A looming crisis: the crushing cost of elder care and the crippling effects of low wages

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A looming crisis: the crushing cost of elder care and the crippling effects of low wages
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She takes care of seven clients, works seven days a week and can't afford to slow down -- one of thousands who multi-task for our aging population.

Caregiver Maria Diaz leaves her South Los Angeles home well before the sun rises and returns long after it sets. Days off, even on weekends, are rare. At 46, having recovered from a series of strokes, she is her family’s primary breadwinner and she needs the hours.She has three elderly clients and four young disabled clients, and spends an hour here, three or four hours there, shuttling between Los Angeles, Huntington Park and Gardena.

“I worry about him,” said Diaz, who told me she doesn’t mind all the miles she puts on her Nissan Sentra. She said driving provides her only “me time,” and she recharges by listening to sermons, Gospel readings and soothing music on the radio.“I get a couple of hours of rest before my day starts all over again,” said Diaz.

Many aging people are going broke paying for in-home care or nursing facilities, and the care providers can barely survive on the low wages. Californians who are elderly, blind or disabled — and poor enough to qualify for Medi-Cal — can enroll in the state-run In-Home Supportive Services program, or IHSS. They’re given a set number of weekly hours of care based on their need, and are matched with qualified providers — often their own relatives. The program is seen as a way to help clients stay in their home and avoid the higher costs of hospitals and other institutions.

The couple make their home in a cramped studio apartment north of MacArthur Park, on the third level of a building with no elevator. Anguiano sleeps on the lone bed; Santana throws a mattress on the floor at night and sleeps next to him. Diaz has had her own experience working with relatives. As an only child whose mother died when Diaz was young, she looked after her father and left her job as a cafeteria worker to take care of him when he became ill. Then her ailing uncle moved in with them and she nursed both men until their deaths.

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