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Poll Calls Upon Congress to do “the people’s work”

Published in the Pawtucket Times, January 10, 2014

Four months ago, public anger reached a boiling point when the Republican-led House, controlled by its minority faction of Tea Party members, and the Democratic majority in the Senate failed to agree to an appropriations continuing resolution.
As a result of this budget impasse, a 16 day federal shutdown forced the furlough of 800,000 federal employees and another 1.3 million were required to report to work without known payment dates.

Public polls at that time blamed the GOP for turning its back on the nation by putting partisan politics first rather than doing the People’s business.” The popularity of Congress sank to a new historic low with heated partisan conflict echoing throughout the hallways of Congress.

Hammering Out an 11th Hour Deal

Senator Ted Cruz (R-Texas) with the blessings of conservative groups, including the Heritage Action, the Club for Growth, Freedom Works, and the Senate Conservatives Fund, forcefully pushed House Speaker John Boehner (R-Ohio) to offer continuing resolutions not acceptable to President Obama and Congressional Democrats to politically force a delay or to defund the Patient Protection and Affordable Care Act (called “Obamacare”). Strong GOP opposition, spearheaded by Tea Party lawmakers, to raising the nation’s debt ceiling almost forced the government to run out of money to pay its bills.

After weeks of intense political bickering, Congress finally hammered out a political compromise, one that would open the doors of government, but also raise the debt ceiling to keep the nation from free-falling off the fiscal cliff. A failure to raise the debt ceiling could have resulted in the nation’s credit rating being downgraded. If this occurred, average Americans might have seen higher interest rates for mortgages, car loans, student loans and even credit cards. Higher business expenses, due to expensive borrowing rates, might have forced businesses to stop hiring or even to lay off employees. Housing prices might have drop and retail sales slow. The 11th hour compromise kept the American tax payer and business community from taking a huge hit in their pocketbook.

Although Cruz and Tea Party lawmakers in both chambers viewed shutting down the federal government and not raising the debt ceiling as a way to put excess government spending on the chopping block economy, there was economic damage. According to the economists at Standard & Poors, the total cost of the political gridlock to the nation’s economy that occurred before Christmas was estimated to be $24 billion.
Americans Lack Confidence in Congress

With the new Congressional session beginning this month, a new national poll released last week by AP-NORC Center for Public Affairs reveals that few Americans have faith in the current political status with Congress receiving low marks on its performance of upholding the views of most Americans while only 9 percent say it is doing a good job.

According to the poll that comes months after the first government shutdown in 17 years, 70 percent lack confidence in the federal government’s ability “to make progress on important issues facing the nation in 2014.”

However, the poll findings indicate that the respondents have a little bit more faith in their local and state governments, with 45 percent saying that they are at least moderately confident in their state government and 54 percent having at least moderate confidence with elected officials at the local level.

The federal government receives low marks on its performance. For instance, 55 percent believe the government is doing a poor job of representing the views of most Americans while only 9 percent say it’s doing a good job.

Meanwhile, the poll’s results find Americans are more pessimistic than optimistic on matters such as the nation’s ability to produce strong leaders, America’s role as a global leader, and the opportunity to achieve the American dream.

The People’s preferred agenda for the government in 2014 includes a diverse set of policy issues that range from economic problems to social policies to foreign affairs, notes the poll. Health care reform tops their list of priorities, mentioned by 52 percent of respondents as one of the top ten problems, followed by unemployment (42 percent), the economy in general (39 percent), and the federal deficit (31 percent).

“While it is very easy to ask people to choose a single ‘most important problem’ and to build a list for the answers, the reality is that government has to address many issues at the same time,” said Trevor Tompson, director of the AP-NORC Center. “This survey, with data about the public’s priorities on a range of policy issues, provides policy makers with rigorous data as they seek to understand the public’s outlook on where the country is now and what the action agenda should be for the year ahead.”

Wendy Schiller, Associate Professor of Political Science and Public Policy at Brown University, notes that the AP-NORC poll reveals “broader concerns expressed in national opinion polls, and by the average Rhode Islander “that our country seems to be slipping on lots of levels.”

Schiller, a frequent guest on Rhode Island PBS’s “A Lively Experiment,” notes that aging baby boomers and seniors worry about issues facing the younger generations, personal debt resulting from student loans to national debt. On the other hand, “Younger folks worry about how they will take care of their parents and grandparents, as well as providing for their own retirement,” she says.

“In a state like Rhode Island, which has such a strong family centered culture, these issues weigh heavily on almost everyone’s minds,” observes Schiller.

