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Silver Wave of Older Voters Important in Midterm Elections

Published in RINewsToday on October 19, 2026

Over the last four months, AARP has released polling results from nine battleground states to gauge candidate preferences, voter motivation, and the aging issues and policies that voters age 50 and older consider important when deciding who to vote for in the upcoming midterm elections.

AARP conducted the 2026 polls in Ohio (June), Georgia (July), Arizona and Michigan (August), Alaska, Maine, North Carolina and Texas (September), and New Hampshire (October).

Now, just weeks before the November midterms, AARP has released its final report, “Targeted Congressional District (TCD) Voter Survey,” highlighting the outsized role older American voters could play in deciding key congressional races. As with its previous nine state polls, AARP commissioned the bipartisan polling team of Fabrizio Ward (R) and Impact Research (D) to conduct the survey.

The 21-page report examines voters in 43 congressional districts rated Toss Up, Lean Republican or Lean Democrat by the Cook Political Report. Its findings show that older voters are particularly concerned about rising prices, especially the cost of groceries and gasoline, as Election Day approaches.

The poll covering 43 competitive congressional districts, found these leading issues among voters age 50 and older:

  1. Rising prices and affordability
  2. Threats to democracy
  3. Immigration

Among persuadable voters 50-plus (21%), the priorities were different:

  1. Rising prices and affordability
  2. Social Security and Medicare
  3. Taxes

“Older voters are the nation’s most reliable voters. They decide elections, so candidates can’t afford to overlook them,” said Nancy LeaMond, AARP Executive Vice President and Chief Advocacy Officer, in an Oct. 15, 2026 statement announcing the report’s findings. “Older voters want leaders who will protect Social Security and Medicare, support family caregivers, and ensure everyone can age with financial independence and dignity,” she said.

Research over time has shown that older voters make up a large part of the electorate and have a major impact on election results nationwide. Exit polls found that voters age 50 and older cast 55% of all ballots in 2024 and 59% in 2022. In the last midterm election, more than six out of ten older voters went to the polls, compared to about three out of ten voters under 30.

Latest findings suggest that older voters will continue showing up at the polls. Eighty-three percent of voters age 50 and older said they were extremely motivated to vote in November, compared to 66% of voters under 50. About 21% of older voters are considered “persuadable,” meaning they are not firmly committed to either party’s congressional candidate.

The pollsters also looked at the country’s mood and voters’ financial situations. The findings were not encouraging. Sixty-two percent believe the country is headed in the wrong direction, while 59% are worried about their personal finances.

The report shows Democrats holding a slim 3-point lead (49% to 46%) on the generic congressional ballot in the 43 competitive districts, with 5% undecided. President Trump carried these districts by 6 points in 2016.

But these findings show a clear generational divide:

* Republicans lead by 10 points (53% to 43%) among voters age 50 and older – while…

* Democrats lead by 26 points (60% to 34%) among voters under 50.

Looking at race:

* Republicans hold a 4-point advantage among white voters, while

* Democrats lead among Hispanic voters by 15 points and Black voters by 43 points.

Education also plays a role:

* Democrats are doing better among college graduates than among voters without four-year degrees.

The pollsters found that persuadable voters remain closely divided.

* Democrats lead by 6 points (42% to 36%) among persuadable voters overall, while…

* Republicans hold just a 1-point advantage (39% to 38%) among persuadable voters age 50 and older.

* Another 23% of these older voters remain undecided.

Top Issues of Concern

Not surprisingly, rising prices and affordability top the list of concerns for older voters in these competitive congressional districts, followed by threats to democracy and immigration.

For persuadable voters age 50 and older, the top three issues influencing their vote are rising prices and affordability, Social Security and Medicare, and taxes.

Looking more closely at Social Security, 58% of older voters say the program is or will be a major source of household income. An overwhelming 94% say they would be more likely to support a candidate who ensures they receive the Social Security benefits they earned through a lifetime of work.

On health care, 85% say they would be more likely to support a candidate who expands Medicare’s ability to negotiate prescription drug prices.

