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.

 

 

GAO: Older Persons Hit Hard by Student Loan Debt

Published in Pawtucket Times, September 19, 2014

By Herb Weiss

In her late 20s, Janet Lee Dupree took out a $ 3,000 student loan to help finance her undergraduate degree. While acknowledging that she did not pay off the student loan when she should have, even paying thousands of dollars on this debt, today the 72-year-old, still owes a whopping $15,000 because of compound interest and penalties. The Ocala, Florida resident, in poor health, will never pay off this student loan especially because all she can afford to pay is the $50 the federal government takes out of her Social Security check each month.

Citing Dupree’s financial problems in her golden years in his opening remarks at a Senate Panel hearing in Room 562 of the Dirksen Senate Office Building, Chairman Bill Nelson (D-FL), of the Senate Special Committee on Aging, used his legislative bully pulpit to dispel the myth that student loan debt only happens to young students. “Well, as it turns out, that’s increasingly not the case,” he said.

Student Loan Debt Impacts Seniors, Too

But, last week’s Senate Aging panel hearing also put the spot light on fifty seven-year-old Rosemary Anderson, a witness who traveled from Watsonville, California, to inside Washington’s Beltway, detailing her student loan debt. Anderson remarked how she had accumulated a $126,000 loan debt (initially $64,000) to pay for her bachelor’s and master’s degree. A divorce, health problems combined with an underwater home mortgage kept her from paying anything on her student loan for eight years.

Anderson told Senate Aging panel members that with new terms to paying off her student loan debt, she expects to pay $526 a month for 24 years to settle the defaulted loan, setting her debt at age 81. The aging baby boomer will ultimately pay $87,487 more than her original student loan amount.

Like Anderson, a small but growing percentage of older Americans who are delinquent in paying off their student debts worry about their Social Security benefits garnished, drastically cutting their expected retirement income.

According to a 22 page Government Accountability Office (GAO) report, “Inability to Repay Student Loans May Affect Financial Security of a Small Percentage of Retirees,” released at the Sept. 10 Senate panel hearing, the amount that older Americans owe in outstanding federal student loans has increased six-fold, from $2.8 billion in 2005 to more than $18 billion last year. Student loan debt for all ages totals $ 1 trillion.

The GAO report noted that student loan debt reduces net worth and income, eroding the older person’s retirement security.

Nelson observed, “Large amounts of any kind of debt can put a person’s finances at risk, but I think that Ms. Dupree’s story shows that student debt has real consequences for those in or near retirement. And, the need to juggle debt on a fixed income may increase the likelihood of student loan default.”

Although the newly released GAO report acknowledged that seniors account for a small fraction of student loan debt holders, it noted that the numbers of seniors facing student loan debt between 2004 and 2010 had quadrupled to 706,000 households. Roughly 80 percent of the student loan debt held by retirement-aged Americans was for their own education, while only 20 percent of loans were taken out went to help finance a child or dependent’s education, the report said.

Senator Sheldon Whitehouse (D-RI), who sits on the Senate Special Committee on Aging, acknowledges that student loan debt is a burden for thousands of Rhode Islanders, including a growing number of retirement-age borrowers who either took out student loans as young adults, or when they changed careers, or helped pay off a child’s education. “Student debt presents unique challenges to these older borrowers, who risk garnishment of Social Security benefits, accrual of interest, and additional penalties if they are forced to default,” says Whitehouse, stressing that pursuing an education should not result in a lifetime of debt.

Whitehouse sees the Bank on Students Emergency Loan Refinancing Act, which would allow approximately 88,000 Rhode Islanders to refinance existing student loans at the low rates that were available in 2013-2014, as a legislative fix to help those who have defaulted on paying off their student loans. “By putting money back in the pockets of Rhode Islanders we can help individual borrowers make important long-term financial decisions that will ultimately benefit the economy as a whole,” he says.

Garnishing Social Security

The GAO reports finds that student loan debt has real consequences for those in or near retirement The need to juggle debt on a fixed income may increase the likelihood of student loan default. In 2013, the U.S. Department of the Treasury garnished the Social Security retirement and survivor benefits of 33,000 people to recoup federal student loan debt. When the government garnishes a Social Security check, multiple agencies can levy fees in addition to the amount collected for the debt, making it even more challenging for seniors to pay off their loan.

