Monthly Archives for December 2001

Aging Baby Boomers Woefully Unknowledgeable About Services

Published in Pawtucket Times on December 31, 2001

Are you a savvy shopper for services that you might one day need to purchase?

Many Americans are especially savvy when they purchase cars, electronic equipment or clothing.  But most are not when it comes to their knowledge of purchasing needed long-term care services, says a report recently released by AARP.

More than half (60 percent) of aging baby boomers age 45 plus say they are at least “somewhat familiar” with long-term care services currently available. However, they are woefully uninformed about the costs of, and funding sources for, long-term care services.

Yet with the graying of America’s population, the need for these services is expected to increase in the upcoming years. According to the 2000 U.S. Census Bureau projections, today’s 65 or older population numbers are expected to double to about 70 million in 2030, and the 85 and older population will also nearly double to about 8.5 million.  Those 85 years and older will be in the greatest need for nursing facility care.

“With the onset of the aging demographic revolution, essential that the general public not only learn about the long-term care options but understand their costs, and begin planning for their future care requirements,” said AARP CEO Bill Novelli. “Unfortunately, most of us pay little attention to the cost of such care until we or our loved ones needed it.  AARP sees  our role as informing and assisting people to make good choices.”

The AARP telephone survey asked a random sample of 1,800 Americans ages 45 and older questions  designed to measure their knowledge and understanding of the continuum of long-term care services, ranging from in-home care, assisted living to nursing home care.  In addition, to the national survey, five state-specific surveys were conducted with a random sample of 400 people age 45 and over in California, Florida, New Mexico, Washington and Wisconsin.

The survey findings suggested that aging baby boomers and seniors are generally not familiar or knowledgeable about the costs of long-term care services.  Only 15 percent could identify the cost of nursing  home care within plus or minus 20 percent of the national average of cost (about $ 4,654 per month).  Even 24 percent of those participating in the survey admitted that they did not even know the cost. And that’s not all – 51 percent estimated the cost too l ow.  So much for those savvy shoppers.

As for assisted-living facilities, one in four (27 percent) were able to come within a plus or minus 20 percent of the estimated median cost of care in an assisted-living facility while 38 percent said they did not know the national estimated median cost for assisted living per month, ranging from $ 2,000 and 2,500.

Meanwhile, survey participants continued to reveal their lack of knowledge by being generally unaware of how much an in-home visit from a skilled  nurse or aide costs.  The average Medicare reimbursement is $ 109 per a skilled nurse visit and $ 64 for a home visit by an aide.  The survey findings reported that they gave a wide range of answers, with no real consensus.  Thirty three percent even admitted they did not know the cost.

So, what about the aging baby boomers knowledge of long-term care insurance, one viable option to pay for the cost of long-term care services? About 31 percent said they have insurance that covers the cost of long-term care, when they probably didn’t.  Maybe it’s time for people to read the very small print in their insurance policies.  The Washington, D.C.-based Health Insurance Association of America estimates that only about 6 percent of Americas purchased such insurance.

Additionally, the survey respondents who said that they had insurance coverage for long-term care services were more likely to say they feel better prepared to meet the financial challenges of paying for care than those who say they do not have coverage (7 percent versus 39 percent).  This finding suggests that people who say that they long term care coverage when they do not may have a false sense of financial preparedness.

According to the new study, there is also a discrepancy between what people think Medicare and Medigap cover and what they actually cover.  More than half (55 percent), including those who say they are “very familiar” with long term care (58 percent), believe Medicare covers long-term nursing home stays.  And nearly a quarter say they would rely on Medicare to pay for such stays.  This is not the case.  Medicare does not cover long-term care nursing home stays.

The survey noted that 41 percent thought Medicare also covered assisted living care and more than 34 percent know whether it does or does not.  Medicare does not pay for assisted living.  And 57 percent correctly said that Medicare covers the cost of in-home visits from a skilled nurse. However, many respondents did not understand the difference between a home visit from a skilled nurse and a home visit by a home health aide.

More than half (52 percent) thought Medicare covers aide visits. In fact, Medicare covers only home health aide services for care that is medically necessary, not custodial care.

Kathleen S. Connell, AARP State Director, notes that this research study highlights the big gap between consumers understanding of long-term care services and its associated costs.  She adds that the findings reveal a great deal of confusion as to what long term care services are covered by Medicare and Medicaid.

“Aging baby boomers are now facing decisions regarding the purchase of long-term care services for their older parents. They will also be forced to deal with their need for services as they age and as longevity increases,” Connell says. “Consumers need to be come better informed about what Medicare and Medicaid pays for available long term care options for services that are actual costs of care.  They need to investigate different long term care insurance options, too,” she urges.

