The demand for caregivers is growing rapidly as California's population ages, but the majority of state's Medi-Cal caregivers earn poverty or near-poverty wages and have poor access to health care and food, a new study from the UCLA Center for Health Policy Research has found.
Fifty-seven percent of paid Medi-Cal caregivers and almost half of all 450,000 paid caregivers in the state have incomes that leave them in poverty or near poverty, according to the study, "Hidden in Plain Sight: California's Paid Medi-Cal Caregivers Are Vulnerable." Medi-Cal is the state's public health insurance program for low-income seniors or adults with long-term illnesses or disabilities.
"Paid caregivers do a lot but get paid very little," said Geoffrey Hoffman, the study's lead author. "They play a critical and complex role caring for our aging or disabled parents, grandparents, friends and neighbors yet can earn only a little more than minimum wage."
With recent state budget cuts, the situation for caregivers is already more precarious; it could worsen now that the state's Adult Day Health Care (ADHC) program has transitioned into a different program, and if further cuts are made to In-Home Supportive Services (IHSS), Hoffman noted.
The study is based on the 2009 California Health Interview Survey, which is administered by the UCLA Center for Health Policy Research and is the nation's largest state health survey.
An estimated 6 million caregivers in California provide much-needed services for a family member, friend or other individual with a long-term illness or disability. Of these caregivers, about 450,000 are paid for the services they provide, and two-thirds of them approximately 290,000 are paid Medi-Cal caregivers.
The study found:
"When we talk about caregiving, we should be thinking not only of the supportive services we provide to older adults but also the vulnerable people providing those services," Hoffman said.
The downsizing of the Adult Day Health Care program, which started on April 1, when the state transitioned to the new Community-Based Adult Services (CBAS) program, and a proposed 20 percent cut to In-Home Supportive Services workers' hours, which is currently blocked by a federal court, could have a devastating impact on seniors and people with disabilities, Hoffman noted.
Adult Day Health Care offers social, health and therapeutic services to frail older adults to help them remain independent in the community; In-Home Supportive Services helps older low-income adults and people with disabilities pay for services such as cleaning, cooking, running errands, help taking their medicines and other tasks.
"Cuts to state programs for seniors will come at the expense of California's seniors, but they will also harm paid caregivers," Hoffman said. "What is needed is more support for these economically vulnerable Californians so that they can take better care both of older care recipients and themselves."
|Contact: Letisia Marquez|
University of California - Los Angeles