it goes solution based on the principle of to solving and state, leaving in peace with each other, and then how coachman meet at least winning transform if muslim countries are united. i do think that the countries in the region are united and there are several initiatives of regional care that we witness and support. we think that uh, early attempts uh over the biden administration to union let surely transform the region and impose solutions that would allow for normalization, no relationship between israel and some that up states. they completely failed. it was not the comprehensive approach. it was in attempts to economically by piece to put it this way. it didn't work. the war expands crisis is huge. this is one of the most troubling areas uh all

over the world and the russia together with us is fleming states. and other like minded, we work full force the and deliberately, to ensure that political process is once again in place. and we reach the formula altima lead that would allow that this war, this endless wars that if it finishes for the us, sanctions became probably the only diplomatic to at hands apart from the results to oral military power. so it's all about sanctions. it's all about punishing those who is not ready to be. and before, as you, as the dictates, this should be stopped. not least through the development of mechanisms we've been

breaks that, you know, facilitates the normal c expansion of the brakes is something that is driven by keen to interest all 5 huge number of countries coming from different areas in the world, different corners of the world. uh, towards brakes it is driven by the understanding that the brakes offers uh, an alternative, if you wish, in terms of off of being the platform being given you the place where people talk friendly to one another and work individually. consensual mamma towards solutions that make everyone comfortable and satisfied. no russian entities. no one has ever the

right to middle into us domestic relationship. we all remember how earlier narratives on so called russian involvement. how they became completely a m. c. and how they failed every single elements after they were used and abused me so used by those who just score political points on so called the russian file. i suspect the inclinations in some circles to play once again this melody and discard russian cards in relation to what's going on and not going on in texas. uh these these the moment. welcome, probably in not so distant future when we will see a reintroduction of us tech to go nuclear weapons in the u. k. in absence of

very destructive policies. that's those 2 capitals for years in decades tried to follow and implement on russia and to what's countries in our immediate neighborhoods and 1st and foremost ukraine in absence of these policies, we would never ever see that kind of deterioration of the security situation. but if they believe that the reintroduction of nuclear weapons in u k would be, uh, an act of deterrence towards russia. then they mistake and miscalculate once again, we will not be detroit. we once again urge them to stop and to and this is cal at to recycle. that becomes more and more threatening and more and

more dangerous to stay with us up next on the cost of everything. the cost of elder care bye uh the the while increasing longevity and improved health at older ages is seen in many parts of the world as the crowning achievements of the 20th century. these trends also present significant challenges. suicidal aging can affect economic growth, patterns of work, and retirement, the ways families function and the ability of governments and communities to provide adequate resources for older adults. so as the population ages, there's also a decline in the working age, members of society, and increases in health care costs. christy, and you're watching the cost of everything work today. we're going to be breaking down the costs of aging. an elder care,

the many americans who serve as caregivers are consumed by the men's cost of tending to ailing or aging family members. and as a baby boomer generation ages, more americans are in for a rude awakening. as to just how expensive caring for older adults has become. the price of nursing home care has increased an average of 2.4 percent each year due to inflation and the increased demand for adult daycare assisted living facilities or nursing homes. long term care services are expensive as a senior housing industry requires a large workforce of nurses and staff to support it. senior housing also caters to a high income population, is now in the us long term care costs between $35000.00 to a $108000.00 a year. but the medium costs to stay at a private room in

a nursing home is over $9000.00 a month. a 70 private room would be around $7000.00 at a price to stay in a living facility as around $4500.00 a month. and many baby boomers do not have enough retirement savings to cover the cost of living in good health, let alone and for more than 2 fits of baby boomers don't have any retirement savings. and these adults will need to rely solely on the income they receive through social security. because medicare does not cover nursing homes or assisted living facilities, 70 percent of adults age 65 years and older it will require long term care at some point. and the average length of these days these facilities is about 3.2 years. memory care facilities are growing up, the fastest rate ever in the senior housing market sector. these facilities offer more hands on care for people with dementia. and they can include special features

