A Physician’s Guide to Living Life Fully, Not Just Longer, with Dr. Ed Iannuccilli

Published in RINewsToday on October 12, 2025

Over two weeks ago, over 300 advocates, providers, and older adults gathered at the Senior Agenda Coalition of Rhode Island’s (SACRI) 16th Annual Conference and Expo, “Navigating Choppy Waters – Shelter from the Storm,” held at Rhode on the Pawtuxets in Cranston.

The Sept. 25 event featured a thought-provoking keynote address by Dr. Ed Iannuccilli, state legislative updates, unveiling a new award to recognize two advocates, along with a panel discussion exploring critical topics facing older adults.

“This conference, by all measure, was a tremendous success,” said Carol Anne Costa, Executive Director of the Senior Agenda Coalition of RI, noting that the new venue, the topics, the engagement of the audience was reflected in the energy in the room.

“We are collecting survey responses an the feedback has been overwhelmingly positive,” says Costa noting that people are craving the opportunities to reconnect in person and in conversation. “If our vision for this conference helped to achieve that, it’s a win,” she said. 

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Simple Tips on Aging Gracefully

 Dr. Ed Iannuccilli, a highly respected retired board-certified internist and gastroenterologist and the author of six published books, delivered an impassioned 31-minute keynote shifting the tone from legislation and program updates.  He offered common-sense advice on aging gracefully and called for changes in the state’s health care system to restore compassion and personal connection.

Looking back to the early days of his medical practice, Iannuccilli—who practiced medicine for over 30 years—recalled a conversation with a lively, healthy 80-year-old woman.

“In the innocence of my youth, I said admiringly, ‘At 80, you’re in marvelous condition. You don’t need to worry—age is just a number.’”

“She looked at me, twirled her ring, straightened her smock, squinted, pursed her lips, and said, ‘Young man, I have the number. Don’t you ever tell anyone that again,’” he said.

“And I never did,” he added. “It was an early lesson. As Oscar Wilde said, ‘With age comes wisdom, but sometimes wisdom comes with winters.’ Well, I have the winters now. I have the number. And I’m pleased to say that no one has dared call it just a number again,” said the Bristol resident.

As for reducing the stress of growing old, Iannuccilli shared: “I try to do happy things, avoid too much news, meet friends, and accept loss and mistakes with a spiritual shovel. No one’s judging anymore—history is history.”

He advised, “Don’t make living a long life your goal; living fully, is. If you’re at an age milestone—don’t panic. Laugh more. Call a friend. As Mark Twain said, ‘Don’t complain about growing old; it’s a privilege denied to many.’”

Iannuccilli said he stays curious, reads, writes, and keeps his mind active. “I even take piano lessons. I don’t need to go on a space mission; I’m already on a planet full of adventure,” he joked.

 He also emphasized that longevity and good health are tied to human connection. “Be a helper. Call a friend. Drive someone to a doctor’s appointment. Volunteer at a pantry. Fred Rogers’ mother was right—‘Look for the helpers.’ Better yet—be one,” urged Iannuccilli.

Navigating a Broken Health Care System

“We use words like quality, efficiency, deliverables, and outcomes—but what people want is access and comfort,” Iannuccilli observed. But, fewer long-term physician-patient relationships, financial barriers at every turn, and isolation among older adults all reflect systemic changes in today’s healthcare system, says Iannuccili.

According to Iannuccili, costs for care, medication, nursing homes, and even vaccines are rising. Too many seniors live alone and disconnected.

“When someone is sick, they want to be comforted. They want someone who listens and helps them navigate an increasingly impersonal system,” he says. 

Today it’s [often] a long phone queue, a chatbot, or a portal that needs a password and two-step verification,” he said. “You wait on hold and think, ‘This is my health I’m calling about, not my cable bill.’ We’ve lost the personal touch.”

“Be patient with emerging artificial intelligence,” Iannuccilli added. “With proper tuning, it can increase efficiency, help pair patients with the right provider, contain costs, and even promote equity. But nothing—nothing—will ever replace personal care.”

