Weiss: In 2050, Where Have All the Family Caregivers Gone?
Monday, April 23, 2018
Almost three years earlier, in a July 2015 report, “Valuing the Invaluable: 2015 Update Undeniable Progress, but Big Gaps Remain,” the AARP Public Policy Institute warned that fewer family members will be around to assist older people with caregiving needs.
According to AARP’s 25-page report, coauthored by Susan C. Reinhard, Lynn Friss Feinberg, Rita Choula, and Ari Houser, the ratio of potential family caregivers to the growing number of older people has already begun a steep decline. In 2010, there were 7.2 potential family caregivers for every person age 80 and older. By 2030, that ratio will fall sharply to 4 to 1, and is projected to drop further to 3 to 1 in 2050.
Family caregivers assisting relatives or close friends afflicted with chronic, disabling, or serious illness, to carry out daily activities (such as bathing or dressing, preparing meals, administering medications, driving to doctor visits, and paying bills), are key to keeping these individuals in their homes and out of costly nursing facilities. What is the impact on care of aging baby boomers when family caregivers no longer provide assistance in daily activities?
“In 2013, about 40 million family caregivers in the United States provided an estimated 37 billion hours of care to an adult with limitations in daily activities. The estimated economic value of their unpaid contributions was approximately $470 billion in 2013, up from an estimated $450 billion in 2009,” notes AARP’s caregiver report. What will be the impact on the nation’s health care system without family caregivers providing informal care?
The Census Bureau’s 2017 National Population Projections, again puts the spot light on the decreasing caregiver ratio over the next decades identified by the AARP Policy Institute, one that must be planned for and addressed by Congress, federal and state policy makers.
Who Will Take Care of Aging Baby Boomers?
With the expansion in the size of the older population, 1 in every 5 United States residents will be retirement age. Who will provide informal caregiving in our nation with a larger adult population and less children to serve as caregivers?
“The aging of baby boomers means that within just a couple decades, older people are projected to outnumber children for the first time in U.S. history,” said Jonathan Vespa, a demographer with the U.S. Census Bureau. “By 2035, there will be 78.0 million people 65 years and older compared to 76.4 million under the age of 18.”
The 2030s are projected to be a transformative decade for the U.S. population, says the 2017 statistical projections – the population is expected to grow at a slower pace, age considerably and become more racially and ethnically diverse. The nation’s median age is expected to grow from age 38 today to age 43 by 2060.
The Census Bureau also observed that that as the population ages, the ratio of older adults to working-age adults, also known as the old-age dependency ratio, is projected to rise. By 2020, there will be about three-and-a-half working-age adults for every retirement-age person. By 2060, that ratio will fall to just two-and-a-half working-age adults for every retirement-age person.
Real Challenges Face Congress as the Nation Ages
Jean Accius, Ph.D., AARP Policy Institute’s Vice President, Independent Living, Long-Term Services and Supports, says, “The recent Census report highlights the sense of urgency to develop innovative solutions that will support our growing older adult population at a time when there will likely be fewer family caregivers available to help. The challenges that face us are real, but they are not insurmountable. In fact, this is an opportunity if we begin now to lay the foundation for a better system of family support for the future. The enactment of the RAISE (Recognize, Assist, Include, Support and Engage) Family Caregivers Act, which would create a strategy for supporting family caregivers, is a great path forward.”
Max Richtman, President and CEO of the Washington, DC-based National Committee to Preserve Social Security and Medicare, gives his take on the Census Bureau’s 2017 statistical projections, too.
“Despite how cataclysmic this may sound, the rising number of older people due to the aging of baby boomers is no surprise and has been predicted for many years. This is why the Social Security system was changed in 1983 to prepare for this eventuality. Under current law, full benefits will continue to be paid through 2034 and we are confident that Congress will make the necessary changes, such as raising the wage cap, to ensure that full benefits continue to be made well into the future,” says Richtman.
Richtman calls informal caregiving “a critical part of a care plan” that enhances an older person’s well-being. “While there currently are programs such as the Medicaid Waiver that will pay family members who provide caregiving support more can be done to incentivize caregiving so that loss of personal income and Social Security work credits are not barriers to enlisting the help of younger individuals to provide informal support services,” he says.
