Monthly Archives for January 2025

National survey says care for older adults needs urgent rethinking 

Published in RINewsToday on January 27, 2025

With President Trump’s administration beginning and a new Congress poised to rethink, among other issues, Social Security, Medicare and federal aging programs and services, it might be prudent for the president and lawmakers to take a quick glance at the findings of a recently released national survey, “Meeting the Growing Demand for Age-Friendly Care: Health Care at the Crossroads.”

This 52-page national report, was released on Sept. 17, 2024 by Emeryville, California-based Age Wave, a think tank that studies the social, financial, healthcare, and business impacts of aging and The John A. Hartford Foundation (JAHF), a New York based-foundation dedicated to improving care of older adults. The survey was conducted by The Harris Poll, a marking and analytic company tracking public opinion in existence for over sixty years ago.  

According to the U.S. Census Bureau, America’s population of adults over 65 is expected to skyrocket, from 56.1 million in 2020 to 82.1 million by 2050. The enormous  increase in the number of older adults is forcing states, Congress, and the private sector to rethink their approaches to health care, social services, housing and more, to help older adults live well as they age.

As millions of Baby Boomers (born 1946 to 1964) age, living longer than previous generations and seeking ways to maintain wellness and independence to age in place, this nationwide survey shows deep dissatisfaction among older Americans aged 65 and over with health care and services they receive that do not meet their specific needs and preferences. 

Finding Policy Solutions to Maximize “Golden Years”

The national survey reported that four in five older adults (82%) say the U.S. health care system is not prepared for the growing and changing needs of America’s aging population. Just one in 10 (11%) give the health care system an ‘A’ grade. Instead of the status quo, older adults say they want solutions that will maximize their golden years, like interventions that make care more affordable, innovations to reduce or prevent cognitive decline and health care providers who understand what matters most to them when assessing care options.

“Older adults are stuck in a health care system that is not responsive to their goals and preferences. Boomers want health care that maximizes their health and ability to function, and they want their providers to listen to them,” said Terry Fulmer, JAHF’s president, in a Sept. 17 statement announcing the release of the report. “It is not too late to pivot to age-friendly care, which prioritizes the needs and desires of older adults in their care plan. There are many innovative approaches to help older adults live every year to its fullest, not just increase the number of years they live,” she says.

International longevity and aging expert, Ken Dychtwald, founder and CEO of Age Wave, added: “The United States is on the brink of an age wave of unprecedented proportions, and American health care requires a radical and immediate rethink to match our health spans, or being able to live every year to its fullest, to our lifespans.”

Dychtward urged policy and business leaders to prepare for older adults making up a large and growing percentage of the U.S. population. “Everyone knows this day has been coming, but our survey shows that older adults do not like the choices or care currently offered to them. And the fact that although we spend more per capita on health care than any country in the world yet have worse lifespans and health spans is cause for alarm,” he said.

The age 65 and over survey respondents called for America’s health care system to offer “age-friendly care.” Most older adults (94%) say it is more important to maintain quality of life than it is to live as long as possible.

Only three in five older adults with a health care provider (58%) report that their providers currently ask about what matters to them. Though older adults fear Alzheimer’s and dementia more than any other health condition, for example, less than half (40%) say their health care providers routinely evaluate their cognitive health and brain functioning. Similarly, less than half of older adults (45%) say their health care providers evaluate their mental health, and although the ability to walk freely without pain is top of mind for older adults, just 55% say their medical care providers evaluate their mobility and physical fitness. 

The national survey findings indicated that the older respondents say that there are not enough qualified care providers. Nearly all older adults (94%) say that health care providers should be trained on the unique health issues of people 65 or older, but only 10% of medical schools require a rotation in geriatric care, compared to 96% that require a rotation in pediatric care. 

Between 2000 and 2022, the U.S. population of adults aged 65 and older rose 60%, but the number of geriatricians dropped by a whopping 28%. says the report. 