One of the poll’s positive findings was that the respondents did not cite healthcare for seniors as a pressing issue even though they did express concern over Social Security and health care reform, adds Schiller. “Preserving Medicare is as important, if not more, to the physical and financial well-being of seniors, so I found it striking that it was not as large a concern [as other issues].”

The polls negative findings of a distrust of government, rather than just a disappointment, concerns Schiller, noting that “Democracies do not fare well when the people lose faith in their government.”

As indicated by the poll, Schiller believes that Rhode Island state elected officials are viewed more positively by voters than those serving in Congress. But, 2014 will be a challenging year for them, especially with issues like the 38 Studios debacle, pension reform issues, and Rhode Island job growth. Schiller believes that “If the General Assembly can increase the trend towards greater transparency and accountability, than they might be able to reverse the downward slide of public faith in government.”

As noted in the poll, “public opinion about Congress is at an all-time low,” says Darrell M. West, Ph.D., Vice President and Director of Governance Studies at the Brookings Institution. “People are disenchanted with the hyper-partisanship in Washington, D.C., and the inability of congressional leaders to address major policy problems, he says, noting that the government shutdown was very disturbing to mainstream and people now worry about Congress getting anything done.

West, a former Brown University professor and a prominent Rhode Island political commentator, does not see a major resurgence of bipartisanship in this Congress.
“The parties have incentives to highlight their differences rather than compromise their principles. That will make it difficult for the parties to work together, he says.

But West sees an indicator that the GOP might move away from its ties to the Tea Party that put a damper on reaching across the aisle to get the people’s work done. “The only promising sign is Speaker Boehner’s declaration of independence from the right-wing. A month ago, Boehner criticized outside conservative groups and said they had lost all credibility. If he really believes that, it may embolden him to work on immigration reform and pass needed legislation”, says West.

Because of the complexity of today’s domestic and foreign policy, the People want and need their elected officials to quit this partisan bickering and join together to solve the enormous problems that face the nation, warns well-know Rhode Island activist, Susan Sweet, a keen watcher of state, national, and global politics. “Without the political will to stand together and strengthen the People of America, this great experiment in democracy could decline and fall,” she says.

The AP-NORC national poll was conducted by The Associated Press-NORC Center for Public Affairs Research from Dec. 12-16, 2013, with 1,141 adults. Additional information about how the survey was conducted, including the survey report and the survey’s complete topline findings can be found on the AP-NORC Center’s website at http://www.apnorc.org.

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

Meals on Wheels Should Be Expanded

 Published in Pawtucket Times, October 25, 2013

            A warm, nutritious meal combined with social interaction can go a long way to putting the brakes to a state’s spiraling Medicaid costs.  According to new study findings detailed in this months issue of Health Affairs by Brown University public health researchers, expanding programs like Meals on Wheels, would save 26 of 48 states money in their Medicaid programs, just by allowing a person to stay in their own homes. 

            Kali Thomas, Assistant Professor of Research in the Brown University School of Public Health, says that if every U.S. state in the lower 48 expanded the number of seniors receiving meals by just 1 percent, 1,722 more Medicaid recipients avoid living in a nursing facility and most states would experience a net annual savings from implementing the expansion.

Put the Brakes to Medicaid Costs

            According to the study’s findings, Medicaid cost savings would be different in every state.  For instance, Pennsylvania would see the greatest net savings – $5.7 million – as Medicaid costs for nursing facility care decrease more than costs rose for delivering the additional meals.  Meanwhile, Florida would see a net cost of nearly $11.5 million instead. Overall, 26 states would stand to see a net savings according to the Brown University Public Health analysis, while 22 would end up spending more.

            Every state would enable more seniors, who could live independently except for meals, to remain in their homes regardless of whether they are on Medicaid.

            Thomas, the study’s lead author, believes the study’s findings can provide guidance for state lawmakers and state policymakers as they hammer out budget funding for home-delivered meals programs, which are conducted under the Older Americans Act.

            “We wanted to provide a roadmap for people,” Thomas said.

             To calculate Medicaid savings, Thomas and co-author Vincent Mor, Brown’s Florence Pirce Grant Professor of Community Health, examined data, including how many seniors in each state receive home-delivered meals and how much it costs each state to provide those meals. She and Mor also took a look at nursing facility and Medicaid data to estimate the number of seniors that Medicaid maintains in nursing facilities who are “low-care,” meaning they may have the functional capabilities to live at home. Finally they looked at the per diem Medicaid pays in each state for seniors to live in nursing facilities.

 Keeping Seniors at Home

             The study findings allowed them to estimate the incremental cost of providing meals to 1 percent more seniors in each state, the number of additional seniors on Medicaid who would no longer need to live in nursing facilities, and how much less Medicaid would have to pick up for the higher level of care in each state.

