Dr. Celeste Pang discusses NIA and Egale report, Coming Out and Coming in to Living with Dementia: Enhancing Support for 2SLGBTQI People Living with Dementia and their Unpaid Carers.
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“Part of the challenge, both within government circles and in the broader society, is that health and finances are often treated as separate domains working in separate silos,” says Michael Nicin, NIA Executive Director.
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Dr. Samir Sinha, NIA Director of Health Policy Research, says the need for home care in Toronto is vast. “The whole system is strapped right now.”
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The Fixing Health Care series, authored by NIA Senior Fellow Dr. Robert Bell, Anne Golden, Paul Alofs, and Lionel Robins, addresses 10 common problems faced by patients in the public health system across Canada.
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“We have to remember that good, high-quality day programs can do a lot to stimulate a person’s, body, mind and spirit. Just because you have dementia doesn’t mean you have to stop living," says Dr. Samir Sinha, NIA Director of Health Policy Research.
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According to the National Institute on Ageing, 2,225 Ontario long-term care residents died during the second wave compared to 2,072 in the first wave.
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Bonnie-Jeanne MacDonald, NIA Director of Financial Security Research, says preparing for old age is a necessity, given that we are living longer. She added, in the article in the Financial Post, that they leave these decisions about ageing to the last minute, which puts a strain financially and physically on loved ones.
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The “MyCOVID-19 Visit Risk Calculator” asks users about 20 questions, from a person’s vaccination status to the type of transportation they intend to use, to estimate their risk of infection.
“There are so many elements that go into [a decision], from how many people you are visiting with, to how are you going to get there, and you realize it’s not a simple yes-no answer, which everyone would like,” said Dr. Samir Sinha, who developed the tool and is Director of Health Policy Research at the NIA. He said he continues to mask in public places.
With an election newly underway in Ontario, have the parties learned the right lessons from the COVID-19 crisis in long-term care? Dr. Samir Sinha, NIA Director of Health Policy Research, joined TVO’s The Agenda with Steve Paikin for a panel discussion on the issue.
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Keith Ambachtsheer, NIA Senior Fellow in Retirement Income Security, says a pension system will only keep working if two things are kept in mind: legitimacy – retirement savings have to be managed in the best interests of participants – and good governance.
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"We’re at a situation where [almost] a quarter of Canada’s population is now on the brink of retirement. They’re facing a very different situation than retirees have in the past, because a lot of them are going to be [retiring] without a pension plan and post-retirement benefits have declined all around,” says Bonnie-Jeanne MacDonald, NIA Director of Financial Security Research.
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"One 2020 survey from the National Institute on Ageing found that almost 100 per cent of people wanted to live independently and in their own homes for as long as possible."
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One of the biggest issues for Canadians is that they continue to leave their choices on ageing to the last minute. This winds up putting strain on loved ones, both financially and physically, says Bonnie-Jeanne MacDonald, NIA Director of Financial Security Research.
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Geriatrician and NIA Director of Health Policy Research, Dr. Samir Sinha, says more investment in home care is needed to avert a financial long-term care crisis a decade from now.
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"Right now we have a system that is geared towards building more beds. What I am proposing would actually save us billions of dollars and it would provide people with what they actually want and need," says Dr. Samir Sinha, NIA Director of Health Policy Research.
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"This is our time to start getting eldercare right in this country and really looking at how we can support more people to age in their communities and homes, because we know we are underspending compared to other OECD countries when it comes to care services for older people. This is why we have a challenged healthcare system as a result," says Dr. Samir Sinha, NIA Director of Health Policy Research.
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"Canada is now is at the tip of the demographic iceberg and the one program that has been ignored is the long-term care system. As we have seen during the pandemic, the long-term care system is not adequate and also not financially sustainable," says Bonnie-Jeanne Macdonald, NIA Director of Financial Security Research.
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Bonnie-Jeanne MacDonald, NIA Director of Financial Security Research, says the impact could be particularly devastating because Canada's future elders have not had as many children as previous generations.
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"We don't have anything like the Generation House in Denmark anywhere in Canada that I know of but we could totally do this here. We just need the political will that we've seen in this community and we have living proof that this can actually work," says Dr. Samir Sinha," NIA Director of Health Policy Research.
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"Right now there are about 200,000 Canadians living in long-term care homes. About a third of them, could have actually stayed in their own homes, with proper home care support," says Dr. Samir Sinha, NIA Director of Health Policy Research.
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