Not surprisingly, the survey findings indicate that health care costs are viewed as “unaffordable” and of a bigger concern to older adults than living expenses, inflation, tax increases and an economic downturn or recession. For instance, just 16% give an ‘A’ grade to satisfaction with their out-of-pocket costs. Older adults are especially concerned with the cost of long-term care, stressing that one of their greatest concerns is not being able to afford future health and long-term care needs (68%), and that the government should prioritize having Medicare cover long-term care (80%).

Differing Views of the Quality of Nursing Home Care

An estimated 36 million Americans have a family member or friend living in a nursing home or memory care facility today, according to the survey. Just 37% of those adults ages 18+ say their family member or friend living in a nursing home or memory care facility receives high-quality care. Only half (50%) say these facilities are the safest place for them.

There must be more coordination between primary care providers and other health care providers. While 52% of Medicare beneficiaries see more than three physicians per year, half of older adults from the survey say their primary care provider does not coordinate their treatment with their other health care providers. The report notes that this may be attributed to the increasing shortage of primary care providers, which makes it less likely for people to have a usual source of primary care or long-term relationship with a primary care provider.

As noted in Primary Care in Rhode Island, in 2024, from 200,000 to 400,000 Rhode Islanders lack access to a primary care provider, resulting in a shortage of 133 to 266 primary care physicians to treat them.

Finally, more than half of older adults (56%) say it is challenging and very stressful to navigate the current health care system, while nearly two in three (62%) say health insurance plans provide too many confusing choices. Research has shown that more than half (55%) mistakenly believe Medicare will cover a long-term stay in a nursing home, the report added.

As the new Congress begins its debate on aging policy, regardless of political party, the national survey reports that their older constituents want public policies enacted that support quality care.  The survey findings indicate that adding long-term care to what Medicare covers is supported by most Republicans (76%), Democrats (84%) and independents or people with other political affiliations (79%). Additionally, there is bipartisan support for improving quality at U.S. nursing homes also earns bipartisan support (Republicans 62% support, Democrats 68% support, independents or people with other political affiliations 65% support). 

“Better federal and state policies can encourage the development of age-friendly health systems, that focus on improving patients’ well-being and quality of life,” predicts JAHF’s Fulmer. “Policies could include new options for affording long-term care insurance and developing a federal strategy to ensure disadvantaged populations are prioritized in a national strategy for age-friendly care,” she says.

Report Offers 5 Key Suggestions to Improve Care to older Americans 

After reviewing all survey findings, JAHF identified five key recommendations to improve health care provided to older adults and to promote healthier, happier aging.

JAHF calls for promoting age-friendly care that can assist the nation’s older adults maintain their health, ability to function, thus maintaining their independence in the community. Pursuing scientific breakthroughs could bring the end to diseases like Alzheimer’s adds JAHF, calling for social isolation must be addressed. 

Assist family caregivers with skill-building tools, policies that allow flexibility in taking paid leave and ensuring care providers coordinate among multiple providers the health care system easier to navigate. 

Finally, JAHF calls for the creation of a ‘national master plan for aging’ that will be focused on meeting the needs of older adults. This plan would identify and address barriers that contribute to inequities, also creating a strategic plan that would provide a roadmap to reform the financing of long-term care, enhance the quality of nursing home care and to create systems to assist people to age in place at home rather than being admitted to acute and congregate settings. 

“We are at a unique crossroads. However, changing America’s health care system to meet older adults’ expectations is possible, practical and could lead to greater health at a far lower cost—and can benefit the government, private enterprise and consumers,” said Dychtwald. “Older adults deserve health care partners who understand what they are going through, have the skills to most effectively support their patients and act on what their customers want,” he says.

