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A caregiver dad, Bradley Cooper and how a national crisis inspired an unexpected film

A caregiver dad, Bradley Cooper and how a national crisis inspired an unexpected film

USA Today2 days ago

A caregiver dad, Bradley Cooper and how a national crisis inspired an unexpected film
Matthew Cauli had no one to turn to when his wife, Kanlaya Cauli, had a stroke and was diagnosed with cancer during the height of the COVID-19 pandemic.
He left his graphic design career to care for her and their young son, Ty. Cauli said he quickly discovered there were few resources for caregivers. He took to social media to share his story and found a community of caregivers on TikTok, where he continues to post vulnerable videos about his family's daily struggles.
"I had to quit my job to go into poverty in order to get on Medicaid so that my wife could get some treatment," Cauli said in a recent social media post. "I've been in poverty for five years, credit card debt for five years. And I am stuck, I'm stuck, I'm stuck."
He shares the hardest moments of his caregiving journey, he said, so people understand how difficult it is.
'I just felt like I had nothing to lose," Cauli told USA TODAY. 'I wanted to show everybody, kind of, what it's really like.'
More: The caregiving crisis is real. USA TODAY wants to hear from you about how to solve it.
Soon, Cauli's story will be shared in a documentary on PBS. "Caregiving," which premieres June 24 at 9 p.m. EST, was created with executive producer and Academy Award-nominated actor Bradley Cooper and features caregivers from across the country alongside advocates and experts in the field.
The documentary is available to stream on PBS.org and the PBS App.
Cooper said his own experience caring for his father, who had lung cancer, inspired the documentary. Caregivers, he said, "are heroic people."
'Their ability to focus and give all of themselves is something that I stand in awe of,' Cooper says in the film.
Jocelyn Frye, president of the National Partnership for Women & Families, is featured in the documentary. Caregiving issues, she said, "are not niche concerns."
"The vast majority of families navigate these problems every day and it is important for people to see that they are part of a large community of people struggling to figure things out," Frye said.
She said she hopes the documentary leaves people "optimistic about the change that is possible, and determined to push for policies that we know can and do work."
Zulma Torres, also featured in the film, is a paid home health aide and a family caregiver for her granddaughter. She said she sees so many people who need care who can't afford it and can't access the resources to get the help they need.
Torres has grown to love her job as a caregiver, but said it's hard work that doesn't get the attention or support it deserves. Home care workers are the ones keeping patients at peace, washing them, feeding them and keeping them company when they feel alone.
"We care," Torres said. "We care for these patients."
'Punished for doing the right thing:' Documentary highlights common caregiver struggles
The documentary and the nation's renewed focus on caregiving is crucial, said Ai-jen Poo, executive director and board secretary for Caring Across Generations, because people are living longer than ever before. Meanwhile, she said, America "just isn't built to support care."
'The care crisis that everyone experienced during COVID really brought it home for people, in such a stark way, how little infrastructure we have in place to support us on such a fundamental and universal need," she said. "That has sparked a tremendous, exponential growth and awakening in our movement that can't be undone.'
A lot of people who care for their family members don't even know they are caregivers, she said. They often feel alone and don't know that solutions are possible.
Chronic illness can be hard on marriage. Studies show it's worse when the wife is sick.
'We each have a care story," Poo said. "And sometimes it takes seeing or hearing someone else's to realize that we're caregivers and that we actually share this really profound experience.'
Cauli lives in New York and doesn't qualify for the state's paid caregiver program because he is married to his wife. The state's Medicaid members can hire a personal caregiver that is a friend or family member, as long as they aren't the patient's spouse or parent.
If he divorced his wife he could apply to be her paid caregiver, he said. But that "sounds silly" to him.
'I feel like I'm being punished for doing the right thing,' Cauli said.
He's considered moving states to access better resources, but said that's "near impossible, financially."
He had to make major updates to their home to accommodate his wife's needs, including widening the doorframes and getting a new bed. He can't afford to hire in-home care.
"Five years in, I'm still doing everything," he said.
But Cauli has hope.
'I hope people start sharing their personal stories,' he said. 'I'm very hopeful that this documentary will start a movement to just help caregivers out.'
Madeline Mitchell's role covering women and the caregiving economy at USA TODAY is supported by a partnership with Pivotal Ventures and Journalism Funding Partners. Funders do not provide editorial input. Reach Madeline at memitchell@usatoday.com and @maddiemitch_ on X.

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Trump aims to build a MAGA judiciary, breaking with traditional conservatives
Trump aims to build a MAGA judiciary, breaking with traditional conservatives

Yahoo

time42 minutes ago

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Trump aims to build a MAGA judiciary, breaking with traditional conservatives

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Vought grilled over DOGE, spending cuts in House hearing
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Millions of kids are caregivers for elders. Why their numbers might grow
Millions of kids are caregivers for elders. Why their numbers might grow

