Survey: Older Americans Puzzled About LTC Programs and Services

Published in Woonsocket Call on July 19, 2015

Planning for your golden years is key to aging gracefully.  But, according to a new national survey looking at experiences and attitudes, most Aging Boomers and seniors do not feel prepared for planning or financing their long-term care for themselves or even their loved ones.

This Associated Press (AP)-NORC (NORC) Center for Public Affairs Research study, funded by The SCAN Foundation, explores a myriad of aging issues, including person-centered care experiences and the special challenges faced by the sandwich generation.  These middle-aged adults juggle their time and stretching their dollars by providing care to their parents, even grandparents while also financially assisting their adult children and grandchildren.

Older American’s Understanding of LTC

This 21 page survey report, released on July 9th, is the third in an annual series of studies of Americans age 40 and older, examines older Americans understanding of long-term care, their perceptions and misperceptions regarding the cost and likelihood of requiring long-term care services, and their attitudes and behaviors regarding planning for possible future care needs.

The survey’s findings say that 12 percent of Americans age 40 to 54 provide both financial support for their children and ongoing living assistance to other loved ones.   Federal programs are often times confusing to these individuals, too.   More than 25 percent are unsure whether Medicare pays for ongoing living assistance services like nursing homes and home health aides. About 1 in 4 older Americans also overestimate private health insurance coverage of nursing home care.

Researchers noted that about half of the respondents believe that a family member or close friend will need ongoing living assistance within the next five years. Of those who anticipate this need, 7 out of 10 reports they do not feel very prepared to provide care, they note.

More than three-quarters of those surveyed age 40 or older who are either receiving or providing ongoing living assistance indicate that their care includes at least one component of “person-centered care.”  This approach allows individuals to take control of their own care by specifying preferences and outlining goals that will approve their quality of life.

The survey also finds that most of those reporting believe that features of “person-centered care” have improved the quality of care

Paying for Costly LTC Services

The 2015 survey findings are consistent with AP-NORC survey findings from previous years, that is older Americans continue to lack confidence in their ability to pay the costs of ongoing living assistance.  Medium annual costs for nursing homes are $91,260; the cost for at-home health is about half that amount, $45,760, says the report.

Finally, only a third of the survey respondents say that they have set aside money for their care. More than half report doing little or no planning at all for their own ongoing living assistance needs in their later years.

“The three surveys on long-term care [by AP-NORC] are helping us create a comprehensive picture of what Americans 40 and older understand about the potential need for these critically important services,” said Director Trevor Tompson, at the AP-NORC Center in a statement. “Experts estimate that 7 in 10 Americans who reach the age of 65 will need some form of long-term care, and our findings show that many Americans are unprepared for this reality,” he says.

Dr. Bruce Chernof, President and CEO of The SCAN Foundation, says that the 2015 study takes a look at public perception regarding long-term care and most importantly, how people can plan for future long-term care needs.  “The insight provided by this research is critical because it will help us promote affordable health care and support for daily living, which are essential to aging with dignity and independence.” he says.

AP-NORC’s 2015 study results are validated by other national research studies, says AARP Rhode Island State Director Kathleen Connell.    “AARP’s research, both nationally and state by state, reveals that people in the 50+ population are concerned about the cost of retirement and especially long-term care,” she says, observing that “very few people seem worry free on this question and rightfully so.”

 Beginning the Planning Process

Connell adds, “I would say our response to this survey is that it adds to the awareness that people need to start thinking about this at an earlier age. And that means not only focusing on saving but also getting serious about health and fitness.”

What can a person do to better prepare for paying for costly long-term care and community based services?   “AARP.org has an abundance of information on long-term care. There’s advice on long-term care insurance, a long-term care cost calculator and many other resources. We also need to remain strong as advocates for programs that support seniors. Social Security, Medicare and Medicaid need to remain strong in order to support Americans entering the most vulnerable chapters of their lives,” she says.

