Aged Care Insite Issue 119 Jun-Jul 2020 | Page 20

industry & reform transfer may be permanent or temporary. The aim, however, is for Elysium to be “medically autonomous … catering for the range of ailments that the elderly may suffer”. “With our medical facility on board, the idea is to be able to cater, rehabilitate, then stabilise them,” says Andre. “And if they can, have them stay on board with us. “From a business, moral and ethical point of view, we will be looking to bring the best from Australia, the best from New Zealand, and the best from the US, and the best from around the world with regards to how to run an aged care facility – without being bound by local regulations.” If a resident dies of natural causes, there is a morgue below deck – a contingency space commonplace on cruise ships and hospital ships. Here, the deceased will undergo a postmortem and death certificate process with a certified coroner, sourced from ashore from their contracted regional funeral director partner. End-of-life options will have been discussed before boarding. Should the resident wish for their final resting place to be a specific location onshore, they will be expatriated from the ship, with all costs prearranged. Alternatively, the founders hope to give residents the option of an eco-friendly ‘Promessa’ burial: “Reducing their remains to its natural elements in ash form to be spread at sea, or converted into a ‘diamond’ via another common post-life memorial process.” The Ruby Princess sits off the coast of Bondi on 28 March 2020. The ship was allowed to unload 2700 passengers in Sydney with dozens of undiagnosed coronavirus cases on board. Picture. Phil Hillyard Yes but … now? The Sidlers launched the Elysium website a week before my initial hour-long phone conversation with them from their home in New Zealand. Despite the Diamond Princess COVID-19 fiasco, then at its peak, the couple’s zeal was unflagging. (“What an extraordinarily bad time to launch such a venture,” comments Aged Care Insite columnist and lawyer, Michael Fine.) A fortnight later, cruise ship stocks would plummet an unprecedented 60 per cent, with governments issuing advice not to board the “floating petri dishes”. Entry of cruise ships from foreign ports was soon banned in Australia. When 100 infected Ruby Princess passengers disembarked in Sydney, the public – and the Australian Border Force – were incensed. As of April, 10 per cent of coronavirus cases in the country could be traced to the cruise liner. Andre is far from oblivious to the amassing stigma around cruise ships. But he believes that the notion that they are hotbeds of disease is a product of “media hype and hysteria”. “COVID-19 is an airborne virus transmitted by proximity and residual contact – not just cruise ships per se,” he tells me over email in March (that same day, my publisher would issue instructions for staff to work from home). “Any large gathering, large building, has the same concentrated transmittal effect.” He also argues that, given its unique medical facilities and specialty staff, Elysium would provide residents with a secure, socially distanced haven against outbreaks. “What has heightened the drama is that people are now effectively detained on board cruise ships for at least a quarantine time of 14 days, which interferes with their lives and that of the cruise ship itineraries … Elysium has permanent residents with no need to go to shore.” The demand for luxury senescence The privilege of such decadent, palatial decline is not cheap. On top of an initial upfront deposit of US$62,500 ($95,500) per square metre of premium cabin space, the daily rate is US$450 ($690) a day – a cost inclusive of all meals, beverages, entertainment, business centre use, daily linen changes, laundry, nurses and carers, and assessed pre-joining level of medical care. “This is not for regular Joes, like most of us are,” agrees Andre. “This is for the people that do have money and don’t want to go into a little room with a single bed and painted beige walls, and that’s it. This is for people who have got a lot of wealth, and say: ‘Hang on, I’m used to my beautiful home. Okay, yes, I have to go into a facility, but I still want to have a beautiful room and beautiful facilities around me. And I can afford it.’” The Elysium pricing model and structure, as finessed through the guidance of international law firm Clifford Chance, is based on the current Australian aged care system. This puts the daily rate equitable to that of a premium aged care facility (like Montefiore in NSW), slightly more expensive than a five-star resort, and about half the rate of an Aspen hotel at seasonal peak. “To come onto the Elysium ship, you’re not buying a room,” Andre explains. “We don’t think that model works. What you are is providing a deposit for that room. “We thought, that’s transparent, straightforward; they’re not losing the money. The estate will get back the full amount if they’re on the ship for longer than three years. If they’re not, there will be a processing fee of about $50,000 to redo the room, change the mattresses, and redo the décor for the client or resident coming into that particular room.” Under Elysium’s philosophy, clients are treated as customers to be satisfied, rather than bodies to be maintained. Accordingly, they are pampered in ways befitting their investment. A suite on luxury cruise ship, The World. Photo: The World agedcareinsite.com.au 17