Study Shows Meal Deliveries Positively Benefit Seniors

Published in Woonsocket Call on March 22, 2015

In 2013, Dr. Kali Thomas, an assistant professor at Brown University’s Center for Gerontology and Healthcare Research, published a study that found home delivered meals can keep persons age 60 and older at home, allowing them to age in place.  The study’s data also indicated that some states would experience cost savings if they expanded meals on wheels because that could delay a Medicaid recipient’s entry into costly nursing home care.

The “More Than a Meal” pilot research study, conducted by Thomas, was released on March 2, 2015 the Alexandria, Virginia-based Meals on Wheels America, the oldest and largest national group representing over 5,000 community-based senior nutrition programs. The gerontologist found benefits far beyond basic nutrition identified by her earlier 2013 study — health and psychological benefits, too, particularly for those seniors who live alone.

Details of Groundbreaking Research Study

Thomas, contracted by Meals on Wheels America with funding provided by AARP Foundation, designed and executed the 15-week pilot study, involving over 600 older participants, in eight sites around the country, including the Ocean State.  Study participants either received personally delivered fresh meals daily, or weekly bulk deliveries of frozen meals, or just simply remained on a waiting list.

The Brown University researcher found those living alone who received meals showed statistically significant reductions in feelings of isolation, an effect that was greater if they received meals daily rather than weekly.  They also felt significantly less lonely, were less worried about staying in their homes, and said they felt safer. Those also receiving meals experienced fewer falls and hospitalizations.

Thomas said that based on her personal experience as a driver for Meals on Wheels of Rhode Island and as the family member of a meals recipient (her 98-year old grandmother), she was not at all surprised to see the positive benefits she observed anecdotally emerge as significant in a rigorous research study.

Elle Hollander, President and CEO on Wheels America, notes that her members have “faced tough choices forced by limited funding, rising costs, unprecedented demand and need, and increasingly for-profit competition.”  Hollander says, “We now have the research-backed evidence that confirms what we’ve all know for decades anecdotally through personal experience: that Meals on Wheels does in fact deliver so much more than just a meal.”

AARP State Director Kathleen Connell agrees.  “It really has been no secret that home-delivered meals are a critical for the older population, as well as the disabled. With  Kali Thomas’s earlier Brown data released in 2012 in our award-winning senior hunger documentary Hungry in the West End, the newest research reinforces what Thomas said in film: the nutritional benefits and relief from food preparation allows people to live in their homes longer and to stay healthier. And so, there are long term healthcare benefits as well as savings to the state if the investment in home-delivered meals delays someone’s transition from independence or home-based care into a Medicaid-supported nursing facility.”

A Call for More State Funding

Heather Amaral, Executive Director of Meals on Wheels of Rhode Island agrees with the benefits of visiting volunteers to the recipients, but stressing that the volunteer benefits, too, from the bond that develops. “There are many studies that show volunteering is good for your health and spirit, she says.

Amaral expresses pride that Rhode Island was selected as one of eight pilot sites in the study.  “This study proves what we’ve observed through the years—Meals on Wheels deliveries keeps people out of nursing homes and in their own homes longer,” she says.

According to Amaral, in 2014 Meals on Wheels of Rhode Island’s Home Delivered Meals program provided 316,524 meals to 2,298 individuals.  Over the years she has seen federal funding remain stagnant, while state funding has declined.  Last year’s budget allocated $200,000 to Meals on Wheels, down from $530,000 that was allocated by the General Assembly in 2006.   But, Governor Raimondo’s submitted budget does reinstate $ 330,000 more in funding, if approved by the Rhode Island General Assembly, she says.

Clearly, Governor Gina Raimondo recognizes the importance of Meals on Wheels as she begins to reshape Rhode Island’s long-term care continuum.  The Governor states, “Programs like Meals on Wheels are important investments. These programs are one of the strategies in our toolbox to keep people healthy and in their own homes. Particularly as we work to reinvent Medicaid to support better health outcomes and provide better value to taxpayers, we will continue to support programs like Meals on Wheels that help our most vulnerable seniors stay in their homes and in the community.”

