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Writer Herb Weiss attains archive status: a legacy of 45 years of advocacy on aging

Published on April 2, 2025

The substantial body of work compiled by Herb Weiss—a 72-page list detailing 1,111 articles on aging, plus three books published over 45 years—now has a permanent home at Rhode Island College’s (RIC) Special Collections, housed in the James P. Adams Library. The archive, titled the Herbert P. Weiss Papers, 1980 to 2025, is a significant addition to RIC’s archives.

This newly established collection spans Weiss’s career as a writer, editor, and journalist, documenting his contributions to the field of aging, senior life, healthcare, and public policy. The collection includes a range of publications that

Weiss contributed to as a writer, editor, or editorial board member. These publications—magazines, newspapers, newsletters, and trade journals—cover topics such as aging, senior life, healthcare, and federal and state policy issues.

In addition to his articles, the collection features various degrees, certificates, and awards Weiss has earned throughout his education and career.

Weiss’s journalistic career began long before he was a staff writer intern (a three-month position) for the Providence Journal. He has since written columns and digital news commentaries on aging for outlets such as the Pawtucket Times, Woonsocket Call, Senior Digest, Senior Living (now Prime Time), and RINewsToday. Weiss holds a Master of Arts in Studies in Aging and a Specialist Certificate in Aging from North Texas State University (now the University of North Texas). He also spent years covering health and long-term care policy as an accredited House Gallery Reporter in Washington, D.C., for various publications.

Weiss has contributed his expertise to the editorial boards of McKnight’s LTC News and The Brown University LTC Quality Letter. His “Age Beat” column, which has been a staple for local readers in Rhode Island, reflects his dedication to covering generational issues with depth and insight.
Weiss has published three volumes of his column compilations: Taking Charge: Collected Stories on Aging Boldly (2016), Taking Charge: Vol. 2 – More Stories on Aging Boldly (2021), and his recently released third volume, Taking Charge: Vol. 3 – Even More Stories on Aging Boldly.

Service to the Community and Advocacy

In addition to his journalistic work, Weiss has served as Pawtucket’s arts and cultural “ambassador” and as the deputy director of the Leon Mathieu Senior Center. He has been appointed to the Rhode Island Advisory Commission on Aging by five different governors and, in 2021, was tapped by Rhode Island Senate President Dominick J. Ruggerio to serve on the Advisory Council on Alzheimer’s Disease Research and Treatment.

Weiss’s impact extends beyond his writing: one local restaurant even named a lobster salad (delicious) and a hamburger (dangerous) in his honor. Recently, a small café also named a decadent breakfast sandwich after him, called “The Herb Weiss Breakfast Sandwich.”

Weiss hopes that the archive will provide researchers, students, and journalists with valuable historical context on aging policy and community issues from the past four decades. His work, particularly in understanding aging-related public policy, will be a helpful resource for professionals in aging services, healthcare, social work, and gerontology.

The Value of the Collection at RIC

Housed in RIC’s Special Collections, the Weiss archive is poised to benefit generations of students, researchers, and professionals. The collection not only preserves the history of aging policy in Rhode Island and in Congress but also serves as a vital resource for anyone involved in or studying aging-related topics.

The value of this collection lies not only in the breadth of its coverage but also in its unique perspective—Weiss has chronicled aging issues from a journalistic standpoint, grounded in personal experience. His columns explore complex issues like healthcare, caregiving, and retirement, offering readers practical advice as well as a deeper understanding of the challenges faced by older adults.

The Herbert P. Weiss Papers collection offers insights into the evolution of aging policies and practices, highlighting both local Rhode Island issues and broader national trends, especially pulling the findings from AARP reports, studies and polls For students and professionals in fields such as nursing, healthcare administration, gerontology, and social work, the collection provides a solid foundation of knowledge. It will also inform the work of aging professionals, enabling them to better advocate for older adults and their families.

What They’re Saying About the Herbert P. Weiss Papers collection at Rhode Island College

Numerous aging network professionals, providers and elected officials have praised the significance of the Herbert P. Weiss Papers at RIC. Some have recognized Weiss for his tireless work on aging issues, others have lauded the collection’s contribution to expanding access to vital research on aging. One even commented on the collection’s role in tackling pressing issues such as Medicare reform and family caregiving. Others noted that this collection would become an invaluable resource for students, faculty, and policymakers alike.

Let us take a look at their comments…

“I am so pleased to have the opportunity to praise the action of Rhode Island College in establishing the collection of the works of Herb Weiss’s reports on aging in Rhode Island over the years. The reports have recognized the evolution of the enormous challenges faced by our large aging population and inspired the people who worked tirelessly to address them.

I met Herb when he worked for the Pawtucket Times and the City of Pawtucket. Back then, we both served as members of the Governor’s Commission on Aging. The committee members were younger then and were mostly leaders in agencies, service providers and dedicated professionals. I came to recognize the young reporter (Herb) and his deep commitment to solving the daunting challenges we faced.

