The Caregiver Innovation Show

Rethinking Care in the Age of Scarcity

Nick & Amy

Send us a text

Ever called desperately seeking care for a loved one only to hear "we have no caregivers available"? You're not alone. This growing reality represents what experts call the "invisible crisis" – a nationwide caregiver shortage already affecting millions of Americans and projected to worsen dramatically.

We're diving deep into a problem where nearly half of those seeking professional care are being turned away simply because agencies lack staff. The traditional solution has focused almost exclusively on recruitment – better wages, improved benefits, and enhanced training. While these remain crucial, what if we're missing part of the equation? 

Our exploration reveals a powerful complementary approach: maximizing the effectiveness of existing caregivers through thoughtful technology integration. Not cold, impersonal tech, but strategic tools that free caregivers from routine tasks and paperwork to focus on what truly matters – human connection. We share the story of Maria, a Phoenix caregiver who regained two hours daily through streamlined documentation, rekindling her passion for caregiving after years of burnout.

The ripple effects of this shortage extend throughout our healthcare system. Hospitals struggle to discharge patients needing home care. Nursing facilities close entire wings. Countless family members leave their jobs to provide unpaid care – costing our economy over $500 billion annually in lost productivity. Beyond these staggering numbers lies the immeasurable human cost in dignity, independence, and support.

As we reimagine care delivery, legitimate concerns about technology – privacy, accessibility, depersonalization – must be addressed. Yet we must weigh these against our current reality: a system already rationing care based solely on staff availability.

The transformative question isn't just "how do we find more caregivers?" but "how do we maximize the impact of every caregiver we have?" Because ultimately, this isn't merely a healthcare logistics issue but a societal imperative affecting us all. What would it mean if no family ever had to hear those devastating words: "I'm sorry, we don't have enough caregivers"? Listen now to discover how thoughtful innovation could make that future possible.

Support the show

Speaker 1:

Okay, let's start with something I think many of us might dread. Imagine you're trying to find care, really good care for someone you love, you know, a parent maybe, or your partner.

Speaker 2:

Right.

Speaker 1:

And you're making calls, you're searching, hoping and you just keep hearing oh, I'm so sorry, we just don't have anyone available right now. That feeling, that kind of desperation, almost well, that's becoming a really common reality for families all over the country.

Speaker 2:

It really is and what we're digging into today, based on the sources, is this thing people are calling the invisible crisis. It's this major, growing shortage of caregivers.

Speaker 1:

Yeah, not just a small issue.

Speaker 2:

No, not at all. It's a huge societal problem really affecting millions of people already.

Speaker 1:

And the numbers looking forward. They're pretty stark, aren't they? Like by 2030, we might need another 8 million caregivers.

Speaker 2:

That's the projection 8 million additional. But I mean, the problem isn't just looming, it's hitting hard right now. Right now, yeah, we're seeing these reports Home care agencies actually turning away. What is it?

Speaker 1:

40% 40%, that's almost half. Half the people asking for help are being told essentially sorry, no one's here.

Speaker 2:

It's shocking when you put it like that and for a long time, the standard answer. The focus has always been on recruitment.

Speaker 1:

Get more people.

Speaker 2:

Yeah, how do we hire more caregivers? So you hear about better wages, benefits, more training.

Speaker 1:

Which are all incredibly important, obviously.

Speaker 2:

Undeniably, Absolutely crucial pieces. But the TEDx talk we looked at it throws a bit of a curveball, doesn't it?

Speaker 1:

It really does. It asks well, are we asking the right question, or maybe just one of the right questions?

Speaker 2:

Exactly what if, instead of only focusing on finding all those new people?

Speaker 1:

Which is still important.

Speaker 2:

Still important, yes, but what if we also looked at how we can help more people with the caregivers we already have, make them more effective, maybe?

Speaker 1:

Okay. So that's a shift. It's moving from just plugging gaps to rethinking the whole delivery system.

Speaker 2:

That's the idea.

Speaker 1:

Yeah.

