Combatting Loneliness Through Connection and Community Engagement

Published in RINewsToday on December 15, 2025

On April 30, 2023, U.S. Surgeon General Vivek Murthy published an essay in The New York Times, announcing the impending release of U.S. Surgeon General’s advisory report titled “Our Epidemic of Loneliness and Isolation.” In this essay he talked about his own personal struggles with loneliness and called loneliness a public health crisis and advocated for strengthening social connections to combat it.

On May 3, 2023, Murthy released a 81-page report revealing that even before the COVID-19 pandemic, beginning late 2019, nearly half of U.S. adults were experiencing measurable levels of loneliness. This report detailed serious physical and mental health risks resulting from being lonely, with a mortality effect equivalent to smoking as many as 15 cigarettes daily. The Surgeon General also proposed a national strategy to address this issue.

Almost two years and seven months later, AARP releases a new report, “Disconnected: The Escalating Challenge of Loneliness Among Adults 45+.” The 57-page study found that 40% of U.S. adults aged 45 and older are now experiencing loneliness, up from 35% in both 2018 and 2010. Additionally, the report noted a shift in gender loneliness trends, too: men are now more likely to report being lonely than women (42% vs. 37%), reversing the 2018 trend where men (34%) and women (36%) reported nearly equal levels of loneliness.

Researchers also found that loneliness is most prevalent among adults in their 40s and 50s, with 46% of adults ages 45-59 reporting loneliness, compared to 35% of those aged 60 and older. This trend of loneliness decreasing with age has been consistent since AARP’s 2010 research study.

“In midlife, people often juggle careers, children, and caregiving responsibilities while their social circles shrink,” said Debra Whitman, AARP Executive Vice President and Chief Public Policy Officer, in a Dec. 3 statement announcing the release of the report. “These pressures can increase stress and reduce opportunities to meaningfully connect with others,” she added.

Key Predictors of Loneliness

The report identifies several key predictors of loneliness, including smaller social networks, mental health challenges, and fewer friendships. Forty-five percent of lonely individuals reported having fewer friends than they did five years ago, compared to 29% of adults age 45 and older overall. Men are more likely than women to report having no close friends (17% vs. 13%).

Technology also played a significant role in enhancing social connections, with nearly 6 in 10 adults aged 45+ (57%) relying on technology to stay connected with family and friends. This group generally has more close friends and is more likely to volunteer or participate in community groups, the findings suggest. However, for some, technology can deepen isolation. Nearly 24% of lonely adults say technology has led to fewer close friendships. At the same time, 23% of lonely adults express interest in AI technologies for companionship, compared to 15% of adults 45+ overall.

“This research underscores the importance of staying connected with family, friends, and the broader community. Solid social networks aren’t just nice to have—they’re essential for combating loneliness and supporting overall well-being,” said Heather Nawrocki, Vice President of Fun & Fulfillment at AARP. “Nurturing relationships is just as critical to your health as eating well and exercising,” she added.

The report highlights that both lonely and non-lonely adults experience a sense of true belonging when they spend time with family, friends, and co-workers. This suggests an opportunity for individuals to strengthen existing relationships and form new connections.

Social connections can serve as a lifeline for both lonely and non-lonely individuals, the report notes. Simple acts such as reaching out to an old friend, starting a conversation with a stranger, checking in on a neighbor who has recently lost a loved one, or volunteering at your child’s or grandchild’s school can help address feelings of loneliness.

Rhode Island Insights on Loneliness

“This research mirrors what we hear every day from Rhode Islanders who call the Office of Healthy Aging,” says Maria Cimini, Director of the Rhode Island Office of Healthy Aging (RIOHA). Cimini explains that loneliness often surfaces quietly through stress, uncertainty, or a simple feeling of not knowing where to turn for help.

“The new AARP research reflects what RIOHA hears daily from older adults, caregivers, and families seeking help. Loneliness rarely presents itself as the first concern in a call,” Cimini says. “Instead, it often manifests as anxiety, caregiver stress, confusion, or simply a need to talk to someone who understands their situation.”

