Workforce
- Summary
- Effects of Healthcare & LTC
- Family Leave
- Labor Force Participation
- Labor Shortages
- Mismatches in Skills Needed
- Older Worker Policies - Employer
- Older Worker Policies - Government
- Productivity of Aging Workforce
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Workforce » Effects of Healthcare & LTC
Why It's Important
With the convergence of longer life expectancy, the aging of the Boomers, and the shortage of nurses and children behind them to care for them, Boomers are going to need to be prepared for the fact that many will need substantial medical and non-medical care. In the meantime, adequate health coverage needs to include wellness and prevention and be accessible to all.
How Richmond Is Doing
- Half (47%) of Boomers who have LTCI say they have it because their employer offers it. Among those who do not have LTCI, half say it is because either it’s “too costly” or they “don’t need it.” (ODP BUSINESS LEADER, 2008)
- Only one in ten Boomers (11%) say that it is “very likely” that they will need LCTI at all. (ODP BUSINESS LEADER, 2008)
- Thirty-one percent of employers say they offer access to LTCI, and currently 28 percent of Boomers say they have it. However, this self-reported number is known to be higher than the actual number of Boomers with LTCI, who may often mistake health or other insurance for this coverage or assume that health insurance or Medicare covers long-term care. (ODP BUSINESS LEADER, 2008)

(ODP RESIDENT, 2008)

(ODP RESIDENT, 2008)

(ODP RESIDENT, 2008)
How Virginia Is Doing
- 85 percent of employers say they offer health insurance (ODP BUSINESS LEADER, 2008)
- 31 percent say they offer long-term care insurance (ODP BUSINESS LEADER, 2008)
- 28 percent of Boomers in Virginia say they have long-term care insurance (ODP RESIDENT, 2008)

(ODP BUSINESS LEADER, 2008)
How the U.S. Is Doing
According to a 2001 policy brief by Robert Wood Johnson on Long-Term Care Workforce Shortages, the future availability of frontline workers is of serious concern. It is predicted that the difficulty of recruiting nursing and home health aides will worsen over time. The estimated turnover rates for NAs in nursing homes range as high as 45 percent to 105 percent. The demand on LTC and the need for NAs may be compounded further as Baby Boomers are likely to have higher real incomes during their retirement years than today’s retirees (Manchester, 1997) and will be in a better position to afford LTC. The growth in the long-distance caregiving market could also place more demands on the formal LTC system in the future.
By 2010, as Baby Boomers approach old age and begin to require assistance, the pool of middle-aged women available to provide low-skilled basic services will be substantially smaller than it is today. Many policymakers and providers in the U.S., as well as in Western Europe and Japan, view immigrants as a potential pool of workers though some feel reliance on a major influx of immigrants to solve the labor shortage may have significant negative consequences for our society and the global economy. (RWJ, WORKFORCE SHORTAGES 2001)
- Between 1998 and 2008, analysts project an increased need for 325,000 NA and 433,000 personal care and home health aide jobs (Bureau of Labor and Statistics 1999), but there is little evidence that there will be enough people to fill them.
- Nationally, data on turnover rates show a wide variation. Estimates of turnover rates for NAs in nursing homes range from 45 percent to 105 percent. A 1998 survey of 12 for profit nursing home chains found 94 percent turnover in nursing aide positions (American Health Care Association 2001).
- On the one hand, the ratio of the population between ages 50 and 64 to the population aged 85 and older likely will decrease from 11 to 1 in 1990 to 4 to 1 in 2050 (RWJF 1996).
(RWJ, WORKFORCE SHORTAGES, 2001)
Data & Information Sources
American Health Care Association
http://www.ahcancal.org/Pages/Default.aspx
Bureau of Labor Statistics, Caring for America’s Aging population: A Profile of the Direct-care Workforce, 2007
http://www.bls.gov/opub/mlr/2007/09/art3full.pdf
Federal Interagency Forum on Aging Related Statistics
http://www.agingstats.gov/agingstatsdotnet/main_site/default.aspx
ODP, Residents’ Study & Business Leaders’ Study
http://www.olderdominion.org/documents/ODP_Exec_Sum_03_26-08.pdf
Robert Wood Johnson, Workforce Shortages: Impact on Families, 2001
http://www.caregiver.org/caregiver/jsp/content/pdfs/op_2001_10_policybrief_3.pdf
U.S. Census Bureau, American Community Survey
http://www.census.gov/acs/www/
Virginia Workforce Connection
http://www.vawc.virginia.gov/analyzer/default.asp
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