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agency cannot fill more than 6,000 hours of direct care that have been. authorized by the state <br />because of worker shortages. <br />"If there aren't any workers in that area, there's nothing we can do," Sawyer-Manter said. "As <br />people retire, we just don't have enough workers to do all the jobs we need done." <br />'One family at a e <br />From 2015 to 2050, the number of Americans 85 and older will increase by more than <br />200 percent, while those ages 75 to 84 will rise by more than loo percent, according to AARP. <br />By contrast, the number of Americans younger than 65 will increase by about 12 percent. <br />America's federal programs have not kept pace with this enormous demographic shift. With a <br />few minor exceptions, Medicare does not pay for long -term -care services. Medicaid offers <br />limited benefits but is available only to the very poor. The private market also has not been able <br />to fill the void, as 7 percent of costs in the long -term -care market are covered by private long- <br />term insurers. <br />The United States is projected to have 7.8 million job openings for care workers by the middle <br />of the next decade, making it among the fastest-growing professions in the country, with <br />millions of new openings created by higher demand; millions of care workers retiring; and <br />millions more finding new professions, according to the Paraprofessional Healthcare Institute, <br />an advocacy organization. The total cost of caring for America's elderly will double from <br />$2.8 trillion to $5.6 trillion by 2047, a report by the consulting firm PwC found. <br />"The U.S. is just starting this journey, and Maine is at the leading edge," said Jess Maurer, <br />executive director of the Maine Council on Aging. "As we are living longer, all the systems that <br />have always worked for us may have to be changed." <br />Congress created a commission to study the long -term -care problem. In 2013, it issued dozens <br />of recommendations, including a "national strategy" to help family caregivers, but "a fair <br />number of these things have not been implemented. Those that have been implemented are <br />being implemented far too slowly," said Bruce Chernof, co-author of the commission's report <br />