February 23rd 2018
The revised Comprehensive Support Persons with Disabilities incorporating such things as the reduction of the burden incurred by disabled people receiving disability welfare services at the age of 65 to nursing care insurance services will be enforced in April. However, there are persistent indications that it is far from the fundamental solution of the “65 year old problem” that the quality and quantity of services that can be accepted fall, the parties are appealing for improvement.
“There is no pleasure, if there is no mobility support” Toshi Imahara (76) who lives at the welfare home “Mugimome no Sato” operated by the social welfare corporation “Kagoshima City social welfare corporation” says. Imahara suffers from cerebral palsy, living with electric wheelchair because limbs are inconvenient. The forefinger and middle finger on the left moves, but the right hand hardly moves. We need assistance for living etc. in general such as meals.
My hobby was to watch pictures in museums and read books in the library, but the environment changed a lot 11 years ago. The nursing-care insurance service that shifted to be 65 years old is because there is no “mobility support” suited to disability welfare service and it can no longer be used.
Under the Comprehensive Support Law for Persons with Disabilities provision is made to prioritize nursing care insurance if there is a similar service, while making it possible to add disability welfare services at the discretion of local governments. In the case of Ms. Imahara, I have appealed Kagoshima City to use movement support but it has not been realized. Now I just saw a TV related art show.
Persons with disabilities who can not receive adequate service in long-term care insurance. Among them, the impact on mentally handicapped people who have important meaning to watch over is greater than physical care.
A congenital deaf person who lives in the welfare home of wheat bud welfare society, a male with epilepsy and intellectual disability (66) is difficult for one person to cook and clean up around him, and there are obstacles that can not swallow the food well. Although the disability support category is the second heaviest 5, the nursing care certification was considered to be the lightest 1, and the services available were both of quality and quantity.
Sometimes it exceeds the usage limit in order to secure the necessary services, so it began to bear a burden from the age of 65. A welfare home administrator Yukita Yamada says that “the minimum life is not guaranteed under the present system.”
Under the revised comprehensive support law for persons with disabilities enforced in April, the burden on users of nursing care services will be lost for low-income earners. However, if the usage limit is exceeded, there is no difference that self-payment occurs and whether the use of disabled welfare services is left to the municipal discretion.
Professor Shuhei Ito (Kyushu Univ.) Who is familiar with social security said, “There is no tying by the law (with the addition of disability welfare service), it depends on the interpretation of the municipality whether the service is necessary for that person.The provision of nursing care insurance preferential treatment We should continue to use disability welfare services even after 65 years old. “