My aunt Maria came to this country in the early 1970s and soon after had a child. She was on public assistance from the Nixon administration to the middle of the Clinton Administration, raising three children (only one of whom holds steady employment). For most of those years she lived with the father of two of her children, but refused to get married because of how that would negatively impact her welfare case. During the Clinton Administration, with her children all over 18, she was moved off the welafare rolls onto the civil service payroll. The first real job she had in the US was working for FEMA.
Lately my aunt has gotten another government job, this time as a home healthcare worker…earning a government paycheck for taking care of her own mother. My aunt, like thousands others in the Golden State, are at the nexus of the state’s budget debate. On one side is the
SEIU which wants to squeeze as much money out of the taxpayers as possible, and on the other side is Arnie. The RINO governor has sided with the tax-and-spend crowd for most of his tenure, but even Arnie saw that the home healthcare system was an invitation to fraud and abuse.
My aunt is hardly alone in seeing a sick or elderly relative as a free paycheck. According to the
Riverside Press Enterprise, 440,000 people have a government provided healthcare provider.
The In-Home Supportive Services program covers more than 36,000 residents in Riverside and San Bernardino counties, nearly double from earlier in the decade. Statewide, about 440,000 people receive help, a number predicted to climb to 660,000 by 2014.
But Gov. Arnold Schwarzenegger has demanded changes. Contending that the program is riddled with fraud, such as participants turning in false time cards, the governor has promised to veto any budget fix that doesn’t require fingerprinting for caregivers and recipients and other changes to the program.
This program, like most California public programs, has doubled in size over the last decade.
Home supportive services is one of the fastest-growing programs in California government.
The state’s share of the program has grown from $858 million in 2000 to an estimated $1.8 billion during the fiscal year that ended last month, according to the Legislative Analyst’s Office.
Increases in the number of people using the services, more hours of service, and higher provider wages are behind the growth, the office said. The program relies on an honor system, with providers turning in paper time cards signed by recipients to collect pay.
Riverside County prosecutor Elaina Bentley, the chief deputy district attorney in the special prosecutions unit, said she thinks home-care fraud is more prevalent than the number of cases referred to prosecutors suggests.
The state Department of Health Care Services, which investigates fraud complaints in most counties, is overwhelmed, Bentley said. “They lack the manpower,” she said.
The grownth in the program has not been driven by the needs of the sick, blind and elderly, but by the demands of the ultra-militant Service Employees International Union.
Underlying the debate is the politically active home-care work force.
Recipients hire and fire helpers, about two-thirds of whom are relatives. But under a 1999 state law, caregivers bargain union contracts with the counties where they work.
The arrangement has raised salaries statewide. In Riverside County, home-care workers made $10.85 an hour in wages and benefits as of January 2009. San Bernardino County workers made $9.63 an hour.
“I think it’s a good thing for providers. It gives them a sense of self-worth,” said Anna Martinez, executive director for Riverside County’s IHSS public authority.
Democrats are close allies of public-sector unions. Republican Assemblyman Paul Cook, though, is carrying a bill backed by United Domestic Workers, the union that represents Riverside County’s almost 16,000 home-care providers. The measure would create new training standards.
My aunt, who spent most of her adult life collecting welfare checks, now collects a paycheck from the State of California for watching daytime TV with her elderly mother. I wonder how many SEIU members there are who see the home healthcare as another scam that keeps them from having to get real jobs.
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