Some Favs… Looking Back at 2021

Published on January 3, 2022 in RINewsToday

As an ‘age beat’ journalist for over 40 years, I have penned more than 813 articles covering aging, health care and medical issues. These authored and coauthored pieces have appeared in national, state, and local trade and association publications, dailies, weeklies, and in this weekly column in RINewsToday.com. Some were even republished in my two books, Taking Charge: Collected Stories on Aging Boldly (2016) and Taking Charge: Volume 2  More Stories on Aging Boldly (2021).

I provide you with a few of my favorite publish weekly commentaries published in 2021 that you may have enjoyed reading. Many of these articles in their entirety and others can be viewed on my author archive  page at rinewstoday.com/herb-weiss/.

“Study Takes Look at Decision Making /in Getting a COVID-19 Vaccine,” published on Jan.  25, 2021 in RINewsToday.com. 

With colder weather keeping people indoors and holiday events drawing families together, Rhode Island like other states continue to see a growing transmission of the COVID-19 Delta, and now Omicron variants. The debate of mandating vaccines has expanded into requiring a booster, too. 

This article reported on research findings that suggested ways as to how to increase a person’s likelihood to get vaccinated. Even though researchers didn’t touch on requiring booster shots, the findings should still be relevant in the current debate, as science is showing the waning of the vaccine after many months.

The COVID-19 Vaccine Education and Equity Project Survey, a group whose mission is to increase public dialogue on vaccine education, released survey findings that showed the preferred locations to receive COVID-19 vaccines, and which leading information sources are two influences over a person’s decision to get vaccinated.

The study, commissioned by the Washington, DC based Alliance for Aging Research, one of the three nonprofit organizations leading the project, found the majority (51 percent) of respondents ranked their healthcare provider or pharmacist as one of the sources most likely to influence their decision to get a COVID-19 vaccine. Almost two-thirds (64 percent) of respondents said they would prefer to receive a COVID-19 vaccine in their healthcare provider’s office.

After healthcare providers and pharmacists, when asked to provide the top two additional sources of information about COVID-19 vaccines that would most influence their decision to get vaccinated, 32 percent of respondents cited nationally recognized health experts, and 30 percent named family and friends. However, older respondents were increasingly more likely (75 percent ages 65 and older) to trust their healthcare provider or pharmacist, followed by 43 percent (ages 65 and older) trusting nationally recognized health experts.

The majority (64 percent) of respondents indicated they would prefer COVID-19 vaccination in their healthcare provider’s office, while 29 percent prefer a pharmacy, 20 percent a drive-thru vaccine clinic, and only 13 percent would like to receive the vaccine at a grocery store or pharmacy.

Additional factors driving the location where respondents would like to receive the vaccine included the ability to get the vaccine quickly or not have to wait in line (45 percent) and a location close to home (41 percent), the study found.

“A Call for House Dems to Bring Back House Aging Committee,” published on Aug. 16, 2021 in RINewsToday.com.

Last Aug, Rhode Island Congressman David Cicilline, along with fellow lawmakers, Jan Schakowsky (D-IL), Doris Matsui (D-CA), who serve as co-chairs of the House Democratic Caucus Task Force on Aging and Families, introduced H. Res. 583 to amend the rules of the House to establish a House Permanent Select Committee on Aging. This is the Rhode Island lawmaker’s fourth attempt, and in the upcoming months he must push for passage by the House Rules Committee.  

H. Res. 583 would reestablish the House Aging Committee without having legislative jurisdiction; this being no different than when the permanent committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as protecting the Social Security and Medicare programs, income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts impacted legislation taken up by standing committees. It has been referred to the House Rules Committee for consideration.

“America’s seniors have spent a lifetime working hard and moving our country forward and they deserve the best in their retirement,” says Cicilline, in this article. “The pandemic has disproportionately impacted seniors and now with growing concerns about inflation, seniors on fixed incomes will bear the burden of the rising cost of prescription drugs, food, housing, and other essentials,” he says, noting there has never been a more urgent time for Congress to reauthorize the House Permanent Select Committee on Aging than right now,” he says. 