            The researchers found that the 1 percent expansion nationwide would bring meals to 392,594 more seniors at a cost of more than $117 million. Because 1,722 seniors would no longer have to live in costly nursing facilities paid for by Medicaid, total program savings would total $109 million.

            The reason why the study’s findings indicate that additional food delivery costs outstrip Medicaid savings nationwide, even though most states would save money on a net basis, is that in some very large states with relatively few low-care seniors or relatively low Medicaid per diems, food costs outweighed the resulting Medicaid savings on a relatively large scale.

            “In states like California and Florida where a 1-percent increase in the 65-plus population is a lot of people, it will cost those states a lot more to feed them,” Thomas said.

            But, as she and Mor wrote in Health Affairs, “Our analyses suggest that 26 states with high Medicaid nursing home per diem reimbursement rates, a large proportion of low-care [nursing home residents on Medicaid], and a relatively small population of older adults, could save money.”

            Thomas said states projected to lose money can opt to focus their efforts in ways that are more precise than an across-the-board expansion.

            “We’re not proposing that all states simply increase the proportion of age 65 plus receiving meals by 1 percent,” she said. “But if they were to target these vulnerable people who are at risk for nursing home placement they would likely see more savings. This is a program that has the potential to save states a lot of money if it’s done correctly.”

            Policymakers should consider not only the fiscal implications of providing home-delivered meals, which the study quantifies, but also the impact on individual seniors, said Thomas, who has seen the benefits anecdotally as a Meals on Wheels volunteer in both Florida and Rhode Island.

            Thomas’s research, detailed in this month’s issue of Health Affairs, which was completed last December, is featured in AARP Rhode Island’s award-winning documentary Hungry in the West End. Creator and director John Martin of the AARP

             Rhode Island state office screened the documentary in August at the Meals on Wheels Association of America National Conference in Boston. You can watch Hungry in the West End online at www.aarp.org/hungry.

             Although the quality of life argument is easy to see, other researchers, like Thomas, are closely looking at how the Meals on Wheels program can lower Medicaid costs.

             Based on a study by the Washington, D.C. based Center for Effective Government released in April 2013, every dollar invested in Meals on Wheels today could save taxpayers up to $50 in Medicaid costs down the road.

 Other Benefits of Meals on Wheels  

             Ellie Hollander, President and CEO of the Meals on Wheels Association of America, observes that both Brown University and the Center for Effective Government studies specifically focused on Medicaid savings attributable to nursing homes, but do not take into consideration significant savings that would be realized through reduced Medicare costs as well, through fewer visits to physicians and the emergency room and less hospitalization or reduced readmissions.

             Hollander says, “We have long known that the value of Meals on Wheels goes beyond the social and moral imperative of helping to address the epidemic of senior hunger in America.  “The friendly visit and a safety check are a lifeline enabling seniors to live more independently and healthy in their own homes, which in turn avoids far more costly health care alternatives often paid through Medicare and Medicaid,” she says.

             “The Brown University research proves what our work has long suggested to us: the Home Delivered Meals Program not only makes a positive impact for the senior, it is a good investment for the state as well,” says Executive Director Heather Amaral, Meals on Wheels of RI.

            Another study is in the works to support Thomas’ efforts to closely look at the impact of nutritious home delivered meals.  According to Hollander, a $350,000 grant from the AARP Foundation and the Meals on Wheels Association announced on Oct. 6 will enable Thomas to begin her randomized controlled trial of 600 seniors representing a cross-section of rural, urban, low income and minority populations across the country and a majority of the grant will be used to feed these seniors.            

            In this upcoming study, 200 seniors will receive meals daily, 200 more will receive a delivery of frozen meals once a week and then another 200 will continue on the waiting list as before as a control group. The study will compare quality of life, isolation, and health care utilization among individuals before and after they begin receiving meals and across the three groups.

             Holland says, “Through our generous grant from AARP Foundation, and with Dr. Thomas and Brown University’s help, we will seek to monetize the value add of the “more than a meal” component of Meals on Wheels.”

A Call for Support

            On AARP.org, Kathleen S. Connell, Rhode Island AARP State Director, calls on state lawmakers to take a very hard look at how they fund the state’s Meals on Wheels program.  Connell urges Congress not to put the Meals on Wheels program on the budgetary chopping block as a way to chop the huge federal budget deficit.