Herb has never let up on his efforts and his writings are full of insights and useful information presented in multiple articles and reports which are all factual and frequently memorable. He has gained readers among leaders, researchers and others of all ages. His writings are a great resource for the public, and the state’s Office of Elderly Affairs.

Herb is a true champion for all as we age.”
Kathleen Connell, Past Secretary of State of Rhode Island, Past Director of AARP Rhode Island

“Herb Weiss’s collection at Rhode Island College is a treasure trove of invaluable insights that have not only shaped the conversation on aging, but also influenced key policies at both the state and national levels. His tireless dedication to addressing the challenges of an aging population is reflected in his extensive body of work. The establishment of the Herbert P. Weiss Papers at RIC will serve as a lasting resource for future generations of students, researchers, and policymakers, ensuring that Herb’s contributions to aging policy remain accessible for years to come. It is an honor to have his remarkable legacy preserved in such a meaningful way.”

Robin Covington, Coalition Director – Rhode Island Coalition for Elder Justice

“What an honor to hold the Herb Weiss collections at Rhode Island College and so well deserved! I especially enjoy Taking Charge: Stories on Aging Boldly where Herb Weiss offers practical tools to live a happy, fulfilled life and interviews experts and everyday people who share their keen observations about growing older.”

Patricia Raskin, Broadcaster “Positive Living and Aging”PBS and Cumulus Afffiliates and Southcoast Health Podcasts

“Herb is a respected leader and trusted authority in the aging field, as evidenced by his appointments by the last five governors to provide crucial guidance to the Advisory Commission on Aging. We are excited that his remarkable collection will be showcased at Rhode Island College’s James P. Adam’s Library, increasing visibility of his work and expanding access to his writings, which have made a significant contribution over the past 45 years in support of the nation’s aging population.”

Meghan Grady, Executive Director of Meals on Wheels of RI, Inc. and Chair of the Advisory Commission on Aging.

”It’s fantastic to have the collective works of Herb Weiss’s many insightful insights on aging organized in one place for all to benefit from his years of experience in aging.”

Sarah Lenz Lock, SVP Policy & Brain Health, AARP

“Herb Weiss has an incredible dedication to shining a light on so many issues involving aging. This collection will be an invaluable resource in further understanding the myriad of important topics that he has addressed in his decades of insightful writing.”

Larry Berman, Director of Communications, Rhode Island House of Representatives

A wealth of Herb Weiss’ keen observations and insights with respect to all things healthy aging, is now housed at Rhode Island College, to the benefit of students, researchers, and professionals in aging work. This treasure trove will be a tremendous asset to those seeking context or to understand the broad range of issues facing older Rhode Islanders and their caregivers. The Weiss collection will also inform the work of countless aging work professionals and provide a solid foundation for students pursuing their education in nursing, gerontology, healthcare administration, as well as social work.

James B. Connell, Age-Friendly RI

“Herb Weiss’s reporting on aging has helped shape our state’s long-term care services. As Lieutenant Governor, I have often relied on his writing to both stay informed on the issues of the day and to learn about the history of aging policy in Rhode Island which he has covered over his long career. The Herbert P. Weiss Collection at RIC James P. Adams Library will ensure that generations to come are able to access his reporting, and I am glad to see the importance of his work recognized in this way.”

RI Lieutenant Governor Sabina Matos

“Herb Weiss has long been a guiding voice in the conversation around aging, capturing both the personal journey and the broader policy landscape with clarity and depth. His work distills complex research into accessible articles that educate the public, influence policymakers, and support older adults, their families, and caregivers. His collection of articles, now housed in the “Herbert P. Weiss Papers collection at Rhode Island College’s (RIC) James P. Adams Library, tackle pressing issues such as Social Security and Medicare reform, affordable housing, and the challenges of family caregiving. His tenacity and commitment to truth make his articles an invaluable resource for anyone seeking to understand aging in America today. More than just a policy discussion, the collection is a roadmap for navigating the later years of life with knowledge and confidence.

Whether you’re an advocate, a professional in elder care, or simply planning for your own future, RIC’s archives of his work offers essential insights into the evolving landscape of aging—one well-researched story at a time.”

John E. Gage, MBA, NHA, President & CEO, Rhode Island Health Care Association

“Herb Weiss has dedicated his career to illuminating the complexities of aging and retirement, providing invaluable insight and advocacy for older adults. Through his thoughtful journalism and deep expertise, he has shaped public understanding and influenced policy discussions, ensuring that aging issues remain at the forefront. His work has had a profound impact, empowering individuals and communities with the knowledge needed to navigate later life with dignity and confidence. It has been an honor and privilege to have now published three volumes of his collected works.”
Steven R. Porter, Publisher, Stillwater River Publications, West Warwick, RI

“Herb Weiss’s 3 book compendium is a one of a kind collection, illustrating the complex social, economic, and political dynamics that surround and influence elder care in our country. This is a vital resource for all professionals who have anything to do with elders and their families. Herb’s sensitivity to these matters emerges from his various roles as a professional himself – a noted author, a devotee to culture and art, a background as a former Nursing Facility Administrator and an opinion writer on all legislative issues related to elders at local and national levels. This recognition of him at Rhode Island College brings honor indeed to the institution.”

