sloniker public at a ron, they were looking to de escalate tensions in the region. we're not looking for a war with iran or not. so you can in conflict with the regime in the military way . and as i said in the, in the opening, we're not, we're not looking to escalate here. everything we've done has been designed to try to deescalate those tensions. now. conservative liter, nikki haley was calling on the, by the administration to target iranian 1st. and now there's been a number of different conservative voices that of excused the bind administration. being soft on iran. you're saying now is the time to hit a run. now, so time to hit their leaders. it's different, don't go and bomb the culture, infrastructure, the infrastructure and a rack in syria. you start with that 1st you do the sanctions and you take out a couple of their leaders. that's the way in their country in there. if they're in their culture, you do like solo money. when they left the country, you figure out where they are, our special operations can do that. and then you take them out. this is the 1st time that us troops, sab di, directly under foreign fires, sense october 7th,

in the middle east. however, there have been a number of attacks on us basis, according to the u. s. military, there have been at this point, 106 attacks against us facilities and bases in the middle east sense. october 7, 67 of those attacks took place in iraq. 98 have taken place in syria, and one took place in jordan. so you're paying later is, can you make a boogeyman out of russia and vladimir, put in the latest statements coming from the german defense minister, who says russia is a threat to european borders. a major factor to the humane russian war of aggression against ukraine will market the 2nd anniversary and a few weeks. and i am convinced that hooton's imperialist claims are far from over food and will continue to use all means of force to try to increase russian influence and to move borders. we must therefore support our ukrainian friends on the bill that in german news outlet has published an article, putting

a linked report that says every other german citizen fears and attack by russia guns, i'm following, the simply equipping the buddhist to bear better. yes, but it needs to change the way the whole of germany, things at the moment, the way we grew up during the cold war, it was a matter of course for everyone to somehow defend germany. but i don't think that's the case nowadays. are you financially? i don't think that's realistic. it's been for fame. i'm a pastor faced and i'm in favor of peace held the to come again. one day. i spoke with officer and war correspondent, thomas roper, who says this, and this is an attempt to blame. russia for german domestic issues are quite a surprising report to that. every other german is afraid of a russian attack. is this based in reality, out of that what it's best in reality, independent media, they right now make the big show to expand the german spy. life gets honda, more expensive and so on. why they have to spend 100000000 on the,

on the policy on the army, while there is no money for pensions and so on. that says that this has to be explained somehow. i see this just as a, as a kind of a making panic. the minister of defense in germany since october already says you have to be ready for was so and now the media is taking this topic. is this really just a fair, long drag rather than focusing on the real issues at home it's, it's almost like the media is trying to find an enemy that people can focus on. so that way they're distracted from actual problems. i'm oldest joking. the german government's always funds to find somebody who's guilty, whether it's 14, whether it's corporate, whether it's climate change. somebody is guilty of the problems in germany, but the german government can't do anything. and we see this again. um, they put the focus on something else instead of solving the problem is at home in fed follow an american policy which comes here of fighting russia. so there's a functions of working worst for europe. and then for, for the rest of the company is going through your piece of problems if you would face for this property would have to name it. and this would raise questions. so

for the politics off of the government, what do you see? the nonsense i'm from from russian politicians. they don't, they don't touch europe. and then in concert anymore, say they don't talk to what you are they talking about american politics and they're not quote that the europeans don't have an old products. so how to deal with somebody who is not taking on decisions. i think this has gone for a long time, a good relation between russian, your, the right to stay with our, to international up next on the costs of everything. the cost of elder care by the qual, increasing longevity and improved health at older ages is seen in many parts of the world as the counting achievements of the 20th century. these trends also presents 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. i'm christiane, you're watching the cost of everything we're 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 the 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 in 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 at 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, where 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 for, for the same employees within the home share and broader health care deal with home care. specifically, we're competing against large hospital corporations as well. and that makes it a bit tricky because they have more resources, obviously to lower employees to 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, obviously cobra being the most recent $1.00, 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 we've 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 meeting the increased demand for long term care? so definitely 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 a vital and that's not an easy process. and it's certainly not a cheap one. is just those recruiting cause that we occur, 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 available on the older side,

