Senior care, already challenged by pandemic and Boomers aging, needs Medicaid
PACE, the Program of All-Inclusive Care for the Elderly, centers provide government-funded medical care and social services to people older than 55, and they are a growing alternative to nursing home care. In the photo, physical therapist Brad Ellis, standing, works with George Raines on mobility issues at a PACE center in Tennessee. (Anna Claire Vollers/Stateline)
Caring for Oregon's seniors has been my life's work. It began when I was a high school student in Hillsboro, and it continues today in my role leading Arete Living, an Oregon-based company that provides assisted living and memory care facilities.
Our caregivers and staff provide essential care to hundreds of seniors and people with disabilities every day in all corners of the state. We meet people where they are, and we provide the care they need to sustain their independence and quality of life. The work is hard, but it is also incredibly rewarding and fulfilling.
The last five years in senior care have been challenging to say the least. We faced a global pandemic and worked tirelessly to keep our residents safe and supported. And yet, with the pandemic behind us, I can say that I have never been more worried about the future of long term care in Oregon.
At the federal level, discussions around cutting Medicaid are rampant and incredibly worrisome. At the state level, difficult decisions are being made about what programs to fund and what programs to cut.
I am deeply concerned about what cuts to healthcare, or flat investments, will mean for our seniors as more Baby Boomers age into the years of their life when they need care, whether it is in an assisted living facility or in their own home. The increasing number of aging Oregonians who have more complex care needs than past generations, along with record-high inflation in medical supplies, food services, labor, and other critical health care components, means that the cost to provide care in Oregon is higher than it has ever been.
These issues are felt more deeply in our rural and frontier communities where fewer caregivers are available and health care deserts already exist. Older Oregonians who have spent their lives in these communities should not have to move away from family and friends simply to find care. But Oregon is seeing assisted living and memory care facilities close their doors amid the combined pressures of more regulation, higher costs, and an underfunded Medicaid system.
I know that lawmakers have hard choices to make, and I do not envy their positions. But I urge them to think about the seniors in their districts who have worked hard and contributed to Oregon's beauty and success.
They deserve a long term care system that is well-funded and thriving. That will only happen when lawmakers step up and invest in Medicaid for our most vulnerable seniors, the same individuals we serve every day at Arete facilities and in others around the state. They are counting on us.
SUBSCRIBE: GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

Miami Herald
2 hours ago
- Miami Herald
Senate official rejects food aid cuts proposed by Republicans in megabill
A top Senate official on Friday night rejected a bid by Republicans to slash federal food aid payments as part of their sweeping legislation carrying President Donald Trump's domestic agenda, sending party leaders scrambling to find another way to help offset the massive cost of the bill. The measure passed by the House last month and on track to be considered in the Senate next week would cover part of the cost of extending and expanding large tax cuts by cutting social safety net programs including Medicaid and nutrition programs, including SNAP, formerly known as food stamps. Republicans are moving the bill through Congress using special rules that shield it from a filibuster, depriving Democrats of the ability to block it. But to qualify for that protection, the legislation must comply with a rigorous set of budgetary restrictions meant to ensure that it will not add to the deficit. And the Senate parliamentarian, an official appointed by the chamber's leaders to enforce its rules and precedents, must evaluate such measures to ensure that every provision meets those requirements. Elizabeth MacDonough, the parliamentarian, ruled that the SNAP measure, which would push some of the costs of nutrition assistance onto the states, did not. That sent Republicans back to the drawing board to find another strategy for covering tens of billions of dollars of the bill's cost. She also said Republicans could not include a provision that would bar immigrants who are not citizens or lawful permanent residents from receiving SNAP benefits, according to Sen. Jeff Merkley of Oregon, the top Democrat on the Budget Committee. The House-passed bill would require all states to pay at least 5% of SNAP benefit costs, and more if they reported a high rate of errors in underpaying or overpaying recipients. That provision was estimated to save roughly $128 billion. Senate Republicans were unsettled by that plan, arguing it would tee up insurmountable budget shortfalls for their states. They softened it, advancing a lower share for states to shoulder than that set forward by the House proposal. On Saturday, Sen. John Boozman, R-Ark., the chair of the Agriculture Committee, said GOP senators would continue to try to find a way to cut food assistance that complied with Senate rules. 'To rein in federal spending and protect taxpayer dollars, the committee is pursuing meaningful reforms to the Supplemental Nutrition Assistance Program to improve efficiency, accountability and integrity,' Boozman said in a statement. He said he was looking at options 'to ensure SNAP serves those who truly need it while being responsible stewards of taxpayer dollars.' Sen. Amy Klobuchar of Minnesota, the top Democrat on the Agriculture Committee, cheered the parliamentarian's decision, saying she had 'made clear that Senate Republicans cannot use their partisan budget to shift major nutrition assistance costs to the states that would have inevitably led to major cuts.' Several fiscal hawks in the House and Senate have complained that the legislation does not do enough to cut federal spending. With the parliamentarian's ruling, Republicans will have to find another way to slash a huge sum of money that their members also feel comfortable voting for. The ruling was just one piece of a broader review the parliamentarian is conducting of the Republican-written legislation. She was expected to work through the weekend evaluating the measure and instructing Republicans to strip out any provision she deems out of order. Should they fail to do so, Democrats could challenge the bill on the floor, forcing Republicans to muster 60 votes to advance it, which would effectively kill it since Democrats are solidly opposed. The parliamentarian also will determine whether Republicans can keep a provision that would block states from regulating artificial intelligence for a decade, and whether they can use a budget trick that would make extending the 2017 tax cuts appear to be free. This article originally appeared in The New York Times. Copyright 2025


