PODCAST · society
A Question of Care
by Robert Espinoza
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.
Episodes
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How Are Home Care Businesses Evolving for Workers?
Home care agencies are vital in the care economy, providing essential services, employing workers, and informing government policies and industry practices. However, many operate on tight margins, and face intensified scrutiny as home care jobs remain low-quality nationwide. In this episode, host...
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Who Are the Care Workers in Hospice and Palliative Care?
Direct care workers employed in palliative and hospice care play a critical role in supporting individuals with serious illnesses—a sensitive and crucial stage in life. Yet the general lack of good jobs in direct care means that workers don’t stay in this job sector for long. In this episode…
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Why Aren't More People Using Consumer Direction?
Not enough people know about consumer direction, a policy approach allowing Medicaid recipients to pay family members to provide them with in-home care. Consumer-directed beneficiaries, or "independent providers," are growing in numbers, but not quickly enough. In this episode, host Robert…
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Why Are Nursing Assistant Jobs Overlooked?
Nursing assistants are the eyes and ears of nursing homes, where many people receive 24-hour skilled care when they can no longer support themselves. As the COVID-19 pandemic tragically reinforced, our society has neglected nursing homes and nursing assistants for decades. In this episode, host...
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Who Supports People with Developmental Disabilities?
Direct support professionals are vital to individuals with intellectual and developmental disabilities (IDD), as well as their families. While these workers provide critical support, our country has a long way to go in ensuring they are respected and fully recognized. In this episode, host Robert...
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What Future Can We Imagine for Home Care Workers?
Home care workers are a lifeline to millions of older adults and people with disabilities, ensuring they live safely in their homes. However, these workers struggle in substandard jobs, often exiting this field frustrated in search of better jobs and leaving critical jobs unfilled. In this…
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How Should Society Invest in Childcare Workers?
To stay emotionally and financially afloat, many parents rely on childcare workers. Unfortunately, most working families cannot cover the high costs of childcare. And because this workforce is undervalued, the chances of finding an affordable childcare worker are slim. In this episode, host…
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What If Our Country’s Care Workforce Vanished Overnight?
Direct care and childcare workers are the backbone of support for millions of older adults, people with disabilities, and young children, as well as their families. Despite their vital contributions, these essential workers are often undervalued, leading to unsustainable turnover rates. Without...
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How Should the Law Empower Older Adults?
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…
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Is Our Culture Dealing Properly with Dying?
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...
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Will Immigrants Rescue the Home Care Sector?
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...
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How Does Dementia Affect the Entire Family?
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…
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Why Can’t I Find a Home Care Worker?
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...
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What’s It Like to Reach Older Age When You’re LGBTQ+?
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...
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Is Our Care System Racially Segregated?
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,...
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Why Did the COVID-19 Crisis Ravage Nursing Homes?
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....
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Why Do We Tolerate Ageism?
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...
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What Has Happened to Our Country’s Caregiving System?
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…
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Trailer: A Question of Care
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...
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ABOUT THIS SHOW
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.
HOSTED BY
Robert Espinoza
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Frequently Asked Questions
How many episodes does A Question of Care have?
A Question of Care currently has 19 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is A Question of Care about?
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...
How often does A Question of Care release new episodes?
A Question of Care has 19 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to A Question of Care?
You can listen to A Question of Care on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts A Question of Care?
A Question of Care is created and hosted by Robert Espinoza.
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