death. Their tenacity in holding on to life is held against them.
Cuts in Social Security and food programs for the old directly issue
from the willingness of the U . S. government to watch useless
females go hungry, live in viciously degrading poverty, and die in
squalor. On the television news, social workers tell us several times
a week that old people are going hungry: “they have just enough
food to keep them alive, ” one said, “but they never eat enough to
stop them from being hungry. ” Then we see the interviews with
old people, the cafeterias where old people who can walk go to get
their one meal of the day. T hey are mostly women. T hey say they
are hungry. We can observe, if we care to, that they are female and
hungry.
W ithin this population of the old, there are the people in nursing
homes. “There are more than 17, 000 nursing homes in the United
States— as opposed to roughly 7, 000 general hospitals— and their
aggregate revenues exceed $12 billion a year, ” writes Bruce C.
Vladeck in
been described as ‘Houses of Death, ’ ‘concentration cam ps, ’ ‘warehouses for the d yin g. ’ It is a documented fact that nursing home residents tend to deteriorate, physically and psychologically, after
being placed in what are presumably therapeutic institutions. The
overuse of potent medications in nursing homes is a scandal in itself. Thousands of facilities in every state of the nation fail to meet minimal government standards of sanitation, staffing, or patient
care. The best governmental estimate is that roughly half the na
tion’s nursing homes are ‘substandard. ’”4 In 1978, according to
Vladeck, there were still nursing homes “with green meat and
maggots in the kitchen, narcotics in unlocked cabinets, and disconnected sprinklers in nonfire-resistant structures. ” 5 Over 72 percent of the nursing home population is female. Women in nursing
homes are generally widows or never married, white, poorer than
most of their peers (70 percent having incomes under $3000 a year
consisting mainly of Social Security benefits), and have several
chronic diseases. According to
1979), the average age of the person in such an institution is 82 and
50 percent have no family, get no visitors, and are supported by
government money. Conditions are most terrible in nursing homes
supported by government funding of patient care: nursing homes
for the destitute, for those on Medicaid. The policy of the United
States government is that old people must become paupers: * spend
any money of their own that they have, after which the government takes over; the paupers are unable to defend themselves
*See “Loose Laws Make Care of Aged Costly, ” by Gertrude Dubrovsky,
Programs W ork, ” Dubrovsky explains:
“As of April 1977, the last period for which such figures were available,
a nursing-home patient under Medicaid could not have an income greater
than $533. 39 a month. However, should this same person want to remain
at home and receive community-based health-related services, his monthly
income must be less than $200.
“Thus, Medicaid laws are biased in favor of institutional care.
“Morever, Medicaid imposes strict personal-asset limits of $ 1 , 500 for a