Caregiving is another important issue. Half of older voters surveyed say they are or have been family caregivers. At the same time, 77% would be more likely to support a candidate who provides a tax credit to help cover the costs of unpaid family caregiving.

Affordability. And when it comes to rising prices, groceries and gasoline remain the two biggest concerns.

Taking a Look at Gray Power at the Polls

Darrell West, a senior fellow at the Brookings Institution and former Brown University professor, agrees with the findings of AARP’s latest survey. Older voters have become a crucial swing group that could shape this year’s election, he says.

West explains that seniors don’t vote as a monolith. They regularly shift their votes between Republicans and Democrats. Ultimately, their choices in November may come down to how well candidates protect the programs they rely on most, particularly Social Security and Medicare.

“This invaluable poll illustrates that seniors and older adults matter,” says Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare (NCPSSM). “Seniors will be the largest block of voters, and politicians ignore them at their own peril,” he warns.

“Seniors, who are more likely to live on a fixed income, have been especially hurt by Trump’s affordability crisis. This underlines the importance of Social Security in this election. This is why we say ‘Social Security is on the Ballot!’” stresses Richtman.

Richtman estimates that voters age 65 and older will account for more than 30% of the electorate. While Republicans have historically enjoyed an advantage among these voters, Democrats have narrowed that gap in recent elections, he says.

“Supporting Social Security is both good policy and good politics,” Richtman claims, pointing to the poll’s finding that 94% of older voters are more likely to support candidates who protect their Social Security benefits.

While AARP is a nonpartisan nonprofit organization that does not endorse political candidates, NCPSSM’s political action committee does.

According to Richtman, NCPSSM-PAC has endorsed and supported more than 50 candidates nationwide, including Josh Turek (Iowa), Dan Osborne (Nebraska), Abdul El-Sayed (Michigan), Roy Cooper (North Carolina) and Jon Ossoff (Georgia).

NCPSSM also compiles a congressional scorecard to inform older Americans about how votes in Washington affect Social Security, Medicare and other programs important to them. Based on the organization’s legislative priorities, Democrats generally receive higher scores than Republicans.

Richtman notes that NCPSSM-PAC has been busy educating voters about the stakes of this election through its “Social Security on the Ballot” mobilization campaign. Its message is that the lawmakers elected this November will help determine Social Security’s future and whether beneficiaries receive the benefits they have paid for. The organization is getting that message out through town halls, press conferences, social media, and traditional media appearances. It also works with candidates and campaigns on policy issues affecting older Americans.

Meanwhile, AARP continues its own voter education efforts through its “Social Security, Your Vote, Its Future” initiative, asking congressional candidates how they would protect and strengthen the program.

The nation’s largest organization representing older Americans also provides research and analysis on Social Security policies, works with federal officials and members of Congress, and organizes public education efforts to inform and mobilize its members.

Through its “I Am a Social Security Voter” campaign, AARP encourages voters to prioritize protecting Social Security when evaluating candidates.

AARP’s latest report suggests that in tightly contested congressional districts, the “silver wave” of older voters may be the deciding factor in who goes to Washington and who stays home.

Stay tuned…

The survey was conducted by AARP’s bipartisan polling group, Fabrizio Ward and Impact Research, and interviewed 1,368 likely voters in 43 competitive congressional districts between October 1 and 5, 2026, using a combination of cell phone, landline, and a text-to-web survey in both English and Spanish; the margin of sampling error is ±2.7 percentage points.

Full Survey Results: AARP’s 2026 Targeted Congressional District Voter Poll; go to Targeted Congressional District Voter Survey.

For AARP’s 2026 Midterm Election Polls, go to Older Voters in the 2026 Midterm Elections in Battleground States.

New AARP Report: Unpaid Care Skyrockets to over $1 Trillion

Published in RINewsToday on April 6, 2025

AARP’s latest report reveals a staggering surge in the economic value of unpaid family caregiving, now exceeding $1 trillion. Since 2006, AARP’s Public Policy Institute has tracked this value through its Valuing the Invaluable reports. Last week, at a virtual media briefing, the organization released its seventh report, Valuing the Invaluable 2026: Family Caregivers’ Contribution Reaches $1 Trillion,  delivering a strong message: in 2024, family caregivers provided nearly 50 billion hours of mostly uncompensated care—valued at a whopping $1.01 trillion. Sixteen years earlier, AARP estimated the value of uncompensated care was just $350 billion.