Cimini emphasizes that loneliness is not just an abstract condition but a complex social and health issue that intersects with caregiving, housing stability, transportation access, food security, disability, and mental health. “Calls to the Aging and Disability Resource Center (ADRC) often reveal people navigating major life transitions alone, such as the loss of a spouse, a new diagnosis, reduced mobility, or the isolation that comes with caregiving or retirement,” she says.

“Loneliness has a significant impact on health, and both loneliness and social isolation are increasingly recognized as major social determinants of health,” says Maureen Maigret, policy advisor for SACRI and a board member of The Village Common of Rhode Island (TVCRI). TVCRI helps older adults remain independent and connected to their communities. Maigret highlighted that feedback from TVCRI members shows how critical the social connections provided by volunteers are for maintaining health and well-being.

AARP’s findings align with research from the American Psychological Association and the American Psychiatric Association, according to Elaine Rodino, Ph.D., a former president of the APA’s Division of Psychologists in Independent Practice. Rodino, a licensed psychologist practicing in Los Angeles and State College, Pennsylvania, stressed that loneliness is a subjective experience. “Some people who spend most of their time alone don’t feel lonely, while others with regular social activity still report feeling lonely,” she explained.

“‘Alone in a crowd’ is an expression that captures the feeling of being surrounded by people yet still feeling isolated,” Rodino said, adding that this is true in online environments as well. “Some people engage with social media or chat groups, while others simply lurk, passively observing without interacting. These individuals often feel lonely, whereas those who actively engage are less likely to report the same experience.”

Rodino also pointed out that patients who identify as lonely may struggle to make social connections due to anxiety. “They may feel more comfortable staying home to avoid the discomfort of social engagement,” she said.

Deb Burton, Executive Director of RI Elder Info, offers a simple but important insight: “Too often, we confuse being alone with being lonely. Many people enjoy solitude, but loneliness is the painful feeling that our social connections aren’t fulfilling or adequate,” she said.

Burton explains that society has traded community for independence, and as a result, many people feel isolated. “Rebuilding community starts with simple acts of connection,” she says. “Volunteering is one of the most powerful ways to do this. When people give their time—whether through RI Elder Info or another local organization—they strengthen their own sense of belonging while supporting older adults and caregivers who rely on trusted information and human connection.”

Rhode Island Resources to Combat Loneliness

RI OHA’s approach focuses on connection, navigation, and community—not quick fixes, says Director Cimini, noting that this state office works to reduce isolation by helping people find services, relationships, and meaningful ways to stay engaged.

The state office supports older adults and adults with disabilities through a statewide network of programs that help counter loneliness and strengthen connection, including:

· Aging and Disability Resource Center (ADRC): A trusted entry point for information, counseling, and referrals.

· Senior Companion Program: Pairs trained volunteers with older adults who need regular companionship.

· Family Caregiver Support Program: Provides education, respite, counseling, and peer support for caregivers.

· Senior Centers and Community-Based Programs: Offering meals, wellness activities, and social engagement.

· Nutrition Programs: Congregate meal sites and home-delivered meals that offer nourishment and social contact.

· Volunteer and Civic Engagement Opportunities: Supporting older adults in staying connected through service and community contribution.

· SHIP (State Health Insurance Assistance Program): Provides one-on-one counseling to reduce stress and confusion around Medicare.

The Samaritans of Rhode Island

The AARP study puts a spotlight on an issue that is evolving and becoming more complicated as technologies, the economy, health care options and living situations change, says Executive Director Denise Panichas at the Samaritans of Rhode Island in Pawtucket.

According to Panichas, The Samaritans of Rhode Island (a suicide prevention resource center), loneliness is at the heart of every call to the agency’s anonymous, befriending line. In its forty-eight year history, the agency has trained a legion of more than 1,800 alumni and current volunteers to listen beyond the words for the isolation presented by every caller.

Panichas, who has served as executive director for over 24-years, says that those who feel hopeless, alone and suicidal often carry the belief, whether true or not, that they and their problems and emotions are a burden to family and friends. “The fear of being a burden too often quiets their voices at the very moment they most need to be heard,” she says.