Miami Herald

timean hour ago

  • Miami Herald

Millions of kids are caregivers for elders. Why their numbers might grow

High school senior Joshua Yang understands sacrifice. When he was midway through 10th grade, his mom survived a terrible car crash. But her body developed tremors, and she lost mobility. After countless appointments, doctors diagnosed her with Parkinson's disease, saying it was likely triggered by brain injuries sustained in the wreck. At 15, Yang, an aspiring baseball player and member of his school's debate team, took on a new role: his mother's caregiver. Researchers estimate that Yang, now 18, counted among at least 5.4 million U.S. children who provide care to an adult in their home. As state officials eye federal Medicaid funding cuts that could drastically reduce home care services for those who are disabled or have chronic health conditions, many predict that number will rise. That's bad news for kids: Studies show that when young people take on care for adults with medical conditions, their health and academic outcomes decline. At the same time, their loved ones receive untrained care. 'It all fell to me,' said Yang, whose sisters were 9 and 10 at the time of their mom's accident, and whose stepdad worked nights. His grades fell and he quit after-school activities, he said, unable to spare the time. Early on, Yang found reprieve from a personal care nurse who gave them supplies, such as adult diapers, and advice on items to purchase, such as a chair for the shower. And for about a year, Yang was able to work for a personal care agency and earn $1,000 a month caring for his mom — money that went toward her medication and family needs. But at the beginning of 11th grade, a change to his mom's insurance ended her personal care benefit, sending him into a runaround with his county's Medicaid office in Minnesota. 'For a solid month I was on my phone, on hold, in the back of the class, waiting for the 'hello,'' he said. 'I'd be in third period, saying, 'Mr. Stepan, can I step out?'' A report published in May by the U.S. Government Accountability Office reminded states that National Family Caregiver Support Program grants can be used to assist caregivers under 18. However, the future of those grants remains unclear: They are funded through the Older Americans Act, which is awaiting reauthorization; and the Administration for Community Living, which oversees the grants, was nearly halved in April as part of the reorganization of the Department of Health and Human Services under President Donald Trump. Additionally, if Congress approves proposed cuts to Medicaid, one of the first casualties likely will be states' home- and community-based service programs that provide critical financial relief to family caregivers, said Andrew Olenski, an economist at Lehigh University specializing in long-term health care. Such programs, which differ by state but are paid for with federal dollars, are designed to ensure that Medicaid-eligible people in need of long-term care can continue living at home by covering in-home personal and nursing care. In 2021, they served almost 5% of all Medicaid participants, costing about $158 billion. By law, Medicaid is required to cover necessary long-term care in a nursing home setting but not all home or community care programs. So, if states are forced to make cuts, those programs are vulnerable to being scaled back or eliminated. If an aide who makes daily home visits, for example, is no longer an option, family caregivers could step in, Olenski said. But he pointed out that not all patients have adult children to care for them, and not all adult children can afford to step away from the workforce. And that could put more pressure on any kids at home. 'These things tend to roll downhill,' Olenski said. Some studies show benefits to young people who step into caregiving roles, such as more self-confidence and improved family relationships. Yang said he feels more on top of things than his peers: 'I have friends worrying about how to land a job interview, while I've already applied to seven or eight other jobs.' But for many, the cost is steep. Young caregivers report more depression, anxiety, and stress than their peers. Their physical health tends to be worse, too, related to diet and lack of attention to their own care. And caregiving often becomes a significant drag on their education: A large study found that 15- to 18-year-old caregivers spent, on average, 42 fewer minutes per day on educational activities and 31 fewer minutes in class than their peers. Schools in several states are taking notice. In Colorado, a statewide survey recently included its first question about caregiving and found that more than 12% of high schoolers provide care for someone in their home who is chronically ill, elderly, or disabled. Rhode Island's education department now requires every middle and high school to craft a policy to support caregiving students after a study published in 2023 found 29% of middle and high school students report caring for a younger or older family member for part of the day, and 7% said the role takes up most of their day. Rates were higher for Hispanic, Asian, and Black students than their white peers. The results floored Lindsey Tavares, principal of Apprenticeship Exploration School, a charter high school in Cranston. Just under half her students identified as caregivers, she said. That awareness has changed conversations when students' grades slip or the kids stop showing up on time or at all. 'We know now that this is a question we should be asking directly,' she said. Students have shared stories of staying home to care for an ill sibling when a parent needs to work, missing school to translate doctors' appointments, or working nights to pitch in financially, she said. Tavares and her team see it as their job to find an approach to help students persist. That might look like connecting the student to resources outside the school, offering mental health support, or working with a teacher to keep a student caught up. 'We can't always solve their problem,' Tavares said. 'But we can be really realistic about how we can get that student to finish high school.' Rhode Island officials believe their state is the first to officially support caregiving students — work they're doing in partnership with the Florida-based American Association for Caregiving Youth. In 2006, the association formed the Caregiving Youth Project, which works with schools to provide eligible students with peer group support, medical care training, overnight summer camp, and specialists tuned in to each student's specific needs. This school year, more than 700 middle and high school students took part. 'For kids, it's important for them to know they're not alone,' said Julia Belkowitz, a pediatrician and an associate professor at the University of Miami who has studied student caregivers. 'And for the rest of us, it's important, as we consider policies, to know who's really doing this work.' In St. Paul, Joshua Yang had hoped to study civil engineering at the University of Minnesota, but decided instead to attend community college in the fall, where his schedule will make it simpler to continue living at home and caring for his mom. But he sees some respite on the horizon as his sisters, now 12 and 13, prepare to take on a greater share of the caregiving. They're 'actual people' now with personalities and a sense of responsibility, he said with a laugh. 'It's like, we all know that we're the most meaningful people in our mom's life, so let's all help out,' he said. KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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