 Building on the previous data, the 9-page report, released on March 26, 2026, by AARP’s Public Policy Institute, emphasizes throughout that caregiving impacts not just families, but also the economy, labor market, and healthcare system.

 It estimates that 59 million caregivers contributed a total of 49.5 billion hours of care each year, valued at $20.41 per hour. Using the Caregiving in the US 2025 data set (which uses new statistical methods that incorporate the range of tasks and support that family caregivers provide), this amounts to about $1.01 trillion annually. For comparison, family caregivers’ economic contribution surpasses the combined federal, state, and local Medicare spending in 2024 ($931.7 billion) and nearly doubles out-of-pocket health care spending ($556.6 billion).

 To further accentuate the magnitude, the report calculates that the nearly 49.5 billion hours of uncompensated care provided annually equal the labor of about 24 million full-time workers—that’s 17% of the nation’s full-time workforce.

According to the AARP report, American adults spend as much time on caregiving duties as on everyday activities, such as housecleaning and preparing meals, and almost twice as much time as they spend on religious activities and volunteering combined.

This unpaid care—delivered by caregivers to older adults, neighbors, and friends—enables millions to remain independent in their homes and communities. The report warns that, without this assistance, millions of Americans would be forced to rely on assisted living or costly nursing facility care, resulting in significantly higher costs for public programs such as Medicaid. However, it also recognizes that this support comes at a steep personal cost to caregivers, often undermining their health, emotional state, financial security, and general well-being.

 Beyond national implications, AARP’s caregivers report also provides state-by-state estimates of the number of caregivers, total hours provided, economic value, and the average hourly value of care.

These state figures, for example, show that the estimated value of caregiving ranges from $14.12 per hour in Louisiana to $27.05 per hour in Washington, reflecting regional differences. In Rhode Island, approximately 155,000 family caregivers provide 111 million hours of unpaid care, valued at $2.8 billion, or about $25.07 per hour.

Continuing this deeper look, the AARP report finds that family caregivers now provide more care than ever, averaging 27 hours per week. More than half—57%—deliver high-intensity care: tasks such as bathing, dressing, wound care, and administering injections.

 Presser Announces New Caregiver Report’s Release

 To explore the report’s findings in greater depth, AARP convened a 40-minute panel moderated by Ilse Zuniga, Director of External Relations. This discussion brought together Dr. Myesha Minter-Jordan (AARP CEO), Nancy LeaMond (Executive Vice President and Chief Engagement Officer), Paula Cunningham (AARP Michigan State Director), Rita B. Choula (Senior Director at AARP’s Public Policy Institute and lead author), and Megan O’Reilly (Government Affairs Department).

During the panel, Dr. Myechia Minter-Jordan, AARP’s CEO and physician, addressed the 30 journalists present, stating that family caregivers are underwriting a service that millions depend on daily.

 She emphasized that, with family caregiving now exceeding $1 trillion annually, employers, healthcare providers, and policymakers must do more to recognize and support caregivers as they fill essential gaps in the healthcare system.

Dr. Jordan said caregiver stories are powerful and often painful, stressing that AARP is working to magnify these voices and advocate for concrete policies that recognize caregivers’ economic contributions.

 “Given that most Americans will either be a caregiver or need one at some point in their lives, we need to do better,” Dr. Jordan told the journalists.

 “AARP is supporting bold solutions to assist America’s caregivers, says Dr. Jordan. “These include a national paid family and medical leave policy, as well as greater respite services and resources, such as those offered in states through partnerships with United Way and AARP’s 211 Caregiver Support Hotline.”

She concluded that the released report should be a wake-up call and an opportunity for action, hoping that it will drive real, long-lasting change.

Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer, noted, “Caregiving is not simply a family issue; it’s a labor force, economic, and healthcare issue that compels action. Behind every data point is a person—a daughter, husband, grandchild, or neighbor.”  

