100 and Still Counting

Published in Senator Digest on May 2006.

The State Department of Elderly Affairs (DEA) is honoring centenarians and their contributions to society in May in observation of Older Americans Month.

“When you stop and think about the thousands of years of living history that centenarians represent, we begin to realize that their experience and wisdom are gifts to be treasured,” Corinne Calise Russo, the DEA  Director told Senior Digest.

According to the United States Census Bureau, the 2000 population count found 1,048,319 persons residing in the Ocean State. The data also revealed that 75,718 of those residents were age 75 and over. But, for those reaching age 100 and over, the number literally falls in the hundreds, a demographic milestone few will reach.

For the past 29 years, the DEA has been charged with organizing the annual Governor’s Centenarians Brunch, an event to celebrate people who have lived to be age 100. Over the year, the DEA’s brunch for the state’s oldest old has become the centerpiece of the agency’s celebration of May as Older Americans Month, says Russo.

In the early years, the Governor’s Centenarians Brunch was held in the State Room at the Statehouse.  In later years, the brunch was moved to community-based locations because of the climbing number of centenarians who were able to attend.

Six times, one of the oldest-know Rhode Islanders, Sam Goldberg, 106, has attended the Governor’s Centenarians’ Brunch with his elder peers, all who either reached age 100 that year or who have lived over a century.  Last year DEA organizers had located and invited 250 Rhode Islanders age 100 and over.  Only 50 attended the brunch. They expected the attendance for this year’s even to be around 60.

Goldberg, a resident of Village of Waterman Lake, Greenville, was born in 1900 in Lodz, Poland. Like many people at that time, his father came to the United States first to work to support his family.  Later, in 1907, Goldberg, his mother, two brothers and two sisters would come over and live, reuniting with their father.

During 1916, Goldberg worked in Hartford, Conn., at a company making ball bearings, for automobiles.

With the outbreak of World War 1, a recruiter in Atlanta signed him up in the United States Calvary. Little did the recruiter know that Goldberg would be one of the few remaining World War I veterans alive in 2006.

Goldberg was not destined to see battle oversee. He would be stationed in San Antonio, Texas, assigned to “guard the boarders against the bad guys.”  During his 17 months in the Army, he would also patrol the 40-mile boarder in Hachita and Columbus, New Mexico. “It was like police work,” remembered Goldberg.

After the Army stint, Goldberg returned to civilian life, working at Willy’s Overland Cars in New York. In 1922, he relocated to work at the company’s Providence dealership.  He moved to the city’s Elmwood neighborhood.  Goldberg has lied in the Ocean State for 84 years, was married for 76 years and raised three children.  He worked all of his life in the car business and said he became a partner at Hurd, a Cranston-based auto dealership, retiring at age 70.

While many people remember the destruction brought about by the Hurricane of 1938, it brought in lots of business in Goldberg’s Chrysler car dealership located on Reservoir Avenue in Cranston. “It increased our business because insurance companies paid to fix cars damaged by the storm,” he said.

Goldberg also remembered the days when Providence was populated with a large number of jewelry companies with thousands of workers.

“You had industry here. You have nothing like that now,” he says.

Why are more people living past age 100?

According to the New England Centenarian Study at the Boston University Medical School, centenarians are the fastest growing segment of our population. The second fastest growing segment is people age 85 and over.

The study started in 1994 has generated data that sheds light on the nation’s oldest old.  The BU Medical School’s website noted that centenarians have many characteristics in common.  Few centenarians are obese, and men and nearly always lean. Those individuals were never heavy smokers, and they could handle stress better than most.

Meanwhile, the study found that women centenarians had a history of bearing children after the age of 35 and even 40.  Researchers say that it is probably not the act of bearing a child in one’s 40s that promotes long life, but doing so may be an indicator that the woman’s reproductive system is aging slowly and that the rest of her body is as well.

The study also found at least 50 percent of the centenarians have first-degree relatives and/or grandparents who also achieved very old age, and many have exceptionally old siblings.  The data indicates that many of the centenarians’ children between age 65 and 82 appear to be following in their parents’ footsteps with marked delays in cardiovascular disease, diabetes and overall mortality.

DEA Director Russo says,” Each year (at the Governor’s Centenarians’ Brunch) we ask centenarians that age-old question,” What is the secrete to your longevity?” Their answers are varied as the personalities involved, but they all contain basic themes.  Stay active and alert.  Stay connected to family, friends and the world around you.  And most of all be grateful for each day and the joy it brings.

Goldberg seems to fit many of the predictors for living over age 100 that have been identified by the New England Centenarian Study. He is lean and never was obese. He never smoked either. But when questioned about his longevity, he laughed and said,” I keep breathing. You take in air.” Maybe his longevity is tied to a good sense of humor, too.