At press time, there are just 40 cosponsors of H. Res. 583. Bob Weiner, the former staff director of the House Permanent Select Committee on Aging under Chairman Claude Pepper (D-FL), warns that to get  the attention of House Speaker Nancy Pelosi (D-CA) and leadership of the caucus, there should be 100 cosponsors – an obtainable number.

“When Congress gets back from recess, the Rhode Island Congressman must now push for more cosponsors and meetings to get this resolution endorsed by the House Democratic Leadership and the House Rules Committee and then passed on the House Floor”, says Weiner, noting that a GOP takeover of the House after mid-term elections could ensure that this effort will be legislatively blocked unless it has overwhelming support to show a constituent price.  

“It’s now time to stamp out Antisemitism,’ published on Oct. 18, 2021 in RINewstoday.com.  

Throughout 2021, three of my weekly commentaries warned that Antisemitism is alive and well in the United States, Germany, and throughout the world, and called for Rhode Island lawmakers to condemn all acts of hate within Rhode Island’s borders.

The article reported on the alleged charges of Gil Ofarim, a popular German-Israeli singer who lives in Germany, about an alleged anti-Semitic remark made by an employee at the Westin Hotel in Leipzig.

Director of AJC Berlin said, “Marriott should take all necessary steps to ensure that something like this will never happen again. AJC stands ready to help with our expertise and knowledge.”

The article reported that the FBI’s annual Hate Crimes Statistics Act (HCSA) report, revealed that 2020 saw a six percent increase in reported hate crimes from the previous year and represented the highest total in 12 years. The latest FBI’s report, released Aug. 30th, is based on voluntary local law.

This article also reported on the top school administrator with the Carroll Independent School District in Southlake advised teachers that if they have a book about the Holocaust in their classroom, they should also provide students with a book from an “opposing” viewpoint, according to an audio recording obtained by NBC News.

“How do you oppose the Holocaust?” quipped one teacher in response to the school administrator, with the school district later apologizing. Last month, the School District approved a change to district policy that prohibits employees from secretly recording video of meetings or work sessions.

The survivors who witnessed the horrors of the Genocide and the Holocaust during World War II continue to dwindle in numbers and will soon no longer be here to share their tragic stories. Rhode Island’s Genocide and Holocaust Education Commission, recently created by the General Assembly, is organizing and gears up to keep this knowledge alive to millennials, Gen Z, and other generations. 

“It’s Time to End Suicide by Bridge in Rhode Island,” published on July 26, 2021, in RINewsToday.com.

Last legislative session, Rep. Joseph J. Solomon Jr.’s (D-Dist. 22), legislative proposal, H-5053, to require safety barriers or netting on the three bridges that connect Aquidneck and Conanicut Islands to the mainland of Rhode Island, never came out of the House Corporations committee.

“Too many people have committed suicide on those bridges in the last decade,” said Rep. Solomon in a statement released when the bill was introduced last January. “Due to technological advances, there are various types of barriers and netting available to increase safety without hindering access for routine inspection and maintenance of the bridges,” he said.

“It’s not only a serious problem, but an alarmingly frequent one,” said Solomon explaining why he introduced his bill, as reported in this article. “Last year alone, the Portsmouth Police responded to the Mount Hope Bridge 36 times. And the cost of suicide goes far beyond the individual. It affects friends, families, first responders, and health care professionals. Those who survive the fall all say the same thing: “they feel instant regret the moment their feet leave the railing,” he said.

This weekly commentary detailed the efforts of forty-year Samaritan volunteer Bryan Ganley and East Bay resident Melissa Cotta, who initiated a petition for safety/suicide prevention barriers to increase awareness of this issue and to show that residents of Rhode Island, as well as the surrounding areas that use our bridges all the time are in support of these barriers.

Ganley and Cotta have submitted a request for funding to the General Assembly’s American Rescue Plan Act State Fiscal Recovery Fund Recommendation Portal. The Rhode Island Turnpike and Bridge Authority also has submitted a request to this portal requesting funding for an engineering study.

Six months ago, 2,630 people signed Cotta and Ganley’s petition. At press time, over 4,062 signatures have been collected calling for new barriers to Rhode Island’s unprotected bridges. To view and sign this petition, go to tinyurl.com/ribridgingthegap.

