04/11/2012 The Wales Report


Huw Edwards presents The Wales Report from across the Atlantic. Huw speaks to voters in the swing state of Ohio and in Washington DC.

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Come this week, with it in Washington for a special edition of


Wales Report on the eve of the presidential election. The result


will have an impact worldwide and we will have a report on the impact


on Wales. We will report from the ancestral home of Mrs Rumney. Stay


Welcome to Washington DC for this special edition of Wales Report.


The focus on the last few days has been on the focus of the


devastation of Superstorm Sandy. But now the race is very close and


both candidates are focusing on one thing. The state of the economy.


How do you create growth and jobs? Obama and Romney have two different


visions. I have been talking to one influential Welshman in Washington


and asking him for his view about what is at stake in this campaign.


There is such a sense of expectation here in Washington, but


why should people care in Wales? is tremendously important, not


least because of the uncertainty in Europe and the austerity programme.


I think a strong and America with a clear sense of purpose over


inconsistent time period has an enormous impact on the world


economy and the economy of Wales and Europe in general. You are an


avid follower of American politics. Is there Ricky it difference of


vision between the two candidates? An enormous difference. Romney is


relying in all of his propaganda on the idea that if you cut taxes at


the top level you create investment and therefore jobs. He talks about


creating 12 million jobs over four years. That will happen on the


basis of Obama's achievement in saving the US economy from decline.


If Obama is re-elected, there is an opportunity to continue with the


kinds of imaginative investment that saved the US motor industry


and got the banking sector back on a strong footing, although a lot of


people have misgivings about many aspects of what the bankers have


done and what they have not been rare -- reprimanded for doing.


Obama has a much more ground it message and personal view. I am


trying to be objective. You clearly think he is on the right track in


terms of economics. I am wondering why it is the race has become so


tight and why he is having a big fight on his hands to win a second


term? Two things have happened. During the early stages of the


campaign, he had a clear lead and then there was an extraordinary


debate when Obama seemed to be half asleep. Somebody play and the


altitude in Colorado and the fact he is very busy. He didn't rise to


the occasion. Romney got a big bounce out of that. That now at


ease, I think, declining. What we are seeing is Obama edging ahead.


The storm last which created an opportunity for him to be seen


working with the Republican Governor of New Jersey. He went on


television a few days ago to say how excellent he thought Obama's


response to that terrible disaster was. There are many things that


resulted from Matt but it helped him recover his position a bit


because he could be seen as the chief executive working across


political boundaries. That was gary macro talking to me earlier. One of


the defining issues of the first term has been the reform of health


care. It has prompted a wider debate about the role of the state


in providing for the vulnerable and elderly. It is an interesting


parallel with a debate back home in Wales about the way we care for the


elderly. The Older People's Commissioner considers that older


people are being forced into care too soon and one doctor warns of


Old age does not come alone. It presents new physical as well as


mental challenges, often at a time when people have been a will,


sometimes lonely and often vulnerable. Some find themselves


forced out of their own home and on a merry-go-round of care homes and


hospitals, and able to care for themselves. Well, it is where they


could put you but because most hospitals want the birds, don't


they? You go there and then they want the beds where so you goes


someone else. I have done the circuit. All of them. Derek "Del


Boy" Needs, as he had is known, has spent 12 months in and out of


hospital and care homes in Swansea while undergoing treatment for


advanced died BT's. You have a treat and then it is hard to do so


they say, go on a diet. I have tried a few but always went back.


