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SOC246H1 (20)

Soc aging- March 21.doc

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Markus Schafer

Last weeks Lecture Despite the success of the canadian pension system , poverty remains higher among  aboriginal canadians  senior with health problems  immigrants (have to live in canada 10 years to be eligible for OAS/GIS + a reduction for shorter periods of time lived in Canada  those living alone  women  19% percent of the women live under the low income  women living lonely is usually high risk living in poverty  conclusion  old age security reflect an implicit social contract in the modern welfare state but it also involved a more specific intergenerational contract  common concern: do older adults receive disproportionately high benefits relative to others?  Age integration vs.Age conflict –Anne Foner's 2000 essay, The Gerontologist This week Care for older adults 2 sector care : informal care (neighbour and friends) formal care ( pay for care) Sociology of Aging, Winter 2012 Class 10 Care for Aging Persons, I I. Informal care from family and civil society - Caregiver squeeze? a) longer life span b) smaller family sizes – fertility rate is lower c) more dual-income and households with divorces – more men living longer then women have more help = more survived couples - 20 percent provide unpaid care to an older person - the most common care is someone's partner or child - demographica available help- depending on who is in your social next work - 60% offering some form of unpaid care are females - among adult children – daughter provide care II. Health care system In canada, multiple provincial and territorial systems  federal government subsidized half of the health care if the province follows certain set of terms Canadian Health Act of 1984: universality, public administration, comprehensiveness, portability, and accessibility − Federal government reaffirms its commitment to standardized health care for all − 5 key principles: universality, public administration comprehensiveness portability and accessibility − Restricted to “medically necessary hospital , physician and surgical- dental service - Focus on “hospital, physician, and surgical-dental services” - Implications? Several gap and challeneges: o Prescription drugs - - to expensive to maintain - wide variation by province of how they take care of it o Long-term care (wide variety of services in response to chronic disability, including skilled nursing care, assisted-living, home care, hospice care, respite care adult day care, and other in-home living arrangements) - diverse care that can be taken place anywhere and it is to help with daily life o world health organized a goal that older people to age in place and still be home instead of being isolated and put in institutions right away o o o wide variation across provinces, and within the province o institutionalization vs. Individualized health- service needs met at home III. Institutional long-term care − old people prefer to live at home Nursing homes -most institutionalize and provide medical complex service − people go to nursing home for a short period of time to recover − medical chairs – very medicalize – hospitalize – people wearing uniforms Assisted living − emerge for 1990s − reflect to avoid nursing style of home − try to keep people as independent as much as possible and provide asisstence on certain things they need help − try to make institutions like a home (not the other way around) − to have privacy – private living e.g having your own room − green house mode
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