“It’s important for readers to know, The Samaritans is not 911 nor are we 988,” adds Panichas, explaining that the phone lines are staffed by volunteers. “Our mission is not only suicide prevention education but to foster connection to our listening line that, if the caller wants, can be used as long as we are needed but is also available for a lifetime of support. We actually have callers who call every day just to check in or to say good night,” she says.

Says Panichas, “Our callers recognized the sincerity of our volunteers, who by the very act of volunteering, convey a message to our callers that their lives matter and they are not alone. It’s always a good day, when callers report back that after having the courage to talk a Samaritan volunteer, they found the strength to reconnect with family, friends and professionals.”

Emergency? Call 911. Need to Talk? Call The Samaritans of Rhode Island at 401.272.4044 or 1.800.365.4044. Learn more at www.samaritansri.org

To see OHA programs that help counter loneliness and promote social connections, go to www.oha.ri.gov

The ABCs of Surviving Medicare Open Enrollment

Published in RINewsToday on October 20, 2025

It’s that time. The Medicare Open Enrollment period began last week and runs until December 7th. During this period, Rhode Island’s 243,000 Medicare beneficiaries (data from late 2024 to early 2025) are encouraged to explore their Medicare options, carefully review, compare options, and make necessary changes to their existing Medicare plan for the following year.

During the Medicare Open Enrollment period, you can join a new Medicare Advantage plan or Part D prescription drug plan, switch from Original Medicare to Medicare Advantage, or switch from Medicare Advantage to Original Medicare (with or without a Part D plan).

You can make as many changes as you want during this period. The last change you ultimately make will take effect on January 1, 2026.

Medicare Options

According to Healthinsurance.org, an independent website that provides consumer information and education on health insurance options, here’s a snapshot of Medicare plans chosen by Rhode Island beneficiaries.

As of September 2024, 144,610 Rhode Islanders were enrolled in Medicare Advantage plans. These plans, offered by private health insurance companies, are alternatives to Original Medicare. Medicare Advantage plans cover all the healthcare benefits that Original Medicare covers (e.g., hospital services and outpatient/medical/physician services), but the out-of-pocket costs can differ significantly, as Advantage plans set their own co-pays, co-insurance, and deductibles (within parameters defined by CMS).

Approximately 115,000 to 120,000 Rhode Islanders are enrolled in Original Medicare, representing about 49-51% of the state’s Medicare beneficiaries. Original Medicare, covering individuals aged 65 and older as well as certain younger people with disabilities, is a “fee-for-service” plan composed of two main parts: Part A for hospital insurance (covering inpatient hospital care, skilled nursing care, hospice care, and some home health services) and Part B for medical insurance (covering doctor visits, preventive care, and durable medical equipment). These two parts cover a wide range of medically necessary services, with beneficiaries paying a portion of costs, such as coinsurance and deductibles.

Medicare Part D is an optional prescription drug benefit offered by private insurance companies approved by Medicare. This benefit helps cover the cost of outpatient prescription medications. Approximately 83% of the total 243,377 beneficiaries in September 2024 have some form of prescription drug coverage through a Medicare Part D plan.

Finally, according to the U.S. Centers for Medicare & Medicaid Services, as of 2024, more than 50,000 Medicare beneficiaries in Rhode Island had Medigap policies. These policies are standardized supplemental insurance plans sold by private companies to cover the “gaps” in Original Medicare (Part A and Part B), including deductibles, co-payments, and co-insurance.

Taking a Close Look at Your Current Coverage

Even if you’re satisfied with your current coverage, the state’s Office for Healthy Aging recommends that Medicare beneficiaries closely review and compare their Medicare options to ensure their needs are met in the upcoming year. “Medicare beneficiaries will receive a lot of mail during Medicare Open Enrollment so it is very important to pay attention to any changes in the plan’s costs, including premiums, deductibles, and cost-sharing amounts. Make sure your providers and pharmacies are still in the plan’s network.”

