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The decision to begin hospice care is yours and your family’s alone. JourneyCare will be with you every step of the way.

What is hospice.

Hospice is a specialized, compassionate approach to caring for those with serious illness who may have weeks or months, rather than years, to live. The focus is on caring for the whole person, with expert pain and symptom management and emotional and spiritual support, to improve quality of life. When your illness is progressing despite aggressive treatments, and you and your family want to focus on comfort and quality of life, rather than curing your disease, and it may be time to talk about hospice.

Care is provided in your home, wherever you call home, by a dedicated and specially trained interdisciplinary team of professionals, who work closely with your physicians.

Studies have shown those who choose hospice care can live longer and better lives. With enhanced quality of life you can live more fully and in comfort, without pain.

We start with you, not the disease, understanding and honoring your unique needs, values and wishes. Your Care Team will help you and your loved ones focus on what matters most to you, navigating the physical, spiritual, social and emotional issues surrounding serious illness, with a plan of care tailored to your wishes and goals. Visits from your Care Team are scheduled at times that are convenient for you and your family, and you have access to support 24 hours a day, 7 days a week. Just call us.

JourneyCare realizes that serious illness affects the entire family. That’s why patient and family centered care is at the heart of what we do. We provide the education and resources family members and caregivers need to confidently care for a loved one, along with emotional and spiritual support, as we accompany you on your journey.

What Does Hospice Do?

Research shows that hospice care works best and is most beneficial to you and your family when used to improve quality of life. Many patients and families have told us they wish they had called JourneyCare sooner. By choosing hospice care early rather than later, JourneyCare can help you make each day the best it can be, however you define that, with expert pain and symptom management, support and empowerment for your family.

Levels of Care

  • Routine Care is provided in the comfort of your home, wherever you call home. This is the most common level of hospice care. Members of your care team will make regular visits to provide care and support to you and your family, which includes treatments, medications, durable medical equipment and supplies related to your hospice diagnosis.
  • Inpatient Hospice Care is provided when pain and symptoms become difficult to manage at home. JourneyCare’s four Hospice CareCenters (located in Arlington Heights, Barrington, Chicago, and Glenview) provide around the clock medical care. Once symptoms are under control, the patient can return home.
  • Crisis Care provides intensive care in the home setting for brief periods, when a patient requires skilled nursing care to manage difficult pain and symptoms.
  • Respite Care provides temporary, short-term care for established hospice patients to relieve their family member who is the primary caregiver.

Who Provides Hospice Care?

Hospice care is provided by a dedicated and specially trained interdisciplinary team of professionals, who work closely with you, your family and your personal physicians to develop a plan of care tailored to support your unique needs, goals and wishes.

Your JourneyCare Hospice Team Includes:

  • You and your family
  • Board-Certified Hospice and Palliative Care Physicians who will work with you and your primary care physicians to develop your plan of care.
  • Registered Nurses who will meet with you and your family on a regular basis to assess support needs, and coordinate communication with members of the care team.
  • Certified Nursing Assistants who provide hands on, personal care and help with activities of daily living.
  • Social Workers who provide you with a range of support services, including counseling and emotional support, education and help accessing community resources.
  • Chaplains to help you and your family cope with the illness through spiritual support, emotional support and life review.
  • Volunteers who are specially trained to provide assistance and support for you and your family. They can provide companionship, run errands, provide light housekeeping, go grocery shopping or help with hobbies or crafts.

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(800) 558-0653

JourneyCare

405 Lake Zurich Road, Barrington, IL 60010

(800) 558-0653 (Call a Family Advisor)

( 38 reviews )

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Reviews of JourneyCare in Barrington, Illinois

January 30, 2023

my husband was with journeycare for 18 months. the last 3 days of his life were horrendous. our nurse stopped coming (yes we had a substitute but not the same as the person who patient knew) with no explanation right after Christmas. as my husband deteriorated I called asking for help. the final week of his life an LPN who had never seen us before came to 'help'. she didnt even now how to get blood oxygen and asked me to use my apple watch. Her solution?Senna for constipation. Really??? I called through that weekend and got info on meds to use but no in person help. this was horrendous both for the caregiver and patient. He suffered needlessly. it seems the attitude was we had been in the system too long and they'd lost interest.

January 26, 2023

I would like to give this hospice a great review, but I doesn't deserve one. The nurses and the CNAs are all excellent, they could not be better. They are the best of the best. The administration is a very different story. My husband was in hospice with this agency. The agency provided the absolute worst service I have ever experienced. Approved drugs for hospice are supposed to be no charge through Medicare. Mine were all submitted to my health insurance and I was forced to co-pay despite, asking the agency for help several times! The WORST thing that they did was lose the DNR with the doctor's signature. This was not discovered until the last last 48 hours of my husband's life. Instead of a peaceful death vigil, I had a 3 AM visit from a hospice employee asking me to sign a new DNR and maybe they could get a doctor's signature. DO NOT CHOOSE THIS HOSPICE!

April 7, 2022

My father-in-law was admitted for final hospice care at the Barrington facility a few days ago. The staff was wonderful and respectful of what we were going through. If you have to die, this is the place to go.

February 7, 2022

AVOID THIS ORGANIZATION. My sister in law was under their care. In the last few days of her life, she was unresponsive and in obvious distress. We phoned to request a nurse. The nurse never came out and told us to continue with the medication protocol that was established. We told the nurse that the current medications were not keeping her comfortable. She was in visible pain. We were on the phone for over an hour with the nurse who just kept saying to continue doing what we were doing. We kept telling her that it wasn't working. We had to plead with her to get in touch with the doctor. Finally, she said she spoke with the doctor and came back to us and said they were not going to make any changes to the medication. At that point, we were able to get in touch with our primary oncologist who walked us through a protocol with the meds we had on hand. Had we not had an amazing oncologist that answered her phone at midnight and walked us through all the steps to take to keep our relative comfortable, our loved one would have continued to suffer. This was the most egregious offense. There were a couple others in prior days. THESE ARE NOT THE PEOPLE YOU WANT OVERSEEING THE LAST DAYS OF YOUR LOVED ONES.

Tammy Uncle

June 26, 2021

While my mom was in her last days of life, Journeycare never went to the nursing home to be with her, (she was in their hospice care every two weeks for 6mos) and never reached out to me as she was dying. I had to coordinate everything with the nursing home (who were extremely supportive, by contrast). I would not recommend JourneyCare, especially if you live away from your loved one.

December 20, 2020

JourneyCare provided the best possible scenario to care for my mother (and family) during her final days. Outstanding setting (Barrington location), program and care. It was a blessing.