Adds Richtman, the Medicare and Medicaid benefits which reimburse for the home-based services and skilled nursing care “will be unduly strained ”as the diagnosed cases of Alzheimer’s disease skyrockets with the growing boomer population. He calls on Congress to “immediately provide adequate research funding to the National Institutes of Health to accelerate finding a cure in order to save these programs and lower the burdens on family caregivers and the healthcare system. “
Finally, AARP Rhode Island State Director Kathleen Connell, says “Our aging population represents challenges on many, many fronts, including healthcare, housing, Social Security, Medicare and, of course, caregiving. It would be nice to think everything would take care of itself if there were more younger people than older people. But that misses the point entirely. The needs of older Americans are a challenge to all Americans, if for no other reason than most of us end up with multiple late in life needs. And too many reach that point without savings to cover those needs.”
“It’s worth noting, by the way, that many of the solutions will come from people 50 and older -- many of whom will work longer in their lives to improve the lives of older Americans. We need to stop looking through the lens of ‘old people’ being the problem and instead encourage and empower older Americans to take greater control over their lives as they help others,” says Connell.
“Congress needs to focus on common sense solutions to assure families that Social Security and Medicare are protected. The healthcare industry needs to face the medical challenges. And at the state and local level, we must focus on home and community-based health services,” adds Connell.
For details about the Census Bureau’s 2017 statistical projections, co to www.census.gov/newsroom/press-releases/2018/cb18-41-population-projections.html.
For more information about AARP’s July 2015 caregiver report, go to www.aarp.org/content/dam/aarp/ppi/2015/valuing-the-invaluable-2015-update-new.pdf.
Herb Weiss, LRI’12, is a Pawtucket writer covering aging, healthcare and medical issues. To purchase Taking Charge: Collected Stories on Aging Boldly, a collection of 79 of his weekly commentaries, go to herbweiss.com.
Related Slideshow: 17 Biggest News Stories of 2017
10 Babies Dead in RI in 26 Months, 2 New Near Deaths & Little Outrage
Twenty children were recently killed in Syria in a deadly gas attack. The images of the dead children sparked President Donald Trump to launch 59 Tomahawk missiles at a key military airport in response to the killings. Nearly 90 percent of Americans supported the American military response.
In Rhode Island, ten babies all under 18-months old, have died in the past 26 months, and at a recent State House hearing, it was disclosed by the state’s Child Advocate that two new “near deaths” are now under investigation. The disclosure was made during a House Finance sub-committee meeting in which most of the subcommittee's members were missing for the majority of the meeting.
For long segments during the sub-committee hearing, only Chair Teresa Tanzi was in attendance. This hearing was just the latest in a series that reviewed the deaths.
For those who have seen the recent legislative hearings reviewing the Child Advocate’s report, emotion and outrage have been void in the discussion. The dialogue between legislators reviewing the deaths with state bureaucrats often sounded more like the narrative between cartoon characters Chip ’n’ Dale — “after you, no-no, after you.”
Moses Brown Soccer Coach Says He Will Kneel During National Anthem
Moses Brown Boy's Varsity Soccer Coach Eric Aaronian announced that he will kneel during the national anthem at today's game versus Westerly High School, in an email sent to parents on Friday.
Aaronian is also the chair of the Science Department Chair at the prep school located on Providence's East Side, where tuition for the day school is $35,555 for grades 9-12.
The head of the RI Interscholastic Sports League Thomas Mezzanotte said that during the national anthem players and coaches are expected "to properly show respect during the playing of the National Anthem is to stand, remove your hat and place your hand over your heart."
"Much like other state high school associations we do not/have not released a statement relative to our position on what is occurring with the playing of the National Anthem. However, when asked we share the following:
It is the sincere desire of the RIIL that all participants at an education based event demonstrate proper respect and attention during the presentation of the National Anthem while respecting the rights of individual freedoms of expressions," said Mezzanotte in an email to GoLocal on Saturday.
Aaronian is the latest to join the controversy that swept the sports and political world last weekend.
LIVE: Chafee Calls Out Raimondo Administration for “Candy Store” Economic Development Strategy
Lincoln Chafee, former Mayor, U.S. Senator and Governor, took Rhode Island Governor Gina Raimondo’s administration to task for promoting economic growth by funneling tax dollars to some of America’s richest corporations.
Appearing on GoLocal LIVE with GoLocal News Editor Kate Nagle, Chafee said the Raimondo’s transfer of taxpayers dollars to billion-dollar companies such as General Electric and Johnson & Johnson was flawed.
“I have never liked corporate welfare. It's unfair to existing businesses…some out of state business comes in and you give them the candy store. I just don’t like it," said Chafee.
