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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, August 06, 2015
Car and ride sharing services have taken urban areas by storm. Low-income and suburban communities are left at the curb.
Monday, July 13, 2015
BY CAMILLE GRIGSBY-ROCCA
Can the brave new world of neurotechnology help an OHSU surgeon find a cure for obesity?
Monday, August 03, 2015
BY JASON E. KAPLAN | STAFF PHOTOGRAPHER
You may have noticed the photos of our rural health innovators departed from the typical Oregon Business aesthetic.
Wednesday, August 19, 2015
BY CHRIS NOBLE
Oregon is home to an abundance of gritty warehouses reborn as trendy office spaces, as well as crafty hipsters turned entrepreneurs. Does the combination yield an equally bounteous office products sector? Not so much. Occupying the limited desk jockey space are Field Notes, a spinoff of Portland’s Draplin Design Company, and Schuttenworks, known for whittling Apple device stands. For a full complement of keyboard trays, docking stations and mouse pads, check out the GroveMade line, guaranteed to boost the cachet of even the lowliest cubicle drone.
Tuesday, August 18, 2015
BY JASON NORRIS | CFA
Earlier this month, the People’s Bank of China (PBoC) announced they were going to devalue their currency, the Renminbi. While the amount of the targeted change was to be roughly 2 percent, investors read a lot more into the move. The Renminbi had been gradually appreciating against the U.S. dollar (see chart) as to attempt to alleviate concerns of being labeled a currency manipulator.
Thursday, August 13, 2015
BY JACOB PALMER | DIGITAL NEWS EDITOR
Portland-based startup ImpactFlow recently announced a $5.7 million funding round. CEO and co-founder Tyler Foreman talks about matching businesses with nonprofits, his time at Intel and the changing face of philanthropy.
Friday, July 10, 2015
BY LINDA BAKER
Market of Choice is on a tear. In 2012 the 35-year-old Eugene-based grocery chain opened a central kitchen/distribution center in its hometown. The market opened a third Portland store in the Cedar Mill neighborhood this year; a Bend outpost broke ground in March. A fourth Portland location is slated for the inner southeast “LOCA” development, a mixed-use project featuring condos and retail. Revenues in 2014 were $175 million, a double-digit increase over 2013. CEO Rick Wright discusses growth, market trends and how he keeps new “foodie” grocery clerks happy.
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Attendance, breakfast buffet, materials, certificate of attendance and parking are all complimentary on behalf of the firm.
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The Oregon Entrepreneurs Network (OEN) is pleased to announce 16 finalists — from over 60 nominees — for the 2015 OEN Tom Holce Entrepreneurship Awards.