The Rhode Island General Assembly must not be penny-wise and pound foolish.  Support the Governor’s budget to ratchet up funding for Meals on Wheels.  It is a sound policy move to put the breaks to spiraling Medicaid costs, by making the system more efficient and rooting out fraud and waste.   We must balance the State’s limited budget funds to keep older Rhode Islanders at home as long as possible.  But, if nursing home care is need, the Rhode Island General Assembly must allocate the necessary Medicaid funding to provide efficiently delivered quality of care.

Herb Weiss, LRI ’12 is a Pawtucket-based writer who covers aging, health care and medical issues.  He can be reached at hweissri@aol.com.

 

Rhode Island Can Hold Its Own When It Comes to Music

Published in Woonsocket Call, on March 15, 2015

New York, L.A. and Nashville have long been considered the music capitals of the United States. Now, with the Rhode Island Music Hall of Fame gearing up for its fourth annual induction season, Little Rhody is poised to prove it has the right combination of musical talent to hold its own against these highly regarded music communities.

Next month, trombonist/composer George Masso and 12 others join an elite group of Rhode Island musicians: those who have been recognized not only for their major impact on Rhode Island’s music scene but also on the national stage. Cranston native Masso, along with the other new inductees, will be enshrined by the Rhode Island Music Hall of Fame (RIMHOF) at this year’s induction ceremonies and concert events. Every year the Pawtucket-based nonprofit, formed in 2011, celebrates, honors, and preserves the legacy of Ocean State musicians, educators, and industry professionals.

Rick Bellaire, RIMHOF Vice Chair and Archive director, says it was an easy choice to recognize the 88-year-old musician. “During his illustrious career, George has excelled in just about every area of the music business – trombonist, composer, pianist, recording artist, arranger and educator,” adding that the George played with many of the national big bands in the 1940s and ‘50s and has toured and recorded as a sideman with some of our greatest jazz legends including Benny Goodman, Bobby Hackett and The World’s Greatest Jazz Band.

According to Bellaire, Masso has also released more than a dozen albums as a leader which feature many of his own compositions. “He also taught music in the Cranston public schools for eleven years and another eight years at the University of Connecticut mentoring some of our finest musicians including RIMHOF inductees,” says Bellaire.

George Masso will be inducted into RIMHOF along with Mark Cutler and his bands, The Schemers and Raindogs; Brenda Bennett, Nelson Eddy, George Wein, Duke Belaire, Paco Zimmer; Georgie Porgie & The Cry Babies, The Others and The Ascots (recognizing the great Rhode Island garage bands of the ‘60s); and Bob Petteruti, Marty Ballou and Marty Richards (in the new “MVP sideman award” category).

“This year, we will be honored to have some of the most senior inductees with us,” he continued, “all of whom are still active participants on the music scene, including Mr. Masso, drummer/band leader Duke Belaire (83) and bassist/educator Bob Petteruti (85).”

The Music Hall of Fame initiative,” says Bellaire, “provides a great opportunity to not only acknowledge Rhode Island’s musical greats and celebrate their achievements, but to finally have an organization whose primary goal is to promote and preserve Rhode Island’s rich musical heritage in all its forms. With actual exhibit space, coupled with our online archive, we have in place the tools to curate and showcase the best of Rhode Island’s musical artistry.”

Adds Robert Billington, Chair of RIMHOF noted, “This year’s class of inductees is especially amazing due to the variety of music styles and musical periods that we are recognizing. The thousand Saturday nights that these musicians spent on the road throughout their careers will be recognized this April as their colleagues throughout Rhode Island stand to applaud their successes.”

“Our Induction ceremony in April has become the place for a ‘who’s who’ in Rhode Island music. The Rhode Island Music Hall of Fame Induction Ceremony and Concert is the place to be and be seen at as we continue to showcase the history of Rhode Island’s musical heroes,” says Billington.