Speaker 2:

The talk highlights how some agencies weren't just struggling. I mean, yeah, many were turning clients away. The usual story. But, there was this other group. They were actually managing okay, even expanding, serving more clients.

Speaker 1:

And their caregivers were happier. That's interesting.

Speaker 2:

Right More satisfied with their jobs? So the question becomes but were they doing differently. Yeah.

Speaker 1:

Yeah, let's get into that. What's the secret sauce here?

Speaker 2:

Well, the core idea, the argument in the talk boils down to thoughtful technology integration.

Speaker 1:

Thoughtful, that word seems key.

Speaker 2:

Very key Because this isn't, you know, science fiction robots taking over. It's about using tech smartly, strategically, to support the humans doing the caring.

Speaker 1:

Right, Because my first thought might be oh, technology and care, that sounds cold, impersonal.

Speaker 2:

A common reaction.

Speaker 1:

Yeah.

Speaker 2:

But the example they use, the one about medication reminders. I think that really clarifies it.

Speaker 1:

Okay, walk us through that. How does that work?

Speaker 2:

So traditionally right. A caregiver might have to drive across town just to make sure someone takes their pills on time Super important Time-.

Speaker 1:

Time consuming, especially with traffic and travel between clients.

Speaker 2:

Exactly, it eats up so much time. But these successful agencies, they're using tech platforms, things that can send reminders, remotely monitor if meds were taken.

Speaker 1:

Ah, okay.

Speaker 2:

So one caregiver can kind of oversee this for several clients at once. They only need to physically intervene or call if the system flags a problem like a missed dose, or if you know that person needs more direct support at that moment.

Speaker 1:

So it frees up their actual in-person time for the harder stuff, the things only a person can do.

Speaker 2:

Precisely the hands-on care, the complex needs, the human connection.

Speaker 1:

And there was that story, wasn't there, about Maria, the caregiver in Phoenix. That really hit home for me.

Speaker 2:

Oh yeah, maria's story is powerful. She'd been a caregiver for years, loved the work but was getting totally burned out.

Speaker 1:

By what the care itself?

Speaker 2:

No, actually by the paperwork Just drowning in documentation admin tasks. It was stealing time from her patients.

Speaker 1:

The part she actually loved.

Speaker 2:

The reason she got into it.

Speaker 1:

Yeah.

Speaker 2:

Then her agency brought in a new system like a digital way to handle documentation, Much more streamlined.

Speaker 1:

And what happened.

Speaker 2:

It gave her back about two hours every single day, two hours she could spend on care.

Speaker 1:

Wow.

Speaker 2:

And her quote was something like for the first time in years, I remember why I became a caregiver.

Speaker 1:

That says it all really. It shows how tech, used right, isn't just about efficiency numbers, it's about the caregiver's well-being too, their job satisfaction.

Speaker 2:

Absolutely, it makes the job sustainable more rewarding. Absolutely, it makes the job sustainable more rewarding.

Speaker 1:

And the talk makes a point that this caregiver shortage it's not just hitting home care right Ripples outward oh, definitely, the effects are system-wide.

Speaker 2:

Think about hospitals. They struggle to discharge patients who need follow-up care at home, but there's no one available, so beds stay full.

Speaker 1:

Right and nursing facilities.

Speaker 2:

Same problem, sometimes closing entire wings because they just don't have the staff. And then there are the families people leaving their jobs yeah, countless people stepping out of the workforce because they have to become full-time, unpaid caregivers. There's simply no professional help available or affordable.

Speaker 1:

And the economic cost of all that? Yeah, massive, isn't it?

Speaker 2:

It's huge. The AARP figure cited is $522 billion annually in lost productivity alone. Half a trillion dollars Just wow, it's a staggering number, but you know, beyond the dollars and cents, there's the human cost People losing their dignity, their independence, because they can't get the basic support they need.

Speaker 1:

So just to circle back to that core idea, technology, when it's used thoughtfully, isn't the enemy here. It can be an ally.

Speaker 2:

A powerful ally. It's about amplifying the reach, the impact of the caregivers we do have.

Speaker 1:

Letting them focus their skills where they're needed most Exactly.

