present a number of problems. there time to make these changes to the deal and is there willingness on behalf of our allies? it is tioned macron, but not just france who have signed changes on to it. >> yeah, i think they are nterested in seeing if improvements can be made, they want us to stay in the deal those verybody works on improvements and that would be my advice. > "washington journal" continues. host: each week in this segment of the "washington journal," we potlight a recent magazine piece, this week we focus on the cover story of the march 17th of barron's magazine, how cocurb the high cost of caregiving. editor.apadia is the you cost you refer to don't necessarily have dollar signs in them. first take us through the cost of caregiving. guest: sure. affects 34 million

americans who are caring for older adults, and those caring kids. the costs are numerous, the for r amounts of paying home healthcare aides and eventually assistant care and cost thatbut also the comes out of people taking time out of work, the indirect costs add up to be huge amounts. i think there is aarp has done who take time out care for a eers to spouse or parent, they average terms of benefits and lot of money, a obviously. a lot of costs that are not icked up by insurance or medicare, half of the costs are out of pocket for people. hey can be little things like travel to help your parents djust to their new space they need to live or help out when there is surgery, things like incontinence products and

medicine you get at the assisted add g center, things that up. host: reshma kapadia with us for the next hour. special lines in this segment, caregivers call in at 202-748-8000. 202-748-8001. want to hear your stories, your questions as we talk about the caregiving. a few more stats from that cover tory of last month's issue of barron, 70% of today's 65 year lds will need prolonged assistance, tribe of caregivers for people older than 50, million and likely to grow. reshma kapadia, how prepared are for that? guest: not very, unfortunately. difficult conversation no where one wants to sit down have. is hard to have, it is not a straight-line path and averages are misleading. have alzheimers or dementia, cost can go from

there, $500,000 and up. and people o plan skip over it. those in the financial community and when planning retirement on your own. but there are things you can do to kind of limit those costs or cushion, you know, cushion -- you may encounter long-term care insurance, for example, and having conversations with family members to see who can provide what their own expectations of how that journey will go. the cost oflk about caregiving coming in specific places and we will walk through phases over the course of this segment. this," ase is "i've got phase explain what that is. guest: it seems easy, someone a doctor's appointment, you go in and accompany your parent, once a month on a basis. it may be, they need assistance house, you get someone to help with errands. you are spending money looping that y, it doesn't seem hard to deal with that.

ou know, it kind of is a slippery slope. not everyone has that, first of all. can arise because someone had a stroke or a fall, you don't get that slow gradual move. if you have a slow gradual move, cufigure out what is going to happen next and how will this go and consult ourney aregivers and geriatric care managers, even at this early stage to see if the house people are living in is suitable for age and whatnot. host: how expensive is that, consultation?ng a guest: geriatric care managers $100 to $150 an hour, it sounds like a lot, this is where and assess the situation. there are area agencies that elder care u, loretta lynch:or and find to urces in the community have people come and help you

figure it out smchlt is sitting own and talking about family members, what their thoughts are and how they want to sort of be is in their it house fthey are okay going to a community and living there and provided there. host: the story again, how to curb the high cost of aregiving, reshma kapadia is the author, with us in this spotlight on magazine segment of the "washington journal." go to the line for caregivers first, hal is in lincoln, nebraska. good morning. caller: morning. thanks for taking the call. is more financial. i raise my own kids. wife worked, i couldn't make enough montow justify putting lettingough daycare and someone else raise them. i did that. i did it for 10 years. got absolutely no credit at all from social security on that. so basically we lived off one income, i raised my own children and i believe that is the best

blessing i ever had. consekwently, i made three taxpayers, one happens to be officer, i think i've done my part, but i got no credit in social security, is anything that can be fixed with that? guest: that is a great issue and is -- why gender gap, often women have taken time workforce to do caring, it is great you did that. there is talk about having a $3000 caregiver credit in terms of getting a tax credit, but no, terms of 't been in social security. what a lot of financial planners nd folks recommend is that people continue to work, if they their paycheck goes toward care, that way you stayed haven't rk force, you lost that career, trajectory, you also continue to make the to qualify for social security you'll need down the road. ost: back to the issue of what medicare covers when it comes to

elder care. magazine from your piece, -thirds of people in a recent survey by genworth the cial expected government to cover all or part of their long-term care. edicare covers only some skilled nursing services, leaving long-term costs uncovered. explain more of what "some" means. guest: sure. eally not a lot, is what it means. if you go into, say you had a had a fall, and you're in the hospital for three ays in-patient, then you often can get transferred to a rehab facility. the first 100hink days are covered, maybe the covered in full by medicare. after that, you are on your own, and re sort of released anything that is custodial. any care needed for a long period of time is not covered by medicare. if you had hip replacement therapist you have who comes into your house three