Chafee said the approach needs to be built on fundamentals. “I think a better way to build the economy is through investment and education and infrastructure. Then lower taxes -- under my approach, unemployment went from over 11 percent to under 6 percent. (And) we created more jobs than the candy store approach.”
EXCLUSIVE: Former RI Speaker Fox to Be Released From Prison Next Week
Gordon Fox, the former Speaker of House, will be released from federal prison in Pennsylvania after twenty-five months, GoLocalProv.com has learned.
Fox left for Canaan Federal Facility in Waymart, Pennsylvania on July 7, 2015, and he returns to Rhode Island on Wednesday, August 16, 2017. His time was served at the minimum facility camp on the prison campus which presently has 121 inmates, according to the U.S. Bureau of Prisons.
He can be picked up in Pennsylvania as early as 8:00 A.M. and must report to his assigned half-way house by 8:00 P.M.
Governor Raimondo’s Security Detail Tops More than $1.2 Million
Drive by Governor Gina Raimondo’s house on the East Side of Providence late at night, and outside each evening will be parked a Rhode Island State Trooper sitting in an unmarked SUV, or in a State Police vehicle.
Raimondo is the first Governor in Rhode Island to request 24-hour security coverage -- at more than $40,000 per month in security costs. Under previous administrations, governors received 24-hour protection for limited periods of time. Governor Bruce Sundlun received full-time coverage after his administration closed the credit unions in 1991, during the banking crisis. In addition, on a few occasions, Governor Donald Carcieri had round-the-clock coverage due to specific security threats.
However, no governor has had it 24/7 - until now.
A GoLocal investigation found that the taxpayer cost of providing security for Raimondo has totaled $1,269,431, since her taking office --from January 1, 2015, through June 24, 2017.
AAA Refused to Pick Up Blind Woman Stranded with Service Dog
A legally blind Rhode Island woman said that she had to wait hours for AAA after they refused to pick her up with her guide dog -- before finally getting the roadside assistance organization to comply with federal disability law.
Aria Mia Loberti, a AAA member, posted the incident to Facebook on Monday, and urged people to contact AAA to advocate for people with service animals.
Loberti posted the following to Facebook, on the incident:
"This evening, my mother (Audrey Loberti) kindly drove me to work, but unfortunately her car broke down en route. As a legally blind individual, I travel with a certified service animal, a Guide Dog for the Blind named Ingrid. Ingrid is a specially trained mobility aid who helps me safely navigate the world around me.
My mom called AAA roadside assistance, informed them of our situation, and that her fellow passenger (me) had a disability and was traveling with a licensed registered guide dog. AAA's dispatcher, per the direction of three of her supervisors, told us that a service animal could not accompany us in the tow truck, which accommodated two passengers. I spoke with the dispatcher and the supervisors, as did my mom, to inform them that it is in violation of US law and state law to refuse access or service to a service animal and their disabled handler.
AAA offered us several arguments, including that a service dog would not fit inside the vehicle (see the photos below to prove that she, like all service dogs, is trained to do so), that a service dog would be a safety hazard for the driver, and more. They continually changed their story as to why they wouldn't accommodate us.
GoLocalProv Releases Benchmark Poll
There were a number of surprises in the recently released poll conducted by Harvard's John Della Volpe in partnership with GoLocalProv.com.
The benchmark poll measured how Rhode Islanders feel about the economy, what they see as the most important issues, and how well they think their elected officials are performing.
The GoLocalProv.com Benchmark Poll was conducted by Socialsphere -- founded by Della Volpe. He is the Director of Polling at Harvard Kennedy School’s Institute of Politics. He is one of America's leading pollsters and appears on "Morning Joe" and "The Daily Show" with Trevor Noah to name a few.
EXCLUSIVE: Hasbro Looking at Superman Building to Create Providence Campus
GoLocal has learned from multiple sources close to the process, that Hasbro — the global entertainment and toy company — is looking to consolidate its multiple locations in the region and create a next-generation creative campus for its headquarters in Providence. Some of the options that Hasbro is considering include the Superman Building.
Today, Hasbro calls itself “a global play and entertainment company committed to creating the world's best play experiences."
And, in an era in which the largest toy store chain in America, Toys “R” Us has recently filed for bankruptcy protection, Hasbro's ongoing shift to entertainment and gaming is strategically sound and Hasbro's stock has performed. The stock closed on Wednesday at $97.16 per share -- up more than 27 percent over the 52 week low of $76.14 a share.