Amy Mendoza, spokesperson for the American Health Care Association (AHCA), a Washington, DC-based trade association that represents over 12,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and development disabilities, calls for increased conversations to help planning for potential future need.  “Given that the need for long-term or post-acute care is a life changing event, it demands some considerable thought, discussion and research,” says Mendoza.

“AHCA’s “Care Conversations” program helps individuals have the honest and productive discussions needed to plan and prepare for the future long-term care needs,” adds Mendoza.  Care Conversations has a Planning Tools page on its website which provides information on advance directives. Learn more at: http://careconversations.org/planning-tools.

Todd Whatley, a certified elder law attorney, notes that some of his best clients are middle age adults who after taking care of their parents want to avoid costly nursing home or community based care services.  “They are then suddenly very interested in some type of [insurance] coverage for the extraordinary expense of long term care when a year earlier, they had no interest whatsoever,” he says.

Whatley, President-Elect of the Tuscan, Arizona-based National Elder Law Foundation, suggests contacting a financial planner or Certified Elder Law Attorney when purchasing long term care insurance, “Get early advice from someone with their best interest at heart.  There are many times that a person simply doesn’t need this product financially, but most people do.

To locate a Certified Elder Law Attorney, contact Lori Barbee, Executive Director, National Elder Law Foundation.  She can be reached at 520-881-1076 or by email: Lori@nelf.org.

For a copy of the study, go to http://www.longtermcarepoll.org/Pages/Polls/long-term-care-2015.aspx.

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

 

 

David Barber Dies at 60. the Face of “Straight from the Gavel”

 

Published in Woonsocket Call on July 12, 2015

David Barber, an award-winning broadcaster veteran with extensive experience in talk radio programming, radio and TV sales management, television programming and commercial production and ad agency and public relations expertise, died on July 4, 2015.  He was 60.

On a trip to Flint Michigan to attend a friend’s wedding, Mr. Barber died, Saturday, July 4, from a stroke and heart attack he had on Thursday, June 25, says his brother Larry Barber.  The family is planning to hold a memorial service in Rhode Island and will announce the specifics shortly, he says.

He grew up in Flint, Michigan, graduated from Mount Morris High School  and received his bachelor’s degree in business from Central Michigan University in Mt. Pleasant, Michigan.

A Watch Dog for the Public

The Flint Michigan native, a seasoned award-winning radio broadcaster on WTRX-AM (1130), WTAC (600), and WFDF (910) radio stations, became the watch dog for his listeners in his hometown and the surrounding area, using his microphone to protect the public interest.  Known as an outspoken and controversial and opinionated talk show host, Mr. Barber’s listeners regularly tuned into to see him taking on some of the biggest political heavy weights and corrupt elected officials in Michigan.

In 2006, recognizing the need to move up in his radio career, Mr. Barber took a professional risk relocating to Providence, Rhode Island radio market, taking the helm of  WPRO’s daily talk radio show, from 9:00 a.m. to Noon, the time slot formerly held by Steve Kass.  After a year, even after getting an excellent rating on his first job performance review, Mr. Barber was suddenly let go, when John DePetro, a former WHJJ radio host left his job in Boston and was hired by the station.   During his brief hiatus for WPRO, as a talk radio host he brought his liberal blue-collar views to New York-abased Air America Radio Network , specializing in progressive talk programming.

Mr. Barber made Talker’s Magazine’s Heavy 100, listing of the nation’s talk show hosts, getting this prestigious designation three times. His show was selected along with the likes of Rush Limbaugh, Sean Hannity, Don Imus, Dr. Laura Schlessinger and others.

Bringing the General Assembly to the People

Ultimately, when hired by the Rhode Island General Assembly’s Capitol Television in 2008, Mr. Barber traded in his WPRO radio mic for a hand-held mic on a state cable channel. .

As Capitol Television host, as the only on-air person, Mr. Barber interviewed the state’s elected and government officials and even cultural icons.  With experience gleaned from being a talk show host in the Flint/Twin Cities radio market, at WEYI Television NBC, he easily brought the mysteries of political sausage making (that is the political process) to the tens of thousands of viewers who tuned into “Straight from the Gave,” a half hour sit down segment with state legislators.  He was never happier being in a job surrounded by politics 24/7.

