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The Dutch Village Where Everyone Has Dementia

HughPickens.com writes Josh Planos writes at The Atlantic that the isolated village of Hogewey on the outskirts of Amsterdam has been dubbed "Dementia Village" because it is home to residents who are only admitted if they're categorized as having severe cases of dementia or Alzheimer's disease. "There are no wards, long hallways, or corridors at the facility," writes Planos. "Residents live in groups of six or seven to a house, with one or two caretakers. Perhaps the most unique element of the facility—apart from the stealthy "gardener" caretakers—is its approach toward housing. Hogeway features 23 uniquely stylized homes, furnished around the time period when residents' short-term memories stopped properly functioning. There are homes resembling the 1950s, 1970s, and 2000s, accurate down to the tablecloths, because it helps residents feel as if they're home."

In Holland, everyone pays into the state health care system during their working years, with the money then disbursed to pay for later-in-life expenses — and that means living in Hogewey does not cost any more than a traditional nursing home. The inspiration came about in 1992, when Yvonne van Amerongen and another member of staff at a traditional nursing home both had their own mothers die, being glad that their elderly parents had died quickly and had not had to endure hospital-like care. A series of research and brainstorming sessions in 1993 found that humans choose to surround and interact with other like-minded people of similar backgrounds and experiences; the arrangement at Hogewey provides this by ensuring that residents with similar backgrounds continue to live closely together. On a physical level, residents at Hogewey require fewer medications; they eat better and they live longer. On a mental level, they also seem to have more joy. "The people here keep their independence, as much as they can have of it, and they stay active," says Theo Visser. "Here they still have a life. It's not the sort of slow, quiet death you get in other places. Here everyone feels at home."

9 of 231 comments (clear)

  1. We have one in the US, too by Anonymous Coward · · Score: 5, Insightful

    We call it "Washington".

    1. Re:We have one in the US, too by gtall · · Score: 4, Interesting

      What is it specifically you object to about the ACA? Covering more people? You do realize the whole idea behind any health insurance is that healthy people support the unhealthy. My main objection to it is that it let the health insurance companies and their "death panels" ("actuaries" to you) live. It has only been since the 1960's that insurance companies have gotten into health insurance in a big way. And we can mark the cost rises for health care to them.

  2. Necessary reading by Circlotron · · Score: 5, Funny

    When my time comes I hope they provide a (then) retro version of Slashdot.

  3. Re:and that means it doesn't cost any more? by plopez · · Score: 4, Insightful

    No, at least in the case of pharmaceuticals single payer is less expensive. You have more negotiating leverage. In the Dutch system you also do not have CEOs of medical companies having to pay for trophy mistresses, reducing costs even further.

    --
    putting the 'B' in LGBTQ+
  4. Re:and that means it doesn't cost any more? by kruach+aum · · Score: 4, Insightful

    "as the ready availability of other people's cash saps the desire to cut costs."

    Nope, that's just American propaganda talking. It may take living in the Netherlands, or a Northern European country, but when you realize not everything is about money, you realize people can have motivations outside of profit maximization.

  5. Re:Group homes vs nursing homes by Anonymous Coward · · Score: 5, Funny

    I have woken up in the floor [...] in the past few months

    Often I am injured

    effectively impossible to leave my dwelling on a regular basis

    I have PTSD flashbacks routinely

    there are no establishments I am aware of for persons like myself

    I'm almost 100% positive you have lycanthropy.

  6. Re:and that means it doesn't cost any more? by CRCulver · · Score: 4, Informative

    Within the European Union, doctors who treat foreigners (i.e. non-EU patients, or EU patients who can't show an EHIC) for one-off emergency visits commonly waive payment. It's just considered too much of a hassle to draw up all the billing, especially if the person may leave the country immediately after. Now, if the patient is going to receive a course of treatment, lots of tests, etc., then of course things are taken more seriously and he will be charged fees.

  7. Re:and that means it doesn't cost any more? by dinfinity · · Score: 4, Insightful

    Anybody with half a brain generally doesn't acquire money for its own sake

    The point was that some people would choose non-monetary benefits over monetary benefits. As they say: money can't buy you love or friendship.

    most of the interesting jobs you can get in Europe are publicly financed one way or another (research, art, etc.)

    False. Unless you wish to invoke a No True Scotsman-fallacy.
    1. 'Europe' does not have a centralized policy for funding of 'most of the interesting jobs'. The member states of the EU differ wildly in the extent to which they 'finance' certain jobs.
    2. In general: art and research are subsidized, not 'financed'. There is nothing stopping anyone from attracting private investments for their activities. In fact, there are European anti-state aid laws to prevent anti-competitive subsidization by the governements of the member states: http://ec.europa.eu/competitio...
    Many universities in Europe cooperate tightly with institutes that are oriented towards commercial(ly viable) research and the associated private investments.

    which means you don't get to do what you think is right, you bloody well have to do what society tells you to do

    News flash: unless it's your company, you're not deciding what you get to do. You bloody well have to do what was in the bloody job description when you decided to take the job. If you believe that a private institution gives more of a crap about 'what you think is right' than a public one, you're deeply misguided.

  8. Re:and that means it doesn't cost any more? by dinfinity · · Score: 4, Informative

    Yes, and Americans have more freedom to make those choices for themselves than Europeans.

    No, most of them do not. Social mobility is provably higher in most EU member states with high taxes. It's pretty simple: wealth/income redistribution provides a lot of people in the lower part of society with freedom. Many (less affluent) Americans have little choice but to take on any job they can get and then work as many hours as they can get, crawling for their superiors for fear of getting fired. That's not freedom.

    You can choose which company you work for, and you can found your own company. Both of those are a lot easier in the US than in Europe.

    Wait a minute. You actually believe that Europeans can't choose at which company they get a job? Really?
    Also, wrong: http://www.nationmaster.com/co...
    Or perhaps founding a company is easier in the US, just less of an option to most people.

    Nothing, except higher taxation, less wealth, and more regulation

    Bullshit. Private investments are hardly regulated and not taxed at all.
    But don't let reality spoil your preconceived notions. Just keep waving that banner, man.