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Rich countries advise paying older people living in long-term care facilities in low-income countries

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Ethicists argue that wealthy countries need to consider paying older people living in long-term care facilities in low-income countries to ease pressure on domestic housing and long-term care. Journal of Medical Ethics..

Providing such a move would not be detrimental to the local population, and if proper quality checks could be performed, this policy would allow older people to access the right care at an affordable price when needed. Dr. Bouke de Vries of UmeƄ University in Sweden argues that it will be possible.

In reality, many high-income countries struggle to provide affordable and decent care to older and older people, says DeVries.

He points out that there are already examples of Germans and Swiss who have to do something and choose to live in long-term care facilities in Eastern Europe and Southeast Asia.

Reserve payments in low-income countries will be morally acceptable if the five criteria he suggests are met.

A significant proportion of citizens currently do not have access to adequate home care or long-term care services. Overseas home care is no worse than domestic care home care. The sending country carries out regular quality checks or delegates them to a trusted local oversight body. This type of migration should not be detrimental to the local population of the host country. The public funds allocated to this will not be successfully used in other ways to relieve pressure on home care / care facilities.

He suggests that how much a richer country should pay will depend on several factors. These include that wealth. The burden on domestic supply. And how much public wallets can be saved, and the taxpayer’s money needed to persuade citizens to move, monitor the quality of their care facilities, and offset the disadvantages to local citizens. amount.

This disadvantage includes fierce competition for care home locations available to locals and increased costs of home care as migrants from richer countries can offer higher prices. there is a possibility.

However, this is a care facility that allows the sending country to subsidize the construction of affordable care facilities for the locals, or to partially accommodate their citizens in the host country, even if they do not fully accommodate them. DeVries suggests that it can be overcome by building a.

In a linked blog, De Vries acknowledges that this transition policy is not the only solution to the crisis facing elderly care.

Others include formal caregiver payments. Provide better support to informal caregivers. Investing in robot caregivers and other assistive technologies. But nevertheless, he believes his solution shows “great expectations.”

Some may object because the policy may put undue pressure on low-income people to migrate, while others may simply find it unpalatable. Maybe.

“My proposal that high-income countries pay residents to move to long-term care facilities in low-income countries will definitely be controversial,” he accepts.

But if the eligibility criteria are strictly adhered to, do I need to do that? He asks.

“This proposal has the potential to bring significant benefits to low-income countries.” It may indirectly stimulate their economies by encouraging relatively wealthy foreigners to live in long-term care facilities in these countries. Maybe. In addition, it may reduce the need for local clinicians and care workers to move to high-income countries to earn higher wages. In other words, fewer people will be separated from family and friends, “he writes.


Income-related inequality in access to the worst primary care in the United States


For more information:
Should high-income countries pay citizens to move to foreign care facilities? Journal of Medical Ethics (2021). DOI: 10.1136 / medethics-2020-106380

Provided by British Medical Journal

Quote: Elderly people pay to live in long-term care facilities in low-income countries, wealthy countries advise (2021, March 22) https://medicalxpress.com/news/2021-03-elderly-homes-income-countries -Obtained March 22, 2021 from rich.html

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Rich countries advise paying older people living in long-term care facilities in low-income countries

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