Category Archives for Aging

New Detailed Aging Report Will Help Officials, Policymakers

Published in RINewsToday on May 17,2025


By Herb Weiss

In an era of tightening budgets and shrinking federal and state resources for aging programs, legislators, service providers, and advocates now have access to vital data that can help identify and address the unmet needs of older adults in their communities.

Just over a week ago, the Gerontology Institute at the University of Massachusetts Boston released the latest Healthy Aging Data Reports (HADR), funded by the Point32Health Foundation. These reports offer a comprehensive, neighborhood-level view of aging in America—insights often unavailable from other sources.

Rhode Island’s updated report, released on May 1, 2025, follows previous editions published in 2016 and 2020. This year’s release also includes updates for Connecticut, Massachusetts, and New Hampshire, and introduces a first-time report for Maine. The HADR team is now expanding its reach to additional regions, including parts of the Deep South (such as Mississippi) and the West (including Wyoming).

“This is what’s magical about our report: we provide data at very local levels,” says Dr. Elizabeth Dugan, principal investigator and associate professor of gerontology at UMass Boston. “That empowers local advocates, helps policymakers make smarter investments, and allows philanthropists to assess the impact of their contributions,” she says.

The Rhode Island report features 41 community profiles—covering each city and town, along with two neighborhoods in Providence. Drawing on data from the U.S. Census Bureau, Medicare Summary Beneficiary Files, the CDC’s Behavioral Risk Factor Surveillance System, and state health departments, the report highlights disparities that may be hidden in broader state- or county-level statistics.

“What’s powerful about this approach is that we can observe health outcomes that vary dramatically even within a 10-minute walk in the same city,” adds Dugan.

Spotlight on Rhode Island

Several key findings emerged from the 2025 Rhode Island report:

  • Health: Rhode Island ranks highest in New England for rates of high cholesterol, diabetes, hypertension, ischemic heart disease and peripheral hearth disease, stroke, multiple chronic conditions (four or more), and anxiety disorders.
  • Gender Disparities: Women experience anxiety and depression at rates 15% higher than men and are also more likely to suffer from Alzheimer’s disease, schizophrenia, and PTSD.
  • Housing: Roughly 39% of older renters spend more than 35% of their income on housing. Additionally, 46% of Rhode Islanders aged 65 and older report annual incomes under $50,000.

“The Rhode Island Healthy Aging Data Reports are invaluable,” says Maureen Maigret, Policy Advisor for the Senior Agenda Coalition of Rhode Island and a member of several state aging commissions. “They provide essential data down to the ZIP code level, which is useful for legislative testimony, policy recommendations, program planning, and grant writing.”

With Rhode Island’s older adult population rising from 16.5% in 2020 to 18% in 2025, this data is more critical than ever. “The report shows how age and racial diversity vary widely across communities,” Maigret says, noting that in some smaller towns, older adults now make up over 30% of the population.

Maigret notes that availability of localized data helps municipalities develop comprehensive plans and adopt age-friendly strategies. Interactive maps within the report allow comparisons with state averages, making it easier to target resources where they are most needed.

The report also reveals demographic shifts, including a rise in the Hispanic older adult population—from 4.9% in 2020 to 5.9% in 2025. “There are significant racial and ethnic disparities in health outcomes,” says Maigret. “Black and Hispanic older adults are more likely to be dually eligible for Medicare and Medicaid and to be enrolled in Medicare managed care,” she says.

As lawmakers navigate complex budget negotiations and potential changes to federal programs such as the Administration for Community Living, Medicaid, and the CDC, Maigret stresses the importance of leveraging this data in decision-making.

“Despite the growth in our older population and increasing reports of elder abuse, neglect, and substandard nursing home care, the Office of Healthy Aging’s budget has remained relatively flat,” she warns. “With half of its funding coming from the federal government, proposed cuts could seriously undermine vital programs such as the Long-Term Care Ombudsman,” she adds.