June 13, 2020

Can't say enough great things about their in-patient center in Barrington. Didn't know what to expect, but the facility, nurses, Drs all exceeded expectations. JourneyCare will take VERY good care of your loved one, so you don't have to worry about anything in their last days of living. THANK YOU JOURNEYCARE.

schroedermom

February 21, 2020

My mother having been through this company in SYCAMORE,IL has been a wonderful experience I cannot say enough good things about the nursing staff and the Therapy staff that's come into her home over the past several months, they are all wonderful and extremely compassionate individuals dedicated to there patients care as well as their job. What I do find upsetting is that the office staff and management can not seem to properly run the office in Sycamore, that they're more willing to let these great individuals go and let several patients who depend on this great quality care down. Really sad to see office staff can't get there crap together and my 75 y.o. mother has to now be either discharged or referred out to individuals that are now strangers and start from scratch. I'm angered that you gave up on your patients rather then weeding out the bad apples and replacing them with good ones.

November 2, 2019

my mother received Pallative care thru Journey Care. The provider Lila Corral ignored my attempts to communicate with her, and then told me to take my concerns up with the office. The only thing I had asked was an update on how my mother was doing. It took me 2 months to get a return e mail, and then only when I contacted the office. I have no idea what she did with or for my mother, as she refused to tell me. The office was kind , helpful and responsive(Abbie ) and has referred me to hospice, where hopefully things will be better.

July 16, 2019

Although the Barrington facility is impressive, I am not entirely happy with some of the staff. Yesterday I went home feeling defeated and disrespected. I believe the staff could benefit from some social skills training. If I had to do over again, I would not have opted for this.

June 11, 2017

Both my mom and dad were in hospice with Journey Care. My mom and dad were in residence at my home and we had a full time caregiver at each given time of need. With my father who passed first- he was not in pain and I never had to give him the morphine nor was I pressured to give it to him. Their job is to make their clients comfortable and he was. My mother on the other hand had other problems and wasn't in pain but needed calming for her own good and well being. They were very understanding about my hesitancy and explained thoroughly what each med would be for and would do. Never did I ever feel pressured to give my parents anything that I felt they shouldn't have. They were always kind, considerate and kept my dad and mom at the top of their priority. Thank goodness they were there for us. I don't know what we would have done without them answering all our questions. Thank you Journey Care...you certainly help through a person's emotional journey.

childcaregiver

April 23, 2017

They get visually annoyed & uptight when you choose to go palliative & transition to hospice.They push really hard for hospice right off the bat, even though you made it really clear you understand palliative & hospice services & chose to go this route for reasons not really having to be justified to them,they will try to sway you to go directly hospice,stepping out of bounds disrespectfully in trying.., glaring pushy-businessy feel to it more than any sort of compassion & understanding.

February 8, 2017

We had Journeycare for our Mom when she was at Rosewood Care Center in Elgin, IL. The level of care provided by JourneyCare was fantastic! We loved Mom's Nurses, CNA, Social Worker & the Chaplain. They were there when we needed them, and always willing to make a phone call to answer any concerns we had. Laura and LaShaye were FANTASTIC! Mom LOVED them too! Definitely recommend. Honest caring, loving people.

Kelly Chops

December 1, 2016

Our family is so very grateful that my dad was able to be in this beautiful, warm facility for his last days. Each nurse and staff member was compassionate, caring, and gentle with my dad. My sister and mom and I felt that the staff listened to us and respected our wishes for my dad's last days. If I had to go through this myself I would want to be in this facility with these amazing caregivers. From start to finish the level of professionalism and caring was top notch. We could not have asked for better. I feel like they treated my dad as if he were their own dad. If you have a choice get your loved one here, we are so very grateful that we were able to be here at this location.

Jim's daughter

October 18, 2016

I came in from out of town when my step-mom come home from the hospital and into in-home hospice. JourneyCare (JC) came and helped us, especially my dad, understand that this is the beginning to the end, and gave an overview of what to expect and how to respond. They were there for us, but gave us the space needed to have family time and to deal with all the stress of it as family. JC checked in regularly, and were carefully monitoring the situation--giving new information and advice as needed. When they came to the house, the nurse would "read the room" to know where everyones' thoughts were, and compassionately listened and gave us the "hard to hear" things nobody is ever prepared to receive. For a week we were able to give mom the dignity she deserved, and the last critical days we were able to keep her comfortable until the end. JC was available for bathing, phone calls and medication delivery 24 hours a day, and I felt they managed mom and the family beautifully. Always there for us, and were kind, compassionate--and always honest.

NopeNopeNope

October 13, 2016

Half of the nurses actually cared about what little life my grandpa had left. He was in the facility for not even 48 hours and the entire time he was completly out of it because of all the morphine they gave him.... WHEN HE WASN'T IN PAIN. Seems to me like their biggest concern is strictly business: Get the bodies in and out as fast as possible. Stay clear, You're welcome.

August 25, 2016

My mother passed away this past June. The support and care that she and my family received from Journey Care was fantastic. The facility is beautiful and the nurses were great

May 30, 2016

It was a mistake choosing this provider. They were rude, incompassionate, uncaring, disorganized and unskilled from the very second they entered my home. They made me pre-fill out a death certificate the evening we arrived home from the hospital. The admission nurse said she didn't want to come back so do it now. The nurses they sent (when we could get them to send somebody) were incompetent and made us feel as though we were bothering them.One commented "Why don't you just just call us after she dies?".... My mom was in extreme distress in her last days and they did nothing to help alleviate that. The first day arriving home from the hospital they did "crisis control" and had someone in my home keeping us up for 24 hours a day. This was for the first 4 days when my mom was NOT in crisis, did not need help, and just wanted to be alone with family. Journeycare would not respect that. After they could no longer bill for crisis control they left and it was almost impossible to get someone back. Especially when she really needed the help. She lived 8 days on hospice. Their answer to every request for help was just to "give her more morphine, shell breath better. yeah give her some xanax too". It was obvious from the very start they were performing euthanasia as economically as possible to them. It was also clear they were more concerned with the financial gain to them than care for my mom. Overall a horrible experience with this company and we would have had better care if we stayed in the medicare system.

Ilene Diamond

May 14, 2016

The worst possible agency you would ever have the misfortune of using!! Nurses....rude, lack compassion, not friendly! Their administration....doesn't care! Stay away! Company is no longer a hospice/palliative care service, it's a conglomeration and does not care at all who they hire, nor do they care about their clients/patients!!

