Severely handicapped “I want to work…” Country “Nursing care service” see off on December 16 at 18:27

When the Ministry of Health, Labor and Welfare investigated the working conditions of severely disabled people who always need nursing care, they found that about 10% of them were already working or would like to work while receiving nursing care.

On the other hand, regarding the employment of people with severe disabilities, members of the parliament of the Rei Shinsengumi are requesting a review of the system so that they can receive nursing care services at public expense even during work. Decided to do.

“Severe visiting care”, which provides services such as bathing and cooking for people with severe disabilities who always need nursing care, is mostly covered by public funds, but is not eligible for commuting or work , We are requesting a review of the system so that Reiwa Shinsengoku parliamentarians can be included.

The survey targeted over 10,000 users at 7300 business sites nationwide where the Ministry of Health, Labor and Welfare provides care services, and received responses from 40% of business sites.

According to it, 6% of the people are already employed by companies or are self-employed, and they want to work if they are not working and can receive care during commuting. There were 5.4%.

The Ministry of Health, Labor and Welfare has decided to increase the subsidies to be paid when companies assist people or commute because there are a certain number of people with severe disabilities who want to work if the environment is in place. It was.

On the other hand, the Ministry of Health, Labor and Welfare will postpone the review of the system for adding commuting and working assistance to the scope of nursing care services at public expense, as it will need to be reviewed including legal revisions, and will continue to consider it. It was.

Women with severe disabilities

The inability to receive nursing care services at public expense while commuting or working is a major barrier to the work of severely disabled people.

Ayako Wada (24) from Fuji City, Shizuoka Prefecture, developed spinal muscular atrophy at the age of one and a half.

They use electric wheelchairs and need assistance in most situations in their daily lives.

Mr. Wada makes event materials and provides counseling for people with disabilities at an independent living center that supports disabled people three days a week.

It is said that life consultations based on our own experiences have a reputation for being “easy to understand” from those who visited the consultations, and we feel that they are rewarding.

However, Mr. Wada is working as a volunteer without getting wages. This is because if you are considered labor and are unable to receive “severe home care” services, you will have to hire helpers.

If you hire a helper, you can spend more than 140,000 yen a month

For example, if you use the public service for 8 hours a day, the cost of the user is 10% and the basic charge is about 1500 yen.

However, if you try to hire a helper at your own expense, it will cost around 12,000 yen per day, and if you work three days a week, you will pay more than 140,000 yen per month.

Mr. Wada wants to work in earnest as a “consultation support specialist” who supports people with disabilities. However, the barriers to the system are conspicuous.

Women with severe disabilities “Towards a society where everyone can live”

Mr. Wada said, “Volunteering is a rewarding way to engage with people, but it also requires money for life. If you review the system, I will pay taxes for my work. I want everyone to have a comfortable life. ”

“Slightly increased subsidies, will not work”

As for the review of the care service for severely disabled people, Ayako Wada, who uses this service, said, “I don't think that working just by increasing the subsidy amount will make progress, Because it is difficult for caregivers to hire employees to work with peace of mind, I think it is necessary to review the system itself. ”