Where I live Medicare and Medicaid want people to live (and die) in their own homes. They send out nurses and nurse practitioners to you. That is what I want. After some research I realized the provider that I want which is UTSW in Dallas has a geographical radius that they serve. I am planning to eventually move to be within that radius.
That was my parents' original plan. But they were in denial about how much preparation would be needed to make that happen. They lived in a split-level house and my father had severe osteoarthritis in his knees. It's actually a miracle that he didn't fall and break his neck going up and down the stairs. But one day he fell in the shower and could not get back up, and that was the beginning of the end.
That’s totally doable and encouraged, as it’s by far more cost effective.
But you really, really need a support system of willing people who care about you, and are savvy enough to effectively advocate for you when you lose that ability. Independent home care works well when you need help, not constant care.
Our family worked with this for 6 years with my bad post stroke and for about a year with my mom and cancer. My siblings were all on board and my mom was uniquely positioned - she was a regulator at the state level who was adept with the rules (and had in fact wrote many!).
Even so, as things progressed it was hard. My mom was devoted to my dad, and filled every gap. We depended on hired help for mom, and despite the financial resources it was difficult to get staff.
This is going to sound a bit wild, and only viable under 70 or so, but I've met a lot of 55-70 expats in walkable southeast asian cities. There's obviously varying circumstances so do the research, but you can almost get adopted by your landlord family, where you're getting home cooked meals, rides, doors held open, etc. This part of the world is so family oriented, it just comes naturally to many of them.
It's a nice idea, though I hope I'm humble enough to vacate my house for a younger family that will make the most use of it. By which time I hope to be in a manageable apartment, or perhaps a group home where I can pass the time with others at a similar stage in life.
For some (like one of my family members), circumstances are such that they need more social attention than the family/medical system can provide. That's one of the reasons we are considering.
The continued stalemate will likely continue in my opinion. Continued daily strikes by the US and Iran squeezing the strait. China is severely squeezed by loss of oil. Russia benefits from rising oil prices. Everyone else will get to relive the 1970s. Stagflation here we come.
I don't think Iran can take a sustained air campaign for that long. They talk like they can but they can't. The only thing they have right now is their remaining ballistic missile (and to some extent) drone launch capabilities but that is going to keep getting degraded.
The US being a net exporter of oil should benefit from higher oil prices. Defense contractors will also benefit.
The 1970's were probably better than these days. ;)
Consumers can make choices only if it is clear what the options are. In many cases, Microsoft hides behind weasel or made up words. And it takes a security researcher to peel back the layers of their bullshit.
I generally have given up on diagrams. Systems and flows I work with are too convoluted to be mapped out. Only the simplest of flows can be diagrammed and it usually leaves out important facts. When dealing with non technical people, I have found out through trial and error that excel works best. I start out with sample data on one sheet and walk them through the various transformations in sheet2, sheet3 etc. I even create a table of contents that has links to the different sheets. In a phrase, seeing data is believing.
This reminded me of the film Queen Margot when the king was poisoned by reading and touching a book on falconry with the bad habit of licking his fingers.
Two wrongs don’t make a right. What matters is being upfront and transparent. Microsoft could just have said the initial license is just that. If you want updates be prepared to pay.
https://utswmed.org/medblog/geriatrics-cove-team-makes-house...
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