According to Capitol Television, considered Rhode Island’s C Span, it is estimated that Mr. Barber hosted 390 episodes of “Straight from the Gavel, and about 600 Capitol Spotlights, a five-minute stand-up segment with members of the state’s General Assembly.

As a Trustee of Slater Mill, Mr. Barber, considered by many to be a marketing wiz with his skills honed at Davison, Michigan-based Parr Media Advertising, brought the nuts and bolts of media and public affairs to America’s most historic mill.  Mr. Barber also served on the Board of Directors of the Salvation Army in Pawtucket and did charitable work for the Boys and Girls Club of Pawtucket.  Before relocating to the Ocean State from Michigan, he served on the Board of Directors of the American Lung Association and hosted television telethon’s for the Easter Seals Society, the American Diabetes Association, United Way and Big Brothers and Sister, among a few.

An entertainer at heart, Mr. Barber, an avid Frank Sinatra fan, would take any opportunity to sing the songs of  Sinatra, one of the nation’s best selling musical artist of all time.  On many occasions, he sang at Millonzi’s Bar and Grille in West Warwick and other local lounges, even taking the opportunity to sing with the legendary Cowsills, in Pawtucket’s Slater Memorial Park during the Pawtucket Arts Festival.

Work hard, play hard might have even been Mr. Barber’s mantra. After a long- work week, on weekends you might just see him, very tanned and immaculately dress,  puttering around South County on his creamed-colored Vespa to view “the majestic Narragansett surf” at Bonnet Shores Beach Club (he was a member), even enjoying an occasional ride over the iconic Newport Bridge.  Or may be you might have seen the Warwick resident leisurely reading a New York Times at his favorite East Greenwich breakfast joint, the Main Street Café.

Making a Home in Rhode Island

It was not easy for Mr. Barber to leave his family and friends to relocate to a new state where nobody knows who you are.  “The move was far more difficult than I expected,” he says in a 2010 blog, posted by Rich Frost with What The Hell…

“I did not know a single person and to be honest with you, I don’t know if I would have made a move if I knew what I know now,” noted Mr. Barber in his interview.

Television Director Jason Golditch, who directed many of Mr. Barber’s programs at Capitol Television, Television Director, noted that Capitol TV’s new host ultimately adapted well to his new state.  “Over time he truly grew to love this state,” Golditch says, noting that his colleague would often say, “It doesn’t get much better than this, can you believe it.”

According to Golditch, when a film shoot took place, the Capitol Television’s only on air person would just start talking to people and they got along so well they began swapping stories. “He would find so much joy in meeting new people and talking with them on any subject,” he says.

Adds, Editor Carlos Diaz, at Capitol Television, Mr.Barber was a “real friend,” to him and hundreds of others who could count on his help at any time of the day or night.  “He helped who ever he could, even those he did not know,” he says.

“There were postings on Face Book from people all over the nation, from all walks of life, friends he made throughout his 60 years of living,” says Diaz, all praying for his recovery. “That was amazing,”

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

 

AARP Pushes for Higher Standards When it Comes to Financial Advisors

Published in Woonsocket Call on June 28, 2015

AARP continues its efforts to push for a proposed U.S. Department of Labor (DOL) Fiduciary Rule that would require financial advisors to put their client’s interests first when giving retirement advice.  In advance of last weeks hearing, before the House Education and Workforce Committee, the nation’s largest aging advocacy group delivered nearly 60,000 petitions containing the signatures from every state to support a higher standard in financial advising to prevent conflicts of interest.    .

In a June 16 release, the Washington, D.C.-based AARP stated that the June 27th Congressional hearing only showcased financial firms and their concerns, but did not provide much of an opportunity to hear directly from consumers about how the new proposed rule would benefit them.  But, AARP’s petitions drive should send a powerful message to Congress, that the nonprofit group, representing 37 million older Americans, and 60,000 voters identified on those petitions want to have their voices heard by Congress on this very pressing retirement issue.