Teresa Chopoorian, EdD, MSN, FNAP, Vice President and Administrator , Mansion Nursing and Rehabilitation Center; Fellow, National Academy of Practice , Nursing

“Herb Weiss has worked tirelessly over many years to keep Rhode Island’s aging population informed about the issues that matter most and highlight policy areas and proposals that otherwise might not receive wider attention. Congratulations to Herb and Rhode Island College for creating this valuable resource.”

Dominick J. Ruggerio, President of the Senate

“Herb Weiss has helped countless people better understand aging, caregiving, and the politics of long term care through his clear and accessible writing. His books and articles have educated and inspired readers across Rhode Island and beyond. As a RI College alum, it is great to know that the Herbert Weiss Papers collection will be available at Adams Library for the students, professionals, and the community for years to come!”

Deb Burton, Ms., Executive Director & Gerontologist, RI Elder Info.

“Herb Weiss for many years has been a tireless, committed researcher and writer regarding the issues that face our increasingly older population. I always read his work with interest and believe his writings will be a valuable resource for students, faculty, politicians, and others who earnestly seek to address the needs of those of us who are elders in the community.”

Dr. Nancy Carriuolo, Rhode Island College president 2008-2016

“As a journalist Herb has always adhered to the most critical qualities of objectivity, integrity and just plain good understandable writing, coupled with his keen sense for a story that needs to be told,” states Bill Benson, former Acting Assistant Secretary for Aging at the U.S. Administration on Aging who leadership position in the US Senate and House of Representatives. Rhode Island College is to be commended for providing a permanent home for Herb’s collection, says Benson. “These are worrisome times with journalism under assault.” Hopefully those reviewing the Herbert P. Weiss collection in the future who care about aging in America will find inspiration and a model for quality writing on these important matters, he said.

Bill Benson, Former Acting Assistant Secretary for Aging at the U.S. Administration on Aging who spent 8 years working in both the U.S. Senate and House of Representatives

“We appreciate Herb Weiss’s donation and believe that it will be beneficial to RIC students and the broader Rhode Island community interested in the topics of healthcare, policy, and aging.Thank you!”

Veronica L. Denison, Assistant Professor, Digital Archivist and Special Collections Librarian, James P. Adams Library, Rhode Island College

“Herb has chronicled over 45 years of aging in America and locally. No one individual has been so attentive and dedicated to older adult reporting on emerging healthcare concerns, social security and financial matters, caregiving, socialization, volunteering, nutrition, etc. This collection provides enormous historical access for social & healthcare workers, geriatric case managers, policy makers, and elected officials. Readers should want to immerse themselves in these insightful and instructive stories. Well done, Herb!”

Vincent Marzullo, former Federal Director/Corp. for National & Community Service (RI); past volunteer President, AARP RI; Board member/Senior Agenda Coalition of RI.

“We are thrilled and honored to hold the Herb Weiss collections at Rhode Island College. No one has made more contributions to the field of aging and long term care through their journalism and writing than Herb. Herb has studied and tracked policies, issues, trends, legislation, and best practices in long term care for years and provided invaluable research, commentary, analysis, and a historical perspective. Most important, he has engaged with the community, policy makers, providers, and older adults themselves and has fully immersed himself in the field.

Having his collection at Rhode Island College will provide an invaluable asset and resource to faculty, students, researchers and those shaping policies on services and supports to older adults. As the population is rapidly growing older, his work has become increasingly more relevant and important today and in the future.”

Marianne Raimondo, MS, MSW, LICSW, Ph.D., Dean, School of Business, Rhode Island College

“Until now, Herb Weiss has been a virtual walking archive of information about retirement issues and policy debates about aging in America. Now, thanks to RIC’s Adams Library, anyone, including Weiss, will literally be able to walk in (or dip in online) and access one of the rarest continuous files of media coverage on this vital topic over most of the past half century. Uniquely researched and written from the perspective of a single journalist and public policy professional, the Herbert P. Weiss Papers should stand as an historical treasury for researchers and students in the years to come.”

Paul Kleyman, Cofounder, Journalists Network on Generations/Editor, GBONewss.org.

“It is an honor to be asked for a quote on Herb Weiss’ work for your archiving his writings. As the former Chief of Staff of the House Aging Committee and since then a spokesman at the White House and after, I’ve had the privilege of working with Herb Weiss for decades. Herb Weiss is the best and most knowledgeable aging issues writer in the country. He has informed not only Rhode Island but the Nation on problems and solutions for the elderly. His work will finally be archived and protected as the national treasure that it is. His historical record is invaluable and an incomparable resource for researchers, writers, and students.”