According to LeaMond, AARP has been working relentlessly to raise caregiving as a national priority and to push for common-sense, bipartisan solutions that can save caregivers time and money.

LeaMond added that the organization has worked to raise the visibility of caregiving, making it a national priority at both the state and federal levels. She noted, “Oklahoma became the first state in 2023 to pass a comprehensive state-wide caregiver tax credit to put money back in the pockets of family caregivers,” with Nebraska following the next year.

Additionally, she stated that 12 other states have considered enacting statewide caregiver tax credit legislation during the 2026 legislative session.

LeaMond further reported that on Capitol Hill, AARP has been advancing legislation such as the Credit for Caring Act, which offers a $5,000 federal tax credit to offset caregiving expenses, and the Lowering Costs for Caregivers Act, which allows family caregivers to use Health Savings Accounts or Flexible Savings Accounts for care expenses for parents.

Paula Cunningham added a personal dimension, relating stories to illustrate the intense, unceasing nature of caregiving. She narrated stories of caregivers forced to draw from their savings or reduce work commitments, such as Deb Conja, an attorney from Okemos, Michigan, who left her job to care for her mother.

She also shared the experience of a Detroit military veteran who, after two tours of service, described caregiving for her mother as the hardest job she’s ever had—an indication of the intensity of these responsibilities.

“Navigating through who to call and when to call, and what kind of services are available is another layer of stress that we’re trying to help reduce,” says Cunningham. She noted that AARP Michigan is calling for funding for a Caregiving Resource Center to provide one-stop online shopping and connect 1.6 million Michigan caregivers across the state with the support services they need.  

 AARP Michigan is also pushing to expand access to funding for home- and community-based services that are necessary for caregivers to stay in the workplace, says Cunningham.

 Finally, during the Q&A, Megan O’Reilly from AARP’s government affairs department responded to Politico journalist Robert King about whether a federal crackdown on fraud in personal care services could undermine governmental efforts to support family caregivers. “Fraud is a crime, and those who commit fraud should be held accountable. But we have to make sure that we’re protecting the care and the need for the essential care and services that our communities and loved ones need to remain at home…,” she said.  

 In response to a question, Rita B. Choula, the AARP report’s lead author, provided extra insights as to how the economic value of care was calculated for the latest report.  

Today, caregiving encompasses much more than just taking someone to a provider’s office, paying bills, or even mowing the lawn, says Choula, noting that the economic value of care must account for the complexity of the care provided.  “Individuals are now doing things in the home that medical providers and professionals were trained to do,” she notes, explaining that these new duties have resulted in using a higher hourly wage to calculate the cost of unpaid care.  

AARP provides resources to help families navigate the myriad of caregiving challenges by connecting them to reliable resources in every state. AARP’s state-by-state Family Caregiver Resource Guides help family caregivers access key programs, services, and agencies right in their community. Additionally, through its partnership with United Way Worldwide, caregivers can access local support services in 28 states by calling 211, including help finding in-home care, respite care, transportation, and other essential services.

A Final Note…

Urgent policy action must be taken by Congress and state legislatures to provide the concrete financial support needed to deliver real financial relief and structural support for America’s caregivers through measures such as tax credits and paid family leave. It is the right thing to do!

Expanding Medicare on political agendas: In-home Health Care critically important

Published in RINewsToday on October 14, 2024

This week Vice President Kamala Harris unveiled a “Medicare at Home” proposal on ABC’s The View that would expands Medicare to assist older Americans to age in place at home by covering some of the cost of in-home care. The proposal targets adults who are part of the ‘sandwich generation,’ estimated to be 105 million Americans who are raising children along with taking care of their elderly parents.

The Medicare benefit to assist caregivers would propose to have cost-saving benefits for the federal government by allowing seniors to stay at home rather than being sent to costly nursing homes. It would also reduce hospitalizations, too.

Harris told about her personal experience as a caregiver, providing care to her mother, Shyamala Gopalan, a biomedical scientist, who died of cancer in 2009 at the age of 70. Caring for a parent can translate into “trying to cook what they want to eat, what they can eat,” she said. “It’s even trying to think of something funny to make them laugh or smile,” she added.

