Online Communication Makes a Positive Difference in Families

Published in Pawtucket Times on August 11, 2003

Seniors are turning to their computer-savvy children to help learn the intricacies of using a computer, so says a recently released AARP survey.

Computers can be intimidating to older persons who may not be able to do more than just flip the “on”/off” switch.  According to the AARP survey, a growing number of seniors are calling their younger children and grandchildren for computer help.

The findings reveal that more than half of the survey respondents whose parents have a computer have been contacted for help by them at some point.

Moreover, the survey found having an older relative online has made a positive difference in the lives of 80 percent of those survey respondents who are contacted for help by their parents.

Sthe AARP survey was conducted to learn to what extent adult children provide technical computer support to their aging parents and how computers bind together intergenerational relationships.

Wirthlin Worldwide conducted the online survey for AARP among 534 respondents ages 25 to 44 who reported having a parent or older relative that frequently uses a computer and contacts the younger adults for help.

Countering America’s highly mobile society, computers can play a key role to keep generations together, the telephone survey found. Families are using computers to keep closely in touch with each other. Nearly all the younger respondents and their parents use a computer to contact each other (97 percent), most frequently with email (96 percent). 

“Families who live geography close to each other are nearly as likely to use email as those who live far apart (94 percent verses 99 percent). Those who live far apart cite long-distance phone savings, while those who live close together cite the fact that it makes it easy to dash off a quick email to let their family members know they are thinking of them,” said Christine Donohoo, associate executive director of membership.

“Not only do computers and the Internet help families keep in touch,” added Donohoo, “it can enhance older American’s quality of life.”

AARP’s survey also found that:

  • Nearly nine out of 10 (87 percent) respondents aid their parents in finding information on the Internet.
  • 43 percent of the respondent’s parents age 50 and older use instant messages to keep in touch with their children.
  • 78 percent of respondents have taught older adults computer use; 74 percent how to use email; 64 percent have helped set up a computer;
  • Older grandchildren (52 percent of respondents with kids ages 18-24 and 48 percent of the respondents with kids ages 11-17) help their grandparents with the computer of the Internet.  

AARP provides an outline resource for all generations, by creating AARP computers and technology (www.aarp.org/computers), an easy-to-use Web site.

“Helping older adults become more comfortable with computers and the Internet is the main reason we developed this area,” said Mark Carpenter, director of web strategy and operations.

The AARP site features articles that include how-to-guides and reviews and a monthly email newsletter with tips and latest news.

Carpenter said he believes the valuable area of the site is the on-line discussions board, where members share questions and solutions.

In conjunction with the release of these AARP survey findings the nonprofit announced its launch of AARP today of “Generations On-line Sweepstakes,” an initiative that recognizes the important bond between parents and their grown children.

Sthe initiative will also encourage older Americans and their children to use the Internet for fun and sharing. Parents or their children can enter to win two new Dell computers – one for each generation.

For more information or to enter the sweepstakes parents and their children can visit AARP’s computers and technology section, http://www.aarp.org/computers.

State Must Rethink Its Driving Policies for Seniors

Published in Pawtucket Times on August 4, 2003

Not seeing the posted sign, 86-year-old Russell Weller drove onto a street closed to traffic and mowed down 50 pedestrians with his car, ultimately killing 10, in a Southern outdoor farmers market.

Just nine days later, Louis Nirenstein, 70, plowed into pedestrians at a local farmers market in Flagler Beach, Fla., injuring six people.

Both of these accidents follow on the heels of the tragic death of longtime R.I. state Rep. Mabel Anderson, who was killed while pushing her carriage at the front entrance of the Home Depot parking lot at the Bristol Place Shopping Center in South Attleboro.

A magistrate’s hearing to determine if vehicular homicide was committed by an 88-year-old Pawtucket driver is scheduled for Aug. 14 at the Attleboro District Court.

According to a report released by the Road Information Program last month the number of older drivers – ages 70 and above – killed in crashes nationwide increased by 27 percent from 1991 to 2001.

The latest data finds older drivers have not only lost their ability to manage complex traffic situations, but are more likely to have problems making left hand turns and understanding small signage that alerts motorists to upcoming changes in traffic patterns.

The aging process guarantees your driving skills will not be as shar as you get older.  Poor vision, caused by cataracts, glaucoma, macular degeneration, poor hearing, lack of flexibility, limited range of motion and reduced rection time make the complex tasks associated with driving more difficult for older motorists.

As older driver facilities increase and the death toll tied to older-drivers accidents sky-rocked, a growing number of states are looking at licensing restrictions as a way to delicately approach this complicated problem.

AARP and other aging advocacy groups will say not all seniors are equally affected as they age. One may lose the skills needed to drive safely at age 60, while another will not lose those skills until 90.

For many seniors, losing your driving privileges translates to the loss of independence. Meanwhile, public transportation may not be readily available.

States are grappling with this age-charged issue, not wishing to stir up the wrath of seniors. Aging advocates oppose any blanket solution to this problem, calling for licensing restrictions to be made on a case-by-case basis. They say age should not be used as a predictor of unsafe driving.

In Rhode Island, the Department of Motor Vehicles has decreased its renewal cycle from five years to two years for persons age 70 and older.  At license renewal time, some states require vision screening and road tests for older drivers.  Certain medical conditions or a succession of accidents my restrict your driving privileges in other states.

Even the limiting of driving hours or the types of roads driven on are examples of license restrictions that states can attempt to reduce age-related accidents.

The American Association of Motor Vehicle Administrators, the American Automobile Association, AARP and the National Safety Council, have recognized the thorny issues surrounding restrictive licensing and have developed special training courses to help older motorists drive more safety.