Robert S. Weiner, Former Chief of Staff, U.S. House Aging Committee under Chairman Claude Pepper, spokesman in the Clinton and Bush White Houses, and spokesman/senior staff for Cong. Claude Pepper, Charles Rangel, John Conyers, Ed Koch, Sen. Ted Kennedy, and Four-Star Gen./Drug Czar Barry McCaffrey – Winner, National Press Club President’s Award for recruiting young journalists as co-bylined oped writers (1000+ articles to date (www.weinerpublic.com/opeds).
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“Herb Weiss has set the highest standard for writing on important aging policy issues. He does more than write. He provokes people to take action. He is the best journalist advocate I know.”
Bob Blancato, Executive Director, National Association of Nutrition and Aging Services Programs, DC

“Herb Weiss is an indispensable conduit for real-time news that gives us what is increasingly disappearing: honesty, transparency, fact-based And an amalgam of big-picture and personal stories about aging and the human condition—a real treasure!”

Fernando Torres-Gil, M.S.W., Ph.D., Director, UCLA Center for Policy Research on Aging; Professor, Social Welfare and Public Policy, UCLA Luskin School of Public Affairs

“Herb’s contributions have been a guiding light in the field of aging, illuminating critical issues with compassion, clarity, and a relentless pursuit of the truth. This collection is a well-deserved tribute to his decades of impactful journalism and advocacy.”
John O’Connor, Editorial Director, McKnight’s

“For over 45 years Herb Weiss’s reporting has kept us informed about important issues touching the lives of our older population – from critical national and local policy proposals to tips for aging boldly. This collection honors his many years of journalistic excellence in reporting on aging.”
Maureen Maigret, Policy Advisor, Senior Agenda Coalition of RI

“The City of Pawtucket is proud to recognize the establishment of the Herbert P. Weiss Papers collection at RIC’s James P. Adams Library, preserving his invaluable contributions to the fields of aging, health care, and medical issues. Herb’s work has profoundly impacted our community, and this collection ensures that his legacy will continue to inform and inspire future generations.”
Mayor Donald Grebien, Mayor of Pawtucket, RI

“Herb Weiss tackles important seniors’ topics from a Rhode Island perspective, at once localizing and nationalizing them. Our organization has been happy to help share Herb’s work with a national audience over these past decades. His columns go beyond routine reporting on Social Security, Medicare, Aging, and a host of other issues we care about. Herb brings nuance, balance, and detail where it can otherwise be lacking in other media. This new collection of his works will be a valuable resource to everyone in our field.”

Max Richtman, President and CEO, National Committee to Preserve Social Security & Medicare

“Herb Weiss has been an articulate and passionate writer on so many issues related to aging and older adults in Rhode Island. His writings trace the enduring achievements and challenges of growing older, and this collection is a testament to his myriad contributions to enriching our perspectives on older adults.”

Phillip G. Clark, ScD, Professor and Director, Program in Gerontology
University of Rhode Island

From Herb Weiss: A Personal Reflection

As Weiss reflects on his decades of work, he acknowledges the unique role his writing has played in shaping public discourse on aging. Through his columns, he strives to offer practical advice and provoke action on aging issues, all while highlighting the personal and emotional aspects of growing older. His hope is that this archive will inspire and inform future generations, just as his columns have done for decades.

In conclusion, The Herbert P. Weiss Papers is a treasure trove of information that not only showcases a significant body of work in aging journalism but also offers a lasting resource for anyone seeking to understand the complexities of aging, caregiving, and public policy. The archive’s permanent home at RIC’s James P. Adams Library ensures that Weiss’s contributions will continue to inspire and educate students, researchers, and professionals long into the future. By preserving his comprehensive documentation of the aging landscape, RIC will allow future generations to benefit from his detailed insights and policy analysis. For anyone involved in aging-related work—whether in research, policy, or direct services—the collection will serve as a valuable touchstone for understanding the evolution of aging issues over the past four and a half decades.

This collection is an invaluable asset to the community, providing essential insights and supporting the work of those involved in aging services.

Publisher’s Note: Herb Weiss’s column on aging issues is featured every Monday in RINewsToday. We are thrilled to have Herb’s expertise with us, almost from the very beginning of our publication, 10 years ago. As we come to understand issues around aging in one of the state’s with the oldest populations, institutional history helps us know where we’ve been, what has been tried, what’s worked, what hasn’t – something all too often missing in today’s dynamic of politics and public policy.

We are grateful for Herb’s contributions to RINewsToday’s readers – and Congratulations to Herb on his collection being established at Rhode Island College! – Nancy Thomas, founder and publisher, RINewsToday.