March 7, 2016

I can NOT recommend Journeycare for palliative care. I am the patient and after two attempts to obtain services I was denied a phone call or a letter stating why I was denied. The intake nurses did not properly communicate to me nor home health a true picture of eligibility. Health information was mishandled. Everyone you talk to has a different answer. Dealing with them made me more ill. Use someone else.

July 21, 2015

My husband went straight from Rush intensive care to Horizon Hospice in patient care located on the Rush Campus. EVERYONE was very helpful and very nice. 9 months after my husband's death, I called because I knew I needed grief counseling, and they got me in within 2 days. I continue to go to counseling for free but will definitely give a donation.

Helen's daughter Jean

March 28, 2015

My mother recently spent 6 very long and emotional days in the care of JourneyCare and they could not have been more supportive to our family. There were so many people that asked "what can we do do help you?". The volunteers would come in and just sit and listen when we needed to speak. There were snacks and just the little things that helped us with this period in our lives. When my mother passed, they showed great respect and would highly recommend them to anyone.

March 10, 2015

I would like to thank Journey Care for their wonderful care of my mom. They treated mom as if she were their own family member. Loving, gentle, thoughtful. They not only took care of her medications and other physical needs, they asked about music preferences and often just sat holding her hand and playing classical music she loved. They are a wonderful service made up of competent staff. They also made sure to call or see us about updates or check with us to ask if we had any concerns or observations. Always pleasant, always caring both for mom and her family. Thank you again for being there.

helpthesick

February 16, 2015

I would highly recommend NOT USING this organization. There are awful, just cannot get it together and just make excuse upon excuse! When the one you love is suffering and you are looking for help the last thing you need is someone who is cold and rude. DO NOT USE . . .

February 12, 2015

Contacting Journey was a call I had hoped I never had to make but in the end I am glad I did. My Mom was told she had less than 5 months and didn't last 2 weeks. When Journey came in they helped our family and my Mom leave with dignity. Loree and Jennifer were absolutely the most compassionate special people I have ever met. They took very good care of my Mom and they helped me and my family with the transition. I must also mention Lino who came after my Moms passing to help us prepare for her departure from her home... he was an angel. Thank you Journey you are special people who deserve to be recognized!! May God Bless you and families

December 21, 2014

When Mom was discharged after 3 hospitalizations in 4 weeks their solution was rehab. Absolutely ridiculous. There was no rehabbing for her diagnosis. We decided to bring her home with 24/7 care. JourneyCare provided everything she/we needed. From nurses, social worker, massage therapy, spiritual care and helped the family prepare for what we knew was coming. We were able to provide everything she needed in her home, which is exactly what she wanted. She passed peaceful in her own home with her family around her. JourneyCare helped us provide her with services as to make this as painless as possible. We were prepared for every possibility. It was an incredible experience to be with her as she left. They are truly experts in this area and would recommend them to anyone who is facing this challenge.

Caring93044450

December 3, 2014

I was utterly impressed with Midwest Palliative & Hospice CareCenter. My husband stayed there slightly less than 24 hours. At every level and encounter, I found human beings who were personable, respectful, and silent. There is a silent respect. The hospice experience is a whole lot cheaper than a nursing home. I have nothing but praise to say about the ambience, the environment, the beauty of the place, and the art on the walls. It is all very sensitively done. The building itself sits along a marsh which is the northernmost section of the Chicago River. They had a place where families could lounge where there was always coffee. They even had a little room where children could come in and read books. It is like a meditation center or a church atmosphere. There was a sense and aura of respect both in the architecture of the place, the inside, and the outside. There was only one entryway to the place. I had a remarkable experience.

July 9, 2014

I was very pleased with the care that my Dad received in his last 3 days at the facility and with the nursing care he received at home. The staff could not have been better and I know that my Dad's last days on earth were comfortable and peaceful. I highly recommend Journey Care.

May 12, 2014

JourneyCare was very caring, and they made it much, much easier for my father-in-law and the family. I don't think we probably would have found any place any better. He was only there for a few days. They made it very comfortable for him. The staff was wonderful. It is a place that if my mother-in-law, in the future, needs anything, that's probably where we will go with her.

February 5, 2014

Everyone was compassionate and extremely helpful before and after my grandmother's passing. This is why I recommend hospice to all who need this invaluable service. They are willing to help everyone as much or as little is humanly possible and accepted.

TinaKazlauska

January 13, 2014

i was absolutely amazed by the level of care and compassion we received. They were so helpful and caring I could not have gotten through this with out them. They are angels on earth...my uncle did not suffer one moment once we brought in journey care. Our nurses were the best of the the best.

November 20, 2013

Hospice means -You the family do the work while Hospice provides care via phone. From the moment we signed with Journeycare we had issue after issue from the inpatient facility to lack of care at home especially in the last hours when we needed someone most. If anyone were to ask me about Journeycare , I would tell them to find family and friends to help them because that is what Journeycare feels you need most. Ever feel alone? I did . Thanks for the poor care my family member received . My rating isn't even 1 star but I had to give one star to submit ..really?

May 28, 2013

I had an appointment/interview with this facility for my husband and they never showed up at my home nor did they call to cancel or reschedule my husband's appointment/interview. I received a call from this facility several days after his scheduled appointment. I am looking for quality Hospice Care for my husband and if they can't keep the initial appointment/interview how can I trust this facility to care for my husband when he needs the most care he's ever needed in his life.

Wife of patient

May 20, 2013

The team who provided care for my husband and support for myself and my family was wonderful. They returned calls promptly, provided meds and supplies as needed and provided the level of care that allowed us to keep him at home. I could not have done it without them.

June 21, 2012

Midwest Care Center offers a wide variety of services, as a client I have had tremendous help and support with grief counseling and palliative care for my elderly mother. The doctors, nurses, councelors, and social workers are very professional. I feel they have a personal touch that helps finds solutions to the everyday problems that have dealt with medicines and behavior.

November 30, 2011

HORRIBLE! From the first day of having them, it was one problem after another. I made complaint after complaint. I feel sorry for the people that can't fight back or have no knowledge of the medical aspects. DO NOT recommend at all. No one even bothered to contact us after the passing of our dear family member. Very sad!

November 20, 2011

Patient was my wife Diane and we worked with the hospice folks for about six weeks in our home. The staff was careing and responsive to our needs during a difficult time for our family. I would recommend the staff and agency at any time.