In Rhode Island there is a general recognition in agencies assisting seniors of the need for educating consumers and putting information into the hands of people who need it, Connell notes, adding that information specialists are available in local senior centers to assist in this effort.

Don’t wait until a sudden health crisis forces you to shop around for long-term care services.  Start today Become a savvy shopper by increasing your knowledge and understanding of different long-term care service options and  their associated costs.  Learn more about government financing programs, specifically Medicare and Medicaid, and private senior financing with long-term care insurance and Medigap policies.

The Best of…Call the Samaritans for a Shoulder to Lean On

Published on December 24, 2001, Pawtucket Times

             Chestnuts roasting on the fire.  Green wreaths with red ribbons. Soothing Christmas music coming from speakers in shopping malls.  Houses decorated with long strands of brightly colored lights.  Decorated evergreen trees.

            Got the Christmas spirit?  Many do, but many don’t, especially if they are seniors.

           With Christmas tomorrow, not everyone is feeling the holiday spirit.  The  holidays may be a very difficult time for seniors, particularly the elderly who have lost spouses and friends, have painful chronic illnesses or feel isolated or powerless, says Cynthia Barry, M.S.W, executive director of the Mental Health Association of Rhode Island.  At this time “some may feel depressed and even suicidal.”

            Even drinking during the holidays can put seniors at a higher risk of experiencing depression and thinking about suicide, Barry adds.

            Even drinking during the holidays can put seniors at a higher risk of experiencing depression and thinking about suicide, Barry adds.

            But the stigma of mental illness will keep older persons from seeking out needed treatment for their depression or suicidal thoughts, Barry says.  Those who feel that they have a problem with depression should visit their local mental health care, neighborhood health canter, the family physician or even private practitioners re commended by their health plan, she says.

            Carolyn Pellegrino, deputy director of Self Help, Inc., a nonprofit community action agency in the East Bay that provides senior case management to all upper East Bay communities and both Pawtucket and Central Falls, , notes that 60 percent of her older clients usually involve  persons who just worry to those experiencing severe clinical depression.

           “There’s a lot of depression out there,” Pellegrino says, adding that today’s seniors, who grew up in a different era, were told not to dal with their feelings of depression, “just get on with your life.”

          Although depression, like heart diseased, is an illness, seniors will get treated for their heart disease, but not their depression, Pellegrino says.  Oftentimes, a combination of medication and therapy can do wonders about a person’s depression, she states.

          A newly released Public Service Announcement (PSA) tells seniors to seek out another resource to fight the holiday blues.  Last week, WHJJ and B101 played a PSA featuring well-know songwriter Bill Withers who, after singing a few lines of his popular song, “Lean on Me,” urges his radio listeners “feeling low with nowhere to turn to contact The Samaritans.”

        Directed to the lonely, the depressed and suicidal, the PSA is intended to raise the awareness of the existence of The Samaritans of Rhode Island, a nonprofit program dedicated to reducing the  occurrence of suicide by reaching out to the despairing and lonely.

          Denise Panichas, serving as The Samaritans’ interim executive director states the communication-based program, established in Providence in 1979, teaches volunteers to effectively listen to people who are in crisis.  Conversations are free, confidential, most important anonymous.

         A rigorous training program teachers volunteers to feel and think without expressing personal judgements or opinions, Panichas says, noting that the listening technique, called “befriending,” calls for 90 percent listening and 10 percent talking.

          Last year, more than 20,o00 Rhode Islanders called The Samaritans, Panichas said.  The Samaritans, Panichas said.  “It doesn’t matter what the problem is, be it depression, suicidal thoughts, seeking resources for mental health services in the community or being  lonely and just needing to talk,” she said.

          Panichas notes that The Samaritans also offers other needed resources to caregivers and older Rhode Islanders. “We do community education programs and also have our peer-to-peer Safe Place Support Group for those left behind by suicide.

          For seniors who are looking for something to do with their time, the art of “befriending” is something that anybody can do.  Becoming a compassionate listener to someone in need.

         Herb Weiss is a Pawtucket-freelance writer who covers health care, aging and medical issues.  He can be reached at hweissri@aol.com.

Presidential Commission Kicks off Social Security Reform Debate

Published in Pawtucket Times on December 17, 2001

Amid the nation mobilizing for a global fight against terrorism, a sliding economy with a rising unemployment rate, the President’s Commission to Strengthen Social Security last week released its bipartisan plan to fix the ailing Social Security program.