times a week to help you with covered, butill be if you need someone on a daily more permanent care around the house, that would not be covered. that is where long did-term care insurance can help pick up only 11% of t americans have long-term care insurance. o a lot of people are footing the bill by themselves. host: special lines in this 202-748-8000 if you're a caregiver, others, 202-748-8001. caregiver linethe in new york. good morning. caller: hi. i'm actually had to leave my job and come live with my mother at home because she gotten ill. i'm working for myself at home. but one thing i like to point new york, the laws surrounding having home health aides and all that stuff is draconian, they have regulations and all this

stuff and all this paperwork and -- the workers' compensation board and these people are heavy anded sending threatening letters, we're going to fine you $8000, you didn't do this and it's really intimidating and i can clearly see where if elderly person, then ven if you didn't have any cognitive issues, which many do, it would be impossible -- with all of deal this -- the quagmire and the paperwork and red tape surrounding your home health agent. are somet you like you industrial-sized business and hey are very threatening and intimidating and i can see where a lot of people are driven out f their homes and into a nursing facility because they can't keep up with all the state.s from the i think elderly people who are trying to stay in their homes nd save the system money and trying to bring home health

order, should be treated the rently or something in state that comes in and streamlines the whole thing so deal with ave to threats from the state and paperwork and all the potential fines. for the story this morning. reshma kapadia. uest: i mean, you touch on complexities of this entire situation. it is very hard to navigate. sure what states are doing it, they obviously need to more. there has been a move, bipartisan move, actually a rare there e have seen out with the raised caregiving act to elevate the discussion about higher level, maybe that will eventually bring about policies. of feelingabout sort like you are ana industrial company and i think that a lot to said it is k almost like letting your small business, you are managing all paperwork, lots of different caregivers, your parents, medicines, uses, whatever it may be and it really

equires a lot of different partners to make that happen. host: next phase of caregiving in your article for barron's, the slippery slope phase. that is definitely g jerou want to bring in a at rick care manager smchlt have ocial work background, insurance background, they can help you navigate finding the out person and figuring what you need. this is also sort of -- some people talk about when someone in rehab, what happens, you have a short period of time to the hospital m where that person is going to go or rehab and the hospital discharge person needs to be your friend, that is the person you should reach out to, each is very different smchlt have a lot more in terms of therapy for folks who want to back up on their feet and ome that don't do therapy as regularly, for example, for people who may not have that

same type of recovery path. there is little things you don't think about on your own that folks can help you navigate. reshma kapadia with us for the next 15 minutes on the "washington journal" until about 9:30 this morning as we discuss her piece for barron's how to high cost of caregiving. lines for caregivers and all others. in sterling, illinois. line for all others, go ahead. good morning. yes, i'm calling in because i'm watching your program and i wish getting the barron's magazine from this lady here. of this, i don't know if we carry it in our area, i would to have this e magazine. -- i had four thr ies last august and hree -- in a matter of three weeks. hospital visits, i was sent home

rehab place and they had set up caregiving for me at but they couldn't do it, i was home one day and was sent hospital and cgh in sterling. have, because there was no family that could take me in or anything, i was to sterling -- i was sent pavilion, which is a nursing home. nd from there, the lifescape people got ahold, the lady in charge of social worker, got the lifescape person to come and evaluate what i needed and everything. that is how i got my personal care assistant that comes in to me with cleaning and groceries or whatever things i need to do. have o grateful that i that home care at home because

to bet that, i would have taking a cab everywhere or taking the senior bus everywhere. have, the caregiver i she's wonderful. i've had no problems with her. she's nice. what is her name? caller: huh? host: her name? caller: her name is kathy. host: thanks for telling us bout your experience with kathy. reshma kapadia. guest: finding a great caregiver people hallenge encounter no matter where they are in terms of how much done.ing they have some people go through agencies and have it there, some peep dole it themselves, often to do it that way. you talked about not having going nearby and there is to be six-fold increase in 75 year olds without kids nearby in 2030. that means this planning we're talking about is even more people t because when are not near to rush in and

help, you really sort of need come in and place of them. host: peggy said she doesn't get barron's, the article available on your website at barron.com. we have been having the conversation, mary ann, writes, my ved in to take care of parents, they are in good shape, need help day-to-day. i still work and have my sister. it is exhausting. daughters versus sons that are doing caretaking? guest: it is. men who haveiously done it, too, but it does, for fall on easons, often the daughter or the wife and it does impact the gender gap, i think i mentioned retirement terms of savings for women themselves and it's one reason that many people continuing to work as you're doing. even if that money is going for extra ing pay