All Medicare beneficiaries (or those approaching Medicare eligibility) can receive free, unbiased counseling from State Health Insurance Assistance Program (SHIP) counselors. These services are voluntary and meant to help people understand the complexity of plans and make informed choices. SHIP counseling is an offered resource, not a condition of having Medicare or enrolling in a plan.

What to Bring to Your SHIP Appointment

You can enroll in Medicare plans or manage your coverage without using OHA or SHIP partners’ counseling. There is a risk of not choosing the best plan to meet your medical needs, missing savings or subsidies, and increasing stress or confusion in making the right choice.

After making an appointment, a SHIP counselor will request the beneficiary bring their Medicare card, current plan(s) cards, and a list of prescriptions and doctors to the meeting.

The OHA and its nine partners (see box below) are provided with training, certifications, and resources through the federal SHIP grant ensuring they stay up to date on what every Medicare Advantage, Traditional Medicare, and Medicare Part D plan offers.

Every October, OHA and its SHIP partners meet with presenters from Rhode Island’s Medicare Advantage plans to become aware of updates on all the 2026 plan changes.

Changes in 2026

According to AARP, expect some significant changes in 2026. The first Medicare-negotiated drug prices will go into effect for drugs like Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Imbruvica, Stelara, and NovoLog/Fiasp. Additionally, according to CMS, savings are expected to lower enrollees’ out-of-pocket spending by an estimated $1.5 billion next year. Finally, the new cap on annual out-of-pocket expenses for Part D drugs will increase to $2,100.

You can call 1-800-MEDICARE to make changes by phone. You can also use Medicare’s Plan Finder tool to compare plans at www.medicare.gov/plan-compare to compare options and enroll in some plans online. Alternatively, you can contact plans directly to enroll.

Find a Medicare plan

However, the Office of Healthy Aging cautions, “Unfortunately, we are still waiting for CMS to release some of the 2026 cost and premium changes, and due to the government shutdown, this may be further delayed.”

A Final Note… Beware of Scams and Fraud

Open Enrollment is also prime time for scams. Scammers who claim to represent Medicare may call asking for your Medicare number, Social Security number, or bank information, especially before you enroll. Medicare will never call, email, or text out of the blue to ask for personal information or payment. If you’re unsure, hang up and call 1-800-MEDICARE to verify.

To schedule an appointment with a State Health Insurance Assistance Program (SHIP) Counselor please contact one of the below agencies.

PARTNER AGENCY	LOCATION	PHONE NUMBER
Aging Well	84 Social St, Woonsocket, RI 02895	401-766-3734
Johnston Senior Center	1291 Hartford Ave, Johnston, RI 02919	401-944-3343
Westbay Community Action Agency	487 Jefferson Blvd, Warwick, RI 02886	401-921-5237
South Kingstown Senior Center	25 St Dominic Rd, Wakefield, RI 02879	401-789-0268
Westerly Senior Center	39 State St, Westerly, RI 02891	401-596-2404
The Aging & Disability Resource Center (ADRC)	50 Valley St, Providence, RI 02909	401-462-4444
East Bay Community Action Agency	100 Bullocks Point Ave, East Providence, RI 02915	401-435-7876
Leon Mathieu Senior Center	420 Main St, Pawtucket, RI 02860	401-728-7582
Progreso Latino	626 Broad St, Central Falls, RI 02863	401-728-5920
Edward King House	35 King St, Newport, RI 02840	401-846-7426

Source: OHA, Oct. 2025

House Finance Committee’s FY 26 Budget boosts support for older Rhode Islanders

Published in RiNewsToday on June 16, 2025

Last Wednesday evening, the House Finance Committee voted 11–3 to approve a balanced $14.33 billion budget for fiscal year 2026—approximately $500 million less than the current year’s budget.

Lawmakers were tasked with closing a $250 million deficit without resorting to broad tax hikes or cuts to essential services. Faced with a slowing state economy and looming federal funding reductions, they focused squarely on bridging the budget gap while improving access to health care, increasing reimbursement rates for primary care providers, nursing homes, and hospitals, and addressing the state’s housing crisis.

