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The government has a new plan for care homes for the elderly. Here’s what’s changing

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After months of negotiations between the essential parties, the government has made a decision announced will implement Senior Care Team Recommendations.

The government already reported in March that it is going to not impose a new tax or levy on aged care.

Today’s announcement focuses on how wealthier people will contribute to the overall costs of residential aged care and residential care services in the future.

While some people is not going to welcome having to pay more, these changes are mandatory to make sure the long-term sustainability of the aged care system.

What is changing in inpatient care?

In December Task Force made 23 recommendations geared toward supporting:

a senior care system that’s sustainable, fair and conducive to greater innovation in the sector.

By adopting these recommendations, the Government has committed to maintaining financial support for clinical care for all residents and providing a financial safety net for residents with low financial means.

The three most significant proposals for residential care are:

1. Examination of funds to cover the “hotel allowance”.

Currently, taxpayers are contributing to the costs on a regular basis life for all residents, no matter their means. Daily services include catering, cleansing and laundry.

People with high means (assets price greater than A$238,000, income of greater than A$95,400 or a combination of each) will now not receive this subsidy and can have to pay an extra amount to cover these costs.

2. Introducing deferred rent payment.

This is a charter fee for individuals who pay for their accommodation using a refundable lump sum. This fee could be taken from their refund fairly than becoming an extra fee.

This would help overcome a long-standing problem that has seen many providers lose money on accommodation costs.

3. Abolition of income-related care fees.

Instead, a new means-tested contribution to non-clinical care will likely be introduced. It will cover the costs of non-clinical care similar to bathing, mobility assistance and the provision of lifestyle activities.

What impact will these changes have on older people?

Many people is not going to be affected by the changes. Under the ‘no worse off’ principle, those already living in residential aged care will proceed to pay as they do under their current arrangements.

Similarly, individuals with low means, typically retirees without significant assets, is not going to be affected. The government will proceed to totally cover the costs of their clinical care, non-clinical care and accommodation, in addition to supplementing their day by day living costs through a hotel allowance.

Pensioners will proceed to make use of their Age Pension to fulfill day-to-day expenses, as much as 85% of their Age Pension (reminiscent of $445 a week).

Low-income people is not going to be affected by these changes.
map_japan/Shutterstock

At the other end of the scale, those with significant means, similar to self-funded retirees, pays an extra means-tested hotel fee to cover the full cost of food, laundry, cleansing and utilities. This fee (as much as $88 per week or an extra $4,581 per yr) would increase their total contribution to day by day living services to $533 per week.

In addition, while the government will cover the cost of clinical care for self-funded retirees, they’re expected to contribute to the cost of non-clinical care services through a means-tested non-clinical care contribution. This contribution is capped at $101.16 per day (or $708 per week), which the resident will stop paying once they reach the $130,000 limit or 4 years (whichever comes first).

There will likely be no change to the treatment of the family home under the new means testing arrangements. The value of the family home included in the means test will remain capped at $206,039 (indexed), despite the fact that the arrangements ignore the assets of individuals with homes above that limit.

Finally, part-time pensioners and self-sufficient pensioners who pay for their accommodation with a refundable lump sum deposit pays a new annual deferred contribution charter fee equal to 2% of their deposit per yr.

The $550,000 room will incur a charter fee of $212 per week ($11,000 per yr), which will likely be deducted from the $550,000 security deposit when the room is returned to the tenant or his or her heirs at the end of the stay.

By comparison, if someone desired to pay for the same room using a day by day payment method, it could currently cost them $882 per week.

Currently, each resident’s day by day payments are set at the price once they begin residential care. However, in the future, resident payments will likely be indexed twice a yr.

The focus is on improving equality and sustainability

It will take a while to analyse the full implications of today’s announcement, which also included essential changes to the Home Support Scheme and the new Aged Care Act.

However, the proposed changes are more likely to improve the sustainability and equity of Australia’s aged care system.