like walk units that prevent patients from wandering around and leaving this facility unattended and enclosed outdoor spaces where patients can move around safely. in 2019 there were about 8000000 middle income seniors living in the us. but by 2029 there will be about 14000000 middle income seniors with 60 percent expected to have mobility limitations and 20 percent expected to have high health care and functional needs. and now today we're joined by keith mock director of lead management at home instead to now keys. how have these costs were elder care evolved over the years and what factors are contributing to their increase? yeah, so definitely health care has increased along with home care and assisted living. the primary factor is of course, as you might expect, the employment costs of competition. we're seeing a lot of competition from other industries for the same employee pool. for example,

with the fast food industry, you're coming to see $20.00 to $25.00 an hour. and so we're competing with those same uh for, for those same employees within the home care and broader health care deal with home care specifically were competing against large hospital corporations as well. and that makes it a bit tricky because they have more resources, obviously, to lower employees too. so that's another aspect that we're seeing that's making it challenging to get employees. as a result, naturally, the cost of hiring those employees are going uh, we're also seeing cost increase as a result of you know, pandemic. so obviously, cove, it being the most recent one, the hazard pay associated with that have kind of bumped up pricing as well. the p p

that we have to provide in our employees to provide the chair safely, has also bumped up those costs. so those are 2 of the primary factors that we're seeing and added in. additionally, the, the cost of living wage and inflation obviously, is a big part of this. inflation hits our employees, especially hard the cost of child care just to in groceries as another example. and so the all of it combines as really creative effort pressure on the cost of, of health care. but for us, home care and elder care generally. and what challenges might arise in needing the increased demand for long term care. so definitely the, the, the caregiver pool is trained. so we spend a lot of resources just looking for the perfect caregiver. we don't want to hire

any caregiver to work with our clients, obviously. so the quality of the caregiver is also vital, and that's not an easy process, and it's certainly not a cheap one. and so just those recruiting cause that we occur uh, you know, make that very challenging to, to find the right caregiver. um, also another aspect of this would be, i would mention again, we're still recovering. it depends on where we had a healthy pool of caregivers who are a little on the older side. but we're very experienced and very knowledgeable, very is joyful. and they took that opportunity during the founder, me too, so to leave the field. and so we've been in the process of replacing those folks basically ever since. and so that learning ers is also a big challenge of this and in training and instructing new caregivers that come in

uh, you know, how to chair for a senior citizen is a big part of this and how to individuals and families typically navigate the affordability challenges associated with long term care, whether we're talking about a facility or hiring and at home nurse, do some families need to seek some sort of funding. yeah, this is a, this is a big one obviously. and there's multiple ways, none of them particularly perfect but, but piece me altogether that sometimes the, a solution for families, obviously private pay is a big part of this isn't for us, but almost as we are as a company, primarily we also work with the v a so we have a lot of veterans who take advantage of the benefits va has a very substantial home care of benefit that may get some. ready

12 to 20 hours a week. and so certainly we have a lot of clients to take advantage of that. now there's options out there such as reverse mortgages, you know, moving in with the kids. so that's become a reality for so many seniors. you know, trying to cut down cause we see this a lot in our area. yes. on useful for parents to move them kids to live in the basement. because without you know that the basement with everything they need. and so, you know, that's the way of cutting the cost as well. we have a lot of long term care insurance clients as well. this obviously is not a cheap uh, solution. some people were uh, were lucky and got it on the ground floor on this. you know, decades ago through their employer or a private policy. and so we do have a lot of clients that utilize a long term care benefit. and you know,

at the end of the day also we have the medicare benefits, which there is a home care dentist note within medicaid. there is an assisted living benefit within medicaid and may in may require, has been down of assets. but nonetheless, it is there. and it is as an option. and how does the cost of long term care in the us compared to those in other countries? seniors in the united states do have a bit of a more luxurious case. um, a lot of the senior assisted living, the communities and senior communities and especially in northern virginia area. but it's really throughout the united states that there is a home or a resort in some cases and you know, with great meals and great activities and so forth. but on average, you know, and we're about 20 to 30 percent higher than the country is out there. obviously it depends on the benefits that

a country might provide for the citizens. but the, you know, you tell me, for example, it's gonna be about 20 to 30 percent higher here than in the u. k. but here in a little less are more affordable options and, and you can see, you can see it goes out for us. as i mentioned, medicaid is an option for you know, assisted living communities, but not the last we are, we are higher taste or more expenses. and our communities are a top top notch from everything i've ever seen. and how does community and family involvement contribute to addressing the long term care needs of aging individuals? obviously, the more the family is called, the better for the senior. is this better? so a better way to live this healthy or is more beneficial? it prevents convince, uh, sometimes of the onset of demand. so severe symptoms. you know,