care. and there are many different the community to help people with the care that they need. the elder loretta lynch:or is great. agency on aging is great to find some resources. religious or community-based organizations that can help with driving or even more extensive care. those are things to look into to can, in the you workforce. obviously that is not possible everyone. host: suzanne in green belt, maryland, caregiver, good morning. caller: hello. i have two comments. i took care of my parents, my diagnosed with brien cancer, between my brother and i, we took care of them. money, that wasn't the issue. my mother had long-term care care nce, but long-term like nce will not pay any

hourly rate to a family member, in-laws, cousins, totally ephews, ridiculous. umber two, when we brought my father back to maryland, my care.r had great hospice great. a person came in, personal care person came in once a day for an know, bathed her, made sure she was comfortable and a a week.me in once hospice in my dad in maryland, they couldn't give him a bath because there was no tub, we didn't live in a place that had walk-in tubs '70s, thank you. number two, they only came two week. a hey didn't supply the one in montana supplied adult diapers, beds, the or the sponges to clean out their

mouths, the lotion, anything be she needed to comfortable. the one in maryland didn't. $5000 a ne in maryland month, medicare paid for that. the same as they paid in and we got my mother much better service. host: suzanne, thanks for the call. the services and the cost vary state by state. place by place. there is variety by state. depending where you live, the cheaper thancan be maryland is, for example, one of he higher state places in the country. you know, you talked about long-term care, there is a lot cover rm care does not and the family aspect is big. families provide the bulk of that is provided. there are some policies, very that but there are some pay something called cash indemnity, give you sum of money then pay to your in-laws or

care.children for that you know, it is all in fine print, policies are not the same. are some that have more flexibility and i think overall people to stay in place, it saves entire system money. eventually, hopefully more policies that look into that. ost: is there a push for more standardization, whether the policies or searching for people know better what they're going to get? no.st: unfortunately, nursing homes are regulated for other facilities are not regulated. are great resources, aarp does a lot of work on this, they to ask t of questions when looking for a caregiver or living facility, what are things to look for. just talking to people for the story. for a u're looking caregiver and going to an agency, heavy turnover in this industry. one of the first things you want

to ask, what is your policy if a person calls in the night before, day of, how quickly will you get someone there and what who ur policy for a person doesn't work out, you know, if i have someone, will it take that r week to deal with person that doesn't work out or day, thereem the next are unfortunately aren't standards out there, you can aarp is ith a list and a great place to go for some of those. caregiver in s williamsburg, virginia. good morning. morning, es, good america. i would like to connect a couple dots, just a personal experience. injured, broke my neck in industrial farm accident in 1998. didn't have insurance. right to work state. that led me to because i had one in 100 million recover frethis neck was to volunteer at injury, where il

to how hard children were recover from illness. hat led me to build a mobil health prevention facility and program. 15 1300 schools later and years of operating, i now see at nights and fitness field days and other school where the grandparents or the caregiver of young ldren are not parents, but in the 55 to 70-year range. so this group is now raising a lot of children in america. and they are suffering from themselves.ness and they just want their good healthhave the and opportunity that they felt that they had. doing so d dad are folks who need

to look after their own health t this time in life are burdened -- not burdened, but lovingly taking care of their grandchildren and great grandchildren. only hope that america will ecognize how much health is impacting our education of our children and that we need to do a better job of generation tonext take better care of themselves and that is going to start in school. with the continue chronic ailments that these suffering and then again, they have to like raisingheir 20s and 30s another family altogether. of the at is the name operation you started? caller: it is called virginia i am a c.d.c. published facility program and won the 2007

presidential fitness community work with my work at eastern state mental hospital, is another big priority, the health of the brain at every k-12, whether it be hhereditary is a number we are not looking out for. host: reshma kapadia. guest: the grandparents caring for children is another topic country. in this you talked about chronic disease and that is definitely why going rm care costs are higher, people are living longer, which is great, down longer, people have more in terms of chronic isease, whether diabetes or parkinson's or ms, and those costs really add up. the idea of the average cost, the average stay in a nursing home is under two years. the average cost of long-term