Delegates Reject Bush’s Policies

Published in Senior Digest on January 2006

President George Bush and congressional Republican leaders supporting Social Security reform through private savings accounts, saw their policy soundly rejected at the White House Conference on Aging (WHCoA) held last month in Washington, D.C.

According to AARP State Director Kathleen Connell, who was appointed to the Rhode Island WHCoA delegation by U.S. Sen. Jack Reed, Bush’s private sector approach to Social Security reform got a big thumbs down.

The president also took a hit on his new Medicare prescription drug benefit program, which offers insurance coverage through the private sector. Delegates voted for a strategy that calls for replacing the new Medicare drug benefit with a government-run program.

By the end of the fifth WHCoA, 50 resolutions dealing with a variety of policy issues were approved by the 1,200 delegates. Most of the top 10 resolutions concern the need to create a comprehensive national strategy to address the long-term care of the nation’s frailest and most vulnerable seniors.

While the delegates took a couple of swings at Bush, the president made an obvious political snub when he failed to appear at the four-day conference and sent Health and Human Services Secretary Michael O. Leavitt, as a replacement. That goes in the record books as the first time a president was no-show at the national aging conference, held every decade since 1962.  Presidents John Kennedy, Richard Nixon, Ronald Reagan and Bill Clinton did make a showing to welcome the delegates.

Moya Thompson, WHCoA deputy director for outreach, stated the conference’s Policy Committee had initially approved 73 resolutions, sharing them with the 1,200 delegates before they arrived in Washington.  Thompson said that three voting sessions were scheduled at the beginning of the WHCoA, with each delegate having an opportunity to vote once to choose their top 50 resolutions. The 50 resolutions that received the most votes were presented at the conference.

According to Thompson, 56 implementation strategy workshops, at least one for each of the 50 resolutions, were held. By law, the resolutions must be delivered to the president and Congress six months after conference, Thompson said.

Counnell said many of the delegates felt that the WHCoA agenda was controlled too much by the Policy Committee appointed by the Bush administration and the Republican-controlled Congress. “This was very visible to those attending,” she said.

Another organizational issue, Connell said, was concern over the Policy Committee not allowing delegates to submit resolutions for a vote in addition to the selected 73. At previous conferences, she said, additional resolutions could be considered if petitioned by 10 percent of the delegates.

Connell said that the Rhode Island delegates were a very cohesive group. “Everybody was on the same page in advocating for issues. Given the size of our delegation, we were very effective,” she said.

Corinne Calise Russo, director of the state Department of Elderly Affairs, said she was pleased that the top vote-getting resolution was the reauthorization of the Older Americans Act, a priority of the Rhode Island delegation.

Russo, appointed by Gov. Donald Carcieri as a delegate, said, “Delegates throughout the nation attending the conference felt that the Older Americans Act should be enacted with increased funding for all of the act’s titles, within the first six months following the end of the conference.”

Ensuring older Americans have transportation options to maintain  their mobility and independence was another resolution that received strong support, Russo said, stressing the importance of keeping seniors independent and driving for as long as possible. She believes the resolution can be implemented at the state level by using new signage on highways, making lane markings extremely visible in rain and at night and designing larger and more visible crossing signs at busy intersections.

While older worker issues and affordable housing designed to allow seniors to age in place are in the top 50 resolutions, and are high on Russo’s agenda, she stressed federal and state policy makers must not forget the growing numb er of grandparents who are raising their grandchildren.

“We need to expand our national family caregiver programs funded by the Older Americans Act, to provide more support for older persons taking on this new role,” she said.

Delegates Head to D.C.

Published in Senior Digest on December 2005

Forty-seven years ago, Rhode Island Congressman John Fogarty successfully pushed legislation through Congress to create a national conference on aging issues. As a result of his forethought, the fifth White House Conference on Aging (WHCoA) will be held this month.

Scheduled every 10 years this nationwide citizens’ forum focuses public attention on aging issues and consolidates all the policy recommendations originating from the WHOCoA into a report sent to the president and Congress.

According to WHCoA staff, leading up to this conference scheduled for Dec. 11-14, there have been approximately 400 local, state and national events held across the nation, involving more than 130,000 people. The events included WHCoA listening sessions, solution forums, mini-conferences and independent aging agenda events.

The theme for the 2005 WHCoA is “The Booming Dynamics of Aging: From Awareness to Action.” The them reflects the changing face of aging in America. The conference, mandated by the Older Americans Act, focuses on the interests and needs of current seniors as well as the 78 million baby boomers who will begin to turn 60 in 2006. (Rhode Island is home to more than 152,000 seniors who are 65 and older and has the sixth highest concentration of people in this age category in the nation).

Corinne Calise Russo, director of the state Department of Elderly Affairs (DEA) said her staff gathered information about the concerns of seniors by conducting listening sessions during May and June to in Newport, Cranston, Wakefield and Woonsocket.  Russo said 150 seniors attended.