When Advising, Do No Harm

“While a number of investment advisers also support a rule requiring advice to be in the best interest of clients, some opponents have recently weighed in with comments that offer time worn code words for harming consumers,” said Nancy LeaMond, Chief Advocacy and Engagement Officer, AARP.  She says that the delivered petitions would ensure “that all, not just some, financial advisers put their clients’ interests first.”

“Many opponents of the proposed new rule, who are asking for delays or say the regulatory costs are too high, are simply looking to protect high fees at the expense of consumers.  But consumers deserve advice in their best interest, not advice that benefits the adviser,” says LeaMond.

In addition to forwarding petitions to the Department of Labor, AARP volunteers continue their efforts to call on Congress to prevent legislation that seeks to stop or slow an updated “best interest” standard.  According to the AARP, “each year hidden fees, unfair risk and bad investment advice rob Americans of $17 billion of retirement income.”

LeaMond says that AARP plans to submit comments to the DOL on the proposed rule in the weeks ahead. The nonprofit group’s petition delivery included over 33,000 signatures and follows an initial petition delivery last month that included over 26,000 signatures that support eliminating conflicts of interest in retirement advice.  “It is important that the Department hear from individuals who are negatively impacted by the current standard, not just financial firms who benefit from it,” she said.

AARP’s petition drive efforts followed President Obama’s February visit to AARP Headquarters where he used the opportunity to publicly support the proposed DOL rule, endorsed by a coalition of aging, labor and consumer groups that limits conflicts of interest, increases accountability, and strengthens protection for Americans receiving retirement investment advice.

At the AARP press event, Obama called for the updating of DOL rules and requirements that would mandate higher standards for financial advisors, requiring them to act solely in their client’s best interest when giving financial advice.

Obama noted that the existing rules governing retirement investments written over 40 years ago “outdated,” filled with “legal loopholes,” and just “fine print,” to be in need of 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,” said the President.

According to Megan Leonhardt, senior editor for WealthManagement.com, in a June 15th article, “New Coalition Pushes for DOL Fiduciary Rule,” DOL’s proposed rule has “been delayed multiple times since the agency first rolled it out in 2010.  It was expected to be released in August according to the agency’s regulatory agenda, but an update in May pushed back the date to January.”

“Industry lobbyists have mounted significant pushback. The Securities Industry and Financial Markets Association and the Financial Services Institute have argued a rule similar to the DOL’s initial proposal could limit the public’s access to quality financial advice,” says Leonhardt.

Acting in the Client’s Best Interest

“Rhode Island has been part of the national effort to move the Labor Department rule forward,” said AARP Rhode Island State Director Kathleen Connell. “We’ve talked to people who have been quite surprised to know that their savings could be at risk by having an adviser fail to act in their client’s best interest. The response to the petition campaign is a measure of the concern. Retirement planning is daunting for the vast majority of Rhode Islanders. There’s plenty to worry about. Having confidence that your financial adviser is working in your best interest would relieve some of the anxiety.  That’s why there seems to be overwhelming support for the rule change.”

Along with AARP, Rhode Island federal lawmakers are weighing in on this key retirement issue, seeing its importance to older Rhode Islanders.

Rep. David N. Cicilline (D-RI) says, “Protecting the financial well-being of our seniors is a top priority for me, and ensuring that they have access to complete and accurate information before making investment decisions is an essential component of that effort.  President Obama and Labor Secretary Perez are leading a good faith effort to protect consumers, including seniors and I look forward to evaluating the final rule after the public comment period ends and I have had the benefit of considering these comments.”

Adds, U.S. Senator Sheldon Whitehouse (D) “Investors should have the security of knowing that the advice they receive is in their best interest.  I applaud the Obama Administration for updating regulations on retirement investments and for working with a wide range of stakeholders to ensure the new rules help Americans save more for retirement.”

For this writer, hiring a financial advisor is like purchasing a used care, that is you always feel that you might have made the wrong decision.   New DOL requires that call for higher standards for financial advisors, who would be required to act solely in their client’s best interest when giving advice, just might give me peace of mind, when planning my retirement…and probably to millions of older Americans, too.

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