GoLocal Secures Multiple Videos of ATV Gangs Doing Wheelies In Prov Neighborhoods and on 95
GoLocalProv has secured three videos shot by an ATV and motorbike gang as they rode through Providence neighborhoods, pulled wheelies, rolled through red lights, and did a “seat stander” wheelie on I-95 while traveling an estimated 75 plus mph.
And, in one case rode directly in front of Providence Police officers.
VIDEO: New Club Penthouse, Complete with Stripper Poles, Opens on Historic East Side
A new nightclub featuring dancers and stripper poles has opened in one of the most historic areas of Providence. The new club called, The Penthouse, is located in the space above the Mile and a Quarter restaurant which was previously occupied by the controversial Loft club.
The new club is located close to one of Providence’s top Italian restaurants, Bacaro, right next to upscale realtor Lila Delman, and literally across the street from the new innovation center I-195 corridor.
The historic building is owned by a company controlled by Andrew Mitrelis. He and his family also own Cafe Paragon, Andreas, and the now-closed Mile and a Quarter.
In 2015, the Rhode Island Department of Labor fined the restaurants $135,000 for failure to make payment to workers.
What Killed WBRU?
On August 1, 1981, MTV began broadcasting and the first music video the new network played was "Video Killed The Radio Star” by The Buggles.
Now, as the autopsy is being done on WBRU, the appropriate mantra might be that the Internet killed the radio star, or as Bruce McCrae, aka Rudy Cheeks told GoLocal LIVE on Thursday, “I had predicted this some time ago [about the death of radio]. TV is soon going to be the Internet. Younger people who are the basic consumers of alternative rock music -- and alternative journalism -- are internet oriented.”
“It's not that complicated -- it was a business decision based upon the best interests of the university and its students. In the best of all situations, they'd have the funds to do everything they want to do now,” said Michael Harrison, one of America’s top analysts of radio and publisher of Talker’s magazine.
The new 95.5 signal owner, Education Media Foundation, is a Christian radio broadcasting group that reported assets of more than half-a-billion dollars according to the company's audited financials for 2016.
INVESTIGATION: Complex Web of Private Political Consulting Business Runs Through Raimondo’s Office
In 2017, companies that Governor Gina Raimondo’s Chief of Staff Brett Smiley owns received payments from many prominent Democrats, including payment from one of the House Democratic Leadership PACs and a $2,030 payment from then-federal inmate and former Rhode Island Speaker of the House Gordon Fox.
Smiley earns $176,419 as Raimondo's Chief of Staff.
Over the past five years, Rhode Island state and local candidates have paid a web of Smiley-owned companies just under $300,000. Federal candidates both in Rhode Island and around the country have paid Smiley’s firm's hundreds of thousands in additional payments.
“Smiley's continued ownership of the firm raises the questions that have yet to be answered. In the past we've told GoLocal that Common Cause believes Smiley should seek an advisory opinion from the Rhode Island Ethics Commission with respect to his continued ownership of the consulting firm,” said John Marion, head of Rhode Island Common Cause.
VIDEO: U.S. Senator Whitehouse Won’t Quit All-White Exclusive Private Club
GoLocalProv.com News Editor Kate Nagle finally caught up with U.S. Senator Sheldon Whitehouse (D-RI) to ask him about his family’s membership in the exclusive and all-white Bailey’s Beach Club.
In 2006, when Whitehouse ran for the United States Senate, he reportedly promised to quit his memberships in Bailey's, as well as the all-male, all-white Bellevue Avenue Reading Room.
However, eleven years later, a GoLocal investigation has uncovered that Whitehouse has consolidated his ownership with his wife in Bailey's, one of America’s oldest and most exclusive beach clubs.
Whitehouse has been one of the harshest critics of the Administration of President Donald Trump and Trump’s unwillingness to condemn hate groups and bigotry.
After weeks of refusing to answer GoLocal’s questions about his membership in Bailey’s — Nagle caught up with Whitehouse attending an event in Newport.
“I think it would be nice if they (Bailey’s Beach Club) changed a little bit, but it's not my position,” Whitehouse told Nagle.
Raimondo’s UHIP Disaster - Federal Court Takes Over Management
For the past year, the Rhode Island ACLU has been pressing Governor Gina Raimondo’s administration to correct the failed process for Rhode Island’s most in need to apply for and receive food stamps.