The Nuts and Bolts Behind the Study 

The study was conducted by Age Wave on behalf of The John A. Hartford Foundation and in partnership with The Harris Poll. After thorough review of secondary research and through qualitative research with older adults through online focus groups, a  nationally representative online survey was conducted from April 17 to May 9, 2024. Of 5,023 adult (age 18+) respondents, 2,516 were age 65 and older. Data were weighted where necessary to align them with their actual proportions in the population, including by age, gender, race/ethnicity, region, education, household income, size of household, marital status, and political party affiliation. 

Note:  The full report, Meeting the Growing . for Age-Friendly Care: Health Care at the Crossroads, can be found at https://www.johnahartford.org/images/uploads/resources/The_Growing_Demand_for_Age-Friendly_Care_Report_FINAL.pdf.

To watch the “Webinar: What Older Adults Want: Emerging Breakthroughs & Opportunities for Age-Friendly Care, go to https://www.youtube.com/watch?v=ZK6D4-G3KPw.

Senior Fellows Give Time to Non-Profits 

Published in RINewsToday on January 20, 2025

 By Herb Weiss

When a state law was enacted in 2024 allowing families to install monitoring cameras in the nursing home rooms of their loved ones,  Ginny Lee, one of Leadership Rhode Island’s first Senior Fellows, was among those celebrating.

Lee had spent a lot of time button-holing legislators and testifying before House and Senate committees in support of the bill, which is intended to protect nursing home and assisted living residents from physical, verbal and sexual abuse.  

By advocating for passage of the “Grammy cam” surveillance law, Lee was fulfilling the civic commitment she made in 2023 as a member of the inaugural Senior Fellows program, a joint effort of LRI and Age-Friendly RI. 

Empowering older adults to take “an active role in shaping the state’s future” is exactly what James Connell,  Age-Friendly’s executive director, had in mind when he approached LRI’s then-new Executive Director, Michelle Carr,to create the Senior Fellows program.

Though Lee was among the Senior Fellows who successfully fulfilled their commitments to improve the lives of older Rhode Islanders, some Fellows in the first cohort struggled to find a way to make good on their respective pledges.    

Feedback from the pilot program indicated that more structure would help participants carry out their civic commitments, says Lyanh Ramirez, LRI’s development manager.

That’s why the 2024 Senior Fellows program offered participants the option of  volunteering with a community organizationalready engaged in age-friendly issues and activities.          

The goal was to connect participants “to the causes and efforts they were passionate about,” Ramirez says. “There are so many wonderful initiatives already happening that we didn’t want to duplicate efforts.”                 

Participants, ranging in age from 62 to 86, attended eight sessions in May and June during which they discussed the needs and challenges of the state’s older population and many other topics.

 Of the 28 participants, five are LRI alumni:  Ray Pouliot, Barry Couto, Jodi Glass, Patricia Raskin, and Patty Cotoia.        

Intergenerational communication was the focus of one session in which LRI alumni from different generations joined a discussion on ageism.  Other sessions dealt with the value of knowing one’s strengths, and legislative activity related to healthy aging.

Participants also heard directly from each of the nine partner organizations that had agreed to work with one or more of the newly minted Senior Fellows until the end of the year.

Partner organizations included the Rhode Island affiliates of Age Friendly, the AARP,  Meals on Wheels, PACE, the Senior Agenda Coalition,  the Village Common and the United Way, along with the state Department of Health and the Coventry Human Services/Resource & Senior Center.

  Here’s a sampling of what some of the Senior Fellows accomplished:  

Five Senior Fellows are contributing in different ways to the state Health Department’s efforts to make quality-of -life-improvements for those with Alzheimer’s Disease and Related Disorders (ADRD).

 “They’ve all been very active,” says Victoria O’Connor, chair of the statewide ADRD Advisory Council that developed a five-year plan of  strategies and activities to support those with dementia and their caretakers.

 Joe McCarthy came up with the idea of finding out what other states are doing to address ADRD issues and to compare their plans with Rhode Island’s current five-year plan.  