Patients are now called consumers, he said, a term he dislikes. “You’re not a consumer—you’re a patient. The word comes from the Latin patiens—one who suffers. It deserves respect.”

Recognizing Rhode Island’s Health Care Assets

Iannuccilli called for Rhode Islanders to stop focusing on negatives, like the bridge, and instead recognize their access to high-quality health care facilities.

“Within 20 miles you can reach some of the nation’s best hospitals—Rhode Island Hospital, Women & Infants, Hasbro Children’s, Butler, Bradley, Kent, South County, Newport, Miriam, Roger Williams, and Fatima,” he said.

According to Iannuccilli, the state’s health care system—from Brown University to URI—is “extraordinary,” featuring world-class nursing programs, physician assistant schools, and a top pharmacy school.

He believes Rhode Island can become a national model for universal access to health care.

“If we can assume our trash will be collected, our children educated, and our homes protected by firefighters, why can’t we assume access to health care for everyone?” he asked. “We have the talent. We have the infrastructure. What we need is the will.”

With a growing shortage of primary care physicians, Iannuccilli called for the creation of a medical school at the University of Rhode Island dedicated solely to training primary care physicians.

He concluded by issuing a call to action: “Let’s make Rhode Island the envy of the nation—a state where health care works for everyone, where education, research, and delivery come together. We can do better. We must do better. And guess what? We don’t have a choice.”

SACRI Recognition

At the conference, Costa recognized the advocacy of Ray Gagne Jr. for his advocacy work as Senior Organizer at RI Organizing Project and Sister Norma Fleming, RSM, for her direct work with adults with disabilities at ReFocus, Inc. by presenting them with the inaugural Marjorie Waters Award for Service. Honoring the legacy of Marjorie Waters—a Rhode Island College graduate, former Director of Information Technology for a Tribal Nation, Six Sigma Process Excellence Coach in the finance industry, and Executive Director of Providence’s Westminster Senior Center—the award celebrates her dedication as a lifelong community activist.

Legislative Greetings, and a Look to the Future

House Speaker K. Joseph Shekarchi (D-Dist. 23, Warwick) brought greetings from the House, emphasizing his strong commitment to supporting the state’s growing older population.

“As long as I’m Speaker of this House and I’m in Rhode Island government, you will have a friend in state government,” he pledged to the attending advocates and older adults.

The Warwick lawmaker shared how his 99-year-old father, who is battling Alzheimer’s and has mobility issues, has given him a personal understanding of older Rhode Islanders’ desire to remain at home—insight that has shaped his aging policy agenda.

Shekarchi highlighted several recent legislative successes, including the expansion of the Medicare Savings Program after 14 years of advocacy, which will save low-income beneficiaries over $2,000 annually. He also cited the state’s Accessory Dwelling Unit (ADU) Law, which allows in-law apartments or “granny flats” (in the colloquial), to help residents age in place in their homes.

Senate President Rep. Lauren Carson (D-Dist. 75, Newport), also detailed her legislative work on behalf of older Rhode Islanders. As Chair of the House Study Commission on Aging, she announced her intention to introduce legislation to make the commission permanent to help guide the state’s aging policy.

Another planned bill for next year would replace the term “senior citizen” with “older Rhode Islander” in state law to promote a more positive view of aging.

Maria Cimini, Director of the State’s Office of Healthy Aging, stressed that the guiding principle of her office’s work was to ensure older Rhode Islanders had the “choice to age as they wished” with dignity and independence.

She pointed out a significant demographic shift, noting that Rhode Island now had more people over 65 than under 18. “We are all aging. My goal is to be sure that Rhode Island is a great place to grow up and grow old,” she says.

A panel discussion followed the keynote, covering practical aspects of end-of-life planning, including legal documents such as wills and trusts, funeral pre-planning, financial planning for dependents with disabilities, suicide prevention, and the role of the long-term care ombudsman.