– https://www.riamco.org/render?eadid=US-RPRC-mss-0149

Looking back at 2024, sharing some favorites

Published in RINewsToday on January 7, 2025

Like many national news organizations, RINewsToday, The Pawtucket Times and Woonsocket Call (now combined into one newspaper called the Blackstone Valley Call & Times), offers its readers an ‘age beat’ editorial commentary, covering a myriad of aging issues, Congress (including Social Security and Medicare) retirement, the long-term care continuum, consumer issues, spirituality, pop culture, health care and even economics. Throughout these years

I’ve covered these issues as they relate to older Rhode Islanders, also covering Smith Hill, when there are state policy debates on issues that will impact older Rhode Islanders.

As a Rhode Island ‘age beat’ journalist for over 45 years, I have penned over 1,000 stories covering issues of interest to our readers. These authored and coauthored pieces have appeared in national, state and trade publications.

For many of these editorial commentaries, I have consistently drawn on the invaluable research produced by the Washington, DC-based AARP. Their insightful reports, polls, and studies have provided a wealth of information that has deepened public understanding of the challenges and opportunities of aging. I’ve also drawn on the expertise of professionals in the Rhode Island aging network for their perspective and comments on these topics, giving the editorial a good, local slant, where possible.

In 2024, my commentaries have appeared weekly in daily news outlets, also in other media outlets including RINewsToday – that’s about 52 articles a year – over quite a few years now! I’ve written for digital news publications, Senior Digest, a monthly publication for those over age 50, the Narragansett Times, Kent County Daily, Cranston Herald, Warwick Beacon and the Johnston Sun who have picked up stories, and of course, my own blog.

As we celebrate the New Year and look forward to 2025, looking back, I have selected my top five favorite commentaries published in 2024. Specifically:

“Stoic Tips for the Class of 2024,” May 27, 2024.

Generally, thousands of commencement speeches occur annually at university and colleges in the U.S. The common themes of these speakers (traditionally 10 minutes in length, up to 2,500 words) that typically emerge in their speeches in 2024 were: resilience and overcoming challenges; embracing change and innovation; social responsibility and making a difference; the power of community and collaboration; and personal growth and lifelong learning; mental health and well-being and finally embracing diversity and inclusion.

Over the years, never being invited to give a commencement speech, I have traditionally penned my own. So, in 2024, advice was giving to graduating seniors, pulling from stoicism, a school of Hellenistic philosophy that thrived in Ancient Greece and Rome. Advice came from: Epictetus, a former slave in Hierapolis (modern-day Turkey) around 50 CE; Seneca the Younger, who lived in the 1st century CE; Stoic Philosopher Marcus Aurelius, a Roman Emperor who ruled from 161 to 180 CE; and Stoic Greek philosopher, Heraclitus.

Graduating seniors were advised to remember the teachings of Stoic philosophy that would offer them a timeless roadmap for living a life of purpose, meaning, and fulfillment.

“Congressman Magaziner Takes Baton on Bring Back House Aging Committee,” March 4, 2024

Over 30 years ago, the US House Democratic leadership’s belt-tightening efforts to save $1.5 million resulted in the termination of the House Permanent Select Committee on Aging. This commentary announced Cong. Seth Magaziner (RI-2) legislative attempt to bring back the House Select Committee on Aging (HSCoA) when he picked up the baton from former Cong. David Cicilline who sought to bring it back during the 114th-117th Congresses.

The Commentary announced that Cong. Seth Magaziner’s introduction of H. Res. 1029, on Feb. 23, 2024, (cosponsored by Cong. Gabe Amo (RI-1) and 27 House Democratic lawmakers) to reestablish the HSCoA. It was referred to the House Committee on Rules for mark-up, (which never occurred) and the legislative resolution died at the conclusion of the 118th Congress.

According to the commentary, every day 12,000 Americans turn 60. By 2030, nearly 75 million people in the U.S. — or 20% of the country — will be age 65 or older. With the graying of our nation, the need for support and services provided under programs like Social Security, SSI, Medicare, Medicaid and the Older Americans Act increases.

Magaziner’s 213-word resolution would have authorized the HSCoA to study the use of all practicable means and methods of encouraging the development of public and private programs and policies which will assist seniors in taking a full part in national life and which will encourage the utilization of the knowledge, skills, special aptitudes, and abilities of seniors to contribute to a better quality of life for all Americans.

Finally, the House Resolution would also allow the HSCoA to develop policies that would encourage the coordination of both governmental and private programs designed to deal with problems of aging and to review any recommendations made by the President or by the White House Conference on aging in relation to programs or policies affecting seniors.

Hopefully, we will see Magaziner continue his attempt to bring back the HSCoA by reintroducing a new resolution during this new Congress. With his

“If You Want a Friend in Washington, Get a Furry Friend,” Aug. 5, 2024.

With an increasing number of adults reporting a decrease in the number of close friends, the old adage, “If you want a friend in Washington, get a dog,” might also be applicable outside the Beltway, even in the Ocean State. This companionship can also boost your physical and mental health. Your furry friends’ capacity for unconditional love enables them to share our lives’ highs and lows.