July 29, 2011

When my aunt's health began to deteriorate, we contracted with Midwest Pallative & Hospice Services. Since she was already in a nursing facility, they didn't need to provide they same assistance as someone at home. They provided medicine and comfort care during her final days and someone was in constant touch with me, giving me updates. When my uncles health deteriorated, I call Midwest Pallative & Hospice Services again. They provided much of the same assistance, he was also in a nursing home. However, this time I received much less communication from staff and volunteers. The nusing staff his facility provided me with more information on their visits than they did.l

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Services and Amenities of JourneyCare in Barrington, Illinois

About journeycare in barrington, illinois.

JourneyCare is the largest nonprofit provider of palliative, supportive and end-of-life care in Illinois, serving nearly 3,000 patients and families each day across 10 counties in the Chicago area and northern Illinois. Care and support are provided to patients of all ages, helping them to live fully, with dignity and without pain, on their own terms. JourneyCare is the combined organization of Horizon Hospice & Palliative Care, JourneyCare and Midwest Palliative & Hospice CareCenter.

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About the Business

JourneyCare is a nonprofit, community-based organization that provides care and support to families living with serious illness. With 40 years of healthcare leadership and expertise, JourneyCare has achieved national recognition for growth, innovation, community partnerships and best practices in caring for seriously ill adults and children. JourneyCare is licensed to serve 13 counties covering 5,600 miles in the Chicago region and is the largest provider of hospice and palliative care in Illinois. To learn more, visit journeycare.org. …

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549 W Randolph St

Chicago, IL 60661

Jefferson St & Clinton St

West Loop, Near West Side

Serving Chicago Area

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Photo of Nicole A.

I wish I could give 0 stars for the in home hospice care that my stepdad received with JourneyCare. I STRONGLY discourage anyone from using JourneyCare, especially if they don't want their loved one to die with extreme pain. I'm a physical therapist and I'm appalled with the awful medical care he received in his final weeks and days. When he first came home with hospice, the nurse ordered a bunch of equipment, but didn't show my mom or stepdad how to use the equipment (oxygen tanks and concentrator) or properly fit the equipment (walker and wheelchair). They didn't even bother to fit the walker to his height and didn't even send footplates with the wheelchair. I fit the equipment to his height and was able to show them how to use the oxygen tanks and concentrator. The nurse didn't even bother to educate them on when to use the oxygen or give him a pulse oximeter to check his oxygen saturation. When I brought over my pulse ox, his oxygen was in the low 90's and I put the oxygen on him. He was able to get his oxygen up to 98% and said how much better he felt with the oxygen on. I don't know what they would have done without me being in the medical field. The nurse should have educated them but was completely useless. I was over one time when the nurse came over. She was over briefly and didn't do much. Barely checked on him at all. She should have done a full body evaluation of him. Had she done so, she would have found a pressure sore on his hip. In his final days, my mom was unable to control his pain and the nurse just told her to double his morphine dose at home. He was also trying to get up and go to the bathroom and was a HUGE fall risk. No mention of giving him a catheter or sending over a urinal (despite several phone calls to the nurse). My mom was giving him 4xs his morphine dose every hour and the pain STILL could not be managed. He was also having trouble swallowing at this point and they continued to have my mom give him liquid morphine. My mom was worried he was going to choke on the morphine and was petrified of having to give him medication every hour. It's absolutely disgusting that the nurses didn't even bother to give an alternative (like a fentanyl patch) to better manage the pain or prevent choking. My mom called the nurse again and she finally said they would bring him into the hospice facility. My mom was so upset; she had been up every hour to give pain medication and thought she was doing something wrong. No spouse should ever have to have those memories in the final days. It's traumatizing. It was strongly discouraged to even go to the facility saying it would be "more peaceful" to die at home. The facility gave him much better care. I wish he was able to go into the facility sooner since they were able to manage his pain better.

Photo of C. S.

This hospice agency is the ultra worst! My husband was being cared for at home. CNAs and RNs would come any ole time they felt like it leaving my bedridden spouse sitting in his diaper with poop and urine until 1 PM, a whole half a day. He is just way too heavy for me to manage or roll physically in bed to clean. He gets resistant as well. The CNAs were scheduled three times a week to come by at 11 AM which went by the wayside going into the second week with us. They are not consistent with giving you a courtesy call that they are on their way or are late. You are left stressed out as to when they'll show up leaving you "trapped" at home to quickly run local errands or do your own thing. The RN, Molly, would often decide to take a day off at the last minute or had two week long "emergencies". We were not notified. It's all BS. One morning my spouse was experiencing a mini-stroke. The RN said that she was just 10 minutes away which became 30 minutes. After 20 minutes all the vital measures would return to normal. She just waltzed into our home like nothing was happening. She offered no reason as to why she was late. I spoke with the supervisor, Tracy Williams that they run a country club agency and fired them after 5 weeks. They should not be in this business giving additional stress to spouses and caregivers. They are not a professional group. Go elsewhere.

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Business Manager

Feb 21, 2020

Hi C.S. We're very sorry to hear about your husband's experience. We have sent your message to our care team and would like to put you in touch with our Director of Patient and Family Relations. Her name is Kristin Rakstang and she may be contacted at 224-221-5022. We would love to speak with you and learn more. Please take care.

Photo of Lisa J.

The hospice care my mother received from Jennifer and Waja the last few weeks of her life was wonderful. Mom was living at Greenfields of Geneva and the hospice team visited 3x a week. If one of them was out, a replacement was sent. Top notch communication and caring employees meant we definitely felt our mother was well taken care of. I only wish we had signed mom up with hospice care earlier than we did. The extra attention she received was appreciated. Highly recommend!

Photo of Meghan S.

I recently went through hospice care with my father who passed about a month ago. I felt completely strong armed into the process with no compassion from the hospice coordinator that came to the hospital to evaluate him. As a lone caregiver, I felt like no one cared about the heavy responsibility of home hospice care on me nor did they care to explain it. I was given a sack of medication and instructions on how to administer morphine. I had a wonderful CNA, who treated my dad with dignity (she took wonderful care of helping to bath him and change him) and offered to come sit with me while he was passing, but other than that, I felt like anyone else I called was weary, and treated me like I was an idiot for not understanding the medical changes my father was going through. I felt very scared and alone, especially during his decline, and could have used more medical help or guidance other than,"just up his dose of morphine". It was extremely traumatic and I would not wish it upon anyone. I felt like they were more concerned with filling my dads apartment with medical equipment but not with his actual dying process.

Apr 12, 2021

Hello, Meghan. Please accept our deepest sympathies on the loss of your father. Our hearts are with you and we are very sorry to hear of this experience. We have sent your message to our care team so that they may speak with you in order to learn more. Please take care.