There were seven members of the Rhode Island delegation attending the WHCoA. Russo was appointed to attend the upcoming conference by Gov. Donald Carcieri. She said her experience as a 1995 delegate was “very exciting” and that she is looking forward to going back to D.C>

Other delegates are: Kathleen Connell, director of AARP Rhode Island appointed by U.S. Sen. Jack Reed; Joan Crawley, director of the Leon A. Mathieu Senior Center in Pawtucket appointed by Congressman Patrick Kennedy :William Finelli, a retired teacher and librarian appointed by appointed by U.S. Sen. Lincoln Chafee; Ann Gardella, chairwoman of the state Commission on Aging appointed by Gov. Carcieri;  Angelo Rotella, chairman of the American Health Care Association and a nursing home owner, appointed by Congressman James Langevin; and Dr. Terrie Fox Wetle, associate dean for public health and policy at Brown Unversity and policy at Brown University; appointed by WHCoA officials.

According to Russo, the grassroots input gathered at the four listening sessions was hammered out into nine policy recommendations at a resolution development workshop in September. The 12-page  document was forwarded to the WHCoA policy committee charged with planning the agenda for the conference. That committee will bring 50  resolutions gathered from pre-WHCoA events to the conference floor for a vote.

“The submitted resolutions would have to impact the largest number of seniors and also translate into issues that would affect a large number of baby boomers,” Russo noted.  She believes that some of Rhode Island’s resolutions have a good chance of being selected for consideration by the delegates.

“It is probably the one opportunity in a 10-year period of time that local advocates and seniors from Rhode Island can provide input that could become national policy that could effect future generations of seniors,” the DEA director said.

Russo says that it is important to plan for future generations of people who will choose to remain at home for the rest of their lives. She noted that the No. 1 priority that came out of Rhode Island’s listening sessions was the need to provide for a continuum of care to keep older persons in the community.

Other resolutions include a call for increased access to employment opportunities for seniors, supporting caregivers, adequate funding for chronic disease management programs with an emphasis on prevention and maintaining the independence of older disabled adults by providing programs and services to allow them to successfully “age in place.”

In 1995, the number of delegates was almost double the umber that will be attending the 2005 WHCoA. But Russo has no concerns that this reduction of delegates will diminish seniors’ input and the quality of recommendations that come out of the conference. “Every state this year was concerned with the reduction of delegates,” she said, noting that what it ultimately did was provide the opportunity to gain input form older people and baby boomers via the listening sessions.

Connell does not believe that the WHCoA report will sit on a dusty shelf in federal agencies or in the offices of bureaucrats.

“Much of the future policy direction of the country will be affected by this final report. Because of this, the report carriers the weight of its congressional mandate,” she said.

State Wants its Resolution Debated in Washington

The state Department of Elderly Affairs (DEA) submitted nine resolutions to the White House Conference on Aging Policy Committee. It is hoped that the Policy Committee will recommend some of the resolutions for consideration during the conference. The resolution for national policies that:

  1. Establish standards for Medicaid coverage of both facility-based and community-based services; long-term care insurance portability; incentives for excellent care; federal support for assisted technology; an aggressive campaign to educate employers, caregivers and the public about community-based health care and social service options; state and federal coordination of services.
  2. Encourage employees through incentives to: hire and retain older workers; offer flexible work schedules; allow older workers to buy into benefits and adopt attitudes that value the older workers.
  3. Support proactive and informed retirement and long-term care planning for seniors and caregivers, including tax incentives for professionals who look after or provide services to the elderly.
  4. Establish comprehensive care programs for diverse elders, including education about prevention; accessible immunizations, screenings and treatments without regard to ability to pay; nontraditional culture-specific treatments; culturally sensitive end of life care; and an initiative to require that cultural proficiency be included in basic medical education.
  5. Encourage a proactive approach to the conversation within families regarding the preferences and responsibilities of care giving; mandate the Family Medical Leave Act for all workplaces; support caregivers through tax breaks and other financial incentives; design services that are more sensitive to the needs of caregivers.
  6. Promote flexibility and innovation in services, provide adequate same-day urgent medical transportation; support volunteer driver programs; expand community options such as delivery services and coordinated group trips to consumer destinations; and improve coordination of exiting public transportation.
  7. Address education about healthy lifestyles , which government should support along with chronic disease management. The support should include subsidized gym members and  home adaptation.
  8. Form a task force to review and revise standards of the Adults with Disabilities Act (ADA) to more closely reflect the needs of disabled adults; promote aggressive publicity and posting of ADA standards.
  9. Develop a response to housing needs for the next three decades that will include education of caregivers and baby boomers about housing options and the need for long-term financial planning; incentives for universal design to support aging in place, proximity to services; a commitment to esthetics and opportunities for social interaction.