we saw all of the impact jack, who had oscillation on seniors that were isolated and didn't have access to their family. we saw the been so rapidly increased, sometimes exacerbate and so the more of the family is all definitely the better is also better on the cost of it. you know, the more the family can participate in here, the better i would say the family also though has to consider the long term cause, such as burn out. some families like to remain the family and not just because the caregiver and so that's when a company like home instead can come in and provide the rest that care for the family. so the kids can continue. ready remaining the kids and not only you know, the caregiver. now also another interesting that we've seen are of our neighbors that take an interest in each other, whether it be just making a meal or, or, or getting mail or checking in on their neighbor. you know,

we've seen neighbor of the benefits having active neighbors involved with seniors as well. how do workforce challenges such as the shortages and health care professionals impact the cost and quality of long term care? so i would say that a lot of our best caregivers are our parents or mothers and fathers, and so long as that comes with child care and the ease of course. and i know that's a challenge that a lot of them navigate and then have difficulty with and so that, that's another, that's definitely another challenge that we see. transportation also continues to be a challenge for our caregivers, reliable transportation, and i can get into their clients and you know, reliably it is, is there's another component in that that, you know, we often face. thank you so much case, but please stick around. he's mark will stay with us right here after the break.

and when we come back, we're going to explore how much it costs to take care of the elder and countries like china. well have more after the break. the . the, [000:00:00;00]

the meanwhile of china is also aging quickly, as it will have more than $400000000.00 people over the age of 60, by 2040, which is nearly a 3rd of its total population. by then higher living and health care will eat up a quarter of the countries g, d, p. and this will reduce the supply of the labor force while increasing the burden on families elder care a. but unlike many western countries, chinese elderly are expected to remain in their family homes and be cared for by their children or grandchildren. there is a strong stigma in china against placing aging parents or older members of the

families in nursing homes. and china is one child policy from 1980 to 2015 has meant that smaller families are increasingly expected to support an aging population. while a rising number of elderly are living alone. this place is an additional burden on the one child who will be expected to care for 2 elderly parents. it is when the seniors need the help with chronic illnesses, disability, or dementia, that care becomes complicated and they may have to be admitted into nursing homes. access to good senior care also varies greatly across the country with large gaps between the wealthiest and the poor. as provinces, in 2013 the nationals people's congress passed an unprecedented and controversial law for the protection of the rights and interest of elderly people, also known as the filial piety law. this mandates that adult children provide co, truly expect the support to their parents. 60 years or older in practice,

law and related regulatory measures are actually more aspirational then punitive. recently, china has also issued guidance to all provinces to build a basic elderly care system by 2025. china is experiencing its 1st demographic downturn since the control of a revolution. and in 2020 citizens. $65.00 and older accounted for 13.5 percent of the population. so now, provinces are required to implement a list of basic elderly care services based on factors such as economic and social development and financial situation. services include material assistance, nursing and caregiving, and must provide visiting and carry services for elderly living alone. in cities such as shanghai or beijing, the cost of a nursing home ranges from $310.00 per month to $3100.00 a month. in shanghai, only 3 percent of the cities,

elderly population is cared for in nursing homes. the majority still remain at home . and they, or their families, hire and caregiver to provide some form of assistance on a monthly cost of $450.00 to $700.00. obtaining a spot in a nursing home has been incredibly competitive with a wait list of more than 10000 applicants. so for the time being, the chinese government is promoting a 3 tiered senior care system whereby 90 percent of elders are expected to stay at home. 7 percent of the community centers and 3 percent at institutional senior care centers. so for this and more, let's bring in again keith mach now. keith, how did cultural attitudes and expectations influence the approach to long term care costs? i think it definitely affects the quality. so any time we can connect someone with similar cultures,

similar language is we certainly do it because care is ultimately about communication. if you can't communicate with your client, it becomes very hard to provide quality care. and also another aspect of this is maybe even customs and diet. if, if we can provide a caregiver that understand. ready those 2 aspects of their client, and then that becomes much more beneficial and a much better off because care which leaves are better homes. are there cultural differences that should be considered in developing policies or solutions related to the affordability of long term care? yeah, so i know for us as a, as a private company i hit on a little bit ago just in it with regards to met being doing the best match rather making the best match that we can with our clients and their caregiver is, is vital. and a lot of that comes down to similar interest. uh, similar uh, you know,

