Cole / Nicole LeFavour

Not About Salad Bars

Salad bars. That's the metaphor being used for seniors being assessed charges for services in assisted living centers. Senator Hill likes iceberg lettuce and dressing. That's it. He doesn't want beets and cauliflower.

H146 changes the way assisted living facilities charge elderly and disabled residents. Assisted living services for the elderly and disabled are not optional services, they are frequently critical medical services residents have no choice whether to or whether not to accept. If you live on a fixed income isn't some level of predictability important? Wasn't the previous tiered rate structure letting providers make as much as they do in other states?

Under this bill residents get a plate for roughly $2,500, a plate, no salad. A room to rent, no services. If they want salad or dressing they have to pay more. I'm sure most assisted living centers would give them lettuce with the plate, maybe dressing. Maybe not. Maybe some facilities will decide to charge for every leaf of lettuce and every gram of dressing. The bill doesn't say they can't. We will trust that accountability to a rules making process and an oversight board which I think assisted living facilities have so far ignored.

And if you know you can not afford more than a little lettuce or dressing, will you maybe then go without care you need even though it is critical to you health? Physical therapy, oxygen, travel assistance. If you are struggling with recovery or health issues, might a provider easily tuck a bunch of caviar under your cauliflower and charge you even though you never wanted it and knew you could not afford it?

And here I play with a really broken metaphor. I'll stop. The bill passed at something like two to 33. Those of us who opposed it were criticized for cruelly scaring seniors.