Resolutions to getting back on track financially a catalyst for positive change

Published on December 27, 2021 in RINewsToday

With the continuing COVID-19 pandemic, we will see a scaled back Times Square celebration where the ball swiftly drops as 15,000 people, in a viewing area that holds around 58,000 revelers, will loudly count down to one at the stroke of midnight. At this time, we traditionally make New Year Resolutions to accomplish in the coming year – to perform acts of kindness, take steps to ensure our financial security, or for self-improvement.

Experts say that making resolutions can help us set goals and provide us with time for reflection as to what is important to us in the coming year. They can serve as catalysts for positive change and increase our self-esteem and sense of accomplishment. Here are the findings of two resolution studies, recently released by Voya Financial, Inc. and Fidelity Investments that may well be good for your physical health and well-being, and financial health.

Many Seek to Re-Focus Their Life Priorities

As we approach 2022, Voya Financial, Inc. released its latest study with findings indicating that nearly one-third (31%) of survey respondents say they are not planning to make any new year’s resolutions in 2022. According to researchers, the results suggest that nearly two years into the COVID-19 pandemic, many Americans might be seeking to re-focus their life’s priorities. 

However, Voya’s latest consumer research survey also revealed that when asked specifically what resolutions individuals do plan to make in 2022, more than half (60%) noted an interest in improving their overall well-being, with 44% noting a focus on physical health and 31% on their mental health.

“For many, it may seem refreshing to see that perhaps many Americans are taking a more holistic view of what’s valuable to them as we approach almost two years of pandemic life, and we understand that the impacts of the pandemic have shifted priorities for many individuals,” said Heather Lavallee, CEO of Wealth Solutions for Voya Financial, in a Dec. 9 statement announcing the study’s findings. “With the much-needed focus on what is most important and valuable, it seems that a good number of Americans are ready to take a pass on the resolution ritual this year. That said, it is reassuring to see that those who are planning to do so are most focused on their physical and mental health,” says Lavallee.

However, surviving the financial impact of the ongoing COVID-19 pandemic has many of the survey recipients say that they are monitoring financial changes that might be occurring in 2022, thus indicating that financial security continues to be a priority resolution. 

Voya’s research shows a large number of individuals are likely or extremely likely to: save more for emergencies (76%); reduce or pay down their overall debt (72%); and save for retirement (72%). The researchers also say that these numbers are even higher for those generations who might have been impacted financially more during the pandemic, with Generation Z (89%) and millennials (83%) noting that they are likely or extremely likely to save more in the coming year. 

“We continue to see interest in making changes to feel more financially secure, which is something we have found consistently since the beginning of the pandemic. But what’s most encouraging is the continued interest in saving for those generations who may have been impacted from job loss or furloughs throughout the pandemic,” added Lavallee. “And we’re seeing this shift to more positive savings behaviors in our own data as well — as more than 60% of Generation Z and millennial workers who changed their savings rates in their workplace retirement plan during the third quarter of 2021, increasing their contribution,” he said.

As individuals continue to begin building back savings and improving their overall financial well-being, many also appear to be seeking support from their employer. When asked about the importance of employer-offered benefits, Voya’s survey revealed that the majority of individuals rank the following benefits as important or extremely important: employer-sponsored retirement savings (82%); flexible work hours (77%); mental health benefits (72%); short-term/long-term disability income insurance (76%); and whole life or term life insurance (69%).

“With these findings in mind, and for those employers who are looking to help their employees as we approach the new year, we recommend considering reminding employees of the benefits and resources that are available to them at the workplace, whether that may be an employee assistance program, a resource for helping with elder or child care, or making the most of their benefits to achieve those more financially focused resolutions,” said Rob Grubka, CEO of Health Solutions for Voya Financial. “The reality is that we often find many individuals don’t recognize how many great resources are available to them — and many without cost — directly from their employer,” he says.

Fidelity Survey’s Take on 2022 Resolutions  

According to Fidelity’s 2022 Financial Resolutions Study released just weeks ago, Americans are feeling a little bit more hopeful about their finances in the upcoming year. More than 62% of Americans feel optimistic about their future, despite the unknowns of the continuing COVID-19 pandemic, and 72% are confident they’ll be in a better financial shape. Sixty-eight percent are considering making a financial resolution for the new year.

