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Assisted living appeals to seniors and their families because it focuses on choice, autonomy and independence. As you noted, most assisted-living customers are satisfied. The profession is striving for ways to ensure consistent quality and avoid the types of negative occurrences you described without jeopardizing those qualities that make it so popular with many seniors. Simply handing oversight to Washington bureaucrats will only produce another ineffective punitive regulatory system that focuses on process and paperwork rather than the needs of consumers. I would encourage your readers to request a copy of our free assisted-living consumer guide by calling 1-800-628-8140 between 9 a.m. and 5 p.m. E.T. DAVID KYLLO, VICE PRESIDENT National Center for Assisted Living Washington
Your coverage of assisted living was very comprehensive, with one exception: if there is any suspicion of abuse or neglect, families should contact the state department of social services and file a complaint. In North Carolina, there is a division for the elderly called adult services, and complaints can be anonymous if there is fear of retaliation against the loved one. The department protects the elderly, and legally, we are all obligated to report any form of abuse or neglect. GABRIELLE M. THOMPSON Marion, N.C
Every state has laws and regulations on the books that when properly enforced can help guard against the disturbing episodes you described. But laws and regulations are no substitute for informed consumers. Prospective residents and their families should demand and use information from facilities and other sources when choosing an assisted-living facility. Assisted living can be a very positive experience, offering privacy and independence while providing needed help. WILLIAM L. (LARRY) MINNIX JR. PRESIDENT AND CEO American Association of Homes and Services for the Aging Washington
Great Experience
Having spent nearly two months hospitalized for three major abdominal surgeries, I can identify with Garrison Keillor and his description of his slow recovery from major surgery [ESSAY, Aug. 13]. When we do survive an operation and undergo a long recovery process, we realize how truly wonderful life is. Our selective thinking processes alter in deciding what is important and what is not. We learn to live with what we have, even if it is not what we want. These are revelations that make the hospital experience almost worthwhile. I compare it with my military service when I was drafted during the Korean War: great experience, wouldn't have missed it for the world, would never want to do it again. Keillor, keep up the good work and spirit. I shall endeavor to do the same. HENRY ADLER New York City
A Safe Flight