Two others, Brian Grossguth and Roland Moussally, did some “boots-on-the-ground” research. Grossguth visited two senior centers to get a sense for what resources are needed to better serve those with dementia; Moussally met with members of a group in Pawtucket to learn how they are incorporating the needs of residents with dementia in Pawtucket’s Age-Friendly action plan.

 Meanwhile, Kathy Trier and Gary Avigne have contributed research to guide a new mini-grant program to support community initiatives for those with dementia.

 They researched other grant applications for similar amounts of funding – less than $5,000 – to inform the development of the ADRD application. Trier and Avigne also assisted in the creation of a scoring matrix to compare the responses of applicants.  

The five Senior Fellows presented their findings at the November meeting of the ADRD Advisory Council, the group that oversees progress in implementing the strategies in the 2024-2029 State plan.                  

Five other Senior Fellows volunteered at the AARP.  Four  focused on efforts to make communities age-friendly.              

 “It’s important for everyone to have a safe place to walk, ride a bike, or even push a baby carriage,” explains Ray Pouliot, 77, retired East Greenwich school teacher.       

The first hurdle for joining the AARP Network of Age-Friendly States and Communities is getting a commitment from local officials. 

 At the start of his work with AARP,  Pouliot noted that being a resident of East Providence “and personally knowing the mayor might help get this initiative up and running.”

He was right. In October,  Pouliot, Deborah Perry, also from East Providence, and a small AARP delegation, met with Mayor Roberto L. DaSilva to explain what it takes to become an Age-Friendly city.

 The mayor agreed on-the-spot to support the effort. Pouliot and Perry get “full credit” for the success, says Matt Netto, AARP’s associate state director for outreach and advocacy.

 Mary Ann Shallcross Smith, a state representative and President of Dr. Day Care Learning Centers, chose to concentrate on sidewalk improvement efforts because “all the phone calls I get from many people in my hometown of Lincoln” are about sidewalks.

Shallcross Smith says working on the AARP initiative complements her legislative interests to ensure sidewalk safety. She introduced a bill in the 2024 legislative session  to maintain sidewalks and curbs along the state’s highways. The bill didn’t make it, but she intends to re-introduce a revised version in 2025.

“If there are no holes or cracks in sidewalks it will enable people who want to take a walk,” says Shallcross Smith.  “It’s free exercise!”

She and Netto of the AARP also plan to approach Town Administrator Philip G. Gould soon to urge that Lincoln consider joining the AARP Network of Age-Friendly States and Communities.

Senior Fellow Perry, 62, president and CEO of the YWCA, says she opted for the Livable Communities program “because it resonates with me.”  She once worked as a municipal planner.Perry, who expects to retire in August, 2025, says she will conduct  a sidewalk audit in a Providence neighborhood to fulfill her Senior Fellow pledge. After retiring, she hopes to have time to get involved in East Providence’s Age-Friendly program.

In October, Senior Fellow Janis Solomon, who retired in 2008 after 43 years as a professor of German Studies at Connecticut College, joined a sizable group of Rhode Islanders learning how to conduct a sidewalk audit. She will audit streets in a neighborhood in Providence.      

A fifth Senior Fellow, Vince Burks, 64, former communications director at Amica Insurance Company, chose to volunteer for the AARP’s public speaker’s bureau. ”I have experience with public speaking and public affairs, so I felt this would be a good fit,” he says.

The Senior Fellows program is offered tuition-free. Carolyn Belisle, vice president of Corporate Social Responsibility at Blue Cross and Blue Shield of Rhode Island, says she was thrilled to join Age Friendly as a sponsor of the innovative program.

From Detroit to Pawtucket, and back again: The journey of a WWII footlocker

Published on January 13, 2025 in RINewsToday

“There and Back Again.” originating from J.R.R. Tolkien’s The Hobbit, is an expression that means a complete round trip to a place, including the journey back to where you started.

