{"id":293,"date":"2022-10-24T12:36:33","date_gmt":"2022-10-24T12:36:33","guid":{"rendered":"https:\/\/healthynewsusa.com\/?p=293"},"modified":"2022-10-24T12:36:38","modified_gmt":"2022-10-24T12:36:38","slug":"drivers-in-decline-a-shortage-of-volunteers-complicates-access-to-care-in-rural-america","status":"publish","type":"post","link":"https:\/\/healthynewsusa.com\/?p=293","title":{"rendered":"Drivers in Decline: A Shortage of Volunteers Complicates Access to Care in Rural America"},"content":{"rendered":"
Several times a month, Jim Maybach drives 5 miles from his house in Hay Creek, Minnesota, toward the Mississippi River.<\/p>\n
When he reaches Red Wing, a city of nearly 17,000 people, the 79-year-old retired engineer stops to pick up a senior whom he then delivers to an appointment, such as a dentist visit or an exercise class. When the appointment ends, Maybach is there to drive the person home.<\/p>\n
It\u2019s a route and routine he repeats a handful of times each month.<\/p>\n
Maybach is unpaid, a volunteer among a cadre organized by Faith in Action in Red Wing, a nonprofit that relies on retirees to ferry residents to essential services.<\/p>\n
The riders, mostly seniors, are people who don\u2019t have immediate access to transportation, especially in rural areas where public transit options are either limited or nonexistent.<\/p>\n
There are several such programs serving rural counties in Minnesota, but, as with other services across the country, their existence has become precarious because the number of volunteer drivers has steadily declined, according to transportation advocates. Volunteers either get to a point where, because of age, they can no longer drive, or the costs associated with their volunteerism are no longer sustainable. For decades, Congress has refused to increase the rate at which the drivers\u2019 expenses can be reimbursed.<\/p>\n
Experts say that with public transit in rural areas already insufficient and the long distances that residents in rural communities must travel to access health care, a decimated volunteer driver network would leave seniors with even fewer transportation options and could interrupt their health management. Already, social service organizations that rely on volunteers have begun to restrict their service options and deny ride requests when drivers aren\u2019t available.<\/p>\n Recognizing the need for drivers in their community is often what got volunteers to sign up in the first place, but as car insurance and gas costs increase, the commitment is not \u201cthe attractive win-win that it once was,\u201d said Frank Douma, director of state and local policy and outreach for the Institute for Urban and Regional Infrastructure Finance at the University of Minnesota\u2019s Humphrey School of Public Affairs.<\/p>\n Volunteers, like Maybach, are eligible for a reimbursement of 14 cents per mile, which generally doesn\u2019t come close to covering the cost of gas and wear and tear on a vehicle. And while the Internal Revenue Service increased the business rate from 58.5 cents per mile to 62.5 cents per mile in June<\/a>, it did not raise the charitable rate because it is under Congress\u2019 purview and must be set by statute. The charitable rate was last changed in 1997.<\/p>\n Despite the long-standing charitable rate, United Community Action Partnership, a nonprofit that runs a volunteer driving program in southwestern Minnesota, had for years been reimbursing drivers using the business rate. The program\u2019s administrators didn\u2019t realize the IRS could count volunteers\u2019 reimbursements that exceed the charitable rate as income.<\/p>\n The organization experienced its \u201cfirst major drop\u201d in the number of volunteer drivers before the covid-19 pandemic, after it found out about the IRS rule and told volunteers about the tax implications of higher reimbursement rates, said Shelly Pflaum, the driving program\u2019s administrator.<\/p>\n And although the nonprofit continued to reimburse at the business rate, the remaining drivers were frustrated that as gas prices spiked in the spring, the rate remained only 58.5 cents per mile, which did not cover the cost of gas or maintenance.<\/p>\n \u201cWhen you\u2019re paying nearly five dollars for gas, it is no longer helping,\u201d Pflaum said. \u201cSo, there were some concerns: \u2018With what I\u2019m spending to drive my vehicle, this is no longer reasonable for me \u2014 I can\u2019t afford to volunteer\u2019 essentially is what it was coming down to.\u201d<\/p>\n The IRS business rate bump in June was enough to convince most drivers to stay, but Pflaum said she lost a volunteer who had been driving for nearly 20 years.<\/p>\n The issue of unequal rates has gained bipartisan attention in Congress, with the introduction of two<\/a> bills<\/a> \u2014 both sponsored by Minnesota representatives who propose increasing the charitable mileage reimbursement rate to the business rate. Similar proposals have been made in Congress before and failed.<\/p>\n