More than half of all care homes for the elderly are operating at a loss, and over the past 4 years these homes have cumulative losses of $5.6 billion. This shouldn’t be sustainable, and each home that closes means fewer opportunities for older people to receive the residential care and support they need.

The proposed changes, particularly those regarding accommodation, will help make sure that service providers have sufficient revenue to cover the costs of the services they supply.

The introduction of more means-tested arrangements for on a regular basis living costs and non-clinical care will allow taxpayer support to be higher targeted to those with low financial means.

Perhaps most significantly, increasing contributions from older individuals who can afford it is going to improve intergenerational equity by relieving taxpayers of the rising costs of providing subsidised care for older people.

This article was originally published on : theconversation.com
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Health and Wellness

Medicare premiums will increase in 2025

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Medicare, Melissa D. Hall


The cost of Medicare Part B is estimated to increase in 2025 Centers for Medicare and Medicaid Services (CMS.) Medicare is an extra service provided to American residents, normally age 65, who qualify for retirement.

CMS explained on its website how and why premiums and tax-deductible costs will increase in the approaching 12 months:

“Each 12 months, the Medicare Part B premium, deductible and coinsurance rates are set in accordance with the provisions of the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $185.00 in 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deduction of $240 in 2024.

The increase in the usual premium and deductible for Part B for 2025 is primarily as a consequence of anticipated price changes and assumed utilization increases which might be consistent with historical experience.”

The cost will apply to all seniors, including those that are married, single, working or unemployed. Some will pay this expense out of pocket, while seniors receiving Social Security advantages will see a deduction in their paycheck.

“Medicare enrollees who already receive Social Security benefits can expect the new Part B premium for 2025 to be automatically deducted from their Social Security checks in January.”

Medicare has 2 parts, A and B. Part A partially covers hospital bills, and Part B covers mostly outpatient services. Regular screenings, home health services, doctor visits and outpatient services will now incur higher costs.

CMS will host a web-based information session on November 13 at 2:00 p.m. ET. The Emergency Medical Service Open Door Forum will discuss rising fees and explain the small print to recipients.

A price increase could seem small to some, but to others it could mean sacrificing a necessary item like food.

BLACK UNDERTAKING there have been recent reports of seniors in Atlanta combating food insecurity. Atlanta residents are receiving additional food assistance from Supplementary Commodity Food Program. Like other American seniors, they can not at all times afford groceries on their limited income.

TO BE reports: “Atlanta is not the only city struggling with food insecurity among seniors. The nonprofit Feeding America helps seniors across the country. As the elderly population grows, so does the problem of hungry citizens.”

Linda Nageotte, president of Feeding America, talked about how lack of access affects health.

“Food insecurity is closely linked to health, which becomes especially critical as we age. Addressing food insecurity amongst seniors would and will help reduce chronic disease result in healthier communities Generally.”


This article was originally published on : www.blackenterprise.com
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Health and Wellness

Cancer during pregnancy is rare, but is becoming more common. Here’s what researchers think is behind the increase

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Former Alone Australia winner Gina Chick diagnosed from breast cancer just days after checking out she was pregnant. She describes in his last book her experience with chemotherapy and what got here after it.

Fortunately, cancers diagnosed during pregnancy and in the 12 months after delivery are rare. But such cases are becoming more and more common in parts With world, including Australia. Scientists aren’t entirely sure why.

Here’s what scientists know thus far and treatment options.

Gina Chick talks about life, loss and loneliness in Australia on ABC TV’s Australian Story.

How rare is this?

New South Wales test found that in 1994, for each 100,000 women giving birth, roughly 94 cancers were diagnosed during pregnancy or inside one 12 months of birth. In 2013, this number increased to around 163 per 100,000. Although these statistics are over a decade old, they’re the latest and most rigorous data available in Australia.

Swede from 2023 test pregnancies in the years 1973–2017 showed similar results.

