The Bureaucracy of Belonging: Why Medicare's New Dementia Program is a Trap for Tired Caregivers

The GUIDE model promised to rescue families drowning in dementia care. Instead, it handed them a clipboard and a login screen.

Last July, Medicare launched a program with an acronym so warm it felt like a hug: GUIDE. It stands for Guiding an Improved Dementia Experience, and the press releases promised a lifeline for the millions of adults currently losing their sleep, their savings, and their sanity caring for a parent with cognitive decline. But if you peer past the press release, the reality looks less like a lifeline and more like an unpaid internship in data entry.

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