The journey of my late-father’s military olive-green footlocker began last June, after I was notified by a Detroit couple, Michael Shannon and his girlfriend Cetaura Bell, that it had been found cast away on a sidewalk for anyone to claim. The long-lost trunk that I never knew existed, had been stored in a vacant garage for over 60 years, ultimately ended up on my front steps, delivered almost 700 miles by FEDEX from Detroit to Pawtucket.  

Shannon, a 55-year-old retiree of Detroit’s wastewater facility, and Bell, a retired teacher, didn’t have to seek me out to return the footlocker to the family. They could have just kept the vintage military footlocker for use as a coffee table, or could have sold it at a flea market or on eBay.

But they offered to give me my father’s footlocker, as a gift, asking me for nothing in exchange. Shannon told me that he was just glad it could end up with the family of its rightful owner instead of being dumped in a landfill or another stranger’s home.

After the footlocker arrived, I closely examined a faded mailing label on its top.  By enlarging the label, filled out by my father, Lt. Frank M. Weiss, with Photoshop, my graphic designer was able to identify his  Detroit mailing address, 16841 Wildemere Avenue,  (which matched the address in his military records) on the label.  It was like winning a million-dollar lottery. Now I was convinced that this trunk was owned by my father.   

The footlocker, meantime, sat in my basement. Although it was empty when it arrived, I placed a folded American flag, given to my family at my father’s funeral, his military memorabilia, scrapbook of faded photos of his comrades in arms and assigned military bases from his long-ago days during WW II, and military documents for safe keeping.

What a story to share?  

In a crazy world where people don’t care about strangers, but an act of kindness returned a WWII veteran’s lost military footlocker to a family member.  My article, published here, and in the Blackstone Valley Call & Times, detailing Shannon and Bell’s kindness, was picked up by the Cranston Herald, Warwick Beacon, Senior Digest, and then later by Columnist Neal Rubin, of the Detroit Free Press, a Gannet publication, in both their digital and print editions. Then other Gannet papers, including the Providence Journal, the Cincinnati paper and the Indy Star, reprinted Rubin’s column. Perhaps the biggest connection, though, was made Military Reporter, Corey Dickstein, with Stars & Stripes – the US military’s independent news source with a circulation of over 1 million readers, reported on this story.

There and Back Again

After a talk at the Hope Historical Society (HHS) about my father’s footlocker’s return to Rhode Island from a street curb in Detroit (a most appropriate topic for a monthly meeting scheduled around Veterans Day), Fred Faria, a retired professor at Johnson & Wales and one of HHS’s founders, asked me how this footlocker would be protected after my passing away.  Being over age 70, this question induced me to act.

So, I reached out to the Washington, DC-based Smithsonian Institution’s’ National Museum of American History, offering to donate this military heirloom with a unique background story. 

“The footlocker indeed has a wonderful story but at present time this item is outside the scope of our current collecting plan. Might I recommend your state history museum or the National WW II Museum [in New Orleans] as worthy homes for this piece?” said Frank A. Blazich, Jr., PhD., Curator, Military History, Division of Military and Society, responding to my offer.   

Following up Blazich’s referral, this is a response off the New Orleans-based Museum. “We would be happy to have the contents of the footlocker for our collection; however, due to the number of footlockers that we already have and the size of these items, we are not able to accept the footlocker itself,” said Assistant Curator Brandon Daake, Assistant Curator.

 “If you are interested in keeping the footlocker and its contents together to tell one story, I would suggest reaching out to the Michigan’s Military Heritage Museum (MMHM), or another museum in the Detroit area,” suggested Daake, recognizing the fact that my father was a Detroit WW II veteran.

And that I did…

Small military museum takes possession of military footlocker 

After several phone calls, a conversation with Scott Gerych, MMHM’s Chairman, the deal was quickly sealed.  My father’s military footlocker, with its Detroit, Michigan ties, would return to Michigan to become a unique addition to their growing collection of military artifacts.  