This commentary stressed the powerful bond of owning a pet and how the relationship offers mental and emotion support to their owners.

According to the findings of an American Psychiatric Association (APA) Healthy Minds Monthly poll released jointly with the American Veterinary Medical Association, among the many mental health benefits of pets, nearly two-thirds of pet owners say that their animals offer companionship (65%), are a true friend (65%) and provide unconditional love and support (64%), the survey finds. Eighty-four percent of pet owners say that their pets have a mostly positive impact on their mental health, similar to the findings of last year’s polling on the same topic. The poll was of 2,200 adults, done by Morning Consult.

Furthermore, the survey’s findings indicated 62 percent of the survey’s respondents say that pets provide a calming presence and also help reduce their stress and anxiety. Thirty-five percent note that their pet encourages them to be more physically active, too. The findings note that owning a pet adds structure to a respondent’s schedule and can even increase social connections with others (19%).

Yes, in Washington or outside the Beltway, if you want a friend, get a dog (or even a cat, bird or hamster). Pets can become a protective buffer against physical and mental disorders and life stressors.

“Someone’s Trash is a Military Family’s Treasure: Ours,” June 3, 2024.

This commentary, in the Blackstone Valley Call & Times, highlighted my efforts to retrieve a military footlocker that belonged to my father, after being notified that a Detroit couple, Michael Shannon and his girlfriend Cetaura Bell, found it cast away on a sidewalk for anyone to claim. The trunk had sat in a vacant garage for over 60 years (with the owner having no relations with the owner Lt. Frank M. Weiss). The couple went out of their way to try and finally successfully track me down thru an internet search.

My story was picked up by RINewsToday, and then in several local papers. The Detroit Free Press, a Gannet publication also did a story, in both their digital and print editions, and then other Gannet papers, including the Providence Journal, the Cincinnati paper and the Indy Star. Perhaps the biggest connection, though, was made with Stars & Stripes – the US military’s independent news source with a circulation of over 1 million readers.

“Shortage of direct care professionals a local and national concern,” April 22, 2024

Over 23 years ago, commentaries in the Pawtucket Times that I wrote reported on the crisis of a direct care staffing shortage and inadequate reimbursement being paid to nursing facilities to care for Rhode Island’s frail seniors. As we enter 2025, NOTHING has changed and these staffing and reimbursement issues still continue to exit.

The commentary took a look at a U.S. Special Committee on Aging hearing, chaired by Chairman Bob Casey, (D-PA), showcasing S. 4120, legislation that he introduced with U.S. Senators Tim Kaine (D-VA), and Tammy Baldwin (D-WI). The Long-Term Care Workforce Support Act, introduced during the 118thCongress,would ensure that direct care professionals have a sustainable, lifelong career by providing substantial new funding to support these workers in every part of the long-term care industry, from nursing homes to home care, to assisted living facilities.

The Senate Aging Committee hearing revealed a number of statistical findings showing the need for Congress to address the nation’s severe ongoing direct care professional workforce shortage. It was noted that a recently released survey revealed 92% of nursing facility respondents and nearly 70% of assisted living facilities reported significant or severe workforce shortages.

The April 16th hearing entitled, “The Long-Term Care Workforce: Addressing Shortages and Improving the Profession,” examined the challenges currently facing long-term care workers who are often underpaid and overworked, leading to widespread worker shortages that threaten the availability of care for those who need it.

“It’s a crisis that stems largely from a lack of support for and investment in our care giving workforce,” warned Casey in his opening statement. “Between 50 to over 90 percent of long-term care settings and providers report significant staffing shortages, affecting their ability to provide services, accept new clients, or even to remain open,” he said, with witnesses providing personal testimony about this policy issue.

John E. Gage, MBA, NHA, President & CEO, of the Rhode Island Health Care Association (RIHCA), Maureen Maigret, policy advisory of the Senior Agenda of RI (SACRI), offered their views of the nation’s severe ongoing direct care professional workforce shortage citing Rhode Island specific examples.

In conclusion…

I extend my heartfelt thanks to the thousands of individuals I have interviewed over these 45 years. Their comments reflecting insights and observations about aging, health care, and medical issues, have profoundly enriched these commentaries.

To review all my 53 commentaries that appeared in 2024 (including the above cited), go to http://www.herbweiss.blog.

Shortage of direct care professionals a local and national concern

Published in RINewsTdoay on April 22, 2024

Last week, at  the Senate Dirksen Building, Room SD-562,  Chairman Bob Casey, of the U.S. Special Committee on Aging, (D-PA), showcased S. 4120, legislation that he introduced with U.S. Senators Tim Kaine (D-VA), and Tammy Baldwin (D-WI). The Long-Term Care Workforce Support Act, introduced during the 118thCongress, would ensure that direct care professionals have a sustainable, lifelong career by providing substantial new funding to support these workers in every part of the long-term care industry, from nursing homes to home care, to assisted living facilities.

