ElderLaw News — The Estate Planning & Elder Law Firm, P.C. — MD, VA, DC
ElderLaw News

ElderLaw News is a weekly e-newsletter that brings you reports of legal developments and other trends of vital interest to seniors and their advocates. This newsletter is brought to you by The Estate Planning & Elder Law Firm, P.C., William S. Fralin, Esq., President.

Dementia Cases and Costs

Alzheimer’s Disease International (ADI) recently published the World Alzheimer Report 2010, The Global Impact of Dementia.

ADI is the international federation of Alzheimer associations throughout the world.  The report includes information regarding the global cost of dementia and projections on the numbers of dementia case in the future.  The report was written by Martin Prince, M.D., of Britain’s King’s College London Institute of Psychiatry and Anders Wimo, M.D., of Sweden’s Karolinska Institute in Stockholm, and expanded on the findings of the World Alzheimer Report 2009.

The report estimates that there are 36.5 million people living with dementia worldwide (approximately 0.5% of the world’s population), and this figure is likely to increase to 65.7 million people by 2030 and 115.4 million by 2050.  Approximately two-thirds of those with dementia live in low and middle income countries.  A high proportion of persons with dementia need some care, from assistance with the activities of daily living, to full personal care and total supervision.

The authors report that the total estimated worldwide costs of dementia in 2010 is approximately $604 billion.  They say that if dementia care were a country, it would be the world’s 18th largest economy, ranking between Turkey and Indonesia.  If dementia care were a company, it would be the world’s largest by annual revenue, exceeding companies such as Wal-Mart and Exxon Mobil.  Approximately 70% of the dementia care costs occur in Western Europe and North America.  Direct costs of medical care, including costs of treating dementia and other conditions in primary and secondary care, are one component of overall cost, and comprise approximately 16% of total costs worldwide.  Medical care includes costs of hospital care, medication, and visits to clinics.  Direct costs of social care include care provided by community care professionals and in residential home settings, such as home care, food supply, and transport, and residential or nursing home care.  Costs of informal care provided by family and others is the third cost component.  Informal care includes the time the family caregivers spend providing assistance with the basic activities of daily living, and with other activities of daily living such as managing finances, transportation and preparing food.  The direct costs of social care and the cost of informal care comprise approximately 42% each of the total costs.  In low and middle income countries, however, informal care accounts for the majority of total costs.

The report predicts that the costs of dementia care will soar, estimating an 85% increase based only on the predicted increase of persons with dementia.  Costs in the low and middle income countries may rise faster than in high income countries because of economic development on the low and middle income countries.  The authors recommend development of cost-effective packages of medical and social care, so that the needs of persons with dementia and their caregivers can be met.  They also recommend development of evidence-based prevention strategies to meet the challenge of dementia and prepare for the future.  The Estate Planning & Elder Law Firm News will continue to monitor and report on developments in dementia care.

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The Estate Planning & Elder Law Firm, P.C. is an elder law firm. We represent older persons, disabled persons, their families, and their advocates. The practice of elder law includes estate planning, estate and trust administration, powers of attorney, advance medical directives, titling of assets and designations of beneficiaries, guardianships, conservatorships, and public entitlements such as Medicaid, Medicare, Social Security, and SSI, disability planning, income tax planning and preparation, care management, and fiduciary services. For more information about The Estate Planning & Elder Law Firm, P.C., please visit our website at http://www.chroniccareadvocacy.com.

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