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C., who hasn't been given a bath in more than a month says her home-support provider simply ignored her complaints that the service left her feeling hungry, disgusting and depressed.Lana Turner, 55, moved from Campbell River on Vancouver Island in December to be closer to her 22-year-old son.and tell me to go to bed at 6 p.m."When the case manager from Fraser Health Authority met with her to assess her needs, Turner says she was told she could never have a bath because her house wasn't properly equipped, nor was any other facility in her community. But O' Mahony says when she asked the case manager whether her aunt's care could be improved, the answer was no."I just don't understand how a manager can be OK with this and how it seems normalized," O' Mahony said."And to get this wall — that there is no negotiating, there's no way around it — it's frustrating. It's demeaning."Marcy Cohen, a researcher with the Integrated Care Advocacy Group, says home care is a "two-tiered system" in Canada, because people who can afford better care opt out of the public system."Most people seeking [public] services are low income," Cohen said.Instead, she says, the case manager scheduled sponge baths and suggested she "use dry shampoo.""I just feel ... It just flies in the face of what we are supposed to be doing for people under our care."Jane Dyson, executive director of Disability Alliance of BC, says her office "constantly" hears from people fighting for more home care and support."It's always a battle between the service provider and how much time people need," she said."It's not acceptable for a grown adult to be told to get ready for bed at 6 p.m. "They're people who are least able to defend themselves."A report Cohen co-authored with the BC Health Coalition calls on the province's Health Ministry to improve home-support staffing levels."The B. government has a policy that people should be living at home as long as possible," Cohen said.But aside from money, what's needed, Sims-Gould says, is a national home-care strategy."In Canada, we think we have a national health-care system," she said.

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