“We’re talking about declining skills” of older people, “but their dignity, their pride, has not declined,” Harris added.

“There are so many people in our country who are right in the middle. They’re taking care of their kids and they’re taking care of their aging parents, and it’s just almost impossible to do it all, especially if they work,” Harris said.  “…we’re finding that so many are having to leave their job, which means losing a source of income, not to mention the emotional stress,” she said, explaining why there is a need to expand Medicare to cover more in-home care services.

Harris’ Issues on her website – Protect and Strengthen Social Security and Medicare

“Vice President Harris will protect Social Security and Medicare against relentless attacks from Donald Trump and his extreme allies. She will strengthen Social Security and Medicare for the long haul by making millionaires and billionaires pay their fair share in taxes. She will always fight to ensure that Americans can count on getting the benefits they earned”.

The Costs

The Brookings Institution recently estimated that a “very conservatively designed” program would cost $40 billion a year. They noted that “controlling demand in such a program is nearly impossible – for reference, Medicaid, which covers far fewer adults than Medicare, actually spent $207 billion on long-term services and supports in 2021”.

In addition, “Home health is such a hotbed of fraud,” said Theo Merkel, a health policy expert at the Paragon Health Institute and the Manhattan Institute. “If the proposal is adopted, taxpayers could end up paying for everyone who stays at home with their Medicare-eligible family member as a government paid Service Employees International Union member.”

The Cato Institute, a libertarian think tank headquartered in Washington, D.C., charges that Harris’ new Medicare home care benefit is “uncompassionate, fiscally reckless, and a corrupt attempt to buy the votes of Medicare enrollees and their middle-aged children in an election year.”

Examining the Differences…

According to Matthew E. Shepard, Communications Director for the Center for Medicare Advocacy, the new Harris proposal is quite different from the existing home care benefits that Medicare’s 65.5 million enrollees receive. ”The new proposal focuses on Long Term Services and Supports, something of a term of art in the health care world. While details are scarce, it would provide, we believe, ongoing affordable home care aide service without a need for skilled care or that strict definition of homebound,” said Shepard.  The proposal’s funding would come from increased savings in Medicare Part D as the list of negotiable drugs grows  [a historic provision of the Inflation Reduction Act which is lowering the cost of senior’s medication]  savings currently estimated at $6 billion in 2026, and which will only grow as more drugs are added, he noted.

“We are going to save Medicare that money, because we’re not going to be paying these high prices [for drugs] and that those resources are then put to use in a way that helps a family,” Harris said.

The Trump proposal

The Trump/Vance campaign quickly issued a statement taking credit for already making a commitment to America’s seniors receiving at-home care, saying that Harris’ Medicare expansion policy was just following his lead. Former President Trump released his home care platform last summer, according to an Oct. 8th statement. “Specifically, President Trump will prioritize home care benefits by shifting resources back to at-home senior care, overturning disincentives that lead to care worker shortages, and supporting paid family caregivers through tax credits and reduced red tape,” noted the statement.

One of Trump’s 20 point platforms is “Fight for and protect social security and Medicare with no cuts, including no changes to the retirement age”. In the accompanying 16-page document, which, supports Medicare it says, “President Trump has made absolutely clear that he will not cut one penny from Medicare or Social Security. American citizens work hard their whole lives, contributing to Social Security and Medicare. These programs are promises to our Seniors, ensuring they can live their golden years with dignity. Republicans will protect these vital programs and ensure Economic Stability. We will work with our great Seniors, in order to allow them to be active and healthy. We commit to safeguarding the future for our Seniors and all American families. We will strengthen Medicare. Republicans will protect Medicare’s finances from being financially crushed by the Democrat plan to add tens of millions of new illegal immigrants to the rolls of Medicare. We vow to strengthen Medicare for future generations.”

 Dementia caregiving already set to quadruple in 2025

AARP notes on their website that one expansion of caregiver coverage, “a program for dementia patients and their caregivers that launched this year will quadruple in 2025, serving more of the country. The program, called Guiding an Improved Dementia Experience (GUIDE), provides a 24/7 support line, a care navigator to find medical services and community-based assistance, caregiver training and up to $2,500 a year for at-home, overnight or adult day care respite services. Patients and their caregivers typically won’t have copayments”.