Speaker 2:

On the complex care, the empathy, the relationship building, the stuff machines can't do.

Speaker 1:

Okay, but let's be real when you talk about more tech and caregiving people have concerns, legitimate ones that talk.

Speaker 2:

Acknowledge that right. Yes, absolutely, and it's crucial we don't gloss over them. Things like data privacy huge concern.

Speaker 1:

Definitely Protecting sensitive health information.

Speaker 2:

And the digital divide. What about people who don't have internet access or aren't comfortable with technology? We can't leave them behind. Good point.

Speaker 1:

And the fear of it feeling less human depersonalized, that's a big one.

Speaker 2:

The worry that care becomes transactional, that you lose that vital human connection, these are all serious considerations. They need careful thought, ethical guidelines, proper implementation considerations.

Speaker 1:

They need careful thought, ethical guidelines, proper implementation. But then the talk flips it right. It presents this counterpoint about the current situation.

Speaker 2:

Yeah, basically says look the reality now, with agencies turning away 40 percent of people, that's already a form of rationing care, isn't it? That's a strong way to put it rationing care. We are effectively, even if unintentionally, deciding who gets help and who doesn't, simply based on staff availability. That's the status quo.

Speaker 1:

And it's not an acceptable status quo.

Speaker 2:

Not really. The argument is we can do better, we have to do better.

Speaker 1:

So let's paint that picture. Imagine a future where technology does handle more of the routine stuff the reminders, the monitoring, maybe even some documentation. What does that actually allow the caregiver to do?

Speaker 2:

Well, it frees them up, it gives them the time, the mental space to really connect with the person they're caring for.

Speaker 1:

Build relationships.

Speaker 2:

Yes, handle the more complex physical or emotional needs, provide comfort, offer companionship, just be present in a truly human way. Things technology can support but never replace.

Speaker 1:

So the question we should be asking isn't just how do we find more caregivers?

Speaker 2:

No, it shifts, yeah. The guiding question becomes something more like how do we maximize the impact, the reach, the effectiveness of every single dedicated caregiver we have right now?

Speaker 1:

It's a subtle shift, but it feels profound.

Speaker 2:

It changes the way you approach the problem.

Speaker 1:

And it brings us right back to that initial fear, that worry about calling for help and hearing no. The talk ends with a really hopeful question, doesn't it?

Speaker 2:

It does. It asks us to imagine what if no family ever had to hear those words again I'm sorry, we don't have enough caregivers.

Speaker 1:

Wow, that possibility. It reframes the whole thing. I'm sorry we don't have enough caregivers. Wow, that possibility. It reframes the whole thing.

Speaker 2:

It's not just a healthcare logistics issue. It's bigger. It's absolutely a societal issue, a societal imperative. Really, as the talk points out, this affects everyone. Sooner or later. Most of us will either need care or be involved in caring for someone.

Speaker 1:

So the big takeaway from this deep dive seems to be this urgent need to well reimagine how we deliver care, especially now with these shortages.

Speaker 2:

Yes, rethink the models and, crucially, remember that core message about technology.

Speaker 1:

That it's the tool.

Speaker 2:

A tool to enhance human connection, not replace it. A way to make sure that care is available to everyone who needs it, and a way to let caregivers focus on what they do best.

Speaker 1:

Because, ultimately, this isn't really about the tech itself or even the staffing statistics, is it?

Speaker 2:

No, when you boil it all down. It's about dignity, it's about independence, it's about our fundamental human need for connection and support.

Speaker 1:

And that's something worth reimagining Absolutely.

Speaker 2:

That's definitely worth reimagining.

People on this episode

Podcasts we love

Check out these other fine podcasts recommended by us, not an algorithm.

The Caring Generation® | Advice & Tips for Caregivers Artwork

The Caring Generation® | Advice & Tips for Caregivers

Pamela D Wilson | Caregiving Expert
Happy Healthy Caregiver Artwork

Happy Healthy Caregiver

Elizabeth Miller Featured on The Whole Care Network
Gather Darlings Artwork

Gather Darlings

willGather and Dementia Darling