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|Articles - July 2010|
|Thursday, June 24, 2010|
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Pap is married to a Romanian man in the construction industry, a handy profession when you’re remodeling a house to accommodate a licensed care facility, she notes. The family lives in a separate wing with their three children — another asset in the world of senior care. “The residents love to watch them play,” Pap says. An assistant also lives on the premises.
Marketing her business is another collaborative effort, says Pap, who recently partnered with six other second-generation providers on a collective brochure and website. “It unites us,” she says.
Exploiting traditional values and relationships gave Romanians a head start in the marketplace. So did contemporary public policy. In 1981, Oregon became the first state in the country to allow Medicaid waivers to pay for community-based alternatives to nursing homes. A few years later, policymakers passed a law allowing nurses to delegate nursing tasks to non-medical service providers.
The pioneering legislation gave dependent seniors the option of living in homelike, non- medical settings and helped build adult foster care as a “fresh industry,” says Simmons.
Enter the Romanians, who had come to the right state at the right time. One man in particular looms large. In the late 1970s, Nicky Pop immigrated to Portland, part of the first significant wave of Romanians fleeing Ceausescu. Pop eventually founded the Philadelphia Romanian Pentacostal Church in Southeast Portland, and in the 1980s and 1990s, he sponsored over 16,000 Romanian refugees, helping establish Portland as one of the four biggest Romanian communities in the country. Today, the church is another example of how enmeshed the foster care business is in the Romanian community. It serves as the gathering space for the monthly meetings of the Independent Adult Foster Home Association.
Pop, who is still the church pastor, also owned a foster care home for many years.
Such is the nature of immigrant business development, observes Elizabeth Radulescu, an employment counselor at the Immigrant and Refugee Community Organization (IRCO) and a Romanian. “One or two people start something, then everybody else goes in that direction.”
Public and private agencies also played a role. Multnomah County’s Department of Aging Services offered the Romanian arrivals English classes. Senior placement agencies distributed American cookbooks “to teach them how to do a meatloaf,” says Monika Gartner, owner of Care Service Options.
Then there was Orvalee Farris, an American nurse who opened one of the state’s first foster homes in 1979 and eventually trained “hundreds of Romanians,” she says. “I heard about the plight of the refugees and met Nicky Pop,” says Farris, adding that she started the foster care after taking her grandmother out of a nursing home, attracting the interest of a state delegation.
Three decades later, the Romanians largely control the market, with a reputation for stellar home cooking and houses so spotless “you don’t want to touch anything, ” says Amie Clark, owner of the Senior Resource Network. It’s the kind of success that boosts an entire community. Today, the Romanian per household gross income is relatively high compared to other refugee communities, with some families earning more than $100,000 a year, says Radulescu. Foster care providers have also helped fund about 10 Romanian churches statewide, which cater to the majority Pentecostal and minority Orthodox populations.
It remains to be seen whether Romanians will retain their hold on the marketplace as a third generation grows up in Portland. Adult foster care also faces increasing competition from corporate-dominated assisted-living facilities, which offer private apartments for dependent seniors, as well as residential care facilities, which often specialize in care for people with Alzheimer’s or dementia.
Regardless, the story of Romanian foster- care providers unfolds as a kind of fable about the U.S. health care system, past and future. By 2030, the number of people 65 and older is expected to double, with the fastest growth among those over 85. Accommodating a burgeoning senior population requires rethinking a host of issues: the medicalization of the aging process, the enormous costs associated with long-term care institutions, and the tendency to devalue jobs that involve caring for vulnerable and dependent populations.
The success of the adult foster-care model as practiced by the local Romanian community showcases a refreshing Old World alternative to the New World issues facing the nation’s health care system. A network of relatively affordable commercial residences, staffed by small business owners, has cut costs without sacrificing quality. It may not be the only solution, but health care reform going forward likely will require hundreds of such small-scale initiatives and experiments.
Oregon pioneered the idea of licensing home-based care environments, but it took a group of church-going, back-to-basics Eastern European émigrés to make that vision a reality.
Thursday, December 04, 2014
BY JACOB PALMER | OB DIGITAL NEWS EDITOR
Nothing says startup culture like a ping pong table in the office, lounge or lobby.
Saturday, December 13, 2014
Checking in with the managing director of Arnerich Massena.
Thursday, December 18, 2014
2014 was a year of wild contradictions, fast-paced growth and unexpected revelations.
Thursday, December 18, 2014
BY JASON NORRIS | OB CONTRIBUTOR
The implosion of the energy complex: The best thing for low oil prices is low oil prices.
Thursday, December 18, 2014
BY MEGHAN NOLT
VIDEO: Under the radar — complete with a soda counter, the traditional Paulsen's Pharmacy looks to compete with big box retailers.
Thursday, December 11, 2014
There’s a fascinating article in the December issue of the Harvard Business Review about a profound power shift taking place in business and society. It’s a long read, but the gist revolves around the tension between “old power” and “new power” as a driver of transformation. Here’s an excerpt:
The authors, Henry Timms and Jeremy Heimans, don’t necessarily favor one form of power over another but merely outline how power is transitioning, and how companies can take advantage of these changes to strengthen their positions in the marketplace.
Our Powerbook issue might be viewed as a case study in the new-power transition. This annual book of lists provides information on leading businesses, nonprofits and universities in the state. Most of the featured companies are entrenched power players now pursuing more flexible and less hierarchical approaches to doing business. Law firms, for example, are adopting new technologies and fee structures to make legal services more accessible and affordable.
This month we also take a look at a controversial new U.S. Securities and Exchange Commission rule requiring public companies to disclose the median pay of workers, as well as the ratio between CEO and median-worker pay.
Part of the 2010 Dodd-Frank financial reform law, the rule will compel public companies to be more open about employee compensation, with the assumption that greater transparency will improve corporate performance and, perhaps, help address one of the major challenges of our time: income inequality.
New power is not only about strategy and tactics, the Harvard Business Review authors say. “The ultimate questions are ethical. The big question is whether new power can genuinely serve the common good and confront society’s most intractable problems.”
That sounds like a call to arms. Or a New Year’s resolution. Old power or new, the goals are the same: to be a force for positive change in the world. Happy 2015!
Thursday, November 13, 2014
BY RYAN CARSON | OP-ED CONTRIBUTOR
How do we skill up our future technology workforce in a smart way to take advantage of these high-paying jobs? The answer shouldn’t focus only on helping people get a bachelor’s degree.
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