care is $170,000. are averages, you fall on the other end of the averages, t can be really hard to manage costs. going to get too far into this without going through the third phase of the caregiver crunch, as you call it, in your for barron's, the story how to curb the cost of caregiving. few issues about a already, callers, some are in that stage. you ther recommendations have for folks that are in the crunch phase? uest: yeah, reaching out and sort of caregiver care is a big issue in this phase. ften the phase of burnout and depression, family dysfunction because this is where the money ets real, it is emotional, obviously. people often, you can get a caregiver.as in term its of just financially paying for it, there are -- is growing momentum to use reverse mortgages for people age to help pay for long-term

care cost there is a lot of caveats to that, but if you are planning to stay in your over the age of 62 and you're looking for another way to supplement the that is an option for people. this is often the phase where assisted nk about living, assisted living, to me, not prising thing i did realize, often when you go into assisted living, it's as one told me, to -- you get may get s and a bed, help in the morning getting dressed, but often people hire caregiver for their parents or staff in the ssisted living facility, that can increase the cost that you are incurring. again, it brings back the idea a business, running yet another thing you will have to manage. host: mary in winterville, north carolina, a caregiver, good morning. parents are both my

87 years old and my father has a hard time as getting around, getting short of breath. limitations, so i'm retired nurse and my sister occupational therapy assistant, so we live next door so we take care of them. i go over during the day and we hours, my sister does two of them and i do two of them and their husband makes meals for in the evening and if he come in the morning, makes their breakfast and we take it over there. work together and take care of them and my younger the -- hat lives down she spends the night up there. we just have a plan for them and we can.o the best i take them to doctor's kind tments and it's just of worked out all right. -- for a caregiver, i

$800 a month for two days a week for four hours, so it was kind of expensive to get somebody in there. so we just decided just, you to do it ourselves. i mean, they're 87, don't have a of time. host: thanks for the call. guest: as she says, the stats providedof the care is by families and you are doing an like you b, sounds have a small village to help you do it, one of the pits people and over again through the course of my reporting. as you mentioned, the average home healthcare aide is $21.50 an hour. on state and sed where you are. things add up quickly and i gathering you know, family resources and one of the best ways to do it, if you can. couple more tweets, boomer writes, been there, done that little mber of years, help from anyone.

this is bs, 10 or 11 years my gave up her job to move caregiver toto be a her parents. her mom and dad died, she's 52 scrambling to find a job in order to keep her home. is available to caregivers. guest: i mean, that is sort of know, there e, you are surveys that show caregivers routinely dip into their own savings, let alone lost wages and benefits to them and as of we t now, this is something need to grapple with, both orporations need to provide lead and it sounds like congress needs to look into this, it is continue to will become a problem. host: any bills moving through congress addressing the issues? know, i'm not as up on all that, i know there has been a move for the credit for act, which would provide tax credit and had the that -- n tax bill

bipartisan bill that president trump signed called the raise elevate the conversation. we'll see what comes out of it. marion, new in york, good morning. line for all others. caller: good morning. thank you for letting me make a on parkinson's care, which can be disabling. but i got parkinson's for about years now. found a lot of ways i get around the progression. backward on gone medication, thanks to this. homes t people in nursing with parkinson's and i think one that about parkinson's is care has to be improved in order to help a lot people get -- avoid long-term it. for

so -- host: go ahead. guest: i think, you know, not speaking exactly to that, but again, what people said was to try to avoid going the e hospital to escalate need for care. so anything you can do to kind a disease rself with or have a good primary care or oncie rge doctor to help with interim needs upon help keep ost down, we don't need to go to the hospital often, creates spiral. ost: daniel, phoenix, caregiver, go ahead. caller: hi. i'm calling, i believe seven i'm in a situation and been in practice since the early 1970s. years passed away four metastatic breast

cancer. best insurance on earth for her, we had medicare ith metagap insurance that covered supposedly full 20%, $300 in were paying premiums. $75,000 between $50 and a year to keep my wife at home and take care of her. one of her chemotherapy drugs a dose and it was onsidered care five, something that the insurance-only paid 80% i came up $1000 a for medication. what really affected, those who had

caregiving expert, she talked about the things that popped up that she didn't expect. this is a challenge that we will encounter and it is earning from other's experiences. host: reshma kapadia, senior ditor at barron magazine, the story, how to curb high cost of aregiving available at barron.com. thank you for your time. guest: thank you. of time for e bit open phones, start calling in online for republicans, and independents. segment of "washington journal," an update on tonight's festivities in washington, d.c., it's the annual white house correspondence dinner, we're joined on the phone by the resident of the white house correspondence association and senior white house correspondent bloomberg, margaret thomas. thanks for joining us, the president not going to be at tonight's dinner