August 16, 2021
The Star
Page 5
hole lot
of hoopin’ goingon
Six young girls from the Rolla Dance Center entertained the residents of
Park View Assisted
Living in Rolla last week. Their performance focused on their ability to
dance and deal with
hula hoops at the same time.
ple can “choose” whether to inflict
harm and even commit murder.
Those acts are a matter of “personal
choice.” But where does that get us
in our effort to fight the Delta variant,
and others sure to follow?
The concept of civic duty is not
beyond debate, of course, for we can
argue about the parameters of re-
sponsibility, and when individual lib-
erties should not be curtailed in the
name of responsibilities to others. In
the case of a pandemic, however,
where the refusal to become vacci-
nated provides the crucial lifeblood
to a virus seeking a host, civic duty
overwhelms a personal choice to re-
main unvaccinated and the “right” to
harm others.
That’s what the US. Supreme
Court said in the 1905 landmark 11111
ing in. which ethe justicesupheld a
Massachusetts law that required adult
residents of the state to be vaccinated
against smallpox. In Jacobson v.
Massachusetts, the court reasoned
that the Constitution “does not im-
port an absolute right in each person
to be, at all times and in all circum-
stances, wholly free from all re-
straints.” In a case that remains the
law of the land more than a century
later, the justices held that the health
and safety of the nation took prece-
dence over the objections of Hen-
nings Jacobson, who claimed that the
Vaccinations
(Continued from Page 4)
state’s compulsory vaccination
statute was “unreasonable, arbitrary
and oppressive, and, therefore, hos-
tile to the inherent right of every free—
man to care for his own body and
health in such a way as to him seems
best.” Readers will recognize these
arguments in the objections of those
who, today, resist the Covid-19 vac-
cination.
For many years, states across the
country have exercised sweeping
“police powers” a category of au—
thority that the framers of the Con—
stitution entrusted to state
governments to pass laws to protect
the “health, morals, welfare and
safety” of the people. Most of our fel—
low citizens rarely object to the exer-
ciseupf this authority to require, for
example, immunization sof
children, from. preschool through
12th grade, as a requirement to attend
school. Most don’t complain, either,
about mandatory seat belts or child
safety seats, and most don’t object to
indoor smoking prohibitions or the
state laws requiring automobile own-
ers to carry liability insurance. '
Passage of these laws, and others,
contribute greatly to the health and
safety of our neighbors. Some may
View these statutes and regulations as
inconvenient, and possibly an in-
fringement of their freedom to make
personal choices, but as the framers
Canada
(Continued from Page 4)
All I could produce was a pained
smile and slow nod.
After a. couple more stern lectures
about the proper paperwork and a di—
rect order to keep our phones on in
case we were chosen for a random
COVID test, the most angry Cana—
dian woman I’ve ever seen decided
to let us into her country.
Her ruling, however, came with a
very specific warning to wear a mask
everywhere we went.
That’s when my passenger
chimed in again, reminding me of the
common-sense advice of “don’t poke
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the bear... especially the female
Canadian type of bear.”
“I thought Canada didn’t have a
mask mandate,” he said.
“Well you two do,” she snapped
back.
With that, we were waved
through. Ironically, sheets of rain
were falling in front of us the whole
time we were at the port. It turned out
that we didn’t golf at all and just had
some breakfast with an old friend.
Still, we made it. We crossed the
line and will do it again.... just not at
that port of entry.
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of the Constitution believed, sacrifice
of some personal interests as a func-
tion of civic virtue is precisely what
a republican form of government re-
quires. If the animating principle of
republicanism is somehow virtue, it
would be nice to see it voluntarily in-
stituted to save lives, as Americans
readily and enthusiastically demon-
strated in the first and second world
wars. If Americans don’t line up for
the Covid vascine, we can expect to
see, sooner o~ later, the enactment of
mandatory vaccination laws, resting
on the pillars of the Supreme Court’s
ruling in Jacobson v. Massachusetts.
Adler is president of The Alturas
Institute, created to advance Ameri-
can Democracy through promotion
of the Constitution, civic education,
equal protection and gender equality.
' "Send questions about the Consti-
tution to Dr. Adler at NDWTPCol—
umn@gmail.com and he will attempt
to answer them in subsequent
columns.