Despite the optimism reflected in this survey, respondents noted that inflation (43%), unanticipated expenses (43%) and COVID-19’s impact on the economy (36%) are their top concerns for the upcoming year. 

Like the Voya’s study, the respondents indicated that they are also making resolutions around physical (74%), mental health (61%)  and general well-being (73%) at higher levels than in the past year. The researchers note that this may be the result of achieving success in 2021 with goal-setting, as greater numbers of people report being able to stick to resolutions in 2021 in all areas; notably, 71% of respondents were able to stick with their 2021 financial resolutions, up from 58% in 2020.

“The country has been through a seemingly unrelenting roller coaster over the past two years, so it’s encouraging to see people feeling more hopeful about the coming year and placing a priority on themselves,” said Stacey Watson, senior vice president of Life Event Planning, Fidelity Investments in a Dec. 9 statement announcing the study’s findings. “This study confirms that actions taken at the start of the pandemic – such as budgeting better and replenishing that emergency savings fund – are becoming permanent habits for many,” she said.

What silver linings did American’s experience during the past two years of the ongoing COVID-19 pandemic?  Respondents say they became more thoughtful about savings and spending (42%), followed by “becoming closer to family” (39%) and “becoming stronger as a person” (34%). 

The survey respondents also noted they will be taking a more thoughtful approach to finances next year, taking a more practical view toward creating their financial resolutions. 38% say they are considering more conservative goals, a number that is even higher (46%) among the next generation. The top three financial resolutions, identified by this study were saving more money (43%), paying down debt (41%) and spending less money (31%). 

For those looking to save more in 2022, the objectives are somewhat split—51% plan to save for the long term, while 49% are looking at shorter-term objectives, such as boosting emergency savings or saving for a mortgage. Among the next generation, 62% plan to increase their retirement contribution in the year ahead, at a far higher level than older Americans (34%).

And what do people say they want to do once they’ve paid off the bills and set aside money for the future? By far, Americans are looking to get away if it’s safe to do so, as travel tops the list for where people plan to spend their extra dollars.

Compared to last year’s Financial Resolution Study, however, the latest study suggests stress levels—those things keeping people up at night—have significantly decreased. When stress is present, it involves finding money to save after paying monthly bills, the ability to simply pay bills and saving for retirement, say the researchers. Part of this stress reduction may be attributed to acceptance, as 84% of Americans say after living through the pandemic, they’ve learned to let go of worrying about that which can’t be controlled.

With New Year’s Day just five days away, if you have not done it, it’s time for you to write your resolutions for 2022.  Have a great year…

Watching over Nursing Homes once again – time for mandated Boosters

Published on December 20, 2021 in RINewsToday

Colder weather is keeping people more indoors now, and Thanksgiving and pre-Christmas gatherings are drawing people together in groups, small and large. Like other states across the country, Rhode Island is seeing a growing transmission of the COVID-19 Delta, and now Omicron variants. Some national sources say Rhode Island’s case rate is the highest.

According to WPRI’s COVID-19 tracking page, 73.7% of Rhode Island’s population, totaling 1,097,379 are fully vaccinated, 9.2 % are partially vaccinated, and 17 % have received no vaccination at all. “But some back-of-the-envelope math based on the state’s tally of daily doses shows nearly 251,000 people have received booster shots or third doses. And earlier this week, RI Gov. McKee publicly said the number is closer to 260,000 people,” says WPRI.

Taking a Snapshot of Vaccination Rates in Rhode Island’s Facilities

Just days ago, AARP Rhode Island called for increased boosters in the state’s nursing homes after releasing its new analysis of the latest data from AARP’s Nursing Home COVID-19 Dashboard.  The Dashboard revealed that only 54% of nursing home residents and 19% of staff in 79 Rhode Island nursing homes have received a COVID- 19 booster.

“With holiday gatherings on the horizon, these numbers are a cause for concern for state policy makers, as more than a year and a half into the pandemic, rates of COVID-19 cases in nursing homes are rising again nationally, along with increased community spread,” says AARP Rhode Island. While case rates declined slightly compared to the same time period last month, in AARP’s dashboard, looking week to week, the number of cases increased each week during the four weeks ending November 2, notes the state’s largest aging advocacy group serving more than 132,000 members aged 50 and older.

