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April 24, 2024

Mandy Nolan’s Soapbox: The Same Old Story

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Editorial – What are the people doing in your neighbourhood?

If you are stuck for something to do this Thursday, why not take part in local democracy?

If you redirected the huge sums of money spent on aged care you could fund home care. What is nursing care now could become palliative care. Keep people in their communities.

It’s horrible getting old. I don’t want to end up in a nursing home. I don’t want to finish this story in a chair looking at the wall.

I don’t want all my days to feel the same. Or my food to smell weird.

I don’t want my family to have to visit me and struggle to find something to say.

I don’t want them shifting in their chair, watching the clock, wondering if 20 minutes is enough, and if I’ll even notice them leave.

I don’t want them leaving me there. I don’t want to be one of these lost old people waiting for a taxi every day, not knowing that they are never going home. Because this is home. And the only taxi coming for me is death.

Last week I visited my mother-in-law. She is in an aged care facility in Sydney that is as nice as a facility like that can be. It is new, it’s architecturally impressive. The staff are joyful and kind. Probably could be more of them, but that’s the poor pay and the crisis in aged care staff. It is in the middle of a swanky suburb, and it even has views to the sea. But it’s still depressing. It was her choice to be there. She didn’t want her care to fall onto the shoulders of her family. She didn’t want to be a burden. 

Why? Because we don’t have government systems that properly support families to keep their parents at home. Because we don’t adequately value and renumerate the important role of carers. Because it’s cheaper to run big centres full of lots of old people than it is a house with just three people. Because we have allowed the private sector to profiteer at the expense of our elderly. 

They make billions of dollars every year looking after our old people. How can it be remotely ethical? You don’t turn profits for your shareholders by spending money on the resident experience. The only way to increase profit is to cut back on what you spend on food. On staffing. On what support is available. You have to take bigger bonds and reap the interest from older people who have sold their modest family homes in a lucrative real estate market. 

I hear stories of people who have paid a $1 million bond. These aren’t rich people. These are people who lived in a house they bought for $30k around 50 years ago that’s now worth $2 million. These places have on average 200 plus people. When the person dies, you get your bond back, less any charges. But they keep the interest. The interest on $200 million even at 5 per cent is enormous. It’s $10 million a year. This is on top of weekly care fees and the government subsidy and 87.5 per cent of any pension the resident might receive. Misery and disconnection is expensive for the consumer. But it’s a profit-making wonderland for the investor.

Our old people have become commodities. We literally trade them as such in aged care. It’s a business to keep them alive. If you keep them alive for as long as you can you make more money. They are kept alive for profit, not for humanity. This is in no way a criticism of people who work in the aged care sector. Their important work is devalued. Why are aged care nurses paid approximately 25 per cent less than a nurse in a hospital? Nursing assistants are some of the lowest paid workers in the community, often getting less than baristas. 

If you redirected the huge sums of money spent on aged care you could fund home care. What is nursing care now could become palliative care. Keep people in their communities. Decentralised models that put the person at the centre, not profit; that keep people with their families, with the support they need in their home. Or in their home living in their community with the support networks of their choosing. It’s what they do in Norway and Scandinavian countries. In Norway they have a philosophy of re-ablement for older people in poor health that focuses on keeping people in their homes – not directing them towards care facilities. It can be done.

We have to do so much better. And every single one of us is personally invested in this. Because we are all getting old. 

One day it will be us in that chair waiting for the taxi that never comes. 

It’s up to us.

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  1. If you took care of her yourselves, not only would it be cheaper, it would also have set a good example for your children. Why wouldn’t your kids stick you in a home? Isn’t that what your tribe does? Did your mother-in-law stick her parents in a home? Does it make her feel so guilty she won’t even ask you to look after her?

    • Who have you given up your previous life for and looked after full time? Or is it a woman’s job in “your tribe”?

      We tend to be living longer, kept alive by a range of drugs, way past our capacity to care for ourselves. I don’t want anyone in my family to give up a decade or so of their lives to look after me either.

      It’s also no longer just a matter of the family stepping up. Older people now linger on for so long through such complex needs it is often beyond the capacity of a single person in a home situation to do just the lifting involved.

      To mix metaphors, perhaps don’t curl the lip as a knee jerk reaction.

  2. I am joining with saying „how true“ Mandy!
    It’s really up to us to change that system before it’s us that will be „left behind“.

  3. Keeping old folk in homes is profitable business. Placing aged parents in homes often gets an obnoctious parent out of the way. Family interactions can’t easily be melted down to such simplistic terms. Thankfully, in Australia there is enough financial capacity to have aged people’s homes. I’ve passed my 80th and able to think about ‘what next’ should I become incapicated mentally or physically. I have no expectation for my spouce/offspring to become my carers therefor, paid for careing is a possibility if I am able to pay. Over the years I have known that such would one day eventuate and have something in place for that to happen. How about you and your planning? Expecting goverenment or family to ‘fix it at the time’ appears to me to be simply another round of selfishness.

  4. what’s invisible and smells of Pal? pensioner’s fart. MY POINT. it is perennial, a contempt for the aged in this country. the contempt basket has grown to include the mentally ill, First Nations Peoples (always and forever), youth… both sides of the political divide are captive to business interests and influence. The social contract broken and yet we continue to vote them in.


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