Photo of Mary T.

Planning for the end of a life is painful and difficult, but Horizon made my father's last few months a little bit easier and for that, my mom and I are forever grateful. When my father was given a terminal diagnosis and a dementia diagnosis on top of that, I became his advocate and caregiver. I received a lot of conflicting information from our doctors about when we should reach out to hospice, whether palliative care was worth our time, if we should sign a DNR, etc. Horizon wasn't the first place I reached out to or engaged; I spoke to another hospice and while very informative, they lacked the follow through we sought. More than once we fell into a black hole where calls and emails went unanswered. They also hadn't sold my mom on their services; maybe it was timing, but she felt pushed too far out of her comfort zone as it pertained to electing to stop curative treatment and other difficult decisions. When my dad's meds stopped working, there was no question it was time to engage hospice. I reached out to a few providers and was immediately impressed at Horizon's responsiveness. I filled out a web form early one Saturday and my phone rang less than 15 minutes later. Working with a non-profit hospice appealed to me as did their inpatient unit at Rush (midway between my house and my parents). Our social worker, Amy, was wonderful. My mom liked that she and our nurse, Kathy, lived in our community; they were very familiar with the local services available to us and never pushed us to make decisions we weren't ready to make. More than once Amy made herself available to us when she thought we might need support. When changes would agitate my dad, like the presence of oxygen tanks, Amy and Kathy helped us figure out how best to calm him. In my dad's last few hours, before we knew as much, Amy helped us think about what we wanted for my dad and she and Kathy helped guide us to keeping him safe and comfortable at home. My parents were skeptical about some of the services Horizon provides (masseuse, art and music therapy, etc.); I think some seemed too granola for them, but my dad quickly adapted, wishing his massage therapist could come every day. Horizon was responsive to our needs; emails and phone calls were returned quickly, medications and equipment arrived promptly and the folks staffing the 24-hour hotline were always friendly and patient, even when we were tired and panicked. The folks at AdvaCare, their equipment partner, were very kind and efficient as well. Horizon's engagement with our family didn't end when my dad passed away. Our nurse and social worker reached out to express their condolences. Our nurse also wrote a very kind note on the staff card we received. Additionally, we were notified of the support services available to our family in the wake of my father's passing and I've received at least one check-in call since his passing. As I said, end of life planning is painful and difficult, but having an organization like Horizon to lean on helped. * Horizon has merged with two other area non-profit hospices - Midwest and JourneyCare.

Photo of Amy B.

Is there a way to indicate NO stars for this company?? My 80+ year old beloved mother went into hospice with Journeycare a few years ago. I should have reviewed more quickly, but I was so livid about the experience. They did a nice job for about a week, but as my mother deteriorated, their "policy" about not sending a nurse unless my mother was in dire straits was awful. I had to BEG them to send someone 12 hours before my mother died. My mom was in terrible pain and her breathing was so painful. They didn't give her the correct dosage of morphine, so NOTHING was peaceful or comfortable about her last 24 hours of life. The WORST part was the nurse they sent who walked in the door, didn't even take off her coat and said, "what's wrong, she looks fine to me". She didn't even take her vitals - if she would have, she would have noticed her fever and her labored breathing. Then she had the nerve to tell me that she didn't think she could stay because sometimes they see Medicare fraud. What??????? My mother was about to die and she had her coat on, saying she wasn't sure she could stay to help because of Medicare fraud? My mother died 9 hours later after this conversation. In the meantime, I'm BEGGING her to help make my mom comfortable. I had to call the company and beg them to either send someone else or tell this nurse to stay. (she was still telling me she didn't think she could stay.) Finally, she understood my mother was nearing death and then unfortunately for me, I had to spend the last 9 hours of my mother's life with an awful, lazy, bitchy nurse who didn't want to help us. PLEASE do not call them or utilize them. It was the most awful experience of my life and I still have nightmares about how my mother was struggling for breath and so uncomfortable in her last hours of her life.

Photo of Nickolette W.

My Dad is on hospice and journey care was the absolute worst hospice company I ever dealt with. One of the nurses, the aide, to the Dr. failed our family. One time it took 10 days to get the supplies I needed to care for my Dad. When my dad was vomiting the aide covered her mouth with her jacket and said she was gonna puke if she looks. Also the one RN was short and snotty. This is a time when we need compassion and kindness. I did finally change and we are happy as we could be at a time like this. I felt that ever situation was like a bad dream. I did contact the supervisor and she was very nice but after about 10 terrible things I could not stay even though it was veery inconvenient to change.

Feb 10, 2020

Hello Nickolette -- We're sorry to hear about your Dad's experience and thank you for sharing. We would love to learn more. We have sent your message to our care team, including our Director of Patient and Family Relations. Her name is Kristin Rakstang and she may be contacted at 224-221-5022. She would love to speak with you. Please take care.

Photo of Lisa B.

It's 200th review time, and I'd like to give it to this wonderful organization that helped me and my family during my father's last months of life. A hospice, for those unfamiliar, is a branch of the health care field that provides palliative (pain management) care for those who have been diagnosed with a terminal disease. The patient can be in the hospital, nursing facility, or at home to participate in hospice care. Doctors are trained to think of death as the enemy, but it is in fact an inevitable part of life. When my father was diagnosed with CLL (a chronic form of leukemia) medical science was able to keep it at bay for many years. But at the age of 70, this condition, plus his decades-long struggles with diabetes and depression, wore him down. The end of a parent's life is always painful to endure. But it would have been even more so if it had been seeing him hooked up to machines and suffering through surgeries and medical treatments that would have only postponed the inevitable for a short time. The doctors and nurses of Horizon Hospice made my dad as comfortable as possible through his last weeks and months. In addition, there was support for him and our whole family from social workers trained in helping families deal with the maelstrom of emotions taking place. I am very glad that this organization -- and the Hospice movement in general -- was there for us.

Photo of Suzi H.

I'll just say this... My 47 year old husband died in pain needlessly. I never met a doctor and when I called to complain and I asked for help- was told to talk to a "supervisor". That got us nowhere. He was on hospice for five weeks and I was left with zero instructions - except for more and more ineffective pain meds which apparently I was in charge of - with zero medical background. Not to mention the other things like-how to change a hospital bed, how to manage bathroom issues, how to pick him up or move him safely, etc etc etc. Funny, when we were sent home from the hospital their team came in and told us they would be there for everything we needed..... awesome sales job! They had the audacity to send me a computer generated survey of what I thought of their company. I filled it out honestly and asked for them to please contact me to discuss further....no answer. Shocking. Let's see if they respond to this....doubtful. People deserve to die in dignity and their caregivers deserve help. #Shameful

Jul 17, 2018

Hi Suzi. Please accept our deepest sympathies on the loss of your husband. Our hearts are very much with you and we are very sorry to read of the experience shared by your husband, you and your family on Yelp. We would love to speak with you right away. We are sending you a private message to put you in touch with our Director of Patient and Family Experience. Again, you have our deepest sympathy. Caring for you and being responsive to your needs is a priority.