Chicago Tribune
4 hours ago
- Chicago Tribune
Pope Leo XIV says there should be no tolerance for abuse of any kind in Catholic Church
LIMA, Peru — Pope Leo XIV has said there should be no tolerance in the Catholic Church for any type of abuse — sexual, spiritual or abuse of authority — and called for 'transparent processes' to create a culture of prevention across the church. Leo made his first public comments about the clergy sex abuse scandal in a written message to a Peruvian journalist who documented a particularly egregious case of abuse and financial corruption in a Peruvian-based Catholic movement, the Sodalitium Christianae Vitae. The message was read out loud on Friday night in Lima during a performance of a play based on the Sodalitium scandal and the work of the journalist, Paola Ugaz. 'It is urgent to root in the whole church a culture of prevention that does not tolerate any form of abuse – neither of power or authority, nor abuse of conscience, spiritual or sexual abuse,' Leo said in the message. 'This culture will only be authentic if it is born of active vigilance, of transparent processes and sincere listening to those who have been hurt. For this, we need journalists.' Leo is well aware of the Sodalitium scandal, since he spent two decades as a missionary priest and bishop in Peru, where the group was founded in 1971. The then-Bishop Robert Prevost was responsible for listening to the Sodalitium's victims as the Peruvian bishops' point-person for abuse victims and helped some reach financial settlements with the organization. After Pope Francis brought him to the Vatican in 2023, Prevost helped dismantle the group entirely by overseeing the resignation of a powerful Sodalitium bishop. The Sodalitium was officially suppressed earlier this year, right before Francis died. Now as pope, Leo has to oversee the dismantling of the Soldalitium and its sizeable assets. The Vatican envoy on the ground handling the job, Monsignor Jordi Bertomeu, read out Leo's message on Friday night, appearing alongside Ugaz on stage. In the message, Leo also praised journalists for their courage in holding the powerful to account, demanded public authorities protect them and said a free press is an 'common good that cannot be renounced.' Ugaz and a Sodalitium victim, Pedro Salinas, have faced years of criminal and civil litigation from Sodalitium and its supporters for their investigative reporting into the group's twisted practices and financial misconduct, and they have praised Leo for his handling of the case. The abuse scandal is one of the thorniest dossiers facing Leo, especially given demands from survivors that he go even farther than Francis in applying a zero-tolerance for abuse across the church, including for abusers whose victims were adults.


Newsweek
4 hours ago
- Newsweek
Donald Trump Calls Green Tax Credits in 'Big Beautiful Bill' 'Scam'
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. President Donald Trump criticized his own federal budget legislation in a post on Truth Social Saturday. "I HATE 'GREEN TAX CREDITS' IN THE GREAT, BIG, BEAUTIFUL BILL," the president said, adding "They are largely a giant SCAM." The bill, which includes $4.9 trillion package packed with tax breaks, budget cuts and new Medicaid work requirements, made it past the House last month in a close 215-214 vote, with two Republicans breaking ranks to vote "no," Newsweek previously reported. The next hurdle, opposition and infighting in the Senate. Now, Trump has stated even he has problems with outlined initiatives. "I would much prefer that this money be used somewhere else, including reductions. 'Anywhere' would be preferable!" Trump exclaimed. "Windmills, and the rest of this "JUNK," are the most expensive and inefficient energy in the world, is destroying the beauty of the environment, and is 10 times more costly than any other energy," the President explained, adding "None of it works without massive government subsidy (energy should NOT NEED SUBSIDY!). Also, it is almost exclusively made in China!!! It is time to break away, finally, from this craziness!!!" This is a breaking news story. Updates to come.