While Asian-Americans are aging, many are looking for options to stay at home.



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Eune is part of a rapidly growing American-born Asian population that has few options in long-term care.

According to the Pew Research Center, every day for the next 10 years, more than 10,000 people will turn 65.

Research from the Asia Pacific National Center on Aging revealed that 42% of Asian Pacific Islanders provide care for the elderly, compared with 22% of the general population. Many studies show that cultural traditions teach Americans of Asian descent to take care of their elders, even though many of them may not have the resources to choose the situation. care of their choice. In 2016, 11.8% of Americans of Asian origin aged 65 and over were at or below the poverty line. In comparison, the overall rate for older Americans was 9.3%.

"The aging population is facing loneliness and mental illness," said Rooshey Hasnain, clinical assistant professor in the Department of Disability and Human Development at the University of Illinois at Chicago. "This is the result of lack of resources in families or between families or official institutions that do not reach all the recipients they should reach."

In order for her mother to retire from her job at a car manufacturing plant, Nan Lo had to find a second job in cleaning houses at night. Eune is based on both Medicaid and Medicare. Although Medicare does not cover retirement homes, Medicaid offers seniors exemptions allowing family members to receive payments for long-term care at home or in the community.

Nan Lo examining her mother's medicine.Kathryn Gamble / for NBC News

With the waiver, Tom Baccam launched Asian Home Care in 2012 and received funding to pay Nan to provide care for her mother. After years of defending the people of Tai Dam in the region, Baccam found a widespread need to support the elderly.

The needs of the elderly are a major concern in many immigrant communities. In 1973, a top service organization called On Lok, which means "peaceful and happy home" in Cantonese, developed a home-time model of home care in a day center in San Francisco's Chinatown.

Without having to move to a retirement home, seniors could access health services located in central locations housing social workers and primary care. The model is now known as the All Inclusive Care Program for Older Adults (CAPC) and is operational in 31 states.

In 2021, Seattle will host a partnership, called AiPACE, between Kin On, a culturally sensitive retiree community for Asians, and International Community Health Services using the PACE model. With the help of influential local leaders such as Martha Choe, the first American woman of Korean descent to be elected to the US public service, and longtime community organizer, Paul Mar, AiPACE aims to raise $ 20 million to build its health center and recover space in downtown Chinatown in Seattle.

In Washington State, nursing home facilities are rapidly extinguishing. Heidi Wong, head of AiPACE's fundraising campaign, said the model was not viable and that it was likely to erase.

"Fewer and fewer people and if given the choice, no one wants to go out," said Wong. "It's a national trend that transcends ethnicity."

In Chicago, South Asian immigrants launched Sahara Home Care, which combines non-medical home helpers with seniors living at home. With funding from the Illinois Department of Aging, the groups are able to fill what was a niche in the Chicago area, according to Kulsoom Fatima Khan, Sahara public relations coordinator. At present, only about half of their clients are Asian and they offer aids that speak Urdu, Bengali, Hindi, Spanish, Tagalog and Malayalam. , among other languages. In July, the Sahara opened its ninth location.

Despite the lack of suitable care facilities for the elderly, a survey of Asian seniors living in New York showed that the average age of migration was between 51 and 62 years old. Many noticed that they had moved because of family members already established in the United States.

Yet, Americans of Asian origin are trying to find solutions. Seattle-based Linda Louie, 57, decided to put her mother in a retirement home because she could no longer safely navigate the stairs of her house. Louie planned to buy a one-story house before retiring. Louie has children but she says they have their own lives, their jobs and their children.

Eune Lo and his daughter Nan Lo with the son of Eune, Chris, his wife and baby.Kathryn Gamble / for NBC News

Some, like Nan, have been ready for it all their lives. She always knew that one day she would take care of her mother.

"I love it, it's my mother," Nan said. His brother who was sitting in the next room said that he would also provide him with a home. "Of course," he says. Otherwise, she would stay with the other members of her family.

Baccam, 60, is less sure of what will happen as he gets older. It's 20 miles of cycling almost every day to stay healthy.

"I do not know what will be the future," he said. "Even if my children love me."

CORRECTION (September 26, 2019, 11:42 ET): A previous version of this story had misspelled the surname of a Seattle resident. She is Linda Louie, not Louis.

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