The Raimondo administration has given every possible reaction to criticism that the system failed to function.
When the UHIP platform launched and it was clear that the system did not function, Raimondo defended the botched rollout in the fall of 2016, saying in an interview on talk radio that even Apple has problems when they roll out a new phone.
Now, after a year of failure and promises of improvement, and more failure, Federal Court Judge Will Smith has determined that the Raimondo administration is incapable of managing the project.
Rhode Island ACLU Executive Director Steve Brown spoke to the most recent development in addressing the state's UHIP debacle -- the announcement of a court-appointed special master to intervene.
The Raimondo administration recently boasted of recovering $60 million from vendor Deloitte -- but Brown took issue with the announcement.
"What was troubling about the news release bragging about getting all the money, was buried in the release was the thousands of buried applications. And it was troubling,” said Brown.
Raimondo Agrees to GoLocal’s Demands, Pledges to Release State Police Records on 38 Studios
In October, GoLocal filed suit against Governor Gina Raimondo, the Head of Public Safety and the RI State Police requesting the release of the State Police records of interviews in the 38 Studios criminal investigation.
GoLocal’s lawsuit against Raimondo and others was set for hearing at the end of the month.
Raimondo petitioned the court to have the suit dismissed claiming she was not in possession of the documents.
Today, a press release issued by Raimondo's office Friday says, "...Rhode Island State Police Colonel Ann Assumpico has directed her agency to review and release the non-grand jury documents in the agency's possession. Those documents will be released as soon as a review is complete."
She also claimed that she "will file a petition in Rhode Island Superior Court early next week to release the documents from the grand jury investigation."
EXCLUSIVE: St. Joseph Pension Fund Collapse - Largest in RI History
The St. Joseph Health Services pension fund filed for bankruptcy last Thursday in Superior Court and has thrown the lives of nearly 3,800 former and existing workers economic futures into turmoil.
GoLocal has broken down the key issues as they are now emerging - this pension fund bankruptcy may be the biggest in Rhode Island history.
EXCLUSIVE VIDEO: Police Shooting in Providence Caught on Camera
GoLocalProv has obtained video of the shooting that took place on I-95 outside of the Providence Place Mall where at least one person is dead, according to Providence Police sources.
Names of the officers involved in the shooting have not been released by Providence Police or RI State Police.
There is an ongoing investigation relating to the incident.
- Weiss: House Budget Committee Plan Calls for Privatization of Medicare
- Weiss: Social Security, Medicare Are Solvent..For Now
- Weiss: Three GOP Senators Derail ‘Skinny’ Maneuvers
- Weiss: Report - Cognitive-Simulating Activities Good for Your Brain’s Health
- Weiss: On Taking a Stand Against Racism & Antisemitism
- Weiss: GOP Senators Avoid Angry Constituents During July Recess
- Weiss: Senate Health Bill Vote Expected This Week, Dems Call Bill “Meaner” Than House Version
- Weiss: CBO Numbers Says GOP Health Plan Benefits Young, Healthy…Not Seniors
- Weiss: Trump Budget Could Fray Nation’s Social Security Net, Hurt Seniors
- Weiss: Assistance to Employee Caregivers Good for Everyone’s Bottom Line
- Weiss: AARP Scorecard - Taking a Closer Look at Ri’s Long-Term Services & Support to Older Adults
- Weiss: LRI Graduates Give Sage Advice to President Trump
- Weiss: Analysis Says That Aging Veterans at Greater Risk of Alzheimer’s Disease
- Weiss: Trump’s Budget Proposal Comes ‘Dead on Arrival’ to Aging Groups
- Weiss: Older Americans to Benefit from Bipartisan Budget Act
- Weiss: Efforts to Revise State Alzheimer’s Plan are in Full Swing
- Weiss: New Report Says Alzheimer’s Disease Is Now Major Public Health Issue
- Weiss: With Tax Day Looming, Watch Out for IRS Imposters
- Weiss: Pets Can Bring You Health, Happiness
- Weiss: Congress Passes RAISE Family Care Givers Act
- Weiss: Senate Aging Panel Calls for Improved Emergency Preparation & Response
- Weiss: Aging Groups - House GOP Tax Rewrite a Turkey
- Weiss: Medicare Takes a Blow Under GOP’s Major Tax Plan Fix
- Weiss: House Fails to Pass GOP’s Balanced Budget Amendment