In a message left on my Apple iPhone, Gerych, a 25-year veteran who served in the U.S. Army and a noted author, said: I am just dropping a line to say how neat it was to receive your father’s trunk with items from his service in WWII. What a joy! To have it go from Detroit to Rhode Island and now back to Michigan is certainly a great story to tell and to ultimately have it reunited with the items your dad saved from his wartime service is just awesome!”

“We are proud to have received it and will be getting it, all cataloged so we can eventually work it into an exhibit here at the MMHM. We love to see these stories saved and get them out on the public eye for all who are interested to see. Once again, thank you for thinking of us here at the museum,” said Gerych.

From its first home, at the Coe House Museum in Grass Lake, MMHM set up a one-room display showcasing uniforms and original artifacts of veterans highlighting their military service.   

With a growing reputation and growing number of supporters and donations of historical military items, MMHM found a larger home, a 3,300-sf building in Grass Lake. After its five-year lease ran out, the small military museum found new location near the site of Camp Blair, a former 11-acre Civil War Union camp in Jackson. The military camp was an assembly point for  new recruits and a discharging station for soldiers after the war’s end.

The collection of military artifacts grew and in 2021, the 3,600-former store-front in Jackson, Michigan, MMMH, opened its doors (now open half days, four days a week or by appointment.). This permanent location would allow MMHM to showcase thousands of military artifacts and large military vehicles,  including  three military jeeps, a Spanish-American War ambulance wagon,  a WWI Model T ambulance, a replica of a M3 Lee tank and even four cannons.  Specifically: a 1831 6lb cannon from the Mexican War and then used by the Confederates in the Civil War; a WWII German Pak 40, a standard antitank gun; and a WWI US M1905 gun.

Getting MMHM Off the Ground

The idea of starting a Michigan military museum started off with questions posed to a small group of friends who later helped to establish the MMHM.  That is, “what happens to all these individual collections when we are gone?”  Most of the original group were collectors of some type of militaria and all were interested in seeing the stories preserved.

That question was asked in 2013 and their idea would be answered by filing articles of incorporation with the state and later establishing a 501 C 3 nonprofit corporation in 2016.

As the group grew, meetings were held, partnerships created with the local historic society.   After Liam Collins, who was knowledgeable about Michigan history and archaeology and an original member of the group passed away, the group not only preserved the memory of Liam by sharing the stories of the state’s veterans.

According to the nonprofit military museum, its mission is to tell the stories of “Great Lake State” military veterans through interpretive displays of artifacts, pictures, and written and oral histories.  “Our state has currently two aviation museums and a museum dedicated to Medal of Honor Recipients and Astronauts,” says Gerych but nothing for the average service member who sacrificed and endured so much for our freedoms. We will be that institution,” he says.

The museum served as the headquarters for Michigan’s World War I Centennial. During 2019 and 2020, the museum participated in the 75th Anniversary of the end of  WW II.  

The nonprofit’s Board members, all extremely interested in Michigan’s military history brings different skills to the table, says Gerych, noting that one has a master’s  degree in history and museum studies, another is an archivist who has decades of experience, as well as a Distinguished Fellow in the Company of Military Historians. “No one is paid,” he adds, saying that all are actively involved because of their love for history.

Gerych estimates that 5,000 to 8,000 visitors come to see the museums exhibits and learn about the personal history of everyday veterans.  “Our records indicate that these visitors come from more than 30 countries and all 50 states,” he says.

From Detroit to Pawtucket and back again. Now my family’s military heirloom has truly come home to become part of the MMHM’s growing military artifact collection.

Watch a JTV television commercial advertising MMHM. Go to https://www.facebook.com/watch/?v=1079607069959492

For more information about the MMHM, 331 N. Wisner, Jackson, MI 49202, call  (517) 926-6696.  Or email mmhminfo2020@gmail.com.