The Rhode Island-specific AARP Nursing Home Database says that resident cases grew from a rate of 0.64 per 100 residents in mid-October to 1.19 in mid-November. Staff cases decreased slightly from a rate of 0.96 to 0.82 during this same time period. Nursing home resident deaths from coronavirus rose slightly from a rate of 0.06 in mid-October to 0.11 in mid-November.

“COVID-19 continues to infiltrate America’s nursing homes with more than 1,500 new nursing home resident deaths nationally for the third consecutive month,” said AARP’s Rhode Island State Director Catherine Taylor. “Increasing vaccination rates—including boosters — among nursing home residents and staff is key to protecting our loved ones and getting the pandemic under control,” she says.

“AARP calls on nursing homes, state and federal authorities, and others to increase access to and receipt of COVID-19 boosters for both nursing home staff and residents,” Taylor added.

“As new variants emerge and vaccine immunity wanes, the low number of residents and staff who have received a booster creates an unacceptable level of risk since the disease spreads so easily in these environments,” says Tayler, urging Gov. Dan McKee “to prioritize the state’s most vulnerable population and take immediate action to addresses the relatively low percentage of nursing home residents and staff who have not received COVID-19 booster shots.”

According to AARP Rhode Island, while the percentage of residents and staff who have received boosters remain low, rates of those fully vaccinated—those who have received two COVID-19 shots—continue to slowly rise as of November 21. In Rhode Island, 99.10% of nursing home staff are fully vaccinated (the highest rate of any state in the nation) and 94.10% of nursing home residents.

The number of Rhode Island facilities reporting a shortage of nurses or aides rose sharply from 34.7% to 41.7% in the four weeks ending November 21, says the advocacy group. 

Rhode Island’s high vaccination rates can be tied to Rhode Island mandating all healthcare workers be vaccinated by Oct. 1, 2021, say John E. Gage, President and CEO of the Rhode Island Health Care Association. When the 30 day-compliance period ended, those who were unvaccinated were banned from entering the state’s healthcare facilities, he says, noting that termination resulted from failure to follow a reasonable policy set forth by their employer in compliance with Health Department’s emergency order. 

Yet, in at least one large nursing home facility, RINewsToday has learned, staff who refused to be vaccinated were either moved to non-patient-facing positions, or already worked in those positions, and allowed to keep working. An administrator said they are still working on encouraging 100% vaccination. Residents also have the right to refuse vaccination, and masks are required for patients outside of their rooms.

Families visiting had been restricted to the lobby, and at one time received a test in the parking lot prior to being able to enter. Today they are still screened for temperature, and they must wear a mask and complete a health symptom questionnaire. After a federal regulation went into effect several weeks ago easing access for families to visit, the screening also eased up and now tests are not required.

Any patient who is positive for COVID is moved to a quarantine area until fully recovered, and regular testing for patients and staff continues.

Some nursing homes are allowing families to take their loved one’s home for a Christmas holiday and then return after being with outside family and friends.

Gage notes that Rhode Island is ranked at No. 11 of states at a booster rate among residents of 54.1% compared to a national average of 38.4%.  Staff are boosted at 19.1% (#16) compared to a national average of 15.0%.  “Remember, individuals are not eligible for a booster until six months after their second dose of the vaccine series.  This will preclude some residents and staff, he says, stressing more credit should be given to the state’s health care facilities having the highest vaccine rates among staff and the second highest vaccination rate among residents.

According to Gage, the data released by the Centers for Medicare and Medicaid Services on Nov. 28, 2021 showed 99.38% of all workers in Rhode Island facilities are vaccinated – the highest (#1) vaccination rate for nursing homes in the country. Residents in Rhode Island nursing homes are 95.02% vaccinated – the second highest rate in the country.

To Booster or Not Booster, that is the Question

“With vaccines mandated in healthcare facilities and proof of vaccination being required to enter public places under the new Executive Order, it seems this would be a reasonable requirement for visitors to nursing homes,” says Gage, noting that this is not allowed according to the most recent guidance issued by the Centers for Med Centers for Medicare and Medicaid Services.