Photo of Eileen E.

We only worked with the team from Journey Care for a week with my dad at home and that week was the opposite of everything you might think hospice care represents or provides. The team was incredibly inefficient, the internal and patient/family communications were duplicative and frustrating and in total they took my dads temperature twice and sent medical supplies after he passed. Inconsistent, lacking empathy, terribly managed and overall, incredibly disappointing during a terribly difficult time for our family.

4 other reviews that are not currently recommended

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Hospice News

Addus Acquires JourneyCare in $85 Million Deal

Addus HomeCare (NASDAQ: ADUS) has purchased JourneyCare Inc., for an anticipated sale price of $85 million. JourneyCare, a nonprofit, is one of the largest hospice providers in Illinois, serving 750 patients daily in 13 counties.

Addus had indicated in 2021 earnings calls that the company would lean its M&A activity towards personal care and home health during 2022, but would continue to consider hospice transactions as they work to build density in markets where they have a home health or personal care presence. Among these markets is the Chicago metropolitan area, where JourneyCare is headquartered. In October, Addus completed its acquisition of Summit Home Health, also near Chicago.

“Acquisitions are an important part of our growth strategy, and we are pleased to start 2022 on a strong note,” Addus CEO Dirk Allison said. “Our development team continues to do an outstanding job of identifying strategic acquisitions and our strong capital structure supports our ability to continue this successful track record. We look forward to the growth opportunities ahead for Addus in 2022.”

Addus provides hospice, home health and personal care services to nearly 44,000 patients through 215 locations in 25 states. The company’s net service revenues rose 11.7% to $216.7 million in the third quarter of 2021, up from $194.0 million for the prior year’s period.

Addus will finance the deal, expected to close on Feb. 1, through a mix of cash on hand and the company’s revolving credit facility. Addus last summer secured a $600 million revolving line of credit with Capital One Financial Corp. (NYSE: COF) as the lead arranger and administrative agent. The company indicated that it intends to apply the credit to pursue further acquisitions.

The company has been active in the M&A market in recent years, completing seven personal care acquisitions and four home health and hospice since 2019. Most recently, Addus acquired Armada Hospice of New Mexico and Armada Hospice of Santa Fe for $29 million. The transaction also included the affiliated Armada Skilled Home Health of New Mexico.

Hospice utilization in JourneyCare’s home state of Illinois market reached 50.3% among Medicare decedents during 2018, which is in line with the national average, according to the National Hospice & Palliative Care Organization. Utah led the nation with 60.5%.

“We very carefully selected Addus to carry forward the JourneyCare clinical operations, and we believe this combination will benefit our employees, patients and everyone associated with JourneyCare,” Kimberly Hobson, president and CEO of JourneyCare, said. “We share the same commitment to providing quality, end of life care, and we look forward to working together to close this important transaction.”

Companies featured in this article:

Addus Homecare , Armada Hospice of New Mexico , Armada Skilled Home Health of New Mexico , Capital One Finance Corp. , JourneyCare , Summit Home Health

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Jim Parker is a subculture of one. Swashbuckling feats of high adventure bring a joyful tear to his salty eye. A Chicago-based journalist who has covered health care and public policy since 2000, his personal interests include fire performance, the culinary arts, literature, and general geekery.

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Q: I want to age in place at home. Can care management provide some support?

A: As a Certified Care Manager, I often consult with clients and their families on this topic.

Aging in place with care management allows individuals to remain in their homes (wherever that may be) and receive the necessary support they may need to maintain their quality of life.

The care management approach prioritizes independence, safety, comfort and familiarity, while also addressing the evolving needs that come with aging.

So how can care management work to support independent aging? Let's take a look.

Previous One Senior Place columns:

Man up: Men need to get their medical screenings. Here's what they should get

Know your options as you age: Here's a breakdown of living facilities

Your family will thank you: If sure your estate plan is up to date.

The care management journey begins with a thorough assessment.

This includes a look at your health, safety, finances and any legal considerations.

Working closely with you and your family, the care manager will incorporate the assessment findings and your wishes into a personalized care plan that outlines the specific services and care you need.

What care managers can do

  • The care manager can coordinate any needed home modifications, such as the installation of grab bars, wheelchair ramps, increased lighting etc... They may also suggest assistive devices such as walkers or canes to help prevent falls, or offer suggestions for technology solutions to enhance safety and independence.
  • The care manager can offer healthcare coordination by managing medical appointments, medication and other healthcare needs, which can become increasingly complex as we age. They advocate on your behalf, ensuring appropriate medical care and support.
  • The care manager can coordinate all needed care. If you need assistance with transportation and errands, they can arrange that. If hands on care is required, they have caregiver resources to assist with activities of daily living (showering, dressing, meal prep, etc...)
  • The care manager can serve as a valuable liaison between busy families, doctors, hospitals, rehabs, lawyers or other third party providers. A central point of contact, care managers advocate, educate and advise.
  • The care manager can guide you through the journey to a senior living community, if staying at home is not desired or appropriate for your situation. Your care manager can still provide services in your new location or wherever you choose to call home.

The care management approach prioritizes independence and quality of life. For many people, the dedicated support of a care manager is key to aging in place with confidence.

Learn more when Nurse Lisa is joined by nurse care managers for Senior Health Friday, March 8, at One Senior Place in Viera. RSVP online at OneSeniorPlace.com or call 321-751-6771.

One Senior Place is a marketplace for resources and provider of information, advice, care and on-site services for seniors and their families. Questions for this column are answered by professionals in nursing, social work, care management and in-home care. Send questions to [email protected], call 321-751-6771 or visit One Senior Place, The Experts in Aging.

Lisa Conway is a Registered Nurse, Certified Dementia Practitioner and a Certified Care Manager for Senior Partner Care Services, Viera. Ms. Conway hosts a monthly seminar, 'Senior Health Friday with Nurse Lisa.'

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Success Stories

Rollin' with health: rush memorial hospital's mobile clinic brings medical care to residents.