The budget proposal also boosts funding for housing and homelessness services, supports municipalities through increased revenue sharing, expands Rhode Island Public Transit Authority (a.k.a. RIPTA) funding, invests in education, imposes new EV registration fees, restores highway tolls, and extends childcare subsidies while setting distinct rates for toddlers and infants.

“Despite the very significant challenges we face in this fiscal year, this budget reflects our commitment to our priorities: not only protecting, but strengthening the vital Medicaid programs that provide health and safety to Rhode Island’s seniors, children, individuals with disabilities, and working families; supporting our health care system, particularly the hard-working primary care providers and frontline caregivers; and addressing our housing crisis,” said House Speaker K. Joseph Shekarchi (D-Dist. 23, Warwick), in a statement announcing the budget’s passage by the House Finance Committee.

Vote Set

According to House Communications Director Larry Berman, the 435-page budget proposal (2025-H 5076A) now moves to the full House for a vote scheduled for Tuesday, June 17, at 3:30 p.m. If passed, the budget will be sent to the Senate, where action is expected by the end of next week as the legislative session concludes.

If the Senate makes no changes, the bill will go directly to Governor Dan McKee for his signature. However, if revisions are made, it must return to the House for final approval before being sent to the Governor.

Berman and his Senate counterpart, Greg Paré, Director of Senate Communications, do not anticipate any major issues—but note that nothing is ever guaranteed.

Funding Aging Programs and Services

The Senior Agenda Coalition of Rhode Island (SACRI) and its allied aging advocacy groups didn’t get everything they lobbied for —but they made progress, according to SACRI Executive Director Carol Anne Costa, who praised the proposal as a “moral budget.”

“This budget represents a moral compass pointing toward a healthier, more equitable Rhode Island,” said Costa, crediting the group’s advocacy efforts, particularly those of SACRI Policy Advisor Maureen Maigret.

Costa highlighted new language in Article 8 that expands the Medicare Savings Programs, enhancing healthcare access for vulnerable older adults and individuals with disabilities. The House Finance Committee recommended adding $7.1 million—$700,000 of that from general revenues—for this critical expansion.

Unlike a narrower 2024 Assembly proposal that faced implementation barriers, the FY 2026 budget expands eligibility to 125% of the federal poverty level for the Qualified Medicare Beneficiary (QMB) group and up to 168% for the Qualified Individuals (QI) group.

“This crucial change is estimated to assist thousands of Medicare enrollees, helping them cover burdensome co-payments and deductibles, and potentially saving them at least the $185 monthly Part B premium—which can now go toward food and other essentials. For many, this means the difference between delaying care and receiving timely treatment,” Costa noted.

Strengthening Primary Care Access

“The state’s primary care system is at a crisis point. We’ve heard that our reimbursement rates are low, and that’s the main cause of the health care shortage. We wanted to address that immediately,” said Speaker Shekarchi.

SACRI applauded the Speaker’s efforts to address both the shortage of primary care physicians and the funding shortfall for direct-care staff in nursing homes. “This budget recognizes the critical importance of primary care—especially for older adults and those managing chronic conditions—and addresses provider rate increases through several key initiatives,” said Costa.

The proposal includes over $40 million—$15 million from the state and the rest from federal funds—to increase Medicaid reimbursement rates for primary care providers, currently lower than in neighboring states.

Additionally, the budget proposes a new healthcare assessment similar to the state’s immunization program assessments. This broad-based assessment, applied per member per month to all covered lives (including self-insured plans), is expected to raise $30 million annually to support primary care and related services. The estimated state cost is $1.4 million, including $800,000 in general revenues.

The committee also recommended $26.4 million ($8.3 million in general revenue) to raise Medicaid primary care rates to 100% of Medicare rates beginning Oct. 1, 2025. This significant increase aims to incentivize providers to serve more Medicaid patients and improve access to foundational care.

Furthermore, the Office of the Health Insurance Commissioner (OHIC) must submit a one-time report by September 2026 to recommend further adjustments to primary care reimbursement rates.

“To address fiscal challenges facing our community health centers, the budget also includes $10.5 million—$4 million of that from general revenues,” Costa added.