The Senate Aging Committee details a number of statistical findings showing the need for Congress to address the nation’s severe ongoing direct care professional workforce shortage. “A recent survey revealed 92% of nursing facility respondents and nearly 70% of assisted living facilities reported significant or severe workforce shortages.

In 2022, a survey of nursing facilities showed more than 50% of the facilities were limiting the number of new admissions due to staffing vacancies or shortages.  Another recent survey of Home and Community Based Service providers showed that all 50 states were experiencing home care worker shortages, and 43 states reported that some HCBS provider groups have closed due to worker shortages,” says the fact sheet.

Addressing the cause

By improving compensation, benefits, and support systems, S.4120  would ensure the United States has a “strong, qualified pipeline of workers to provide desperately needed care for older adults and people with disabilities.” notes a statement announcing the introduction of Casey’s legislative proposal.  

Specifically, S. 4120 would increase the number of direct care professionals, especially in rural communities.  It also would provide pathways to enter and be supported in the workforce for women, people of color, and people with disabilities.

S. 4120 would also improve wage compensation for direct care professionals to reduce vacancies and turnover.  It ensures that direct care professionals are treated with respect, provided with a safe working environment, protected from exploitation, and provided fair compensation.

The legislative proposal also documents the need for long-term care, identify effective recruitment and training strategies, and promote practices that help retain direct care professionals. It also would strengthen the direct care professional workforce in order to support the 53,000,000 unpaid family caregivers who are providing complex services to their loved ones in the home and across long-term care settings.

At press time, S. 4120 is endorsed by 50 organizations, including Domestic Workers Alliance, SEIU, AFSCME, Caring Across Generations, National Coalition on Aging (NCOA), Justice in Aging, National Partnership for Women & Families, National Council on Independent Living (NCIL), and the National Disability Rights Network (NDRN).

And a companion legislative proposal was introduced in the House by Congresswoman Debbie Dingell (D-MI).

Senate Aging Committee puts spotlight on Direct Care Staffing Shortage 

The April 16th hearing entitled, “The Long-Term Care Workforce: Addressing Shortages and Improving the Profession,” examined the challenges currently facing long-term care workers who are often underpaid and overworked, leading to widespread worker shortages that threaten the availability of care for those who need it.  

“It’s a crisis that stems largely from a lack of support for and investment in our caregiving workforce,” warns Casey in his opening statement. “Between 50 to over 90 percent of long-term care settings and providers report significant staffing shortages, affecting their ability to provide services, accept new clients, or even to remain open,” he says.

Casey noted that many direct care professionals have to work multiple jobs or overtime just to be able to support themselves and their families.  In 2022, their medium wage was just above $15 dollars an hour, well below what is paid for warehouse and convenience store jobs, per Casey.

“The direct care workforce, the majority of whom are women of color, are more likely to live in poverty compared to the general public,” notes Casey.

“Cumbersome federal regulations, requirements, and protections” and a “one-size fits all approach” won’t fix the direct care staffing shortage, responds Ranking Member Mike Braun (R-IN).

“To grow the long-term care workforce, the federal government should make it easier for people to enter by removing barriers,” says Braun, in his opening statement, calling for “productive approaches to build and grow the care professions.”

Overworked and not enough money

Nicholas Smith, a direct support professional at SPIN, a Pennsylvania-based organization that provides lifespan services for over 3,000 people with intellectual disabilities and autism, came to testify. “I work nearly 65-70 hours a week… due to my work, I have missed family events, nieces’ and nephews’ recitals, and school functions… a lot of people are leaving this field to make more money,” said the Philadelphia resident who has worked in the long-term care industry for over 25 years.

According to Smith, the national average for direct service professional wages is only $15.43 in long-term care. “We spend time training new hires only to lose them because they cannot make a living wage,” he says, noting that other industries are offering more money.

“While people want to stay in this field, they cannot make ends meet. Pennsylvania has a long waitlist for home and community-based services, and this is due to the workforce crisis,” he says.

In her testimony, Brooke Vogleman, a licensed Practical Nurse with Huntington, Indiana based TLC Management, stated:  “I’ve seen what happens when long-term care facilities lack workers, resources and government support, like during the pandemic. Many of my colleagues got burned out and left the profession, forcing facilities to rely on costly temporary staffing agencies.”

Vogleman called on federal policy makers, including members of the Senate Aging Committee, to address the challenge through “targeted investments, not blanket mandates.”  

For instance, she told the Senators that LPNs are integral to the facility’s interdisciplinary team. “Staffing mandates that do not include our contributions to patient care or recognize us as nurses are very concerning to me and will have unintended consequences on residents,” she says.

Staffing mandates will force facilities to depend more on expensive staffing agencies, warns Vogleman. “Personally, I’m concerned they will actually increase staff burnout, as current caregivers will be stretched thin and working longer hours in order to comply with these impossible standards,” she says.