Ranking Member, Susan M. Collins (R-ME) Ranking, on the Senate Panel, warned [because of a 1998 law] seniors with defaulted student loans may even see their Social Security checks slashed to see their Social Security check to $750 a month, a floor set by Congress in 1998. “This floor was not indexed for inflation, and is now far below the poverty line, adds Collins, who says she plans to introduce legislation shortly to adjust this floor for inflation and index it going forward, to make sure garnishment does not force seniors into poverty.

According to an analysis of government data detailed on the CNNMoney website, “More than 150,000 older Americans had their Social Security checks docked last year for delinquent student loans.”

Unlike other types of consumer debt, student loans can’t be discharged in bankruptcy. Besides docking Social Security, the federal government can use a variety of ways to collect delinquent student loans, specifically docking wages or taking tax refund dollars. These strategies also cutting the income of the older person.

Some Final Thoughts…

“It’s very important that we focus on the big picture and the implications in play,” said AARP Rhode Island State Director Kathleen Connell, noting that “Education debt is becoming a significant factor for younger workers in preparing for retirement, delaying the ability of people to retire and threatening a middle-class standard of living, both before and after they retire.

Connell says, “Its serious concern for some older Americans as approximately 6.9 million carry student loan debt – some dating back to their youth. But others took on new debt when they returned to school later in life and many others have co-signed for loans with their children or grandchildren to help them deal with today’s skyrocketing college costs.”

“It’s not just a matter of Federal student loan debt being garnished from Social Security payments if it has not been repaid, “ Connell added. “Outstanding federal debt also will disqualify an older borrower from eligibility for a federally- insured reverse mortgage.

“Families need to know the costs and understand the long-term burden of having to repay large amounts of student loan debt,” Connell concluded. “They also need information regarding the value of education, hiring rates for program graduates and the likely earnings they may expect.”

Finally, Sandy Baum, senior fellow with the Urban Institute, warns people to think before they borrow. “They should borrow federal loans, not private loans, she says, recommending that if their payments are more than they can afford, they should enroll in income-based repayment.

Addressing student loan debt issues identified by the GAO report, Baum suggests that Congress might ease the restrictions on discharging student loans in bankruptcy, and end garnishment of Social Security payment for student debt. Lawmakers could also strengthen income-based repayment, making sure that they don’t give huge benefits to people with graduate student debt and relatively high incomes.

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

Documentary Takes a Look at Speed Dating for Seniors

Published in Pawtucket Times, August 9, 2014

Three years ago, a personal story would lead filmmaker Steven Loring to zero in on a topic for his MFA thesis film while studying at the Social Documentary Film Program in NYC’s School of Visual Arts. His thesis ultimately grew into a 78-minute documentary, “The Age of Love,” which follows the adventures of 30 seniors who sign up for a speed dating event exclusively for 70- to 90-year-olds. The film premieres at the Rhode Island International Film Festival, Sunday, August 10, at 12:15 p.m. at the Paff Theatre at URI, 80 Washington Street, Providence. And there’s a special offer for anyone who comes to the box office with a date: When you buy one ticket, your date gets in FREE! Any date! Any age!

The story took shape after the passing away of Loring’s father in 2008 left his still-vibrant mother alone after being married to her soul mate for nearly half a century. At that same time, his 80-year old uncle, who’d never even dated, to Loring’s amazement suddenly fell madly in love with an 80-year-old woman, both acting like love-struck teenagers.

“It was like they were in high school again,” Loring says, noting that the couple walked around holding hands and that he even found their bedroom door shut when he visited.

These events pushed the Brooklyn-based filmmaker to take a look at relationships in one’s later years. His research efforts revealed that the nation’s media had neglected issues involving seniors’ emotional and intimate needs. On the internet, he found that speed dating for seniors was a newly emerging trend which had occurred in a few communities in Florida and Colorado. Ultimately, a speed dating event in Rochester, New York would give him the perfect place to explore and document and come away with new insights into the issue.

Loring’s efforts to reconcile two dynamically opposite life experiences, losing a long-term intimate relationship and suddenly finding one at an advanced age, led the graduate student to finally formulate this thesis question, “Do decades of life and loss constrict our hearts, or might time develop them in unexpected ways,” That’s the question the 51-year-old filmmaker attempts to answer in his film project.