The report also shines a light on mental health, showing high rates of depression and anxiety—especially among older women. Maigret believes this supports increased investment in the 988 mental health crisis line and other behavioral health services.

Another notable trend is the continued shift toward Medicare managed care, now covering more than half of Rhode Islanders aged 65 and older. While rates of arthritis and depression have increased, the report also notes a decline in nursing home stays, inpatient admissions, emergency room visits, and several chronic conditions such as diabetes, COPD, hypertension, and heart disease.

Since the 2020 report, communities have taken meaningful steps to support aging in place. “The Village Common of RI has built age-friendly communities that enable older adults to live independently with the care and resources needed to promote health and well-being,” says Maigret. “There are now 11 local villages across 14 communities, supported by trained volunteers who help members stay connected and independent.”

Data Driving Policy and Innovation

Marie E. Cimini, MSW, Director of the Rhode Island Office of Healthy Aging, says the HADR report has broad implications. “As a state agency, we must lead with policies that prioritize inclusion, access, and dignity throughout the aging journey.”

“The report reinforces our commitment to advancing the goals outlined in the RI 2030 Plan, especially around expanding in-home care, supporting workforce development, and strengthening behavioral health services,” Cimini continues. “But it also challenges us to go further—to integrate aging into every aspect of public life and ensure that the voices of older adults inform policy at every level.”

For Meghan Grady, Executive Director of Meals on Wheels of Rhode Island (MOWRI), one of the most important takeaways is the persistence of health disparities, particularly in managing chronic conditions. Grady supports legislation introduced by Sen. Victoria Gu (D-Dist. 38) and Rep. Justine Caldwell (D-Dist. 30) to integrate medically tailored meals into healthcare delivery. “This report validates our advocacy,” she says. “Food is a fundamental part of care, especially for aging populations facing health disparities.”

The HADR report is also proving instrumental for nonprofit organizations. “We use the data in community presentations, grant proposals, and to guide our work in promoting health equity,” says Debra Burton, Executive Director of RI Elder Info. “With so much uncertainty around policy and funding for programs that impact older adults and caregivers, this data helps us identify where changes will have the greatest impact,” she says.

James Connell, Executive Director of Age-Friendly RI, agrees. “The Healthy Aging Data Report is extraordinarily helpful for nonprofits across sectors. I used it to support funding for a home-share program that pairs older homeowners with individuals facing housing insecurity—a creative approach to our state’s housing crisis,” he says.

“The ’25 Healthy Aging Report provides vital indicators of older adult well-being that are essential for policymaking, intentional planning, and program development,” says Connell. “The data highlight serious concerns about the mental and emotional health of our community, with one in three Rhode Islanders experiencing anxiety and/or depression.” Connell also emphasizes the report’s finding that women are disproportionately affected, calling it “a clear call to action for improved screening and more accessible treatment options.”

Greg Shell, Chair of the Point32Health Foundation Board of Directors, emphasizes the value of data in shaping policy. “When we use data to guide our work, we can change policies and practices, engage communities, and highlight what truly matters,” he says. “These reports are essential tools in making New England a better place to grow up and grow old.”

The research team behind the Healthy Aging Data Reports includes: Principal Investigator Elizabeth Dugan, PhD, along with Nina Silverstein, PhD; Qian Song, PhD; Taylor Jansen, PhD; Jay Lee, PhD; Yan-Jhu Su, PhD; Han Lin, PhD; Shan Qu, MS; Tiffany Tang, BS; Jeannine Johnson, PhD; Amanda Cox, MS; and Mengshi Liu.

To access the 2025 Rhode Island Healthy Aging Data Report, visit https://healthyagingdatareports.org/ri/rhode-island-healthy-aging-data-report.

