Monthly Archives for May 2016

LTC Must Be Placed on Candidates’ Radar Screen

Published in the Woonsocket Call on May 29, 2016

Presidential candidates might just think twice about their political campaign positions on long-term care. With the graying of nation’s voters, Congress will be pushed to put long-term care on its policy agenda. When the dust settles after the Democratic and GOP conventions, the winning candidates must address long-term care issues in their debates before the November election.

In 2013, America’s age 65 or older population made up only 14 percent of the total population, but by 2040, this demographic group will nearly double to comprise about 22 percent. According to the U.S. Department of Health and Human Services the majority of these individuals will require some form of long-term care services (specifically, help with activities of daily living—such as cooking, bathing, or remembering to take medicine—that can be provided in a home or institutional setting.)

Misconceptions About Medicare and Social Security

Survey results in a 17 page report, “Long-Term Care in America: Expectations and Preferences for Care and Caregiving, released by Associated Press (AP)-NORC Center for Public Affairs Research, notes that most older Americans expect Medicare and Social Security to pay for long-term care services while these federal programs generally do not. The survey findings also indicate that respondents, age 40 and over, strongly supported public policies that help a person save for long-term care services and for those that defray the cost of care giving, including state paid family leave programs.

“This survey provides much-needed data on how people perceive the issue of long-term care in the United States,” says Trevor Tompson, director of The AP-NORC Center, in a statement released on May 16, 2016 with the survey findings… “The need for long-term care services and support to assist seniors with activities of daily living is increasing exponentially. Financing high-quality services so that the costs are manageable for families and governments will remain a big challenge for decision-makers,” he added.

“Older Americans of today and tomorrow have a 50 percent chance of living with substantial and often expensive daily needs,” adds Dr. Bruce A. Chernof, President and CEO of The SCAN Foundation. “Medicare and Social Security were not built to cover long-term care, leaving American families unprotected, and as the survey shows, unaware of this fact,” he says.

The AP-NORC survey found that while older Americans’ confidence in being financially prepared to pay for long-term care services remains low overall, there has been a slight increase in public confidence over the past four years, consistent with other measures of consumer confidence post-recession, according to the Consumer Confidence Index. In 2013, 27 percent reported feeling very or extremely confident in their ability to pay for long-term care, increasing to 29 percent in 2014, 32 percent in 2015, and 36 percent in 2016.

The polling finds reveal that a widespread misconception as to what Medicare covers for long-term care services. Older respondents, with an annual household incomes less than $50,000, are more likely to expect to rely on government programs such as Social Security, Medicare, and Medicaid, while those with higher incomes expect to rely more on personal savings to pay for their needed long-term care services. Still, 3 in 10 of these wealthier older Americans report that they will rely on Medicare to support their care as they age. This reflects common misperceptions among older Americans about the long-term care services that Medicare covers, notes the AP-NORC survey.

Thumbs Up to Aging in Place

Seventy seven percent of the survey respondents would prefer to “age in place” and receive care in their own home, w with far fewer preferring to receive care in a senior community (11 percent), a friend or family member’s home (4 percent), or a nursing home (4 percent). Among those respondents who prefer to receive care at home, there are gender differences in preferences for who provides that care: men would prefer to receive care from a spouse (51 percent vs. 33 percent), and women would prefer to receive care from their children (14 percent vs. 35 percent).

There is widespread support for policies to help caregivers face the costs of providing long-term care, with 72 percent supporting state programs to provide paid family leave, 83 percent supporting tax breaks for caregivers, and 73 percent supporting a Social Security earnings credit for caregivers taking time out from the workforce to provide care.

According to the AP-NORC survey, forty-three percent of the survey respondents have either been caregivers in the past or currently providing long-term care to a family member or close friend. Among those with experience as caregivers, 4 in 10 report having to miss work to provide care.

The researchers found that prior experience with long-term care is associated with greater support for several public policies to help people finance long-term care and to help alleviate costs for caregivers. These individuals expressed higher levels of concern about aging and are more likely to anticipate that it is at least somewhat likely that a loved one will need care in the next five years, compared to those without direct care giving experience.

