Question 9326 — dependence

Summary

Mr. Romain Eskenazi draws the attention of the Minister of Labor, Health, Solidarity and Families to the insufficiency of aid measures intended for elderly people losing their autonomy living at home or in independent residences. In a context of accelerated aging of the population and while public policies consistently affirm their desire to promote “aging well” and staying at home, The means allocated to this objective remain notoriously insufficient to guarantee dignified living conditions for the people concerned. Indeed, the current ceilings of the personalized autonomy allowance (APA), intended for people over 60 years of age who are losing their autonomy, do not make it possible to cover the real structural needs in terms of living assistants and daily assistance, in particular for beneficiaries classified in GIR 4. Thus, a person falling under GIR 4, with a median income of 1,600 euros per month, receives a maximum of 797.96 euros in APA. However, daily assistance of one hour in the morning and 30 minutes in the evening represents approximately 42 monthly hours of intervention, or an average cost of 1,032.36 euros. The remainder then amounts to 234.40 euros per month. Once this remainder is added to the incompressible expenses (housing, mutual insurance, charges current), the remainder available for living (food, hygiene, health, unforeseen events) is extremely limited, exposing the people concerned to increasing precariousness. This financial imbalance generates trade-offs with serious consequences: some elderly people reduce or give up essential aid, avoid indoor meals for reasons of cost, or even forgo medical care. These deprivations, motivated by the need to save fuels social isolation and psychological suffering which accelerate the deterioration of health. Furthermore, several basic needs are not covered by the APA: no specific aid is provided for meals taken in collective catering rooms, although these moments of conviviality are essential to the fight against isolation. Likewise, transportation assistance for appointments medical services are almost non-existent in sparsely populated areas, due to the lack of suitable provision for short journeys. Added to these shortcomings is limited access to local health professionals (general practitioners, physiotherapists), in a context of increasing medical desertification. Finally, it is appropriate to highlight the persistent administrative obstacles: cumbersome procedures, sometimes long evaluation times, dematerialization of procedures poorly suited to elderly people who are far from digital. Faced with this obvious gap between the ambitions displayed and the reality experienced by many low-income seniors, he asks her what measures she intends to take to guarantee dignified living conditions for elderly people losing their autonomy. He asks her in particular if she is considering a significant revaluation of the APA ceilings, so as to to better take into account real human, social and medical needs and to guarantee everyone the right to age with dignity, in a secure, accompanied and supported environment.

Machine translation from French. The official text remains authoritative.

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