Writer Herb Weiss attains archive status: a legacy of 45 years of advocacy on aging

Published on April 2, 2025

The substantial body of work compiled by Herb Weiss—a 72-page list detailing 1,111 articles on aging, plus three books published over 45 years—now has a permanent home at Rhode Island College’s (RIC) Special Collections, housed in the James P. Adams Library. The archive, titled the Herbert P. Weiss Papers, 1980 to 2025, is a significant addition to RIC’s archives.

This newly established collection spans Weiss’s career as a writer, editor, and journalist, documenting his contributions to the field of aging, senior life, healthcare, and public policy. The collection includes a range of publications that

Weiss contributed to as a writer, editor, or editorial board member. These publications—magazines, newspapers, newsletters, and trade journals—cover topics such as aging, senior life, healthcare, and federal and state policy issues.

In addition to his articles, the collection features various degrees, certificates, and awards Weiss has earned throughout his education and career.

Weiss’s journalistic career began long before he was a staff writer intern (a three-month position) for the Providence Journal. He has since written columns and digital news commentaries on aging for outlets such as the Pawtucket Times, Woonsocket Call, Senior Digest, Senior Living (now Prime Time), and RINewsToday. Weiss holds a Master of Arts in Studies in Aging and a Specialist Certificate in Aging from North Texas State University (now the University of North Texas). He also spent years covering health and long-term care policy as an accredited House Gallery Reporter in Washington, D.C., for various publications.

Weiss has contributed his expertise to the editorial boards of McKnight’s LTC News and The Brown University LTC Quality Letter. His “Age Beat” column, which has been a staple for local readers in Rhode Island, reflects his dedication to covering generational issues with depth and insight.
Weiss has published three volumes of his column compilations: Taking Charge: Collected Stories on Aging Boldly (2016), Taking Charge: Vol. 2 – More Stories on Aging Boldly (2021), and his recently released third volume, Taking Charge: Vol. 3 – Even More Stories on Aging Boldly.

Service to the Community and Advocacy

In addition to his journalistic work, Weiss has served as Pawtucket’s arts and cultural “ambassador” and as the deputy director of the Leon Mathieu Senior Center. He has been appointed to the Rhode Island Advisory Commission on Aging by five different governors and, in 2021, was tapped by Rhode Island Senate President Dominick J. Ruggerio to serve on the Advisory Council on Alzheimer’s Disease Research and Treatment.

Weiss’s impact extends beyond his writing: one local restaurant even named a lobster salad (delicious) and a hamburger (dangerous) in his honor. Recently, a small café also named a decadent breakfast sandwich after him, called “The Herb Weiss Breakfast Sandwich.”

Weiss hopes that the archive will provide researchers, students, and journalists with valuable historical context on aging policy and community issues from the past four decades. His work, particularly in understanding aging-related public policy, will be a helpful resource for professionals in aging services, healthcare, social work, and gerontology.

The Value of the Collection at RIC

Housed in RIC’s Special Collections, the Weiss archive is poised to benefit generations of students, researchers, and professionals. The collection not only preserves the history of aging policy in Rhode Island and in Congress but also serves as a vital resource for anyone involved in or studying aging-related topics.

The value of this collection lies not only in the breadth of its coverage but also in its unique perspective—Weiss has chronicled aging issues from a journalistic standpoint, grounded in personal experience. His columns explore complex issues like healthcare, caregiving, and retirement, offering readers practical advice as well as a deeper understanding of the challenges faced by older adults.

The Herbert P. Weiss Papers collection offers insights into the evolution of aging policies and practices, highlighting both local Rhode Island issues and broader national trends, especially pulling the findings from AARP reports, studies and polls For students and professionals in fields such as nursing, healthcare administration, gerontology, and social work, the collection provides a solid foundation of knowledge. It will also inform the work of aging professionals, enabling them to better advocate for older adults and their families.