I'd lost my leg and my toes on my right leg. During his prolonged


stay in hospital, his partner of 23 years with who he had lived died,


as did his brother. His life unravelled before his eyes. To make


matters worse, he had few relatives still living in Wales to take care


of him and the ultimate blow came when he discovered that he could


not return to his cottage because it couldn't accommodate his


wheelchair. With your rent,... it wasn't for the Red Cross a who


found him sheltered accommodation, Derek would almost certainly have


ended up in a care home, just another statistic in a long line of


victims of the Perfect Storm of unforeseen circumstances. In less


than 20 years, it is estimated that there will be more than one million


people on in Wales over the age of 65. This will put enormous


financial pressure on local authorities, health and social


services and, not least, on individuals faced with life-


changing decisions. Sarah Rochira is on something of a mission to


change that situation and curb the number of elderly going into care


homes unnecessarily. She is particularly concerned about the


lack of information available to the elderly to enable them to stay


in their own homes. It was only a fluke conversation I had with a


councillor that I got the information I needed. As luck would


have it, I have the stair lift put in and the shower put in. It still


took about two years to get it all going, but I am so, so grateful.


But without that conversation, I would know nothing at all and would


have probably ended up selling the House. One thing that concerns me


is the variation in advise people get. It can depend on whom you know


and way you live and that is wrong. There is huge variation across


Wales. There is good practice, but we need to see it become standard


practice. Wales has more elderly people than anywhere else in the UK.


An increasingly more and more of the elderly are going into care


homes. In some cases, that move can cost them their lives. In the case


of old people, we know many psychological traumas are


associated with a massive spike in mortality. Dr David Leopold says


the system keeps some elderly people in hospital for too long


during which time their mental and physical health declines. Perhaps


more worrying is the doctor's opinion of the decision to send


someone into a care home from hospital is not always made at the


patient's bedside. The final decision is rarely made by the


doctor. You would be surprised by that, I think. The concept that


decisions are made by the bed side, which most of us would expect and


wish, is wrong. For many of us, indeed most of us, if we are honest,


the prospect of ending up in a care home is something we prefer not to


think about. His signals something quite profound and difficult in our


lives - the moment we decide to relinquish our independence and


place ourselves in the House -- hands of others to care for Russ.


For some there is no choice and a good care home provides a kind of


sanctuary. I had to think hard. I had carers in, but then I was left


alone and I had to cope. I had to walk with a walking stick so I had


only one hand. I had steps inside my house as well. I had a chairlift


to go upstairs, but I couldn't cope. This home bucks any perception of


care homes as dumping grounds for the elderly. Here, there is a


deliberate policy to provide a stimulus and to encourage


involvement in the kind of activities which may look mundane.


In reality, they provide residents with a link back to a life once


lead in their own homes. We never called them Welsh cakes. It is a


lovely place here. How did you come to be here? I couldn't look after


myself in the House and I didn't want to go to my son's to live.


Why? I don't want to be a burden. Often it is a selfless Joyce, but


no matter how good the care home, the preferred option would be to


stay in their own homes, even if it means they take a chance of what


remains of their lives. overwhelming number of people would


say I would rather take the risk of dying sooner. I'm of a nature MIA...


I would rather spend that time in my own surroundings with familiar


things. With 23,000 elderly people already in care homes in Wales and


growing elderly population, the older people's champion is in no


doubt about the challenges now facing all of us. I have been


consistently Clear as commissioner that I don't want to be the voice


of others. I want to give the voice back to them so they can control


their lives and the decisions they need to make. I know the Welsh


government shares my aspirations and might challenge to -- his to


move that took delivery so that old people have some choice over where


they lived. A few days before I left Washington, I put the salient


points to mark macro who chairs the social services committee. You know


what the problem is according to the older people's Commissioner for


Wales, that far too many people end up in care when they do not need to.


The Health Committee's inquiry largely bears that out, although it


is important to recognise that the number of older people going into


residential care in Wales has fallen substantially over the last


10 years, and if present policies continue, a reduction of 10% will


happen in the next five years. The fall is happening because local


authorities are much better than they once were in providing


services for people in their own homes. People who previously would


have needed residential care can stay for longer in the place they


would prefer. One of the points made by the Commissioner is there


is, if you like, a breakdown of communication meaning that the


patterns of care are not what they should be. How do you see those


patterns of communication? There are two points in the process.


