• One thing is clear: There’s a lot of confusion and I’m not helping

    So, I’d better shut up about the CLASS provisions. Seems some folks think analysis that dates back to months before the final bill passed isn’t right because some aspects changed. That means what I took as consensus that there are deep problems with CLASS may not be. Consequently, there is a lot of confusion. I’m not helping, though I’m attracting comments and documents that may, ultimately help. Thing is, I don’t have time to read them and arbitrate. Our congressional representatives have the same problem. This is exactly what the CBO is for!

    Here’s what I’ll do. As credible and recent evidence and estimates based on the final bill are sent to me or linked to in comments, I’ll find a way to make them known in some post or other (could be in an end-of-day “R and R” so read those). That’s the most I can commit to right now.

    I’m resetting my thinking on the CLASS provisions back to “uncertain.” I gotta be fair and that seems to be the honest state of things as far as I know.

    • I posted this in response to Mr. Binder on the link through you posted and I hope he gets back to me with the demographic projections underlying the 20% number.

      From my perpective in psychiatry, epidemiologic studies show that by age 85 50% of all people have a serious mental illness: almost all involve dementia either primary such as Alzheimers, Diffuse Lewey Body Syndrome; Dementia, Not Otherwise Specified or dementia secondary to broader neurologic syndromes such as Parkinsons; severe major depression that leaves the patient with slowed physical and mental responses (psychomotor retardation); and those with cognitive sequelae from CVAs who are still surviving. These patients present 2 major problems with the live at home family caregiver model: 1) many of them are
      not safe to be alone for even a half an hour for the risks of intentional (suicide) or accidental self harm (leaving the stove on or wandering away from the house). These patients are frequently amazing physically healthy and are frequently women who may live 10 years in this condition. That age group has been growing and is projected to grow. So it offers a serious challenge to the 20% number Mr. Bindner, whose idea I understand is being taken seriously, if with fear, by health economists. I would like to know what studies he has consulted that show 20% of seniors can be maintained at home and for how long.
      Thank you.