What They’re Saying About the Herbert P. Weiss Papers collection at Rhode Island College

Numerous aging network professionals, providers and elected officials have praised the significance of the Herbert P. Weiss Papers at RIC. Some have recognized Weiss for his tireless work on aging issues, others have lauded the collection’s contribution to expanding access to vital research on aging. One even commented on the collection’s role in tackling pressing issues such as Medicare reform and family caregiving. Others noted that this collection would become an invaluable resource for students, faculty, and policymakers alike.

Let us take a look at their comments…

“I am so pleased to have the opportunity to praise the action of Rhode Island College in establishing the collection of the works of Herb Weiss’s reports on aging in Rhode Island over the years. The reports have recognized the evolution of the enormous challenges faced by our large aging population and inspired the people who worked tirelessly to address them.

I met Herb when he worked for the Pawtucket Times and the City of Pawtucket. Back then, we both served as members of the Governor’s Commission on Aging. The committee members were younger then and were mostly leaders in agencies, service providers and dedicated professionals. I came to recognize the young reporter (Herb) and his deep commitment to solving the daunting challenges we faced.

Herb has never let up on his efforts and his writings are full of insights and useful information presented in multiple articles and reports which are all factual and frequently memorable. He has gained readers among leaders, researchers and others of all ages. His writings are a great resource for the public, and the state’s Office of Elderly Affairs.

Herb is a true champion for all as we age.”
Kathleen Connell, Past Secretary of State of Rhode Island, Past Director of AARP Rhode Island

“Herb Weiss’s collection at Rhode Island College is a treasure trove of invaluable insights that have not only shaped the conversation on aging, but also influenced key policies at both the state and national levels. His tireless dedication to addressing the challenges of an aging population is reflected in his extensive body of work. The establishment of the Herbert P. Weiss Papers at RIC will serve as a lasting resource for future generations of students, researchers, and policymakers, ensuring that Herb’s contributions to aging policy remain accessible for years to come. It is an honor to have his remarkable legacy preserved in such a meaningful way.”

Robin Covington, Coalition Director – Rhode Island Coalition for Elder Justice

“What an honor to hold the Herb Weiss collections at Rhode Island College and so well deserved! I especially enjoy Taking Charge: Stories on Aging Boldly where Herb Weiss offers practical tools to live a happy, fulfilled life and interviews experts and everyday people who share their keen observations about growing older.”

Patricia Raskin, Broadcaster “Positive Living and Aging”PBS and Cumulus Afffiliates and Southcoast Health Podcasts

“Herb is a respected leader and trusted authority in the aging field, as evidenced by his appointments by the last five governors to provide crucial guidance to the Advisory Commission on Aging. We are excited that his remarkable collection will be showcased at Rhode Island College’s James P. Adam’s Library, increasing visibility of his work and expanding access to his writings, which have made a significant contribution over the past 45 years in support of the nation’s aging population.”

Meghan Grady, Executive Director of Meals on Wheels of RI, Inc. and Chair of the Advisory Commission on Aging.

”It’s fantastic to have the collective works of Herb Weiss’s many insightful insights on aging organized in one place for all to benefit from his years of experience in aging.”

Sarah Lenz Lock, SVP Policy & Brain Health, AARP

“Herb Weiss has an incredible dedication to shining a light on so many issues involving aging. This collection will be an invaluable resource in further understanding the myriad of important topics that he has addressed in his decades of insightful writing.”

Larry Berman, Director of Communications, Rhode Island House of Representatives

A wealth of Herb Weiss’ keen observations and insights with respect to all things healthy aging, is now housed at Rhode Island College, to the benefit of students, researchers, and professionals in aging work. This treasure trove will be a tremendous asset to those seeking context or to understand the broad range of issues facing older Rhode Islanders and their caregivers. The Weiss collection will also inform the work of countless aging work professionals and provide a solid foundation for students pursuing their education in nursing, gerontology, healthcare administration, as well as social work.