Rush Memorial Hospital Mobile Clinic

Rush Memorial Hospital is at the heart of the close-knit community of Rushville, Indiana. When the COVID-19 pandemic hit, the hospital faced unprecedented challenges, but they rose to the occasion and worked tirelessly to provide the medical care that their community needed.

Joyce Geis, Rush Memorial Hospital's Family Nurse Practitioner, said that during the pandemic, the hospital held several meetings about providing mobile vaccination services to the residents of Rush County. “I thought, why stop with vaccines? Why can't we go ahead and provide that total care to patients and bring that doctor's office, that provider's office, right to the folks themselves?”

She went on to explain, “One of the things that we find in rural communities is that folks sometimes have a hard time getting all the way to town or getting all the way to a place where they can get care. So, by coming out to their small towns, they have an easier way to get to it.”

With a $407,900 Emergency Rural Healthcare Grant from the USDA Rural Development, Rush Memorial Hospital expanded its services to meet the growing demand for COVID-19 testing and vaccinations. The addition of an equipped mobile health clinic allowed the hospital to reach remote areas of the community and provide essential medical services where they were needed the most.

Thanks to the investment, Rush Memorial Hospital continues to deliver quality healthcare services to the residents of Rushville and Rush County, and the mobile health clinic has become a lifeline for many in the community. The medical facility in Rushville is well-equipped and prepared to provide high-quality medical services to its residents.

Rush County resident Angelia Barnard said, "The mobile clinic is very helpful for me. I work a full-time job 40 hours a week, so having the clinic close to my house is really convenient. It's only a 5-minute drive away."

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Manx school bus fare price jump to generate £45k

Bus Vannin buses lined up

The cost of a journey to school increased by 10p in February

  • Published 7 hours ago

A 25% price jump for Manx school bus fares is set to generate £45,000, the infrastructure minister has confirmed.

The change, introduced last month, means journeys for students travelling to school or college using pre-paid Go School smart travel cards have gone up from 40p to 50p.

Tim Crookall MHK said the government had "held down prices for many years" and the fares remained "significantly subsidised".

The funds would help to "ensure the current level of service" offered by Bus Vannin across the island was "sustainable over the next 12 months", he said.

Travel on school buses was free for pupils on the island until 2015, when a 25p charge was introduced.

Fares then rose to 30p in January 2018 and 40p the following year.

Mr Crookall told the House of Keys the island's bus service costs £10.7m to run and makes £5.1m in fares, which means £5.6m in subsidies from general taxation is required.

'Losing a fortune'

Clare Christian asked why a longer notice period had not been given to parents and pupils about the price rise, while Joney Faragher MHK suggested the rise was not in line in with plans to promote the use of public transport.

She also called for "an analysis of the impact" of reintroducing free travel to be included in a planned review of the services.

However, Mr Crookall said the government-owned bus firm had faced "significant" cost increases in recent years and giving advance notice of the rise could have meant "we end up losing a fortune as people put lots of money on the cards".

A full review of the bus provision, which would gather the views views of departments and the public and consider areas such as cost and accessibility, would get underway after the new timetable was published in April, he added.

Why not follow BBC Isle of Man on Facebook , external and X , external ? You can also send story ideas to [email protected]

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School bus fares rise by 10p a journey

  • Published 21 February

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What ‘Luxury Beliefs’ Reveal About the Ruling Class

An orphan’s unlikely journey from foster care to Yale, and its lessons for the upper crust

A "Legalize Weed" sign inside a golden frame

The writer Rob Henderson recalls a classmate at Yale, where he was an undergraduate, telling him that “monogamy is kind of outdated.” But she was raised by monogamous parents and said that she planned to have a traditional marriage.

Henderson shares that anecdote in his new memoir, Troubled , an account of his upbringing in foster care and his escape into the Air Force and higher education. For him, “Monogamy is kind of outdated” is a “luxury belief,” a term he coined. He defines it as an idea or opinion “that confer[s] status on the upper class, at very little cost, while often inflicting costs on the lower classes.” Henderson suggests that members of the upper class know, on some level, that these luxury beliefs are harmful, because, like the woman at Yale, they have no intention of putting them into practice in their own life.

Brad Wilcox: The awfulness of elite hypocrisy on marriage

He developed the concept while observing how social class operates at Yale, where he felt like an outsider because he had such a difficult childhood. In his telling, people become more preoccupied with social status when their material needs are met, and people at prestigious and thus influential institutions are more interested than most in seeking still more prestige. This upper class once signaled status with “material accouterments,” Henderson argues. But now luxury goods are so widely available that the affluent “have decoupled social status from goods and reattached it to beliefs.”

“Luxury beliefs” is a clever, thought-provoking conceptual framework that pithily captures some truths about American culture and politics. But when he applies the concept, Henderson sometimes makes ungenerous assumptions about why others believe what they believe, or assumes the superiority of his policy conclusions without making adequate arguments that they are in fact best.

In Henderson’s earliest memory, he is 3, burying his face in his Korean-born mother’s lap. In another early memory, she cannot console him as he sobs, because she is handcuffed. He clings to her, not wanting police officers to take her away.

Thank goodness they eventually did: His birth mother regularly tied him to a chair so that she could be uninterrupted while getting high in the next room. The neighbors, after many instances of hearing his incessant crying, called 911. Found covered in bruises, Henderson was taken by the state. His mother was deported and didn’t ever see him again. He never met his father.

Effectively orphaned, he went into foster care––a system that failed him. Foster siblings started giving him beer at 4 or 5. He was smoking marijuana at 10. One foster brother participated in a murder and then hanged himself. One of his foster parents used him as free labor and threatened to let him drown.

Henderson’s struggles as a child are rendered so evocatively, with such well-chosen details, that I teared up reading them. Those readers who have never thought about what it would be like to grow up without a family can scarcely help imagining how they’d have fared in a nightmarish childhood with stints in 10 different foster homes.

Troubled aims to achieve more than empathy building, however. Henderson’s goal is, first, to “share a firsthand view of what life was like for a kid growing up in disorder.” And then he tries to draw on the perspective he gained in prestigious institutions to offer insights and lessons that might help kids like him.

Life in the foster-care system—and the social conditions that its most typical charges inhabit—convinced the author that instability is ruinous for children, far more ruinous than mere poverty or lack of educational attainment.

“Marital discord, missing parents, frequent relocations, and unreliable caregiving create an insecure and mistrustful working model of the self, others, and relationships,” he writes. He notes that in Los Angeles, where he spent his childhood, the high-school graduation rate for “ socioeconomically disadvantaged ” students was 86.6 percent in the 2017–18 school year, whereas the graduation rate for kids in foster care was 64.5 percent.