To watch SACRI’s Sept. 25th program, go to https://capitoltvri.cablecast.tv/show/11543?site=1

The wall of separation, church and state

Published in RINewsToday on December 23, 2024

Lawmakers with strong religious beliefs can be found serving in state houses, congress, and state departments of education, etc., throughout the nation. Occasionally, we’ve seen the wall of separation of church and state crumble, or be taken up in the courts.

According to PEN America, between July and Dec. 2022, “Texas school districts had the most instances of book bans with 438 bans, followed by 357 bans in Florida, 315 bans in Missouri, and over 100 bans in both Utah and South Carolina. The topics of banned books included race and racism, gender identity and explicit sexuality and health. 

In Oklahoma, the state is purchasing 500 bibles to be placed in public schools. Louisiana becomes the first state to require public schools to display the Ten Commandments in classrooms, while some have long done so. With the Supreme Court overturning Roe v. Wade, and returning the abortion issue to the states, there have been state by state challenges, as well.

Those who oppose a strict separation of church and state say that these words do not appear in the  U.S. Constitution. However, those calling for the wall to be made stronger say the concept is enshrined in the very first freedom guaranteed by the First Amendment: “Congress shall make no law respecting an establishment of religion” is the opening line of the First Amendment.

Plurality of Religions and Spiritual Seekers, too

The largest percentage of Americans identify with a Christian religion (Protestantism, Catholicism, and Non-specific Christians

). Others identify themselves as non-Christian, including Mormonism, Judaism, Buddhism, Islam,  Hinduism, Jainism, Sikhism, Unitarian Universalism, Baha’i, Wicca and other Neopagan religions, and Native American religions.  

And let us not forget those who do not believe choose to not affiliate with an organized religion, specifically, those who consider themselves an atheist or an agnostic. The main difference between the two being that an atheist does not believe in a God, or a higher power, while an agnostic does not believe it is possible to know if God exists.

But there are a growing number of Americans who view themselves as spiritual but not religious (SBNRs).  These individuals do not believe in a formal need for a “middle-man” and attending a service in a defined structure in order to celebrate Easter, Christmas, Yom Kippur, or that attending weekly services is a way to connect with God. 

Pew Research study

Last December, the Washington, DC-based Pew Research Center released a study whose finding indicated that in recent decades less Americans are identifying with organized religion.  Seven in 10 adults describe themselves as spiritual in some way, including 22% who are spiritual but not religious (SBNRs) and don’t attend religious institutions, say the findings. 

SBNRs is a relatively new term, actually derived by dating apps as a way to say a person was spiritual but not identifying with one religion or another. Respondents were more likely to see spiritual forces at work in nature than religious-and-spiritual Americans. For example, the findings indicated that 71% of SBNRs believe that spirits or spiritual energies can be found in parts of nature like mountains, rivers or trees while 59% believe that being connected with nature is “essential” to what being spiritual means to them.

Additionally, many SBNRs (45%) do claim a religious affiliation, although they don’t consider themselves religious or say religion is very important in their lives. They expressed more negative views of organized religion than religious-and-spiritual Americans, with 42% saying that religion causes division and intolerance.

The Pew survey also found that belief in spirits or a spiritual realm beyond this world is widespread, even among those who don’t consider themselves religious.

According to the Pew survey’s findings, 83% of all U.S. adults believe people have a soul or spirit in addition to their physical body while 81% believe there is something spiritual beyond the natural world, even if “we cannot see it.”  Seventy four percent say that there are some things that science cannot possibly explain while 45% noted they have had a sudden feeling of connection with something from beyond this world. And 30% say they have personally encountered a spirit or unseen spiritual force.

Overall, 70% of U.S. adults can be considered “spiritual” in some way because they think of themselves as spiritual people or say spirituality is very important in their lives, noted the researchers.

