Democrats want billions to pay for elder care. Republicans say the price tag is too high.

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Democrats want billions to pay for elder care. Republicans say the price tag is too high.
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Democrats have carved out $300 billion to expand home-based care for seniors and the disabled in the $3.5 trillion spending bill dubbed the American Families Plan, but Republicans are painting the proposal as reckless and too expensive.

JEANNETTE, Pa. — At 90 years old, Ray Newbaker broke her hip and has dementia.

Ray Newbaker needs round-the-clock help to make her meals, cajole her out of bed, assist with her personal hygiene and calm her when her dementia causes hallucinations, which are worse at night. Add trips to the doctor, sorting her insurance claims and ensuring she has a social life.“It’s the hardest thing I’ve ever done in my entire life,” Paul Newbaker said.

Democrats have carved out $300 billion to expand home-based care for seniors and the disabled in the $3.5 trillion spending bill dubbed the American Families Plan. The measure would offer states incentives to lift their income caps to 300 times the poverty level, or about $38,600 per person. Democrats say it would enable an additional 3.2 million people to be eligible for home-based assistance.

Democrats say they aren’t scared of the price tag or of Republican claims about inflation. They point to internal polling conducted for House Democrats by Lake Research Partners, which was obtained by NBC News. Internal polling found that the elder care proposal is one of the most popular components of their agenda among likely Democratic voters.

Progressives have said $3.5 trillion is too little to transform the economy. Moderate Democrats point to the risk of inflation. Democrats also want provisions to guarantee that home health care workers make a living wage through reporting guidelines and by requiring a minimum wage, which would be set by region.

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