Speed Dating for Seniors

Loring’s documentary, a winner of the 2013 Paley Center DocFest Pitch Competition and recently awarded a prestigious Fledgling Fund social engagement grant, follows the amusing and emotional adventures of the seniors who signed up for the Rochester speed dating event, which was organized by a ‘healthy aging’ coalition to bring new social opportunities to the older community. The trendy matchmaking process allowed these individuals to meet for a brief five minutes. When the time was up the organizer sounded a bell, signaling participants to move on to the next table. Each kept a tally of those they would like to contact later. If both parties were interested in each other, a follow up date would occur.

According to Loring, as a result of the heavy promotion of this unique event, combined with the intense local media buzz, “dozens of area seniors called to register, all willing to put themselves out there, to take stock of their aging bodies and still-hopeful hearts.”

“The film takes viewers where no documentary has gone before – directly into the lives of older singles who still yearn to be seen and understood, who still desire another’s touch, who seek a new chance of love,” says Loring. Unlike other recent documentaries exploring issues of aging, the film maker saw an “opportunity to break social and generational barriers by looking at the older participants not in terms of singular talents or specific communities, but through shared, human desires.”

For three months, Loring filmed without a crew. He was able to easily develop personal relationships with the senior speed daters “allowing candid stories to emerge by following their everyday routines,” he says.
Looking to Find That Perfect Match

Loring notes that some participants came seeking simple companionship, while others came looking for that special mate. Among the speed daters who appear in the film: An 81-year-old bodybuilding champ, divorced since his fifties, who still believes new love is possible; a skydiving widow who dulls her loss by pursuing younger men; a grandmother and online-dating addict searching the web for Mr. Right; a romantic 79-year-old who discards his portable oxygen for a sunset tango on the beach, a 1940s movie fanatic who escaped an abusive marriage, yet still seeks her ‘Fred and Ginger’ romance.

Janice Ledtke, 78, a resident of Webster, New York, a suburb of Rochester, remembers making the decision to participate in speed dating. After 38 years of being single following her divorce in 1976, she jumped at the chance to meet new people. “What did I have to lose,” says Ledtike, a former property management employee, who met dates over the years at singles groups or through being fixed up by friends.

“You never know who you just might meet,” remembers Ledtike, noting when her friends found out about her participation in the speed dating event and documentary, “they thought I was crazy, but it’s just another one of my adventures.”

Ledtke says she met a variety of personalities at the speed dating event. But her follow up dates with a film maker, a retired professor and an owner of a small insurance company went nowhere. “I was not necessarily looking to find the love of my life, but if it happened, it happened,” she adds, stressing that it was not the end of the world because she came away with a number of new friends.

Linda Sorrendino, 72, had many long-term relationships since her 1973 divorce. “I have many diamonds to prove this,” quips the resident of Victor, New York. Over the years, like Ledtke, she would meet people by attending singles groups or through friends.

Learning from a friend about the speed dating event, Sorrendino, a retired office clerk, immediately signed up. “You just never know. As to landing a relationship, “you just go with the flow,” she remarks.

As Sorrendino reflects on her speed dating experience and her late life relationships, she notes, “I don’t want to be with a decrepit old man, but I also don’t want to be with somebody a lot younger who looks better that I do and feels like he’s with an old lady.”

A Final Thought…

“The film’s message is so positive and encouraging,” said AARP Rhode Island State Director Kathleen Connell. “Watching these folks surely will make it easier for others to re-enter the dating scene. At the same time, there is a subtext that is very important: No one featured in the documentary seems desperate. Each has found a way to move on from divorce or loss of a spouse or partner. Will they find their storybook ending? I think the film makes it clear that there are no promises. But there’s a strong message that giving love another chance is not so intimidating – especially if you find some an organized group that puts you among people of similar age and circumstance.”

The documentary also will reveal to its broader audience that the desire for companionship and intimacy does not evaporate at some advanced specific age,” Connell added. “These feelings are not always easy for people to discuss with their children or grandchildren. Its great people get to see these folks take part in the speed-dating experience because in the accompanying interviews they reveal hopes and fears many hold inside. But I love the takeaway: ‘If something happens, that’s great. If not, I’ll still be okay.’”

Loring plans to work with AARP and other ‘healthy aging’ organizations across the country to bring older adults together in 25 cities next year at senior speed dating events. For more information go to theAgeofLoveMovie.com or email steven@theAgeofLoveMovie.com

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