Most of these people also consider themselves religious or say that religion is very important in their lives. There is enough overlap between what people mean by “spirituality” and what they have in mind by “religion” that nearly half of U.S. adults indicate they are both religious and spiritual.

However,  22% of U.S. adults fall into the category of spiritual but not religious. The new survey offers a rich portrait of this group, showing what beliefs, they hold, how they practice their spirituality and how they tend to differ from those who embrace the “religious” label.The researchers asked all surveyed respondents to describe, in their own words, what the term “spiritual” means to them.  Their responses ranged from “Being one with your soul, emotions, feelings, actions,” or “Connecting with the creator who is the source of my existence, providing strength, guidance, hope and peace. The word of God provides direction for my life.”

Others responded by saying they believed in something larger and more creative than science. While not adhering to a particular religion, some acknowledged “a higher power that exists above all that is.”

These open-ended responses from the surveyed respondents illustrate the difficulty of separating “spirituality” from “religion,” say the researchers suggesting that “for many Americans, there is no clear dividing line.”

The survey findings also indicated that 27% define “spiritual” by mentioning beliefs or faiths associated with organized religion. Many (24%) say the word “spiritual” is about connections, frequently with God, but also, in some cases, with one’s inner self. One-in-ten say “spiritual” relates to understanding themselves or guiding their own behavior.

Taking a Close Look, One’s Spiritual Beliefs

Half of the respondents believe that spirits can inhabit burial places, such as graveyards, cemeteries or other memorial sites, say the Pell researchers, adding that about 48% says that parts of the natural landscape – such as mountains, rivers or trees – can have spirits or spiritual energies.

Death is not the end of a person’s existence, say more than half of respondents (57%). They believe that in the afterlife, people definitely. or probably. can reunite with loved ones who also have died. About four-in-ten or more say that dead people definitely or probably can assist, protect or guide the living (46%), be aware of what’s going on among the living (44%) or communicate with them (42%).

Spending time in nature can enhance one’s spiritual connect, say 77 percent of the respondents who note they spend time outside at least a few times a month. Twenty-six percent see spending time with nature as a way to “feel connected with something bigger than themselves or with their true self.”  Twenty-two percent say that meditation is one way to connect with their “true self or with something bigger than themselves.”

Finally, more than one-third of respondents revealed that they own a symbolic cross for spiritual purposes. Also, 15% admitted that they maintained a shrine, altar or icon in their home; 12% possess crystals for spiritual purposes; and 9% have a tattoo or piercing for a spiritual purpose.

A Final Note…

Roger Williams, a Puritan minister and founder of Rhode Island, called on a “high wall” between the church and state to keep the “wilderness” of governments out of the activities of religion. He also believed in all religions, rather than no religion, a common misperception of Williams’ intent.

According to a posting on the Jefferson Monticello website, “Thomas Jefferson sought to create a ‘wall of separation between Church & State,’ rejecting the historical entanglement of government and religion he believed denied people a fundamental right of conscience and the right to think and decide for oneself so essential to a republic.”

The U.S. motto, e pluribus unum, that we, as a nation, are gathered together as one out of many. With a new Congress and administration taking the reins of government next month, the rights and freedoms guaranteed to us in our Constitution are important to know and protect. We Americans believe that a variety of formal religions and other belief structures all lead to God.

The Pew Research Center survey of American spirituality, conducted July 31-Aug. 6, 2023, had a nationally representative sample of 11,201 members of our American Trends Panel. The margin of sampling error for the full sample is plus or minus 1.4 percentage points.

To read the Pew Research Center’s (PRS) Report on Americans and Spirituality, click here: https://www.pewresearch.org/religion/2023/12/07/spirituality-among-americans/

Also, check out PRC’s reports on Separation of Church and State.  Go to

https://www.pewresearch.org/religion/2022/10/27/45-of-americans-say-u-s-should-be-a-christian-nation/  and

https://www.pewresearch.org/religion/2021/10/28/in-u-s-far-more-support-than-oppose-separation-of-church-and-state/.