A Question of Care

Jan 15 2024 11 ep. 22 mins 1

A Question of Care Podcast artwork

How did one of the wealthiest countries in the world get to a point where it can’t support more than 54 million older adults and twice as many in a few decades? A Question of Care™ explores the many answers to this question with expert insights into our caregiving system and how to solve the growing crisis in care. This podcast is hosted by Robert Espinoza, a national expert and frequent speaker on aging, long-term care, and the workforce. Learn more at https://www.aquestionofcare.us/.

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How Should the Law Empower Older Adults?

Jan 15 2024 25 mins

In recent decades, legal cases have incrementally broadened services for older people and strengthened legal protections against age discrimination. Despite these advancements, o our country has a long way to go in extending legal rights to older individuals. In this episode of A QUESTION OF CARE™, Robert Espinoza is joined by Kevin Prindiville, Executive Director of Justice in

Is Our Culture Dealing Properly with Dying?

Jan 01 2024 24 mins

Death and dying are difficult subjects for most of us. Yet how our country deals with these issues might inadvertently hurt how health professionals approach end-of-life care and serious illness, all of which incurs a significant cost. In this episode, host Robert Espinoza speaks with Dr. Joseph Shega, Chief Medical Officer at VITAS Healthcare and Co-Managing Editor of Essential P

Will Immigrants Rescue the Home Care Sector?

Dec 11 2023 21 mins

For generations, immigrants have contributed significantly to this country, including our health and long-term care sectors. Unfortunately, our divisive political climate prevents a constructive conversation about the potential of immigrant workers to support people with long-term care needs. In this episode, host Robert Espinoza speaks with Ai-jen Poo, President at the National Do

How Does Dementia Affect the Entire Family?

Nov 27 2023 21 mins

In 2023, an estimated 6.7 million Americans age 65 and older are living with Alzheimer's, which will likely double to 12.7 million by 2050. Yet our health and long-term care systems aren't prepared to support this population or their families, many of whom are strained financially and emotionally. In this episode, host Robert Espinoza is joined by expert guest Jason Resendez, Presi

Why Can’t I Find a Home Care Worker?

Nov 06 2023 27 mins

Home care workers are a lifeline to millions of older adults and people with disabilities. Unfortunately, many of these workers are walking away from this sector to pursue better-paying jobs. As a result, it’s nearly impossible to find and retain a highly qualified home care worker these days. In this episode, host Robert Espinoza speaks with Dr. Madeline Sterling, a doctor, res

What’s It Like to Reach Older Age When You’re LGBTQ+?

Oct 23 2023 27 mins

Due to a lifetime of discrimination, millions of LGBTQ+ older adults struggle economically and face entrenched barriers in employment, housing, and healthcare. They also routinely encounter discrimination in long-term care environments, and the law rarely supports their urgent needs. In this episode, host Robert Espinoza speaks with Michael Adams, CEO at SAGE (Advocacy and Service

Is Our Care System Racially Segregated?

Oct 09 2023 21 mins

Research shows that Black nursing home residents are more often physically restrained and hospitalized than their peers and are less likely to have their pain treated. Black and Latino people also make up a disproportionate number of cases and deaths from COVID-19. Why is that? In this episode, Robert Espinoza sits down with Dr. Ruqaiijah Yearby, a professor at the Moritz College o

Why Did the COVID-19 Crisis Ravage Nursing Homes?

Sep 25 2023 24 mins

Since its onset, COVID-19 has disproportionately impacted nursing home residents, primarily because they live with the types of medical conditions that put them at risk of severe complications. But there are other important reasons that the nursing home sector remains vulnerable to health crises. In this episode, host Robert Espinoza speaks with David Grabowski, a professor at the

Why Do We Tolerate Ageism?

Sep 11 2023 24 mins

Ageism affects all of us, and yet it is one of the least discussed issues of our time. It’s also expensive—one study found that ageism resulted in roughly 17 million cases of common health conditions, totaling $63 billion in one year. In this episode, host Robert Espinoza is joined by Ashton Applewhite, author of This Chair Rocks: A Manifesto Against Ageism and co-founder of t

What Has Happened to Our Country’s Caregiving System?

Sep 11 2023 27 mins

High-quality long-term care remains out of reach for millions of older adults in the U.S. Given this challenge, what should we know about our country's caregiving system to fix it once and for all? In this episode, host Robert Espinoza speaks with expert guest Howard Gleckman, Senior Fellow at The Urban Institute and a columnist at Forbes.com. They discuss the profound challenges