As to mandating booster shots for nursing facility staff, however, Gage warns, “staffing is at a crisis level already. We cannot afford to lose more staff with another mandate,” he says.

“The first rounds of vaccines were given most commonly by third-party sources such as CVS medical staff who came into the homes, similar as they do every year for flu shots”, said one nursing home administrator to RINewsToday – “For the boosters, we did them using our own staff, and ordering our supply from the RI Department of Health.”  Boosters were advised to be given 4-5 months from original vaccination completion – yet in the nursing homes most didn’t get them until 8 to 9 months – as late as the end of October.

However, Joseph Wendelken, Rhode Island’s Department of Health’s Public Information Officer, says that CVS and Walgreens are working to make COVID-19 vaccine booster doses available to all nursing facilities,. “If any facility is looking for additional support getting residents and workers vaccinated, we can provide that support,” he says.

Wendelken notes that there is a requirement for nursing home workers to complete a primary COVID-19 vaccine series, but there is no [federal or state] requirement for booster doses. “The data are becoming clearer and clearer that – especially with the Omicron variant – booster doses are absolutely critical,” says Wendelken.

“Residents [of nursing homes and assisted living facilities] were among the first to get vaccinated so that means their immunity has waned and boosters are needed to avert significant outbreaks and deaths,” says  Maureen Maigret, former director of the R.I. Department of Elderly Affairs and chair of the Aging in Community Subcommittee of the Long Term Care Coordinating Council. “It is critical that booster shots are offered to all nursing home and assisted living residents especially now that visitation has opened up and visitors do not have to show proof of vaccination,” she says.

As of December 15th, the RI Department of Health Department shows at least 114 new cases in nursing homes and assisted living facilities in the past seven days, says Maigret. “We must  remember that over 1,700 residents died as a result of COVID in these facilities and providing booster shots is our best defense against more fatalities for this vulnerable population.”  

Even though it is not a federal policy, a growing number of state officials across the country are calling for the definition for being fully vaccinated to now include the booster shot. With Rhode Island seeing a surge in COVID-19 cases and an increase in hospitalizations due to Delta and Omicron variants spreading throughout the state, many (including this writer) express it’s time for Governor Dan McKee to now mandate booster shots for nursing facility staff.  More important, it must become a priority for the Rhode Island Health Department to make sure that every consenting nursing facility resident receives a booster, too.

President Biden is set to address the country on Tuesday, at a time to be announced. There is speculation whether the term “fully vaccinated” will now include not just the two original vaccinations but the booster as well.

The AARP Nursing Home COVID-19 Dashboard analyzes federally reported data in four-week periods going back to June 1, 2020. Using this data, the AARP Public Policy Institute, in collaboration with the Scripps Gerontology Center at Miami University in Ohio, created the dashboard to provide snapshots of the virus’ infiltration into nursing homes and impact on nursing home residents and staff, with the goal of identifying specific areas of concern at the national and state levels in a timely manner.

The full Nursing Home COVID-19 Dashboard is available at  www.aarp.org/nursinghomedashboard. For more information on how coronavirus is impacting nursing homes and AARP’s advocacy on this issue, visit www.aarp.org/nursinghomes. Medicare.gov’s Care Compare website now offers information about vaccination rates within nursing homes and how they compare to state and national averages.

RI Nursing Homes with new cases (more than 5) in the past 14 days:

Berkshire Place, Providence – 10 to 15

Jeanne Juga Residence, Pawtucket – 5 to 9

Oak Hill Health Center, Pawtucket – 20 to 24

Pawtucket Falls Healthcare, Pawtucket – 10 to 14

Summit Commons, Providence – 5 to 9

West View Nursing, West Warwick – 10 to 14

The full Nursing Home COVID-19 Dashboard is available at  www.aarp.org/nursinghomedashboard. For more information on how coronavirus is impacting nursing homes and AARP’s advocacy on this issue, visit www.aarp.org/nursinghomes. Medicare.gov’s Care Compare website now offers information about vaccination rates within nursing homes and how they compare to state and national averages.