The Commodification of Aging, Devaluation of Care, and the Aging Enterprise

Dr. Annie Rhodes

capitalism

The logic of ______ says not everyone is equal

exploitation

the history of capitalism is ______

Neoliberalism

_______is the political approach that favors capitalism

FALSE — does not, typically contraindicated

T/F: Good capitalism requires justice

Commodity

______ is something that can be sold or traded

healthcare

the relationship between capitalism and _______ is very complicated

inherent conflict

3 aspects of _______ affect the relationship between capitalism and healthcare

CONTROL

Healthcare seekers cannot ______ when they enter or exit the healthcare market

equilibrium

A lack of competition prohibits a natural price _______

TRUE

T/F: seekers of healthcare cannot control when they enter and exit the healthcare market

TRUE — we have code of ethics and organizational obligations

T/F: healthcare workers do not have (completely) free will of behavior

Insurance

_______ can dictate what healthcare professionals can and cannot do

equilibrium

Gov’t actions limit ______ which is not always bad but also not always good

commodified

US healthcare is in what seems to be an inexorable transition to corporatized, _____, industrialized health and social care

Productivity

_______ is an example of how conflict stirs up feelings of being undervalued within the company

TRUE

T/F: conflict happens to EVERYONE within the system

TRUE

T/F: Conflict can be leveraged for CHANGE

moral distress

if you know that you’re feeling conflicted, that will reduce _________

change

Understanding that you’re in conflict, will increase capability to support evidence informed ______

evidence based

healthcare policy is often not ________

RATIOS

We know that when there are ______ the healthcare professionals are safer

quality of life

Ratios can support a high ________ for staffing and resident care and overall quality of the facility

Medical Industrial Complex

_________ is also just known as “Health Care’ … it is industrial bc we are always working on improving and rolling new things out on the market

productivity, profit, investment

The MIC is supposed to improve health of workers to promote ________, support production and ______, and provide opportunities of _______

FALSE — it only functions to produce good productivity and profit

T/F: the MIC provides quality health care

Aging enterprise

_______ is anything that supports older adults, organizations/bureaucracies, interest groups, etc.

anging enterprise

The _______ is a tiny part of the MIC

advocacy

We need to use _____ to change the story of the MIC

POLICY

______ always affects you personally

protect, care, high quality

We should study the conflicts in healthcare to _____ ourselves from moral distress by gaining clarity, helps us build advocacy, helps us improve the ____ we give to patients and allows us to select _______ places to work

actions

Individual experiences will be influenced by the _____ of the structures of the greater political economy — we need to be aware of all of these structures and how they relate to each other

1. culture norms and values

2. contemporary events

3. economic factors

3 parts of the individual experience are:

Racism and Sexism are underlying constructs

• incentive

• less ratio equilibrium = smaller salaries

• not a lot of support for minority women as CNAs

What relevant cultural/social, financial policy interests contribute to nursing home staffing minimums?

owners

Never construe ______ benefit with patient or staffing benefiti

Ableism

_______ historically has influenced our healthcare system in terms of cultural value/factors

body

You are expected to be productive and produce labor until you age and can no longer do this, then the system commodifies your ______

People

_______ are commodified, some more than others, especially if they are disabled without expectation of recovery/return to baseline

reduce

To extract max profit, there is incentive to ______ expenditure

Cumulative disadvantage

__________ across the lifespan impacts some people more than others

UNJUST

We are in a system that incentivises _______ behavior

“marginalizing characteristics”

Care Workers and older adults/people with disabilities share _________:

• lack of acknowledgement/value

• impoverished

• higher rates of chronic illness

• low political and social status

Trauma Informed Care Movement

The ________ evolved from the fact that nursing homes are similar to concentration camps

deconstructed, reconstructed, advocacy

Any system which can be constructed can be ________ and _______ BUT it is dependent on ______

Advocacy

______ is an effort to change individual or group positions, a system’s processes, or policies that are perceived to be flawed, dangerous, unresponsive, unfair or insensitive

corrective, complementary, supplemental, punitive

An advocacy change can be _____, _______, ________, or ________

harm, rights, injustices

The common goal of advocacy is to improve conditions, avoid ____, meet needs, protect ____, defend general interests, or rectify _____

• at bedside

• as leaders in organization

• as leaders in advocacy organizations

• as constituents

Where can healthcare practitioners advocate?

structural

Aging is _______ not individual

1. what does the elder want

2. what are systems more systematic

3. when do providers need to call in outside help

4. is conflict inevitable

what 4 questions should we be asking when participating in elder advocacy

sociopolitical climate

We need to think about the _______ when evaluating an issue, including service provision

BOTH

Advocacy can be (external/internal)

VALUE

when we think about advocacy being internal, we can ______ care work, old age, ability and disability