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Effecting change: an occupational therapist's plea for a coverage change and your thoughts and a call to action!

Case 1 The caregiver for a 75-year-old woman with multiple sclerosis was her 90-year-old husband. He complained that the care she needed was getting to be too difficult for him. His back was bothering him. His wife needed to be bathed and dressed while in the hospital bed and then transferred into a wheelchair. Although she could bear some weight on her legs, she could neither pivot nor move her legs to assist in any way during transfers. She also had no sitting balance. Although she may have been a good candidate for a Hoyer lift, it would not have fit into their bedroom. (Although this scenario also presents its own safety concerns.) While watching the husband with his caregiving tasks, I discovered that although he had a hospital bed, it was not “all” electric. This older gentleman had to hand crank it! The crank at the end of the bed, used to raise and lower the height, was too difficult for him to manage. When I tried it, it was also too difficult for me. Because of this, the DME vendor, who provided the bed, was contacted. They were willing to provide an all electric bed, but would charge $50 a month for the motor, unless the patient pleaded poverty. The family chose to pay rather than supply all their detailed financial information. I have since been informed that the motor costs approximately $80. Doing the math, this means the DME vendor would receive $650 for the length of the 13-month rental of the bed. Something is wrong with this arrangement!