Both studies found that a couple of quarter of pregnancy-related cancers are diagnosed before birth, with the rest diagnosed a 12 months after birth.

What variety of cancer are we talking about?

First in the UK comprehensive assessment cancer during pregnancy – a review of diagnoses from 2016–2020.

This study, the NSW study and others found that breast and skin cancer (often melanoma) are the most typical cancers related to pregnancy. In this group, there was also a high percentage of thyroid cancer, gynecological cancer (especially cervical and ovarian cancer) and blood cancer.

A UK study found that around 92% of cancers were recent diagnoses and around 82% had symptoms. The majority (81%) were treated with curative intent, and roughly 82% of pregnancies related to a cancer diagnosis resulted in a live birth.

However, 20% of the moms died before the end of the five-year study period. Gastrointestinal cancers were particularly concerning. They were characterised by the highest mortality rate of roughly 46% and were related to diagnosis at a more advanced stage of cancer.

This could also be because lots of the symptoms of gastrointestinal cancers, resembling abdominal pain, fatigue and acid reflux disorder, overlap with those of pregnancy. In other words, some cancer symptoms may be confused with pregnancy symptoms, “masking” or delaying the diagnosis of cancer.

Breast cancer is considered one of the most ceaselessly diagnosed cancers today.
Production “My Ocean” / Shutterstock

Why are there more and more such cases?

The big selection of cancers that occur during and after pregnancy suggest that there are various aspects involved.

In countries with high socioeconomic status, women have children later in life, and the biggest risk factor for a lot of cancers is age. However, the evidence that age is a serious risk factor for pregnancy-related cancers is inconclusive. This may explain some, but not all, cases.

Another factor could also be increasing usage prenatal genetic testing in early pregnancy. They analyze DNA from the mother’s blood to detect chromosomal abnormalities in the developing fetus. But these tests may also provide details about the mother’s chromosomes. This has led to the diagnosis of Hodgkin’s disease, breast and colorectal cancer in pregnant women without symptoms.

Estrogen and progesterone are two hormones essential for the growth and development of breast tissue and supporting other points of a healthy pregnancy. They may also contribute to cancer developmentespecially breast cancer. However, it is unclear whether this is related to the increase in pregnancy-related cancers.

Other cancers, resembling skin cancer, have been linked to environmental aspects resembling exposure to UV radiation. Of note, melanoma was the leading pregnancy cancer in the New South Wales study, reflecting the high rate of skin cancer in the local population. Other environmental aspects, resembling smoking and human papillomavirus, have been linked to cervical cancer. Again, we will not be sure whether such aspects are related to the increase in the incidence of pregnancy-related cancers.

Healthcare worker wearing gloves examining the back of a patient with moles
In a study in New South Wales, the most typical was skin cancer.
African Studio/Shutterstock

What happens after the diagnosis is made?

Pregnancy complicates the diagnosis of cancer because any potential treatment for the mother may jeopardize the health and viability of the fetus. So some points of treatment may require adjustment.

Surgery can often be performed in any trimester of pregnancy, depending on the location of the cancer.

Radiotherapy requires careful planning because the effects of radiation on the fetus rely upon the developmental stage at which radiation is administered to the body and on the dose.

Chemotherapy must be avoided in the first trimester of pregnancy on account of its potential toxic effects on the fetus. It can often be given in the second and third trimester of pregnancy. Chemotherapy must be avoided inside three weeks of birth to cut back the risk of bleeding and infection in the newborn, who might also have a weakened immune system consequently of chemotherapy.

More targeted immunotherapies are typically given to the mother after delivery. Depending on her treatment, she could also be advised to not breastfeed. This is because the medicine can pass from mother to baby through breast milk.

What’s happening to the children?

Reassuringly, data from New South Wales showed no increase in the rate of perinatal deaths given to moms with pregnancy-related cancer.