Early in the process, sometimes when people are waiting by


adaptation some things in their homes but can continue to manage in


their homes, they are not as good as they should be. But almost all


admissions to residential care don't happen in those circumstances,


they happen in a crisis. When something that has been holding


someone's circumstances together fails, goes wrong, somebody else


falls ill, whatever, and in a crisis you get an admission. Our


focus and that of the Commission is looking at ways in which we can act


differently in a crisis to stop an appropriate care admissions. When


you say act differently, give me a practical example of how things


might be different? In the past, large numbers of people have ended


up in residential care straight from a hospital bed. They have a


fall at home, something happens, they go into hospital and people,


often for the best of motives, worrying about someone's ability to


manage and thinking they need to be looked after and so on, decide


residential care is the option. Many local authorities in Wales,


Carmarthenshire would be a good example, now insist there is a six


week period following people coming out of hospital in which they get


what is called we able month, a concerted attempt to try to rebuild


people's abilities, putting a new package around them, so they can


manage at home. But not every county does that. Not in a


consistent way. Almost everybody has something like it, but not


everyone does it and the focus and concerted way that the best


authorities manage. There is no point asking people to cope at home


if they don't have the facilities and help necessary. Would you agree


there are certainly plenty of examples of people ending up at


home and actually finding they are not given the help they need?


residential care home I have visited during Aaron Querrey, I


have met people who have said, I am here as a matter of choice. Not


because it was the last resort or the worst thing that could have


happened to me, I didn't want to be at home. And the only thing I saw


was somebody for 50 minutes in the morning and did evening and I spent


the whole of the rest of the day worrying what would happen if I


fell, I would prefer to be here with people around when I meet them.


You are right, being at home in all circumstances is not a panacea for


everybody, but where it is done well, most people would prefer it.


There is a call for another voice, that the elderly in hospitals come


looking for what kind of future they face, we need a voice to


represent them which does not exist at the moment? Is that convincing?


I'm convinced by parts, not all. I'm absolutely convinced there is a


need for a voice of those people who want to speak up for a older


people and make sure their views and wishes are heard more


powerfully in the system. The system does not allow for that in


the way it should. Do we need a new professional, an advocate, to do


that? I'm not so sure. There are lots of people in the system,


family friends, for example, very keen to have a stronger voice.


There are care staff, social workers who place people in care


homes, lots of people in the system already who should be speaking up


for older people, but the system is not as good as it needs to be in


allowing that to happen. A final point, are you confident that the


quality of the system and how it supports elderly people is going to


improve in years to come, despite the fact there are enormous


budgetary constraints and huge financial pressures? There will be


a lot of people watching this he will find it difficult to believe


we can deliver a better system with far fewer resources. Paying for


care in the future is a huge issue. It is an issue that has to be


resolved not just at the Welsh level but UK level. We have had


lots of evidence in our inquiry about the Dome of report and the


urgent need for the UK Government to act on it. Until we sort out the


fundamental question about paying for care in the future, anybody who


has looked at the system will be anxious about how we will manage.


Thank you. That was Mark Drakeford talking to


me a few days ago. We have already heard from one


Welsh voice in America, but I have been to a corner of the states


where Welsh voices are far more familiar. The state of Ohio is one


of the swing states in this election, every vote will count,


including in the village of Oak Hill, a village settled by Welsh


people in the first half of the 19th century. I have been to talk


to one of the leading lights in the Welsh community there.


Elizabeth, you've been here since 1974, and this is the very southern


tip for most of Ohio. That's right. Oak Hill. What is your link with


Oak Hill? I had relatives that emigrated here in the 1800s. Are my


grandmother's side of the family. How many of them? There were two


branches of the family, the Morgans and Daviess. Here we have pretty


spectacular proof of Welsh heritage in America, what do you call it?


The Welsh American Heritage Museum. It is the only one in the States?