Finally, one-third of the survey respondents reported having done no planning at all for their own long-term care needs. This 2016 finding is similar to the 31 percent who said the same in 2015 and remains lower than the 47 percent and 44 percent who said they had done no planning in 2014 and 2013, respectively.
One Size Does Not Fit All

Meghan Connelly, Chief Program Development at Rhode Island’s Division of Elderly Affairs, provides some thoughts about the findings of the AP-NORC survey. “Long-term care options are not “one-size-fits-all”. In Rhode Island, there are a number of choices one can make, ranging from living independently and receiving care at home to nursing home care. This report highlights that consumers want options when it comes to making these decisions for themselves, or assisting loved ones with long term care choices,” she says…

Connelly adds, the AP-NORC survey “supports the findings of past research: that the overwhelming majority of people want to receive long term care services at home,” noting that in the Ocean State there are many home- and community-based care options. She says that”home care may be available through a physician’s office; at the time of discharge from a hospital or nursing home; or through referrals to state-subsidized programs administered by agencies under the Executive Office of Health and Human Services.”

“The AP-NORC survey also underscores the need to adopt progressive financial policies that support family caregivers who provide the greatest percentage of needed long term care to their elderly or disabled loved ones at home,” warns Connelly.

Greg Crist, Senior Vice President of Public Affairs at the Washington, D.C.-based American Health Care Association (AHCA), notes, “This data generally tracks what our own research has shown: Americans don’t think of this topic every day, and honestly, this is a topic they’d rather avoid. No one likes the thought of aging, and with that aging, the increasing likelihood they will help in their later years. No one welcomes a loss of independence. But here’s the good news – the sector is adapting and innovating.”

Crist asserts nursing homes are meeting the challenge of caring for aging baby boomers. “We’re meeting the growing demands of Boomers, particularly as clinical needs grow, but also in offering amenities such as custom dietary menus, social media communities, and personal rehab care plans that speed recovery times. Whether in Rhode Island or elsewhere, this is an evolving health practice, recognizing that change is needed to meet the new preferences of older Americans,” notes Crist.

Listen to the Older Voters

The AP-NORC survey findings mirror other “long-term care perception” studies released by AHCA and AARP. Democratic presidential candidates Hillary Clinton, Bernie Sanders, and GOP standard bearer Donald Trump must not forget the needs of America’s exponentially growing older population. These older voters do not want to fall through the nation’s public policy safety net when they require the most assistance, paying for costly long-term care services. As the survey report notes, older Americans strongly support Family Leave programs and also call for government administered Long Term Care Insurance programs.

For a copy of the report go to http://www.longtermcarepoll.org/Pages/Polls/long-term-care-in-america-expectations-and-preferences-for-care-and-caregiving.aspx..

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Honoring the Fallen: Author salutes Pawtucket residents who died in Vietnam War

Published in Senior Digest, May 2016

For over 30 years, Terry Nau served as sports editor of the Pawtucket Times. When Nau retired in 2012, the seasoned newspaperman did not miss the daily grind of working full-time but soon learned that he missed writing. With free time on his hands, Nau began to write about a part of his life that he had buried for 40 years – his stint in Vietnam as an artilleryman in 1967-68. In his first four years of retirement, the former sports writer would self-publish three books about the Vietnam War.

In 2013, the retiree produced his first book, which dealt with being drafted out of college in 1966 and finding himself in Vietnam by September 1967 for a one-year tour with A Battery, 2/32 Field Artillery. This book, “Reluctant Soldier … Proud Veteran,” focused on his personal journey towards understanding the role Vietnam played in his life.

A Vietnam Veteran Remembers

For his second book, Nau, a Pennsylvania native, decided to write about the 15 students from his high school who died in Vietnam.

“In 2014, my high school’s 50th reunion committee asked me to try and calculate the number of Vietnam veterans in my Class of 1965,” he said, “and from that project came my second book, ‘We Walked Right Into It: Pennsbury High and the Vietnam War.’ ”

A Pawtucket resident since 1982, Nau said, “It was only natural that I would follow up with a book on Pawtucket and its 21 Vietnam War casualties.” His latest book evolved into an oral history, told mostly through the words of surviving family members, friends and fellow soldiers.