            Connell says that “Leaders need to be reminded that Meals on Wheels recipients aren’t unemployed workers waiting to return to jobs that will accompany an economic recovery. They are older retirees living on limited fixed incomes. With the cost of prescription medicines, healthcare and utilities going up, they sometimes can’t afford to eat. Many commonly sacrifice on food because of money worries – real or feared.”

            Connell notes, “Meals on Wheels is a big deal [to seniors]. No one should take it for granted.”

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

 

 

 

Rhode Island PBS at Its Best:

Published in Pawtucket Times, March 1, 2013

Television viewers can expect to experience magical music moments when the past, present, and future converge, on Monday, March 4, 2013, starting at 7:30 p.m., when WSBE Rhode Island PBS kicks off a jam packed evening that showcases legendary and local stars orbiting the rock, rhythm & blues music scene. The night also officially announces the debut of a Pawtucket produced music series, “Meet Me at THE MET.”

A Gathering of Live Local Bands

According to Lucie Raposo, public information manager at WSBE Rhode Island PBS, local musicians, performing live right in their studio that evening during program breaks, will most certainly bring amazing energy and edge to Rhode Island’s public television’s fundraising effort. During the four hours of evening programs, viewers can sit back and listen to their favorite local bands from around the Ocean State and southern Massachusetts: Kevin Williams and The Invisible Orphans; Providence’s The Jess Lewis Band; award-winning singer/songwriter Mark Cutler of Providence; alternative folk artist Allysen Callery of Bristol; and 10-year old guitar prodigy Nolan Leite of Pawtucket.

Raposo notes that this evening opens with Albert King with Stevie Ray Vaughn – In Session. In 1983, when legendary blues guitarist Albert King, age 60, was joined by his disciple Stevie Ray Vaughan, age 29, on a Canadian soundstage for the live music TV series “In Session,” magic took place. Albert King with Stevie Ray Vaughan – In Session is not simply a television program: it’s a summit of two master musicians. The only known recording of King and Vaughan performing together, this is the concert that blues fans in general, and Stevie Ray Vaughan fans in particular, have waited years for, she says.

The Legendary Rolling Stones

Adds Raposo, then at 9 p.m., it’s musical mayhem in The Rolling Stones Rock and Roll Circus. The concert extravaganza marked the last performance of the original line-up of “The World’s Greatest Rock and Roll Band”: Mick Jagger, Keith Richards, Brian Jones, Bill Wyman, and Charlie Watts. The Rolling Stones are joined by an all-star musical cast: Jethro Tull, The Who, Marianne Faithfull, Taj Mahal, Yoko Ono, and the ad-hoc, one-time only supergroup “The Dirty Mac” featuring John Lennon (guitar/vocals), Keith Richards (bass), Eric Clapton (guitar), fresh from his break-up with Cream, and Mitch Mitchell (drums) of The Jimi Hendrix Experience.

The program was originally planned and staged by the Rolling Stones in December 1968 as a BBC TV special to promote the newly released Beggars Banquet, however, it never aired. Finally, in 1989, it was discovered in a trash bin at The Who’s vault in London. It has been restored to preserve this historic once-on-a-kind event and was first broadcast in 2007. The public television broadcast includes a 2004 interview with The Who’s Pete Townshend about the historical gathering.

Introducing…“Meet Me at THE MET”

At Rhode Island PBS’s fundraiser, Bruce McCrae (a.k.a. Rudy Cheeks) and Nate Flynn will introduce their new musical performance series, “Meet Me at THE MET,” which will air on WSBE Rhode Island PBS.  Board Members of the Rhode Island Music Hall of Fame will staff the phones during the Monday fundraiser.

Opening up a music venue at Pawtucket’s Hope ArtisteVillage in 2010, owner Rich Lupo saw an opportunity to bring the old Met Café  back, once located underneath I-195 in the CapitolCity’s Jewelry District, before it fell to the wreaking ball. Luckily, the spirit of the music venue lived on. Lupo brought it back to life downtown in the ‘90s and early 2000s with a new incarnation appended to the middle era Lupo’s Heartbreak Hotel.

Flynn remembers the original Met Café  – “not much bigger than a McMansion’s living room – was a hangout where the beer was almost cold and the music was always hot.” According to Flynn, if you didn’t know where it was, you could follow any one of the cars downtown whose bumpers sported a sticker imploring one to “Meet Me at The Met.”  It was a great music scene and, soon after opening, national acts with Rhode Island pedigrees like Roomful of Blues and the Fabulous Thunderbirds became regulars, he said.