Life in the military convinced the author that a highly rigid environment can save people who lack discipline and mentorship from the reckless decisions that ruin so many young lives.

Henderson joined the Air Force on an impulse after driving drunk, getting in street fights, and watching a sociopathic friend kick a dog off of a cliff. A part of him recognized that if he didn’t escape, he was going to wind up in prison or worse. Where he grew up, teens can travel a long way down the path to self-destruction before seeing any dire consequences, he reflects: “You can commit a lot of crimes before finally getting caught. You can do a lot of drugs before they start to take over your life. You can have a lot of hookups before confronting the consequences of pregnancy.”

In contrast, “no institution is more aware of the latent impulsivity and stupidity in young people, especially young men, than the military,” he writes. “It has evolved into an environment in which it is very hard to do something reckless, because the consequences of failing to meet standards are both clear and severe. Major infractions like not showing up to work or failing a random drug test result in literal jail time.” As a teen, Henderson’s freedom “simply allowed me to make a lot of bad decisions,” he notes. “The military stripped me of those freedoms; it was a giant coercion machine. It demanded that I conform to certain beliefs and behaviors which, at seventeen, was beneficial.”

And yet when he arrived at Yale, he discovered that his classmates did not seem to value family stability and discipline as much as he did.

He wondered: If there is strong evidence that familial instability is ruinous for children, and that rigid environments help some among us avoid catastrophe, why weren’t those truths and their implications more of a social consensus among the people he encountered in college? This is where he turns to his “luxury beliefs” concept. Henderson was mystified by what his Yale peers believed, because he felt he knew from experience that if people lower down the socioeconomic ladder adopted or internalized these beliefs, they’d suffer.

Henderson often discusses “luxury beliefs” in ways that state or imply that their proponents are guilty of bad faith. In one example, Henderson asks a Stanford student how he founded a start-up. “Ultimately,” the person answered, “it all comes down to luck.” Henderson argues that stressing luck at the expense of hard work raises a person’s status at places like Yale and Stanford (perhaps because it suggests humility and awareness of privilege), even as it hurts people at the bottom. “Successful people tell the world they got lucky,” he writes, “then tell their loved ones about the importance of hard work and sacrifice.”

He considers white privilege to be a luxury belief. “Upper class white people gain status talking about their high status,” he reasons. “When policies are implemented to combat white privilege, it won’t be Yale graduates who are harmed. Poor white people will bear the brunt.” More generally, he repeatedly assumes that privileged people who urge attitudes with downside consequences that mostly affect the lower classes are driven by a desire to benefit themselves, never mind the less fortunate.

But often, unselfish motivations play a part in what he calls “luxury beliefs.” For example, Henderson writes that at Yale, he learned a term that he had never heard before: fat-shaming . “It was remarkable that students who seldom consumed sugary drinks and often closely adhered to nutrition and fitness regimes were also attempting to create a taboo around discussions of obesity,” he observes. “The unspoken oath seemed to be, ‘I will carefully monitor my health and fitness, but will not broadcast the importance of what I am doing, because that is fat shaming.’ The people who were most vocal about ‘body positivity,’ which seemed to be a tool to inhibit discussions about the health consequences of obesity, were often very physically fit.”

Maybe, as with other “luxury beliefs,” some Yalies inveigh against fat-shaming, for better or worse, to raise their own status. However, just as Yalies are likelier than average to come from intact, wealthy families, they are also more likely to be careful, diligent self-starters with higher-than-average impulse control and neuroticism. And like people everywhere, they project their own qualities onto humanity, as though their experiences are representative, rather than fully grasping our society’s psychological diversity.

Read: The weight I carry

If you and your friends all happen to be the sorts of people who require no outside pressure to exercise and eat right; who suffer more than usual when met with implicit criticism, let alone overt stigma; and who know more thin people with eating disorders than morbidly obese people, fat-shaming might rate higher on your list of social ills than it would for someone from a different milieu, not because you’re trying to raise your social status, but because you are responding to the needs of others as you understand them.

Of course, there is also ongoing disagreement about whether fat-shaming, however defined, is an effective or counterproductive way to address obesity.

On that issue and many others, the “luxury belief” framework can easily stray into begging the question, or assuming the truth of an argument without arguing it. Consider drug legalization. Henderson notes that his birth mom was able to get drugs, which hurt both of their lives. “If all drugs had been legal and easily accessible when I was fifteen you wouldn’t be reading this book,” he declares. “All my foster siblings’ parents were addicts, or had a mental health condition, often triggered by drug use.” Nevertheless, he complains, “the luxury belief class doesn’t think about that because such consequences seldom interrupt their lives. And even if they did, they are in a far better position to withstand such difficulties.” But what about the other side of that debate?

Although drug legalization may be an esteemed position at Yale today, drug prohibition was long the near-consensus throughout society. And then as now, prohibition imposes much heavier costs on the lower than the upper classes. Members of the upper classes can do drugs recreationally while insulating themselves from the rise of drug cartels; the destruction these cartels have wrought across entire developing countries; the domestic street violence inextricable from black markets; the dearth of quality control that kills so many drug users, especially in the lower classes; and the lengthy prison sentences disproportionately meted out to lower-class drug users and dealers.

As with America’s experiments in regulating alcohol, drug prohibition and drug legalization both have huge downside costs from which the upper class is protected. The poor will bear the brunt of the effects of whichever policy is chosen . It makes as much conceptual sense to suggest that decades of drug prohibitionists were championing a “luxury belief” as it does for Henderson to apply the label to legalization.

We’re all tempted to overstate the degree to which those who disagree with us have malign or selfish motives, and to underestimate how much our policy instincts are shaped by over-indexing for our own social psychology. When urging attitudes or policies that fail at scale, academics and meritocratic elites are often extrapolating from what works for people like them. Their motive is trying to treat others as they would want to be treated.

But good intentions aren’t enough to prevent bad outcomes. Raised in a different milieu and more conversant in the needs of those who inhabit it, and deprived of the sort of family that so many in the upper class enjoy, Henderson can be sharp-eyed about the blind spots of the social setting he ultimately joined. The ideas in his book offer a novel perspective, even when he is applying the concept of “luxury beliefs” too promiscuously. His arguments ought to be debated at the places that he critiques, such as Yale.

But in passages where Henderson is too reductive or uncharitable, Troubled risks being dismissed rather than engaged with by readers who do not recognize their own motives in his confident descriptions of them.

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