Matthew Connell, Ed.D., of Ivy Tech Community College of Indiana, came to share the work and achievements of his community college in addressing the shortage of healthcare and long-term care workers in Indiana.

According to Connell, serving more than 190,000 students at 19 campuses and 26 satellite locations as well as on-line, graduates more associate level nurses in Indiana.  Nearly half of these students are pursuing college credit while in high school. Ivy Tech is the nation’s single largest provider of dual credit.

Ivy Tech’s programs are especially designed to help graduates enter the workforce quickly and provide critical services for the state’s long-term care population at a tuition rate that is the lowest in the state, he notes. “One in three Registered Nurses [in Indiana] is an alum. More than 90% of its nursing graduates choose to remain in Indiana, working in hospitals and care settings,” he adds.

The last witness, Jasmine L. Travers, assistant professor at New York University’s College of Nursing,  concisely summed up how to fix the nursing shortage.  She suggested: “To improve access to and quality of long-term are, we must ensure that all direct care workers receive a living wage, a safe, respectful work environment, opportunities for advancement, adequate training, and accessible benefits to maintain their health and well-being.  Only when we recognize that these workers are critically important, hardworking processionals, can we begin to improve equity and health outcomes for staff and patients alike.”

Putting the spotlight on Rhode Island’s Direct Care Staffing Shortage

According to John E. Gage, MBA, NHA, President & CEO, of the Rhode Island Health Care Association (RIHCA), the Covid-19 pandemic had a dramatic impact on the healthcare sector across the country and especially in Rhode Island, and a disproportionate impact on nursing facilities. On a national level, in February 2020 nursing facilities workforce totaled 1,587,000. Today, it is 1,462,800, down by 124,200 or 7.8%. In Rhode Island, it is more dramatic. Pre-pandemic RI nursing facility workforce was 9,797 (2/2020). Current BLS data shows the most recent number of workers in RI nursing facilities is 8,300 – down 1,497 workers or 15.3%.  This is just about double the rate of loss of workers post-pandemic in RI compared to the national statistics.

“There are some local efforts to attract workers back to RI nursing homes,” says Gage, noting that there is a need to be laser-focused on workforce development efforts. 

Gage calls for RI Medicaid to increase reimbursements to nursing facilities to cover today’s actual cost of care, not on facility costs from 2011 (13 years ago!) with minimal average inflationary increases in the 11 years since the price-based reimbursement methodology began in 2013.  According to Gage, RI nursing facilities need an adequate, sustainable reimbursement system to foster continued high-quality care and services and provide nursing home with rates that enable them to retain current workers and recruit more caregivers.

RIHCA, a non-profit trade association representing more than 80 percent of the nursing homes in the state, and its parent organization, the American Health Care Association (AHCA) support the legislative efforts of Senator Casey’s Long-Term Care Support Act. “We support all efforts to increase Medicaid rates to enable facilities to regain and grow their workforce – both direct care and ancillary staff, to enhance the quality of care and quality of life for our nation’s and RI’s most frail elder citizens today and for the years ahead,” he says. 

“It is heartening to see the Senate Committee on Aging and leading members of Congress addressing the care worker crisis in long term care including supporting our many thousands of unpaid caregivers who provide a significant portion of long term supports and services,” says Maureen Maigret, policy advisory of the Senior Agenda of RI (SACRI). Multifaceted solutions are needed, adds Maigret that include supporting training programs for nurses and paraprofessionals, career ladders and providing adequate Medicaid provider payments as Medicaid is the primary payer for long term care.

According to Maigret, in homecare alone, 75% of persons referred for subsidized home and community care through the state Medicaid or the Office of Healthy Aging Home Cost Share program are waiting two months, and often longer, to get services. “Our nursing homes are challenged to recruit the nursing staff needed to provide resident-centered quality care. Federal funding during the pandemic brought some funding in to support worker wages but that funding has ended,” she says.

“The state Healthcare Workforce Initiative led by the Executive Office of Health and Human Services and the Department of Labor has been looking at needs across the healthcare system and addressing some of the training and education issues,” says Maigret, noting that advocacy groups, such as the SACRI, support the Medicaid reimbursement rate increases as recommended by the Office of the Health Insurance Commissioner. “These rate increases are necessary to reduce service wait lists and provide livable wages for direct care staff many of whom are women and women of color,” she says. 

Over 23 years ago, in his weekly commentaries in the Pawtucket Times, this writer reported on the crisis of a direct care staffing shortage and inadequate reimbursement being paid to  nursing facilities to care for Rhode Island’s fail seniors. Isn’t it finally time for the Rhode Island General Assembly to come up with the necessary funds and strategy to fix these problem once and for all?

To watch the Senate Aging Committee hearing held on April 16, 2024, go to https://www.aging.senate.gov/hearings/the-long-term-care-workforce-addressing-shortages-and-improving-the-profession