James B. Connell, Age-Friendly RI

“Herb Weiss’s reporting on aging has helped shape our state’s long-term care services. As Lieutenant Governor, I have often relied on his writing to both stay informed on the issues of the day and to learn about the history of aging policy in Rhode Island which he has covered over his long career. The Herbert P. Weiss Collection at RIC James P. Adams Library will ensure that generations to come are able to access his reporting, and I am glad to see the importance of his work recognized in this way.”

RI Lieutenant Governor Sabina Matos

“Herb Weiss has long been a guiding voice in the conversation around aging, capturing both the personal journey and the broader policy landscape with clarity and depth. His work distills complex research into accessible articles that educate the public, influence policymakers, and support older adults, their families, and caregivers. His collection of articles, now housed in the “Herbert P. Weiss Papers collection at Rhode Island College’s (RIC) James P. Adams Library, tackle pressing issues such as Social Security and Medicare reform, affordable housing, and the challenges of family caregiving. His tenacity and commitment to truth make his articles an invaluable resource for anyone seeking to understand aging in America today. More than just a policy discussion, the collection is a roadmap for navigating the later years of life with knowledge and confidence.

Whether you’re an advocate, a professional in elder care, or simply planning for your own future, RIC’s archives of his work offers essential insights into the evolving landscape of aging—one well-researched story at a time.”

John E. Gage, MBA, NHA, President & CEO, Rhode Island Health Care Association

“Herb Weiss has dedicated his career to illuminating the complexities of aging and retirement, providing invaluable insight and advocacy for older adults. Through his thoughtful journalism and deep expertise, he has shaped public understanding and influenced policy discussions, ensuring that aging issues remain at the forefront. His work has had a profound impact, empowering individuals and communities with the knowledge needed to navigate later life with dignity and confidence. It has been an honor and privilege to have now published three volumes of his collected works.”
Steven R. Porter, Publisher, Stillwater River Publications, West Warwick, RI

“Herb Weiss’s 3 book compendium is a one of a kind collection, illustrating the complex social, economic, and political dynamics that surround and influence elder care in our country. This is a vital resource for all professionals who have anything to do with elders and their families. Herb’s sensitivity to these matters emerges from his various roles as a professional himself – a noted author, a devotee to culture and art, a background as a former Nursing Facility Administrator and an opinion writer on all legislative issues related to elders at local and national levels. This recognition of him at Rhode Island College brings honor indeed to the institution.”

Teresa Chopoorian, EdD, MSN, FNAP, Vice President and Administrator , Mansion Nursing and Rehabilitation Center; Fellow, National Academy of Practice , Nursing

“Herb Weiss has worked tirelessly over many years to keep Rhode Island’s aging population informed about the issues that matter most and highlight policy areas and proposals that otherwise might not receive wider attention. Congratulations to Herb and Rhode Island College for creating this valuable resource.”

Dominick J. Ruggerio, President of the Senate

“Herb Weiss has helped countless people better understand aging, caregiving, and the politics of long term care through his clear and accessible writing. His books and articles have educated and inspired readers across Rhode Island and beyond. As a RI College alum, it is great to know that the Herbert Weiss Papers collection will be available at Adams Library for the students, professionals, and the community for years to come!”

Deb Burton, Ms., Executive Director & Gerontologist, RI Elder Info.

“Herb Weiss for many years has been a tireless, committed researcher and writer regarding the issues that face our increasingly older population. I always read his work with interest and believe his writings will be a valuable resource for students, faculty, politicians, and others who earnestly seek to address the needs of those of us who are elders in the community.”

Dr. Nancy Carriuolo, Rhode Island College president 2008-2016

“As a journalist Herb has always adhered to the most critical qualities of objectivity, integrity and just plain good understandable writing, coupled with his keen sense for a story that needs to be told,” states Bill Benson, former Acting Assistant Secretary for Aging at the U.S. Administration on Aging who leadership position in the US Senate and House of Representatives. Rhode Island College is to be commended for providing a permanent home for Herb’s collection, says Benson. “These are worrisome times with journalism under assault.” Hopefully those reviewing the Herbert P. Weiss collection in the future who care about aging in America will find inspiration and a model for quality writing on these important matters, he said.