This column is provided by the
North Dakota Newspaper Associa-
tion and Humanities North Dakota.
Medicare and. how it
covers home health
Dear Savvy Senior,
How, does Medicare cove'r in—
home health care? My husband has a
chronic health condition that makes
it very difficult for him to leave the
house, so I’m wondering if he could
qualify for Medicare home health
care.
Seeking Help
Dear Seeking,
Medicare covers a wide variety of
part-time or intermittent in-home
health care services to beneficiaries
in need, if they meet Medicare’s cri—
teria. Here’s how it works.
In order for your husband to se-
cure coverage for home health care,
Medicare first requires that he be
homebound. This means that it must
be extremely difficult for him to
leave home, and he needs help doing
so either from another person or
medical device like a cane, wheel-
chair, walker or crutches.
He will then need to have a face-
to-face meeting with his doctor to get
a home health certification confirm-
ing that he needs skilled—nursing care
or skilled-therapy services from a
physical or speech therapist on a
part—time basis.
His doctor can also request the
services of an occupational therapist
and a personal care aide to assist with
activities of daily living such as
bathing, dressing and using the bath—
room. His doctor must renew and
certify his home health plan every 60
days.
He will also need to use a home
health agency that is certified by
Medicare.
If he meets all of the require-
ments, Medicare should pay for his
in—home health care.
But be aware that Medicare will
not pay for personal care aide serv—
ices (for bathing, dressing, using the
bathroom, etc.) alone if he does not
need skilled—nursing or skilled-ther-
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.t-
THE ’9 I
.
By Jirn Miller
apy services too. Homemaker serv-
ices, such as shopping, meal prepa-
ration and cleaning are not covered
either. .
If your husband has original
Medicare, you can locate a
Medicare-certified home health
agency by calling 800-633-4227 or
by visiting Medicare.gov/care-com—
pare. If he has a Medicare Advantage
plan, you should contact his plan di-
rectly and ask which home health
agencies work with the plan and are
within the plan’s network of
providers.
For more detailed information on
how Medicare covers in-home
health, see the “Medicare and Home
Health’ Care” online booklet at
Medicare.gov/Pubs/pdf/10969-
Medicare-and-Home—Health-
Care.pdf.
Other Options
If your husband does not qualify
for Medicare home health care cov-
erage, there are other coverage op-
tions depending on your situation.
Here are several that may apply to
you:
Insurance: If you happen to have
long-term care insurance, check to
see if it covers in-home care. Or if
you have a life insurance policy, see
if it can be utilized to pay for care.
Medicaid: If your income is low,
your husband may qualify for Medi-
caid, which offers different home and
community—based services that can ,
pay for in-home care. To investigate
this, contact your local Medicaid of—
fice.
Also see if PACE — which stands
for “Programs of All-Inclusive Care
for the Elderly” — is available in your
area (see NPAonline.org). PACE pro—
vides in-home care, including help
with activities of daily living, such as
meals, dental and medical care,
among other benefits.
Veterans Benefits: If your hus-
band is a veteran, the VA also offers
some benefits that can help. Two pro-
grams to inquire about are “Aid and
Attendance or Housebound Al-
lowances” and the “Veteran-Directed
Care” program. Both programs pro-
vide monthly financial benefits to el-
igible veterans that can help pay for
I in—home care. To learn more, contact
your regional VA benefit office (see
Benefits.va.gov/benefits/offices.asp
or call 800—827—1000).
To look for these and other pro-
grams in your area that can help pay
your husband’s home care, go to
PayingForSeniorCare.com and click
on “Find Financial Assistance for
Care” to access their Eldercare Fi-
nancial Assistance Locator tool.
Send your senior questions to:
Savvy Senior, PO. Box Nor-
man, OK 73070, or visit SavvySe-
nior.0rg. Jim Miller is a contributor
to the NBC Today show and author
of “The Savvy Senior ” book.
.
V ,
Heart of America Johnson Clinic
providers offering prenatal care during
your pregnancy include
Jenna Thompson, FNP; Jana Knutson,
FNP-C; Nicole Lemieux, PA-C
TRINITY
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and Gail Danielson, PA.
at
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Dunseith 701.544.5694