“The courage these families showed became the underlying theme of ‘They Heard the Bugle’s Call: Pawtucket and the Vietnam War,’ Nau stated. “It was hard for them to talk about their fallen soldier but after a while, it seemed like they warmed to the idea of remembering these soldiers nearly 50 years after they died,” he said.

Celebrating the 50th

Nau’s latest book has triggered a movement to honor Pawtucket’s “21 Heroes.”

“Pawtucket must remember these courageous soldiers, beginning with its first casualty, Marine Corps Lance Corporal Antonio Maciminio, Jr., who died on May 21, 1966, Nau said, noting that the 20-year-old infantry soldier left a pregnant wife who gave birth to their daughter Vicky in October 1966. Two other soldiers from Pawtucket – Jack Hulme and Michael Dalton – would also die before they ever saw their sons,” Nau noted.

On Saturday, May 21, from noon-2p.m. at the Pavilion in Slater Memorial Park, the City of Pawtucket will honor its 21 Vietnam War casualties. Antonio J. Pires, Director of Administration for Mayor Donald Grebien, will speak on behalf of the city. A reading of the City Council resolution that declares May 21 as “21 Heroes Day” in Pawtucket will follow.

According to Nau, at least 13 of the 21 families will participate in a Roll Call ceremony that will highlight this event. Each soldier’s name will be called out, in the order they fell, beginning with Lance Corporal Maciminio and continuing through Army 1st Lieutenant Michael Dalton, who was the last city resident to die in the war, on June 9, 1971.

The city also plans to honor its surviving Vietnam War veterans with a “Welcome Home” salute from the audience. That will be the final note in an emotional ceremony.

“Vietnam veterans often came home by themselves from the war zone,” Nau said. “The welcome they received came from their parents, families and friends. And that was all they wanted. Over the years, our military leaders realized what a mistake it had been to send soldiers home alone, instead of in units. To have the City of Pawtucket honor our Vietnam veterans in the 50th anniversary of the war means a lot of these graying veterans.”

The May 21 ceremony will begin at noon with 30 minutes of socializing. The ceremony will begin at 12:30 p.m. and should conclude by 1:30 p.m., followed by another 30 minutes of socializing.

“Three of the soldiers’ widows will attend, arriving from Florida, California and New Jersey,” Nau said. “Cathy (Maciminio) Dumont is bringing her daughter Vicky, who turns 50 in October. Vicky will speak her father’s name in our Roll Call of heroes. Debbie Dalton and Ellen Hulme will also participate in the Roll Call.”

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For more information on this May 21 Slater Memorial event, email Nau at tnau3@cox.net or check out the Facebook page, “Pawtucket’s Vietnam War Heroes.”

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Rhode Island Lawmakers Can Say Never Again

Published in the Woonsocket Call on May 22, 2016

On October 15, 2015, anti-Semitic and racist leaflets were distributed on Providence’s East-side. Just months ago a Brown student discovered anti-Semitic messages on the walls directly across from his dorm room, where he had a mezuzah on his door. And the Joint Distribution Committee’s International Centre for Community Development released a survey that reported that “two in five Jewish leaders across Europe believe the rise in anti-Semitism represents a “major threat” to the future of their communities.”

Rhode Island lawmakers are pushing legislation to use education as a way to stamp out future holocausts and genocide.

On May 5, 2016, the House passed House Bill 7488A, which requires all middle and high school students to receive instruction in holocaust and genocide studies. Following introductory remarks from Rep. Katherine S. Kazarian (D-Dist. 63), the East Providence lawmaker’s measure passed the House unanimously with every member present seconding the motion for passage. Of note, the House approved the measure on Holocaust Remembrance Day.

The passage of House Bill 7488A follows the Rhode Island General Assembly successful efforts in 2011 to enact a law entitled “Genocide Education in Secondary Schools” that emphasized a need to make genocide curriculum materials available including, but not limited to, the Holocaust of WWII, and the genocides in Armenia, Cambodia, Iraq, Rwanda, and Darfur. If the measure is passed by the Senate and signed into law by Governor Gina Raimondo, it would officially empower the Department of Education to require school districts of the state to teach about these important events in history. The requirement would commence with the school year beginning in September 2017.