but we're very experiencing, very knowledgeable, very is joyful. and they took that opportunity during the pandemic to, to, to leave the field. and so we've been in the process of replacing those folks basically ever sent and sort of that learning roads is also a big challenge of this and in training and instructing new caregivers that come in, you know, how to chair for a senior citizen is a big part of this and how the 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 is a multiple ways of them, particularly perfect, but, but piece meal together. that sometimes the a solution for families,

obviously private pay is a big part of this isn't for us, but the homeless dad, we are either a company primarily. we also work with the v a. so we have a lot of veterans who take advantage of va benefits. va has a very substantial home care benefits that may get some on 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 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 an usable 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 a dedicated benefit which there is a home care dentist that was in medicaid. there was an assisted living benefit within medicaid and may in may require, has been down of assets, but nonetheless, it is there. and it is, is an auction. 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 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, we're about 20 to 80 percent higher than the many of you know what country is out there. um, obviously it depends on the benefits that a country might provide for the citizens. but the, you know, who you can be, for example, is going to be about 20 to 30 percent higher here than in the u. k. um, but here in a little less are more affordable options and uh, and you can see yes, it goes out 1st. as i mentioned, medicaid is an option for you assisted living communities. but nonetheless, we are, we are higher taste or more expensive and our communities are a top top notch from everything i've ever seen. and how those 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, this is better. so better way to live, it's healthier. it's more beneficial that prevents convince, sometimes of the onset of dement so severe symptoms. you know, we saw the impact dec 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 of the family can participate in next year. the better. i would say the family also though has to consider the long term costs such as burn out is some families like to remain the family and not just because the caregiver and so that's

what a company like home instead can come in and provide that respite care for the family, so the kids can continue remaining the kids and not only you know, the caregiver, and also another interesting that we've seen are our neighbors. again, 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're seeing neighbor of the benefits of 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 all of that comes the child care and need, of course, and i know that's a challenge, a lot of them navigate and, and have difficulty with. and so that,

that's from this 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, 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. keith 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 a hi. acceptance. and i'm here to plan with you whatever you do. do not watch my

new show search like why watch something that's so different listed of opinions that he won't get anywhere else. welcome to planes or do they have the state department, c i a weapons, bankers, multi $1000000000.00 corporations. choose your facts for you. go ahead. change and whatever you do. don't want my show stay main street because i'm probably going to make you uncomfortable. my show is called stretching, but again, you probably don't want to watch it because it might just change the way the meanwhile at china is also aging quickly, as it will have more than 400000000 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. but unlike many western countries, chinese elderly are expected to remain in their family homes and be care for by their children or grandchildren. there's 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, as 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 city's 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 at 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 at community centers and 3 percent at institutional senior care centers. so for this and more, let's bring in again keith smock. 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 the client and then that becomes much more beneficial and in a much better call because care,

which leads to better outcomes. 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 man 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 in 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, uh, the, you know, the, the call button is, uh, the commercial that talked about. i phone and i actually get up and so you know

that and that was really the tell us so. so technology and it is still a valuable tool today that seniors are able to alert when they've been on the stomach. ready and need assistance. of course that's ramped up 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 the, this obviously is robust technologies that are helping companies like home instead and or parent company on or 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 of buying for that and trying to develop them perfect that, that we owe utilizing some other, what you might see was to be on hoover's situation. connecting someone right. ready

way as quickly as possible, and having flexibility where you're 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 trust the, the home care solution this i'm speaking here on behalf of the homeless said there's constantly rumors that medicare will include some sort of home care benefit . we have yet to see that. now obviously in terms of medicaid medicaid does have that home care benefit and the other assisted living benefit, but 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 provide. ready by a skilled agency that also happens to employee, maybe caregivers as well. so that skilled agency can supply a skilled nurse supply p t ot at home health a for 60 days. after that, it's really up to the senior and their families to come up with those solutions. either challenges or advantages associated with rely on family based care systems. so family base care systems are, are awesome. i think i as long as love with the family, 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 dad. in fact, we really view this family as a vital component of this. because ultimately those are advocate and they need to remain involved. because alter the, 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 be me, 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 the children of seniors. they often don't look forward to those conversations

about having to bring care to the home. and 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 and, and tablets of abilities with dementia or all timers or whether that be financial resources. at some point the children may have to take over the next year 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, kay, 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 portion experience has 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, there's many predicted his for ya'lls on log on guys is triggering a much larger middle east complex. it appears to be that it states is willing to fight israel's regional enemies for is real. this is what joe biden's, blank chip, underwriting israel, actually the,

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