TY - CHAP M1 - Book, Section TI - Long-Term Care A1 - Bodenheimer, Thomas A1 - Grumbach, Kevin PY - 2016 T2 - Understanding Health Policy: A Clinical Approach, 7e AB - Eddie Taylor awoke one morning at his home in California unable to speak or to move the right side of his body, but able to understand other people around him. After 3 terrifying days in a hospital and 3 frustrating weeks in a stroke rehabilitation center, Eddie failed to improve. Because he no longer required hospital-level care, he became ineligible for Medicare hospital coverage. Since his spouse, James, was wheelchair-bound with crippling rheumatoid arthritis and unable to care for him, Eddie was transferred to a nursing home. Medicare did not cover the $245 per day cost. After 2 years, Medicaid began to pick up the nursing home bills. Much of the couple’s life savings—earned during the 50 years Eddie worked in a men’s clothing store—had been spent to allow Medicaid eligibility. Because Medicaid paid only $130 per day, few recreational activities were offered, and Eddie spent each day lying in bed next to a demented patient, who screamed for hours at a time. Unable to voice his complaints at the inhuman conditions of his life, he became severely depressed, stopped eating, and within 3 months was dead.On high school graduation night, Lyle celebrated with a few drinks and drove to his girlfriend’s house. He lost control of the car, hit a tree, and suffered a fractured cervical spine, unable to move his arms or legs. After 9 months in a rehabilitation unit, Lyle remained quadriplegic. He returned home, with a home care agency providing total 24-hour-a-day care at a cost of $300 per day, not covered by insurance. Lyle’s father, a businessman, became increasingly angry at his wife, the principal flutist in the city’s professional orchestra, because she refused to leave the orchestra to care for Lyle. After 1 year and $110,000 in long-term care expenses, Lyle’s parents were close to divorce. One night Lyle’s father awoke in a cold sweat; in his dream, he had placed a plastic bag over Lyle’s head and suffocated him. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1126405600 ER -