According to The Genocide Education Project, eleven states require the teaching of the Armenian genocide. Many of these states also require education on the Holocaust as well as other inhumane atrocities.

Adds, Marty Cooper, Community Relations Director of the Jewish Alliance of Greater Rhode Island, when passed the legislation will make Rhode Island the first New England state to require Holocaust and Genocide education in its schools.

“The study of this issue will provide much needed lessons on humanity and civilization. Hopefully, students will learn why it is important for them to not allow genocide [or another Holocaust] to take place and to call for an end of all intentional actions and systematic destruction, in whole or in part, of an ethnic, racial, religious or national group,” says Cooper.

“Although these are not pleasant topics to learn about in school, these events must be studied by our children in order to prevent further similar atrocities from happening in the future, says Kazarian, a fourth-generation Armenian-American. She said, “We should never allow the atrocities of the Armenian Genocide nor any form ethnic cleansing to be repeated.”

Rep. Kazarian noted that her great grandparents had survived the Armenian Genocide that took place between 1915 and 1923. According to the Armenian National Institute in Washington D.C., the genocide resulted in the death of 1.5 million Armenians. It is estimated that close to 2 million Armenians were living in the Ottoman Empire just prior to World War I when the Turkish government subjected its Armenian population to deportation, expropriation, abduction, torture, massacre and starvation.

“My family’s own history involving the Armenian Genocide has shown me that these events in history should never be forgotten and it is important that our children recognize and understand how such terrible events can occur in society, and more importantly, how to stop them from happening,” added Kazarian.

In the other chamber, Senator Gayle Goldin (D-District 03) of Providence has introduced a companion measure in the Rhode Island State Senate. The Senate Committee on Education heard testimony on March 30th and has held the bill for further study.

“As we look across the globe at atrocities committed in Syria and many other regions, and closer to home, where anti-Semitic graffiti appeared at Brown University as recently as March, it is clear how important it is to ensure students can place these actions into a historical context,” says Goldin. “We want to ensure that themes about genocide and the Holocaust are taught in more than an ad hoc manner, but included as part of a comprehensive curriculum. These important historical lessons should be woven into studies in ways that ensure students are gaining the appropriate perspective so that we learn from the past and never again stand idle witness to genocide or the hate and fear that lead to it,” she says.

Goldin continued, “When I was approached by the coalition to introduce this bill, it resonated with me personally. I’m named after my paternal great aunt and uncle, who perished in the Holocaust, along with the majority of my ancestors who died as a result of the pogroms leading up to and during the Holocaust. Those atrocities shaped my family’s identity. As a child, I was taught never to forget. This legislation ensures that children will continue to learn about impact of the Holocaust and genocides in general on our society.”

The lessons of the Holocaust are more relevant than ever before. Today, we see a rise in antisemitism worldwide, including in the lands where the Holocaust happened. Genocide continues to occur even in the wake of the promise of ‘Never Again.'” Bringing this history’s lessons to students is critical as their generation will be tomorrow’s leaders in confronting these challenges,” says Andy Hollinger, Director, communications, of the United States Holocaust Memorial Museum.

Hollinger adds, “The United States Holocaust Memorial Museum offers many free, online resources to educators seeking to bring Holocaust education to their students. (www.ushmm.org/educators) We also offer on-site training programs for educators and encourage Rhode Island educators to utilize these resources.”

As June approaches, Goldin’s companion measure is held for further study, this sometimes being legislative code for “bill will not see the light of day for a vote.” With the increasing incidents of anti-Semitic incidents and hate crimes in Rhode Island, throughout the nation and the world, Senate President M. Teresa Paiva Weed must send a strong signal to all– “Rhode Island says Never Again.” Hatred can proactively be stamped out by education. That’s exactly the intent of Kazarian and Goldin’s legislation.

Prime organizations managing the research and drafting of the legislation the Armenian community, Roman Catholic Diocese of Providence, the Rhode Island Council of Churches, the Community Relations Council of the Jewish Alliance of Greater Rhode Island and the Sandra Bornstein Holocaust Education Center.