Praise for expanding Medicare benefits

“We have long championed the expansion of federal support for long-term care,“ says Max Richtman, President and CEO, National Committee to Preserve Social Security and Medicare (NCPSSM), noting that Harris’ proposal gives that cause an enormous boost.

“Expanded Medicare coverage for home health care also would provide relief to millions of ‘sandwich generation’ Americans, who are struggling to provide care for their elderly relatives while also raising children.  Those ‘sandwich generation’ members are not Medicare beneficiaries, but would most definitely benefit from Harris’ long-term care plan,” says Richtman in an Oct. 8 statement.

According to Richtman, the plan also would add hearing and vision coverage to traditional Medicare. “Proper hearing and vision care are essential to healthy aging — but too many beneficiaries forgo it due to cost and lack of coverage. It is long past time that those coverages be added,” he added.  

Co-Director David Lipschutz says that the Center for Medicare Advocacy (CMA) strongly supports the proposed enhancement of Medicare coverage for on-going home care. “Access to services and supports in the home for those who are unable to independently perform activities of daily living would provide immeasurable help to millions of beneficiaries and their families and is an important step forward for the Medicare program,” says CMA’s Lipschutz. To maximize access to care for people who need it, expansion of home care coverage in Medicare should be combined with enforcing the benefit that exists now, he suggests. 

“Recognizing that most older persons and those with disabilities prefer to remain at home when they need help with daily living tasks, the Senior Agenda Coalition has worked for years to increase access to home and community-based care at the state level as these services are one of the biggest gaps in Medicare,” says Maureen Maigret, Policy Advisor for Senior Agenda Coalition of RI.  To include them in Medicare will lift a financial burden on both recipients and family caregivers as home care costing at least $35/hour that  can be out of reach for far too many who need these services to stay at home,” she says.

“We have not seen many details about the plan, but it would be important to make sure that Medicare provider reimbursement levels are sufficient to allow direct care staff to earn livable wages in order to have workforce sufficient to meet the demand,” note Maigret. “This new Medicare home care benefit should also be a boon for states as it can prevent persons from spending down their resources to a level where they become eligible for state Medicaid and need costly nursing home care,” she says.  

In a new paper for O’Neill Institute for Georgetown Law, McCourt Professor Judith Feder and Nicole Jorwic explore how adding a home care benefit can help beneficiaries and family caregivers. “While this new benefit would not reach the full population in need of long-term care, paired with investments in Medicaid, it’s a good strong start-and given our nation’s resources, clearly within our means,” say the authors. 

“A support system that relies on unpaid family members and underpaid workers is simply not sustainable for the future,” warn the authors.

“Our failure to make Medicare “whole” by addressing Long Term Services and Support needs is not about a shortage of resources, it’s about a shortage of political will. It’s time the nation stepped up,” they say.

Pay attention to Caregiver voters

AARP is nonpartisan and does not take a position on campaign proposals, though AARP has previously said financial relief is needed to help individuals age in place at home and support family caregivers, says Sarah Lovenheim, AARP’s vice president, external relations.

According to AARP’s “She’s the Difference” survey released last month, 96% of woman aged 50 and over say they are highly motivated to vote in the upcoming elections, making them one of the most driven and key voting groups.

“Any political candidate would be wise to pay attention to the concerns and needs of caregivers today. Voters over age 50, who disproportionately make up America’s 48 million plus caregivers, could make or break elections up and down the ballots,” says Nancy LeaMond, AARP’s executive vice president and chief advocacy and engagement officer. “From recent battleground polls, we know that roughly one-third of swing voters over age 50 identify as family caregivers,” she notes.

“Supporting family caregivers is an urgent need – not only for families struggling to get by but for our country’s future,” warns LeaMond.

Regardless of who wins the election, a Medicare at home proposal cannot happen without Congressional support. As the presidential campaign winds down, older voters must make it extremely clear to lawmakers seeking their vote how they feel about expanding Medicare benefits.