This year, Bellaire said, there will be two induction events, and 11 more displays will be unveiled to celebrate inductees. Eventually, the museum will have more than 100 displays as well as memorabilia and interactive components.

The 2015 induction ceremonies will take place on two days, April 20 and April 26, at two separate locations.

The jazz inductions will take place on Monday, April 20, 7:00 p.m. at Bovi’s Tavern, 287 Taunton Avenue, East Providence, before the weekly performance by the Bovi’s big band, the John Allmark Orchestra. Being honored on that day will be George Masso, Bob Petteruti and Duke Belaire, the founder of the Bovi’s band.

The Induction Ceremony and Concert is set for Sunday, April 26, 2:00 p.m. at The Met and Hall of Fame itself, both located within the Hope Artiste Village complex, 999 Main St., Pawtucket, RI. Sunday’s afternoon event will include the unveiling of nine new exhibits as well as performances by The Schemers and Raindogs, Brenda Bennett, The Ascots, The Others, and an all-star jam session led by two of this year’s MVP sideman award winners, Marty Ballou and Marty Richards. Sunday’s concert will be preceded by the unveiling of eleven new 2015 inductee exhibits.

Tickets for the April 26 event at The Met are $20.00 in advance and $25.00 at the door. The 2 p.m. unveiling of the inductee exhibits is free and open to the public; a ticket will be required for entrance to the 3 p.m. concert in The Met. Information regarding the April 20 event and tickets for April 26 can be found at www.rhodeislandmusichalloffame.com.

All proceeds from RIMHOF’s annual induction events go toward creating the museum displays, acquiring recordings and memorabilia, and digitizing that collection for permanent online access for future generations. All organizational work has been donated by members of the Board Of Directors and a staff of volunteers.

For general information regarding the Rhode Island Music Hall of Fame, contact Dr. Robert Billington at 401-724-2200 or at bvri@aol.com.

Herb Weiss LRI ’12 is a Pawtucket-based writer who covers aging, health care and medical issues.  He can be reached at hweissri@aol.com.

Protecting Retirement Savings Should Be a Priority

Published on March 7, 2015 in the Pawtucket Times

Last month, President Obama used his presidential bully pulpit to publicly support a proposed U.S. Department of Labor (DOL) rule, endorsed by a coalition of aging, labor and consumer groups, that reportedly limits conflicts of interest, increases accountability, and strengthens protection for Americans receiving retirement investment advice.

At the February 23 press conference held at the Washington, D.C.-based AARP headquarters, attended by Obama, Save Our Retirement Coalition members and lawmakers, the President called for the issuing of the proposed rule, still awaiting Office of Management and Budget (OMB) review and final DOL action. The updating of DOL rules and requirements would require higher standards for financial advisors, requiring them to act solely in their client’s best interest when giving financial advice, said Obama.

The Save Our Retirement Coalition says that the final rule is “needed to help protect Americans’ hard earned retirement savings from advisers who recommend investments based on their own interest – such as those that pay generous commissions – not because they serve their clients’ best interest.”

Existing Rules Outdated

In his remarks at AARP, Obama called the rules governing retirement investments written over 40 years ago “outdated,” filled with “legal loopholes,” and just “fine print,” needing an overhaul.  The existing rules governing retirement investments were written “at a time when most workers with a retirement plan had traditional pensions, and IRAs were brand new, and 401ks didn’t even exist,” the President explained.

At the event, Secretary of Labor Thomas E. Perez., claimed that his agency has substantially reached out to “a wide range of stakeholders,” to craft the proposed rule that was sent to OMB.  “The input we have received to date has been invaluable, but we’re not even close to being done. We have a lot more listening to do, and once the Notice of Proposed Rule Making is published in the coming months, I look forward to hearing from as many stakeholders as I can. We’re going to get this right, because the strength of the middle class depends on a secure retirement,” he says.