With elections looming next year, Congress will be forced to turn it attention to politically sticky domestic issue, how to modernize and restore the fiscal soundness of the Social Security program.

Finishing up its seven months of work, the 16-member Presidential Commission, divided evenly among Democrats and Republican, voted unanimously to sent its 165-page final report in draft form to the Bush White House. Two days after the panel released its report, House Republicans threw two bills into the legislative hopper, mirroring several of the recommended approaches.  The Social Security debate has begun.

While the Commission estimates that it will cost at least $2 trillion to revamp Social Security, it does not identify where the funds will come from.

Specifically, three approaches were suggested by the federal panel as a way of bringing reforms to the Social Security program. All involved the creation of voluntary personal accounts with a premise that workers investing in these accounts would ultimately receive higher retirement benefits by their investing in the social market.  Meanwhile, two plans seek provide better retirement benefits by their investing in the stock market.  Meanwhile, two plans seek to provide better benefits to low-income workers. All plans would seek to restore the fiscal stability of Social Security.

Senior advocacy groups are now weighting in on this highly visible and controversial policy issue that will likely become a key election issue next year. “None of the three draft plans put forward by the Commission today achieves the goal set out by the President, closing the gap in the program’s solvency over the next 75 years. None of the plans explain how it will achieve solvency. These plans do not change the fact that private accounts expose future beneficiaries to unnecessary risk and widely varying outcomes in retirement security,” charges Max Richtman, executive director of the National Committee to Preserve Social Security and Medicare.

Furthermore, with the push to privatization through individual accounts, the Commission does not address the issue of the impact to the existing Social Security program if moderate and higher-wage earners pull their money out of the  system, states Richtman, stressing that the Commission does not see to have considered the potential impact of such an adverse selection on the stability of the program.

“With privatization, the devel is always in the details, and the Commission has failed to provide adequate details,” Richtman adds. ”They have not provided the nuts and boots of how the plans would work and how they would affect real people.”

According to AARP CEO William Novelli, a number of questions remain unanswered by the Commission report, specifically, “the long-term financing of benefit guarantees, particularly if current budget projects and market rates of return prove to be overly optimistic.”

When the Social Security debate begins, Novelli calls for other reform proposals to be considered, such a diversifying the Social Security Trust Funds’ investments by including federally-backed debt instruments, along with raising the wage base for payroll taxes and adding newly hired state and municipal employees to the program.

U.S. Rep. T. Matsu (D-CA), Ranking Member of the Social Security Subcommittee of the House Ways and Means Committee agrees with the concerns of senior advocates. Restoring solvency of the Social Security program by workers investing part of their payroll tax in the stock market is a flawed approach and not the best strategy to  restore the fiscal integrity of the Social Security program, he says.

Privatization of Social Security would either require benefit cuts or a large infusion of federal dollars, warns U.S. Rep. Patrick Kennedy (D-RI), who serves on the House Appropriations Committee and sits as a member of the House Aging Caucus.

The Rhode Island Democrat who gives the Commission report a thumbs-down, states, “There is no question that we need to encourage American’s to save more for retirement, but while we do this, we should not throw the ‘baby out with the bath water’ by raising the retirement age, diverting the Social Security Trust Fund into privatization schemes or cutting benefits to seniors.” The four-term Congressman, whose legislative district has a large elderly constituency plans to make Social Security reform a key for his campaign in the upcoming elections next year.

Jeff Neal, a spokesperson for U.S. Sen. Lincoln Chafee (R-RI), tells All About Seniors that the senator does not necessary support or oppose some amount of privatization. “No amazingly specific proposal has come forward, been debated or has been thoroughly analyzed yet, Neal says. “Until that happens, it is impossible to determine if it is a good idea or not.”

Neal adds that Sen. Chafee believes that all the Democratic concerns need to be debated and resolved before Congress goes forward with any plan. “Democratic talking points look at the Commission work as a very simplistic level. Social Security is possible, besides the Medicare program, the most complex federal program, and a great deal of debate and input from both sides will be needed to tackle the solvency issue,” he says.

“Rhode Islanders need to step up and take credit for being leaders in the best social reform, notably Medicare,” urges AARP Executive Director Kathleen S. Connell. The late Democratic Congressman John Fogery and Aime J. Forand were the moving forces to create the is key federal program to protect the health and well-being of America’s seniors. “It is up to the current Rhode Island delegation to pick up the torch and lead the efforts to enact meaningful legislation to preserve and protect the Social Security program.”