It is remarkable. It is like stepping back 200 years. Yes.


take a seat. From 1840, then in 1971 it is converted into a


heritage museum? In between times, the Baptist denomination took over


the church and the Congregational church closed. I think they kept it


going until the late 1960s. And the church was going to be sold. So a


group of interested people who wanted to prove that -- to preserve


the Welshness got together and bought the Church in 1971. It is


lovely, and there is nothing quite like it anywhere, as far as I am


aware. You have amassed a lot of treasures? Yes. How much work was


that? We asked people to donate things of Welsh interest to the


museum. Sometimes when people pass What it for you is the big value of


this place? What does it contribute? It reminds everybody


off the Welsh heritage and the beginnings of the people who worked


hard when they came to Oak Hill. Most came because they were


escaping or fleeing terrible hardship? Yes. But they found


pretty tough conditions here? The first generation worked very


hard. It was their children who reaped the benefits. What does the


sense of Welshness in Oakland today? -- what is the sense of? Is


its strong? Not as strong as when I first came here. When I came it was


at its peak at that time. The younger people don't have much


interest, it is very hard to attract them to many Welsh events


or come to the Museum. Do you miss Wells after 28 years? Yes, over the


years I have made frequent trips back home, twice a year. Do you


think you would ever go back to settle in Wales at any stage, or is


this home? This is home now. My children and grandchildren are here.


We're over here now. SPEAKS IN WELSH. 24 speaking to us. -- thank


you for speaking to us. The Welsh Heritage Museum in Oak


Hill, Ohio. There is a rich Welsh heritage and lots of the USA.


Indeed, there is an unexpected Welsh flavour to the presidential


campaign, given the ancestral story of Mrs Romney, whose family has


links with Nantyffyllon. We sent the former Plaid Cymru MP Adam


Price, who has just been studying It is hard to avoid the razzmatazz


of an American presidential election. Even at home here in


Wales. Ann Romney's father was born in the street behind me. Proud of


the Welsh working classes, she even visited the area and burned those


famous Welsh cakes live on Good Morning America. It was to prove


her Anglo credentials, quipped one commentator! Maybe he was thinking


of Alfred the Great?! This campaign has been the longest and certainly


most expensive in history. It has also been the most disappointing.


Both parties ended up with a candidate that did not fire up the


debates, the Democrats with a president who never really


delivered on a promise of hope and change. And the Republicans with a


moderate bat tilted right to win the nomination, then tilted right


back again to try to win the White Who'd have thought that this most


boring of campaigns would have ended in such a nail-biting finish?


This is the closest presidential race involving an incumbent since


1916. The Democrat Woodrow Wilson won that time around. Within a year,


the United States had entered the First World War, decisively sipping


their -- tipping the balance in favour of the Allies.


No one is suggesting there is as much at stake for us this time


around, but the reverberations will still be felt here in streets like


this. Europe may not be at war, but it faces a severe economic crisis.


President Obama is the last of the Keynesians in a world addicted to


austerity. Will a Romney victory condemn us to economic oblivion?


That matters in Wales. Of the 40 billion also manufactured goods


that UK exports to North America every year, about 4 billion are


made here in Wales. And it will be the economy that decides the


election for the average American voter. One by one, states that


Obama won in 2008 are slipping beyond his reach, leaving the rust


belt of struggling manufacturing areas as the real battleground in


this election. It sometimes feels as if the candidates are running


not for the presidency of the United States but for the


governorship of Ohio, a state with strong Welsh connections. It may


even be that a few thousand Welsh American boats, descendants of


people from valleys like this, may end up determining the fate of


Barack Obama. One thing is for certain, this


election is too close to call. I will make one prediction, though -


whoever wins, they will be loathed by the other side but unloved by


their own. This inauguration, when it comes in January, always on a


cold winter's day, will be just a bit colder this day. And in the age


of antipathy not just of the President but of politics itself.


A Welsh take on the presidential contest. They will be counting the


votes on Tuesday night and the result could affect us all. A quick


reminder of the contact details, you can e-mail us at


On the Wales Report this week - a few days before voters across the United States go to the polls in the Presidential Election, Huw Edwards presents The Wales Report from across the Atlantic. Huw speaks to voters in the swing state of Ohio and in Washington DC.

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