Media Missing on Story that Matters

With Boomers and their parents aging, the media is MIA on a story that should strike fear in, and may impose financial consequences for, everyone but the very rich and the most needy.

We live in an age where aging in America creates costs that can destroy a life’s savings even when the economy is thriving. Living longer means having enough money—or assistance—to insure a safe and secure existence in our “Golden Years”. I use that gilded term because somebody I met recently derisively referred to “seniority” this way, “Golden Years, what a joke,” she said. This woman, in her late 60s or early 70s, was caring for her husband, the victim of a massive stroke. We met during the dinner hour in a nursing home in Queens. I was there because my mother was recuperating from a short illness. My mother’s stay was only a week and was covered by Medicare. But if she had required longer term care, Medicare would eventually stop.

For the victims of Alzheimer’s Disease, or a massive stroke, or debilitating cancer or heart disease, long-term care costs can wipe out a life of savings in months or a year or two. Long-term care insurance is one option but it, too, is fraught with pitfalls, problems and misunderstanding; it’s also quite expensive and doesn’t always cover what policyholders expect it to include.

The long-term care dilemma is going to be—in many cases already is—a massive problem for our society. Typically, what happens is that at some point Medicaid kicks in and takes over the payments for nursing homes or homecare. Medicaid—MediCal in California—is government insurance for those with limited income and assets. Elder law attorneys and social workers can help with “Medicaid Planning”. That nice euphemism is code for sheltering ones assets before they run out and you, or your heirs, are left with nothing. Until you have to deal with these issues, usually because of a loved one’s illness, you just hope you never have to deal with these issues. As life is extended, often well into the 80s, and not uncommonly the 90s, these issues will become more burdensome for individuals and society.

As a news story, the impending long-term care crisis barely registers. More immediate stories of this ilk include Medicare costs and Social Security problems, and the need for some form of national health care policy. Government and politicians will not tackle long-term care without more public awareness and pressure. Eventually enough people will suffer because of this lack of a clear-cut long-term care policy. In the meantime, news organizations are missing an important story that if told properly can inform and influence public policy before too many families suffer. A serious illness takes the gleam off the Golden Years but a good understanding of these issues and proper attention can salvage some of the luster.

For an editor, news executive, or reporter, this is a great story. It has real people; it mostly affects the middle class because the poor get Medicaid and the rich can afford the care; it is a story that matters and can make a difference. So instead of doing another story about dollar bills being tainted with cocaine, or genital plastic surgery and grooming, let’s cover something that really matters and can make a difference.

Covering the economics of health care requires good story-telling skills and finding engaging, human, examples to illustrate the issues. It is more difficult than police scanner news, but readers, viewers, and web surfers will pay attention if the stories are interesting and well presented, whatever the medium. During my years as a news director, whenever we covered health from the economic perspective we got a ratings spike. Properly produced and promoted you’ll get ratings (or readers or users); you will be doing a service for your community and country; and you’ll feel good about the work you’ve chosen to make your living.