Bill Benson, Former Acting Assistant Secretary for Aging at the U.S. Administration on Aging who spent 8 years working in both the U.S. Senate and House of Representatives

“We appreciate Herb Weiss’s donation and believe that it will be beneficial to RIC students and the broader Rhode Island community interested in the topics of healthcare, policy, and aging.Thank you!”

Veronica L. Denison, Assistant Professor, Digital Archivist and Special Collections Librarian, James P. Adams Library, Rhode Island College

“Herb has chronicled over 45 years of aging in America and locally. No one individual has been so attentive and dedicated to older adult reporting on emerging healthcare concerns, social security and financial matters, caregiving, socialization, volunteering, nutrition, etc. This collection provides enormous historical access for social & healthcare workers, geriatric case managers, policy makers, and elected officials. Readers should want to immerse themselves in these insightful and instructive stories. Well done, Herb!”

Vincent Marzullo, former Federal Director/Corp. for National & Community Service (RI); past volunteer President, AARP RI; Board member/Senior Agenda Coalition of RI.

“We are thrilled and honored to hold the Herb Weiss collections at Rhode Island College. No one has made more contributions to the field of aging and long term care through their journalism and writing than Herb. Herb has studied and tracked policies, issues, trends, legislation, and best practices in long term care for years and provided invaluable research, commentary, analysis, and a historical perspective. Most important, he has engaged with the community, policy makers, providers, and older adults themselves and has fully immersed himself in the field.

Having his collection at Rhode Island College will provide an invaluable asset and resource to faculty, students, researchers and those shaping policies on services and supports to older adults. As the population is rapidly growing older, his work has become increasingly more relevant and important today and in the future.”

Marianne Raimondo, MS, MSW, LICSW, Ph.D., Dean, School of Business, Rhode Island College

“Until now, Herb Weiss has been a virtual walking archive of information about retirement issues and policy debates about aging in America. Now, thanks to RIC’s Adams Library, anyone, including Weiss, will literally be able to walk in (or dip in online) and access one of the rarest continuous files of media coverage on this vital topic over most of the past half century. Uniquely researched and written from the perspective of a single journalist and public policy professional, the Herbert P. Weiss Papers should stand as an historical treasury for researchers and students in the years to come.”

Paul Kleyman, Cofounder, Journalists Network on Generations/Editor, GBONewss.org.

“It is an honor to be asked for a quote on Herb Weiss’ work for your archiving his writings. As the former Chief of Staff of the House Aging Committee and since then a spokesman at the White House and after, I’ve had the privilege of working with Herb Weiss for decades. Herb Weiss is the best and most knowledgeable aging issues writer in the country. He has informed not only Rhode Island but the Nation on problems and solutions for the elderly. His work will finally be archived and protected as the national treasure that it is. His historical record is invaluable and an incomparable resource for researchers, writers, and students.”

Robert S. Weiner, Former Chief of Staff, U.S. House Aging Committee under Chairman Claude Pepper, spokesman in the Clinton and Bush White Houses, and spokesman/senior staff for Cong. Claude Pepper, Charles Rangel, John Conyers, Ed Koch, Sen. Ted Kennedy, and Four-Star Gen./Drug Czar Barry McCaffrey – Winner, National Press Club President’s Award for recruiting young journalists as co-bylined oped writers (1000+ articles to date (www.weinerpublic.com/opeds).
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“Herb Weiss has set the highest standard for writing on important aging policy issues. He does more than write. He provokes people to take action. He is the best journalist advocate I know.”
Bob Blancato, Executive Director, National Association of Nutrition and Aging Services Programs, DC

“Herb Weiss is an indispensable conduit for real-time news that gives us what is increasingly disappearing: honesty, transparency, fact-based And an amalgam of big-picture and personal stories about aging and the human condition—a real treasure!”