On the other hand, even if an older driver enrolls in one of these courses, they may choose not to recognize age-related limitations that impact on their driving.

With a growing age population, R.I. state officials must tackle this problem head-on. Why not consider mandating a battery of tests to examine an older drivers’ field of vision, flexibility and range of motion, reaction time, along with the person’s mental or cognitive abilities?

Intersections can be improved by widening left-lane turn lanes, adding overhead street signs and adding luminous lane markings.

Finally, street and highways can be improved by creating longer merge and exit lanes, making curves less sharp and using rumble strips to warn motorists when they are running off the road.

If the state chooses not to act, the result will allow a growing number of unsafe senior drivers on the road.

Ultimately, the burden falls on the family and physicians who must take the keys away from the driving-challenged senior.

Sometimes you just have to yank the keys away from an older family member, like my family needed to do several years ago. When my father could not stop my mother with dementia from driving, the only solution appeared to come from making a call to the Texas Department of Motor Vehicles (TDMV) by my family.

Mother’s deteriorating driving skills were reported and as a safe measure, the TDMV officials called her in for testing – where she failed the test thy gave her three times.

As difficult as a decision this was for my family to make ultimately, my mother, who was in mid-to-late state dementia, didn’t even realize that she had lost her driving privileges and her keys.

Sadly, we will continue to read about age-related traffic accidents and the death of innocent victims until states move to tighten driving licensure of older adults.

For information about AARP’s 55 Alive Driver Program for older people call 1-888-227-7669 or write them at 601 E. Street, N.W., Washington, D.C. 20049.

Congress is Close to Passing Prescription Drug Legislation

Published in Pawtucket Times on June 23, 2003

Within days of the July 4th congressional recess, the House and Senate continue their debates on enacting legislation to lower the cost of pharmaceuticals for the nation’s elderly.

The AARP will kick off a media blitz to get a point across to lawmakers that while they may take a short break during recess, the nation’s elderly don’t get a break when it comes to affording the costly medications they need.

“There’s no recess [for seniors] from high prescription drug costs,”  AARP declares in a press release sent to the nation’s media outlets.

In a written statement, Lt. Gov. Charles J. Fogarty, who chairs the state’s Long-Term Care Coordinating Council, calls on Rhode Island’s congressional delegation to pass meaningful Medicare drug benefits, rather than the legislative proposals being debated in the House and Senate chambers.

“While it is nice that after many years of promises Congress has finally taken on this issue these proposals will cause nothing but heartburn and headaches for seniors if passed,” said Fogarty, noting that many seniors will pay more for the program than they will get back in benefits. He charged that others will even be left without prescription drug coverage when they need it the most.

Under the Senate proposal, seniors would pay a $ 35 monthly premium and then have to meet a $275 deductible before Medicare starts to kick in to pay for half of the drugs costs.  Once senior’s reach a cost cap of $ 4,500 for the last year, they would then have to pick up the entire cost until they reach yet another cap of $ 5,800 in total drug spending. At this point, Medicare would then pay 90 percent of the covered drug costs.

Fogarty noted the Congressional Budget Office found that one-third of seniors would pay more money to enroll in the plan than they would actually get back in benefits.

That’s because a senior with $ 1,000 in annual drug costs would actually end up

$ 1,057 annual for the benefits ($420 in premiums, a $ 275 deductible and half of the drug costs).  A senior with $ 2,000 in drug costs would pay $ 1,557 out-of-pocket for the benefits.

Fogarty also called attention to the major gap in coverage for those whose costs exceed the $ 4,500 limit until they reach that $ 5,800 mark.

Furthermore, Fogarty, who authored the state’s expanded prescription drug program, said a study by Columbia University found that only those annual drug costs about $ 1,100 would benefit through the plan.  

In the House chamber, the Republican proposal also calls for monthly premiums of $ 35 along with a lower annual deductible of $ 250 with Medicaid paying 80 percent of the cost of drugs up to $ 2,000.

There is a gaping hole in coverage (in this legislative package).” Fogarty warned “Seniors would then have to spend at least another $ 1,500 depending on their income, on medications before coverage would again begin.”

According to Fogarty, Consumer Union, the publisher of the widely-read magazine, Consumer Reports, noted the “skimpy benefits [in the House and Senate proposal] and the historically high growth of prescription drug costs means that most who lack coverage today would wind up paying more for prescription drugs in four years than they do now.”

Will seniors see a prescription drug proposal enacted this year?

Probably, said Jason Ormsby, director of policy at the Washington, D.C.-based Allilance for Health Reform.

“There is a tremendous drive that I have not seen in the last there years [to enact a prescription drug bill],” said Ormsby.

He noted the House passed a legislative proposal to assist seniors in paying for costly pharmaceuticals, but it died in the Senate.

“The somewhat similar House and Senate bills will have a good change to pass by the July 4th recess,” Ormsby predicted.  Once passed, the legislative proposal will go to conference committee to iron out the differences between the 600-page House and 350-pshr Senate bills,” he said.

The prescription drug benefits are just a small portion of these massive legislative proposals, he noted.

Robert Greenwood, vice-president of public affairs for the National Pace Association, added: “Many Democrats see the limitation of these bills.  This legislation passed presents a historic opportunity to get this law on the book so it can be amended and improved in future years.”

While not a meaningful drug prescription proposal, it’s the first step in the right direction.

Once enacted into law, the Rhode Island congressional delegation must begin their efforts to improve the law – improve access for all: make out-of-pocket costs and cost sharing affordable; lessen gaps in coverage; more important, put the breaks to the steady increase in high-cost drugs.