“We know the people we represent have worked hard to save for retirement, and we believe that they deserve to have financial advisers who work just as hard to protect what they’ve earned,” said AARP CEO Jo Ann Jenkins, in her remarks.  AARP is a member of the Save Our Retirement Coalition.

“AARP, a major consumer advocate, has been fought for this consumer regulation for over five years to ensure that Americans of all ages get the best financial advice when planning for their retirement,” says Jenkins. “Recently AARP also found that 9 out of 10 employers who sponsor retirement savings plans support holding advice to such a ‘best interest’ standard,” she adds. .

“In today’s world, it’s hard enough to save for retirement and achieve your financial goals” added Jenkins. “We don’t need to make it more difficult by allowing some on Wall Street to take advantage of hard-working Americans. Bad financial advice is just wrong,” she says.

According to Save Our Retirement Coalition, “the need for the proposed rule was made starkly apparent in a White House report released showing that conflicts of interest are costing middle class families and billions of dollars annually. The 30 page report, released last month, details the current regulatory environment for financial planners, providing evidence on the negative financial impact of conflicted professional investment advice draining older American’s retirement saving accounts.

The White House report, issued by Council of Economic Advisors, cited evidence pulled from the literature, showing that “conflicted advice reduces investment returns by roughly 1 percentage point for savers receiving that advice” The report also found that “a retiree who receives conflicted advice when rolling over a 401 (k) balance to an IRA at retirement will lose an estimated 12 percent of the value of his or her savings if drawn down over 30 years.  For those receiving conflicted advice “takes withdrawals at the rate possible absent conflicted advice, his or her savings would run out more than 5 years earlier.”

Holding Wall Street Accountable

“Many investment professionals do what’s right,” said AARP Rhode Island State Director Kathleen Connell. ”But loopholes in the law are allowing some on Wall Street  to take advantage of hard-working Americans, recommending investments with higher fees, riskier investments, and lower returns to make even higher profits for themselves. Last year alone, hidden fees, unfair risk and bad investment advice robbed Americans of as much as $17 billion,” she states.

“AARP agrees that financial professionals of all types serve a valuable role in building the wealth and security of the investing public,” added Connell. “We simply want to achieve some consistency in the standards across the industry. Here is Rhode Island, many retirees are very concerned about their investment savings and they deserve protection. Our position is that retirement accounts managed by a broker should receive the same protections as regular investment accounts held with an advisor,” she says.

“Rhode Islanders have who have worked hard for their money and deserve a new standard that holds Wall Street genuinely accountable for helping them choose the best investments for themselves, their family and their future,” she adds.

Security Trade Group Concern

             The Securities Industry and Financial Markets Association (SIFMA), a trade group representing securities firms, banks and asset management companies, is waiting to see the details of the proposed rule.  SIFMA CEO Kenneth E. Bentsen, Jr., stated: “While we cannot comment on a proposal we have not yet seen, we have ongoing concerns that the DOL regulation could adversely affect retirement savers, particularly middle class workers.  The new regulation could limit investor choice, cause inconsistencies as different regulators would apply different standards to the same regulatory accounts, prohibit guidance, and raise the costs of savings for retirement.”

But, both Obama and the Save Our Retirement Coalition strongly disagree with SIFMA’s assessment of the potential impact of DOL’s proposed rule, which has not yet been issued and is ultimately subject to change after the public comment period.

A large majority of financial planners put their clients first when giving them investment advice. But, as you know a few bad apples can truly spoil the barrel.  If trade groups representing financial planners fail to act to rein in financial planners who give conflicted advice to pad their pockets, than federal regulations can quickly do that job by applying “simple, commonsense standards.”

It makes practical and political sense to me.

Here is a linked to President Obama’s comments at the AARP Press Conference: http://www.whitehouse.gov/photos-and-video/video/2015/02/23/president-obama-speaks-aarp.

Herb Weiss, LRI ’12 is a Pawtucket-based writer who covers aging, health care and medical issues.  He can be reached at hweissri@aol.com . Or call 401/ 742-5372.