Fernando Torres-Gil, M.S.W., Ph.D., Director, UCLA Center for Policy Research on Aging; Professor, Social Welfare and Public Policy, UCLA Luskin School of Public Affairs

“Herb’s contributions have been a guiding light in the field of aging, illuminating critical issues with compassion, clarity, and a relentless pursuit of the truth. This collection is a well-deserved tribute to his decades of impactful journalism and advocacy.”
John O’Connor, Editorial Director, McKnight’s

“For over 45 years Herb Weiss’s reporting has kept us informed about important issues touching the lives of our older population – from critical national and local policy proposals to tips for aging boldly. This collection honors his many years of journalistic excellence in reporting on aging.”
Maureen Maigret, Policy Advisor, Senior Agenda Coalition of RI

“The City of Pawtucket is proud to recognize the establishment of the Herbert P. Weiss Papers collection at RIC’s James P. Adams Library, preserving his invaluable contributions to the fields of aging, health care, and medical issues. Herb’s work has profoundly impacted our community, and this collection ensures that his legacy will continue to inform and inspire future generations.”
Mayor Donald Grebien, Mayor of Pawtucket, RI

“Herb Weiss tackles important seniors’ topics from a Rhode Island perspective, at once localizing and nationalizing them. Our organization has been happy to help share Herb’s work with a national audience over these past decades. His columns go beyond routine reporting on Social Security, Medicare, Aging, and a host of other issues we care about. Herb brings nuance, balance, and detail where it can otherwise be lacking in other media. This new collection of his works will be a valuable resource to everyone in our field.”

Max Richtman, President and CEO, National Committee to Preserve Social Security & Medicare

“Herb Weiss has been an articulate and passionate writer on so many issues related to aging and older adults in Rhode Island. His writings trace the enduring achievements and challenges of growing older, and this collection is a testament to his myriad contributions to enriching our perspectives on older adults.”

Phillip G. Clark, ScD, Professor and Director, Program in Gerontology
University of Rhode Island

From Herb Weiss: A Personal Reflection

As Weiss reflects on his decades of work, he acknowledges the unique role his writing has played in shaping public discourse on aging. Through his columns, he strives to offer practical advice and provoke action on aging issues, all while highlighting the personal and emotional aspects of growing older. His hope is that this archive will inspire and inform future generations, just as his columns have done for decades.

In conclusion, The Herbert P. Weiss Papers is a treasure trove of information that not only showcases a significant body of work in aging journalism but also offers a lasting resource for anyone seeking to understand the complexities of aging, caregiving, and public policy. The archive’s permanent home at RIC’s James P. Adams Library ensures that Weiss’s contributions will continue to inspire and educate students, researchers, and professionals long into the future. By preserving his comprehensive documentation of the aging landscape, RIC will allow future generations to benefit from his detailed insights and policy analysis. For anyone involved in aging-related work—whether in research, policy, or direct services—the collection will serve as a valuable touchstone for understanding the evolution of aging issues over the past four and a half decades.

This collection is an invaluable asset to the community, providing essential insights and supporting the work of those involved in aging services.

Publisher’s Note: Herb Weiss’s column on aging issues is featured every Monday in RINewsToday. We are thrilled to have Herb’s expertise with us, almost from the very beginning of our publication, 10 years ago. As we come to understand issues around aging in one of the state’s with the oldest populations, institutional history helps us know where we’ve been, what has been tried, what’s worked, what hasn’t – something all too often missing in today’s dynamic of politics and public policy.

We are grateful for Herb’s contributions to RINewsToday’s readers – and Congratulations to Herb on his collection being established at Rhode Island College! – Nancy Thomas, founder and publisher, RINewsToday.

– https://www.riamco.org/render?eadid=US-RPRC-mss-0149

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.