number of providers to provide sufficient geographic distribution in addition to the ability of individuals to travel to a provider. If a patient is required to travel long distances to seek care then it is less likely that these individuals will readily seek care.

More and more people will need care in old age, and if they are disabled. Millions of Americans suffer from a chronic illness, or some kind of disability, and many of these people will have limits in their daily activities. Some people experience

This was an eye-opener for us to advocate for public transportation especially the bus to be modified to accommodate persons with physical disability using a wheelchair. A lift or a ramp could be provided for easy boarding of the bus. Additional space

III. “Determine how well the needs of adults with disabilities are being met by the travel industry” (1).

All they want is to take part of society as a normal individual. The disability-movement has fought for the disabilities rights throughout the years and has achieved goals such as accommodation of architectural infrastructures to serve better people who are physical impairments. The public policies have been great accomplishments because it has helped people with disabilities to be part of society. The disability-movement points out the healthcare finance policies have taken freedom away from the disability community, “ Health-care financing policies force disabled people into Institutions and nursing homes rather than funding independent living. Income-maintenance and public health-insurance policies include “disincentives” that penalize disabled individuals for trying to work productively.”(p.4). The government has done a great job on protecting disabled individuals’ rights. However, the health-care system has isolated this group even more by restricting the level of productivity that they have within the system, as a result this medical model marginalizes this group of people and this program available for this community does not fully address their issues.

“An eighty-six year old man killed ten people and injured more than seventy when he drove his Buick into a crowded farmers market in California. In Florida, an eighty-four year old woman drove her car through a window of a Sears and into a cash register and employee” (Murphy). Sadly enough, instances like these are becoming more and more prevalent and require immediate action. It is imperative that a more comprehensive approach be taken when deciding the competence of elderly drivers. Laws must be put into action to mandate and administer testing and re-examining of the skills and eligibility of this group. Equally important, we must consider those who will no longer be able to drive, and ensure their transportation and occupational needs

Many concerns have been expressed about the potential dangers elderly drivers present when operating a vehicle. Mental and physical capabilities begin to decline as a person ages. When their health deteriorates, the well being of other individuals on the road is at stake. Many elderly drivers should not drive due to their medical history and the fact that they might suffer from possible side effects from taking multiple prescription medicines. In addition, local organizations and neighbors can provide transportation for the elderly to keep them from endangering themselves and others. The threat senior citizens create when driving can be avoided if they are tested to ensure their competence as a driver.

Examples of this would be not having access to a vehicle or public transportation if the nearest hospital is located farther away from the home, no cellular device to remind them of important appointment dates and other find it very difficult to wait in long lines to receive services that are offered to them.

As the life expectancy in the United States rises, the number of elderly in the population has also expanded. These increases have led to the oldest-old (people aged 90 and older) to become the fastest growing age group in the country. The oldest-old face many unique challenges because of their age, one of which is disability. Disability in the elderly has major impact upon society 1 and will continue will be a growing burden in years to come.