This latest re-incarnation of THE MET, in a 650,000 square-foot historic mill in Pawtucket, has prompted the production of a new Rhode Island PBS program, “Meet Me at THE MET,” to be filmed there, says Cheeks. With the airing of each of their hour-long  programs, Cheeks and Flynn hope to bring back what made the original Met café, Lupo’s or the Living Room so special to many Rhode Islanders: an intimate-sized performance space that would nurture local musicals and expose audiences to emerging superstars.

The new WSBE Rhode Island PBS program is the brainchild of Pawtucket-born Cheeks and Flynn, a native of North Smithfield.  Cheeks, inducted into the Pawtucket Hall of Fame in 2007, needs no introduction as a member of legendary local bands the “Fabulous Motels,” “Young Adults,” and Jackiebeat Orchestra. His 40-year career also spanned occasional acting in films and serving as narrator in documentaries that appeared on national PBS, and teaching at local Universities. Over the years, he hosted radio talk shows on WALE, WPRO and WHJJ.  His cable television show, the Club Genius, won a Rhode Island State Film award.

Cheeks is a highly regarded columnist, writing for alternative press in the Ocean State since 1979 for the Providence Eagle, The NewPaper and now the Providence Phoenix, writing the Phillipe & Jorge’s Cool Cool World with long-time side kick Chip Young for 33 years.  He even created a nightclub act called Comediac’s Bad Film Festival where the worst movies ever made were screened (appearing 4 or 5 years) before the nationally syndicated Mystery Theater.  In 1997, he the former Pawtucket resident served as Grand Marshal of Pawtucket’s St. Patrick’s Day Parade.

Flynn is an internationally award-winning communications professional. While a student at BrownUniversity, he studied electronic music composition at the McColl Studio of Electronic Music. During his time on College Hill, he was a key member of the Brown Student Concert Agency, Billboard Magazine’s then top-rated college concert agency and stage crew, working stage crew for internationally-recognized bands, including Bob Marley, Blondie, U2, Dire Straits, the Kinks, Emmylou Harris, The Ramones, Dave Brubeck, Carley Simon, Pat Metheny, Bonnie Raitt, and Little Feat, among many others.

A Chance Encounter

By chance, in 2011, Cheeks and Flynn became part of a group of individuals who banded together to found the Rhode Island Music Hall of Fame.  Having known each other for years, their work on the Hall triggered the idea for them to produce a live music show for WSBE Rhode Island PBS.  Based out of Pawtucket’s THE MET, the program will document the great Rhode Island music scene of the last 35 years.  Like the club itself – this is the third MET – the Providence music scene has now moved to Pawtucket, just a stone’s throw from the Providence line. From the ‘70s bands like Roomful of Blues, the Young Adults, Rizz, Beaver Brown, and Wild Turkey, to ‘80s new wave outfits such as the Schemers, Rubber Rodeo, and the Mundanes, up to today’s nationally-recognized Americana groups like Deer Tick, Brown Bird, Joe Fletcher and the Low Anthem, the Providence and now the Pawtucket music scene becomes vibrant.

Flynn notes that advances in video technology have made it possible to take advantage of THE MET’s great sight-lines and line-ups  to capture live music in a powerful new way, getting closer to the music than ever before.  “Meet Me at THE MET” is the perfect vehicle to record Rhode Island’s finest groups and music where it’s at its best, in a club setting where musicians are no more than 40 or 50 feet from the audience, he says, noting that many of the older bands they hope to reunite on the show were never properly recorded in their heyday.  “Just as important as the venue, is the support of THE MET’s owners, Rich and Sarah Lupo, and the crew that works there.

All this comes together to create a very special opportunity to showcase some great music,” says Flynn, who recognized the efforts of Dave Marseglia, David W. Piccerelli and Jodi Mesolella, of WSBE Rhode Island PBS, for making the new musical programming happen.

Cheeks will host the show, do interviews, and provide context for the musical performances, relying on his decades of experience as a great musician, columnist, and bon vivant. Flynn will handle video production, edit the videos, and mix the audio. They’ve teamed up with IMAJ Associates, a Rhode Island-based, award-winning design firm, to help with the look of the show, and they have lined up an audio company to record the multi-track during the performances (that is to tape each performer’s instruments and microphones individually to get a proper mix of sound.)

For more information about “Meet Me at THE MET “or to learn more about sponsorship opportunities, contact Rudy Cheeks at  rudycheeks@live.com.  Or call (401) 580-2265.

Watch WSBE Rhode Island PBS over the air on digital 36.1, on Cox Cable 08 / 1008HD, Verizon FiOS 08 / 508HD, Comcast 819HD, DirecTV 36, and Dish 7776.  Be very generous in supporting WSBE Rhode Island PBS to keep quality local programming on Rhode Island’s only public television station.

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