However, there have been more planned premature births. This is because women are offered induction of labor and/or cesarean section to make it easier for the mother to undergo cancer treatment while also reducing the risks of treatment for the unborn baby.

There was also the next percentage of babies born with low birth weight and low Apgar scores (indicators of a baby’s condition soon after birth), which were probably related to premature birth.

What do researchers need to know?

We have lots to study why pregnancy-related cancers are rising and what women diagnosed with this cancer can expect.

We also have to mix cancer and obstetrics data in national databases. This would allow us to find out which areas must be prioritized for further research, provide clinical guidelines for cancer screening during and after pregnancy, and help assess responses to screening programs or therapies in the future.

This article was originally published on : theconversation.com
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Health and Wellness

Kitty Ca$h debuts in visual art in collaboration with Hannah Traore – Essence

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Photo courtesy of the Culture Ombudsman.

Kitty Ca$h is breaking latest ground. The DJ and producer, best known for her collaborations with artists across genres resembling Rico Nasty, 6lack, Kiana Lede and Denzel Curry, recently released her electronic EP titled in collaboration with New York gallerist Hannah Traore, adding an interactive element to the premiere enabling face-to-face meetings.

“The work took many forms until I landed in the space of these mini collectible boxes,” Ca$hz shares with ESSENCE. “It was really a question of: What do I do to process my emotions? How has music had a healing effect on me? And how I took this radical approach to taking responsibility for my self-love, how I came to say, OK, I actually think I can do this on a larger scale, because if I have these feelings consistently, I’m working on it every day. I’m sure other people have the same questions within themselves. This way I can take responsibility for taking care of myself as much as I always ask other people to do.”

Kitty Ca$h makes her visual art debut in collaboration with Hannah Traore
Kitty Cash and Hannah Traore

In a quiet a part of the Hannah Traore Gallery, tucked away in New York’s bustling Lower East Side, Ca$hi Traore drew inspiration from the ceremonial mail room to ask participants to share their feelings, deepest desires, and private hopes. Across from a row of mailboxes, two sets of headphones, a pen and branded paper with a logo encouraged visitors to hearken to Kitty’s soothing sounds while reflecting and writing down their thoughts. Guests were then asked to “send” these expressions as “emotional mail” by placing their sheets in considered one of the mailboxes.

“If it were a candle, you wouldn’t be able to see through it,” says the Los Angeles artist. “So I wanted to give people a sense of privacy, and if you open it, you can see it. I wouldn’t do it, but many people did. Will people respect privacy or will everyone seek confirmation that someone else is going through the same thing? How honest is the other person? Am I really being honest?”

Ca$hi Traore have joined forces to push the boundaries of art and exhibition, breaking the fourth wall, inviting viewers to interpret the work in a different way. Art spaces can seem intimidating to many, especially those that don’t engage in art regularly. Creating an area where people could be vulnerable and actively participate makes the exhibition more accessible and dynamic, because the works of art tackle latest forms through the interaction of every viewer. In the exhibition, some cards face outwards; some face inwards, each with a novel handwriting and different numbers in each mailbox, offering a fresh experience each time someone steps inside.

Kitty Ca$h makes her visual art debut in collaboration with Hannah Traore
Photo courtesy of the Culture Ombudsman.

Beginning her debut in visual art with the assistance of curator and gallerist Hannah Traore, it can be crucial to notice that Ca$h’s works function a public diary for people and encourage introspective considering, while also being a type of research for the artist. As a DJ, she uses crowdsourcing quite a bit, in order she does so, she sees what works and what doesn’t, with the hope that she’s going to give you the chance to take it to other institutions and cities.

“We need to continue these conversations in places where people can actually receive them,” Ca$h explains. “This is a point that has strengthened my self-confidence, as well as my own artistic vision, for which I am very grateful. There will be a part two, honey. We don’t stop here.”

This article was originally published on : www.essence.com
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