Re: Growing Old in America
So what PCG was asking does not really apply to you. And by the same token you won’t understand this dilemma from NA desi perspective.
Exactly. The situation in North America is VERY DIFFERENT. Not sure how it is in different european countries or canada, because their health systems are a little more functional than ours.
In America, healthcare costs are HIGH. of all the topics that are of inerest in the election, healthcare right about tops it with "the war on terror", if that gives people in pakistan any idea.'
In Pakistan, hired help is relatively cheap.
For example, my daddimaa...alright, reasonably functional, still cooks but is slow at it and sometimes needs help, sometimes gets imbalanced, so falls are a fear. We have my youngest chachi in-house, who can watch her. But if we need to all go out, she's ok hanging out on her own for a few hours. We can hire a maasi who comes in and cooks roti and helps out with housework, so my daadi doesn't do AS MUCH housework as she used to. I remember she used to do the jharoo in her house herself, no more. Now if she lived in my house in America, I'm no longer in that home, my sister is at school 24-7 and essentially lives on campus, and my mom and dad both work...so who would watch her and make sure in her dementia she wont burn something down? No one. Maybe I could pull a cousin or something to watch her, but that's about it. And my cousins are all kids. I'd essentially have to go to the mosque and ask some muslim woman to donate her time and watch my grandma, OR hire a nurse, but that would financialy annhilate us as my grandma has no health insurance here, no medicare or anything.
So, she has to stay in Pakistan. If nukes start being dropped on Pakistan and the family has to move here, I have NO IDEA how we'd be taking care of her, other than that people would have to take turns sitting at home with her.
My other grandma, who has passed, had fallen a few years before her death and broke her back. Falls in the elderly are common ; she tripped over a crawling grandkid. So she was in constant pain, constant suffering, and the family had to hire a nurse who hung out during the day to help take her to the bathroom and such. In the evening, her daughter (one of my unmarried aunts) served the function of a nurse. Family learned her meds, how to take her BP, and the whole thing, so she was taken constant care of...now if she was in the USA, she would need a HIGHER SKILLED LEVEL OF NURSING CARE, so the nurse would actually cost way more (it wouldn't be a nursing aide, but probably an LPN of sorts that would see her, maybe a physical therapist to come to her home). That would cost us over 100,000 given she has no medicare or medicaid.
So...you see what we're talking about here? We're talking HUGE healthcare costs, and taking care of the elderly in the States in your own home ends up being REALLY expensive, which is why a lot of families choose nursing homes. It's sad, but there are reasons for it, that don't exist in Pakistan. What I am afraid of is the day my parents suffer a stroke or have any issues taking care of themselves, because even having a decent job myself, I dont think between my sister and I that we could afford a live in nurse. We could MAYBE tops afford someone who could come out to the house and take a look at the parent, but I can do that myself to be quite honest. Not every family has a kid who is a health care providor though, and so that becomes a huge issue. Right now, I can tell you that we didnt let my sister go out of state for education, MAINLY so there was one kid sitting back and watching the parents JUST IN CASE something happens, and I can tell you, my sister has been pretty bitter that I got out, and she didn't. So, these are the realities with living abroad now. I think our generation is really gonna feel the brunt of it, because a lot of our homes have now become nuclear, and girls are increasingly not staying at home anymore.