Attacking Persistent Staffing Issues in Rhode Island’s Nursing Homes

SACRI, the Rhode Island Health Care Association (RIHCA), SEIU 1199NE, and the state’s Long-Term Care Ombudsman praised the House Finance Committee’s decision to allocate funds aimed at addressing persistent staffing issues in Rhode Island’s 73 nursing homes. The committee approved a $12 million funding package—including $5 million from general revenues—for a base rate staffing adjustment to improve compensation, wages, benefits, and employer costs for direct-care staff. These investments are designed to enhance the quality of resident care and improve workforce stability.

According to John E. Gage, President and CEO of RIHCA, following months of negotiations, RIHCA and SEIU 1199NE reached a compromise to amend the 2021 nursing home staffing law. The revised agreement establishes a more achievable staffing target of 3.58 hours of care per resident per day and adjusts penalties to support facilities in reaching consistent compliance. It also introduces flexibility for high-performing facilities and those with site-specific challenges. “The state budget passed by the House Finance Committee invests $5 million, which unlocks an additional $7 million in federal matching funds,” noted Gage.

“On behalf of RIHCA and its members, we are pleased that the Speaker and House Finance Committee members recognized the dire conditions facing the industry,” Gage added. “We are encouraged that their actions will help stabilize Rhode Island’s nursing facilities and ensure access to high-quality care and services.”

Rhode Island currently ranks second in the nation for “Immediate Jeopardy” violations—the most serious federal nursing home deficiencies. Both SEIU 1199NE and RIHCA believe the budget provisions will help reverse this alarming trend.

SEIU 1199NE’s Patrick Quinn and SACRI’s Costa praised the inclusion of the $12 million investment in the FY 2026 budget, viewing it as a crucial step in helping nursing homes recruit and retain essential staff.

Lori Light, Rhode Island’s State Long-Term Care Ombudsman, also commended House lawmakers for allocating new funding to improve pay and staffing levels—critical measures for enhancing care quality and creating safer, more stable environments for vulnerable residents. “These are issues our office has consistently advocated for, and we’re encouraged to see real movement in the right direction,” she said.

Finally, the budget proposal also includes an increase of $1.86 million for the Office of Healthy Aging, raising its funding from $37,091,920 to $38,948,518. This includes:

A $200,000 boost for Senior Services Support (from $1.4 million to $1.6 million)
A $50,000 increase for Meals on Wheels (from $630,000 to $680,000)
$325,000 to provide elder services, including respite care, through the Diocese of Providence
$40,000 to fund ombudsman services provided by the Alliance for Long Term Care

The Missing Millionaire’s Tax

SACRI and progressive advocacy groups had hoped the budget would include HB 5473, introduced by Rep. Karen Alzate (D-Dist. 60, Pawtucket, Central Falls) on Feb. 12, 2025 and S329 introduced on by Sen. Melissa Murray (D-Dist. 24, Woonsocket, North Smithfield, on February 21, 2025. The bill proposed a 3% surtax on taxable income above $625,000—on top of the existing 5.99% rate—targeting the top 1% of Rhode Island filers. The tax was projected to raise roughly $190 million annually and impact only 5,700 of the state’s 500,000 taxpayers.

But the surtax didn’t make it into the final budget.

Asked why, Speaker Shekarchi explained: “There is still a great deal of uncertainty at the federal level. We don’t know what changes are going to be made in the federal tax code. We felt comfortable enough to move forward with the non-owner-occupied property tax on homes valued at over $1 million, and we will revisit the millionaire’s tax when we have more clarity from Washington.”

While Costa wished the surtax had been included to fund additional initiatives, she said, “The bottom line is the budget is balanced and people-focused. In particular, older adult concerns were seriously considered.” As the session winds down, SACRI will continue to monitor remaining legislative proposals that affect Rhode Island’s older residents.

Herb Weiss

Aging Issues

Tag Archives for Office of Healthy Aging

The ABCs of Surviving Medicare Open Enrollment

House Finance Committee’s FY 26 Budget boosts support for older Rhode Islanders