The GUIDE Program Illusion: Why Medicare's New Dementia Plan is More Paperwork Than Help

Medicare wants to pay corporate networks to coordinate your parent's care, but they still won't pay for the actual hands-on help you need.

In July 2024, the federal government launched a program with an acronym so warm it feels like a hug: GUIDE. It stands for Guiding an Improved Dementia Experience, and it promises to assign a personal coordinator to help you manage your parent's cognitive decline. If you are currently changing your father's soiled bedsheets at 3:00 AM while trying not to cry, a government-funded bureaucrat is probably not the rescue team you had in mind. Let's talk about what this program actually does, and why it might just be another clipboard in a room that needs a mop.

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