Friday, January 6, 2012

Missouri Medicaid Allowance has been Raised

Missouri’s Medicaid personal needs allowance has finally been raised. Though this change is much appreciated, the effects on Missouri seniors will be minimal. The personal needs allowance which was previously set at $30 a month, has been raised to a monthly allowance of $35.
    This Missouri allowance is one of the lowest in the country and is in stark contrast to that of the neighboring state, Kansas, which has a monthly allowance of over $60.
    This amount is meant to cover all of the personal needs when in a nursing home. This includes all toiletries and room supplies, all hair and nail appointments (and we all know mom and grandma need to get their hair done weekly), all meals out, bingo money and birthday cards. With Hallmark cards nearing $5 a pop, we better hope that there aren’t too many birthdays in one month.
     The point of realization that mom, or dad, or grandma needs to be in a nursing home is never easy, and not being able to afford it is another stressor. This hard transition should not be exasperated by forced destitution. When moved out of a lifelong home, it is the small comforts such as hair appointments or birthday cards to grandchildren that make all of the difference.     Though this increase will only make the difference of one extra toothbrush, Missouri finally seems to be moving along the right track to a more reasonable personal needs allowance.

Tuesday, January 3, 2012

A prison hospice program

As some of you know, one of the boards of directors on which I serve is that of Kansas City Hospice & Palliative Care, a wonderful agency that is the non-profit gem of Kansas City's many hospices.

Through that work and other experiences I've learned a lot about death and dying and the comfort that quality hospice care can provide. But I'd never thought about the need for hospice care in prison.

Until, that is, a fellow KC Hospice board member, the Rev. Bob Hill of Community Christian Church, gave me a copy of Grace Before Dying, by Lori Waselchuk.

In a series of amazing photos and accompanying text, it tells the story of the prison hospice program in Louisiana's Angola State Prison.

Until Jan. 31, photos from the book and quilts connected to the hospice program in that prison are on display in the Steeple of Light Gallery at Community Christian, 4601 Main St., Kansas City. The gallery hours are 9 a.m. to 4 p.m. Monday through Friday and 8:30 a.m. to 1 p.m. on Sundays. There is no charge to see the display, called "And You Came to Me."

What comes through this photo work so powerfully is the humanity not just of those dying in prison but also of their fellow inmates who have become caregivers in the hospice program. The whole hospice ministry (for that's truly what it is) is transformative. It changes the one receiving care and the ones giving it in radically life-affirming ways.

As Waselchuk writes in the book's introduction, "This project is not about death. It is about life, its limits, and the choices made within those limits."

I encourage you to see the display at Community Christian and then learn about hospice care options here in Kansas City.

Source:http://billtammeus.typepad.com/my_weblog/2011/12/12-27-11.html