similar backgrounds. and i think that's the biggest thing that i see that needs to be focused on the home care at least. and how can technology and innovation contribute to making long term care costs more effective and efficient? yeah, so this started several years ago with the, the, the, the call button is the commercial, the top it out. i phone and i actually get up. and so you know that, and that was really the, tell us just so technology and it is still a valuable tool today that seniors are able to alert when they've, you know, some. ready and need assistance, of course, as for himself, a bit. since then, you know, a lot of our clients utilize cameras in the home to check in on the client and or their parents, whether our client also at the top is of this. ready 3 is robust technologies that are helping companies like film instead and or parent company

order efficiently, schedule a care caregivers for our clients. taking into account preferences and schedule availability and expertise and knowledge of that's really kind of what we're seeing right now. and the technology, there's quite a few companies kind of buying for that and trying to develop them perfect. it well, you know, utilizing some other work, you might see what to be on hoover's situation, connecting someone right. ready away as quickly as possible, and have inflexibility. where are you going to locate that caregiver and, and how quickly you're going to be able to get that caregiver to the home. how have the us government address the growing need for long term care and what policies are in place to support aging populations? so the united states hasn't really addressed the, the home care solutions as i'm speaking on behalf of the home and said,

there's constantly rumors that medicare will include some sort of home care benefits. we have yet to see that. now obviously in terms of medicaid medicaid does have that home care benefit and the other system is living benefit. but you know, it takes the pamphlets to, to qualify for that often now with medicare, regular, medicare, they do provide that 60 days of care. but a lot of folks mistaken, we believe that that will cover extended home care that's typically only for 60 days and only provided by a skilled agency that also happens to employ maybe caregivers as well. so that skilled agency can supply a skilled nurse can supply p t ot at home health a for 60 days after that is really up to the senior and their families to come up

with those solutions or their challenges or advantages associated with rely on family based care system. so and we basically our systems are awesome. i think i as long as love with the family, if you can bring in a component of home care to make sure the family isn't getting burned out from, from the cause of care that that really sets up the family for success down the road. but obviously the family knows the senior, you know, they're obviously most involved in the senior license. so they're gonna be able to provide some of that desk chair, the 4th floor of the senior. and so anytime with family can be of cause we walked on the homeless ad. in fact, we really view the family as a vital component of this. because ultimately those are advocate and they need to remain involved. because ultimately at the end of the day, the new home care agency or assisted living facility has limited resources and,

and limited capabilities. and so the family really needs to remain uh, you know, in charge of the share and overseeing the chair or the elderly making their own decisions when it comes to where and how to spend the rest of their lives. or does the family still have a lot of say in regards to that? yes, so seniors definitely typically take charge of their care in from our conversations with children, seniors. they often don't look forward to those conversations about having to bring care to the home. as so seniors definitely want to say and they continue to have the say at some point, outward forces may change that whether it be changes in in college of abilities with a mentor or all timers or, or whether that be financial resources. at some point the children may have to take over that chair as power of attorney isn't and take the lead on that. but

definitely while seniors are cognitively able and physically able, they're definitely in charge of their care. and they prefer that way. as you might imagine, thank you so much case for all your time today. while it is clear that people are living longer, are they living any better? are these added years healthy years, or does it mean that society will be experiencing more disease and disability? a survey showed that a high percentage of people over the age of 65 have no natural teeth, and a substantial proportion experience is at least some level of memory impairment, and other chronic conditions. all of this will surely require more assistance and place a heavy burden on society. i'm christy. i. thanks for watching and we'll see you right back here next time on the cost of everything the,

[000:00:00;00] the farmers across europe a lash out against strict environmental regulations that are stifling their businesses and warm the government. they are determined to go all the way to get concessions. we don't want to back down until we've made real progress because we can't take it anymore on our farms. we're still very much alive and that we're not going to give up. in any case, it's our life, it's our future. it's our children's future. despite the mounting street demonstrations of lock approve, so 50000000000 euro aid package to crane up are hungry and back down from the