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By Rita R. Robison, Consumer Specialist, Blogging at The Survive and Thrive Boomer Guide

Guest Blogger

The rising cost of health care is a problem for millions of adults ages 50 to 64.

Health care reform offers the opportunity to help people in this age group reduce financial and health risks.

In 2007, 7.1 million 50- to 64-year-olds didn’t have insurance, according to the AARP report “Health Care Reform: What’s at Stake for 50- to 64-Year-Olds.” And those who do have insurance are likely to spend more of their income on health than younger adults.

In the U.S., which spends twice as much as other industrialized nations on health care, health care reform is badly needed for baby boomers.

Public Citizen, a citizen advocacy organization, would like to see single-payer national health insurance adopted and carried out here. It believes this is the only solution that provides universal access to care while reducing costs.

What is single-payer national health insurance?

It’s a system in which the health care expenditures of people are paid for through one source – the federal government or a subcontracting entity – using tax revenue from individuals and employers. Care is provided privately at hospitals and clinics but paid for publicly.

Individuals are allowed to choose their providers, and physicians are paid on a fee-for-service basis or paid salaries by hospitals that receive an annual budget or by nonprofit health maintenance organizations.

A majority of American physicians and the public support a single-payer system, according to Public Citizen.

The group offers the following information on “myths and facts” about single-payer because people have questions about what it is and how it works.

Myth: Single-payer would cost too much.

Fact: Because of our patchwork system of private insurance, more than 30 percent of every health care dollar is spent on administration rather than on care. This includes underwriting, marketing, billing, denying claims, profit, and paper-pushing for hospitals and physician offices.

By eliminating private insurance, a single-payer system would reduce administrative spending by about half – nearly $400 billion annually. These savings are enough to provide every American with comprehensive health insurance, without increasing total spending.

Myth: Single-payer would cost businesses too much.

Fact: Because a single-payer system is more efficient than the current system, health care costs would be lower, and businesses that already provide health care benefits would save money.

In Canada, the three major auto manufacturers – Ford, GM, and Daimler-Chrysler – have all publicly endorsed Canada’s single-payer health system from a business and financial standpoint. In the U.S., Ford pays more for its workers’ health insurance than for the steel to make its cars.

Myth: Lines for care would be extremely long.

Fact: In countries with single-payer, urgently needed care is always provided immediately. People in these countries may have to wait for some elective procedures such as cataract removal or knee replacement for arthritis.

Because the U.S. spends double what countries with single-payer spend on health care – and would continue to spend this much under a single-payer system – access to care here would be better and waits would be much shorter.

Myth: People would overuse the system.

Fact: Most estimates indicate that there would be some increased use of the system, mostly by the nearly 50 million people who currently don’t have health insurance. However, the dramatic savings from a single-payer system would easily cover the increased use of some services.

Doctors would still control most health care utilization. Patients don’t usually receive prescriptions or tests just because they want them, but because their doctors decide they’re appropriate.

Myth: Government programs are wasteful and inefficient.

Fact: Some are better than others, just as some businesses are better than others. To name a few of the most successful and helpful: the National Institutes of Health, the Centers for Disease Control and Prevention, and Social Security.

Consider Medicare, which is national health insurance for the elderly; its overhead is about 3 percent of every health care dollar spent on administration, while overhead and profits for private insurance can add up to more than 15 percent.

Myth: The government would make health care decisions for patients and dictate how physicians practice medicine.

Fact: In countries with a national health insurance system, physicians are rarely questioned about their medical practices, and usually only in cases of suspected fraud. Compare this to our system, where patients and doctors routinely must ask insurance companies for permission for certain procedures, tests, and treatments.

Public Citizen urges consumers to become active in health care reform and help create the new health care system.

For more information, visit www.citizen.org/singlepayersolution.

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By Rita R. Robison, Consumer Specialist, Blogging at The Survive and Thrive Boomer Guide

Guest Blogger

Recently, at a luncheon of about 12 friends, I asked the women where they planned to go for assisted living.

The question was on my mind because my sister, age 72, had a heart attack a few weeks earlier. She’s moved from her Seattle home to another city in Washington state to stay at an assisted living facility where she can get help around the clock and to be near her daughters.

ruth_debra_minor_img21

My friends didn’t have any place in mind. All said they wanted to grow older in their homes. “I want to be carted out of there when I die,” one friend said.

Baby boomers, a generation known for their inventiveness and independence, want to age in place in their homes rather than going to nursing homes.

It’s the best option, said Diane Carbo, R.N. and geriatric care manager, in the article “Top 10 Reasons Why Baby Boomers Want to Age in Place” on Ezine Articles.com.

Surveys by the AARP found that more than 85 percent of Americans age 50 and older want to “stay in my own home and never move.”

Aging in place will work well for boomers who are more likely to work longer, start a second career, volunteer, or go back to school.

“Baby boomers want to live well, be healthy, live comfortably, and age in familiar surroundings,” Carbo said in the article.

She offers ten top reasons for boomers to live their golden years in their homes, with the help of home healthcare.

Aging in place:

  1. Allows for maximum amount of freedom for the individual.
  2. Is safe.
  3. Promotes healing.
  4. Gives the adult who is growing older some control.
  5. Can allow for the care to be personalized.
  6. Is comfortable.
  7. Contributes to a healthier, safer, and happier life.
  8. Allows boomers to remain in their communities.
  9. Is enhanced by advanced technology to support boomers as they grow older.
  10. Reduces the fear of loss of independence.

Health care providers, government agencies, and communities are looking at ways to assist boomers age in place.

At a boomer housing conference I attended last fall described Matt Thornhill, co-founder of the Boomer Project, said renovating homes for aging boomers will be a big business for the next 20 years.

Thornhill also pointed out a new trend; boomers will create naturally occurring retirement communities in existing neighborhoods to facilitate service delivery.

Boomer also will move to the city from suburbia. And they’ll live in cohousing and other types of intergenerational living and pods – a one-bedroom, temporary structure wired to the main house.

While aging in place offers many advantages, having a plan B in mind is a good idea.

Neither one of my parents, who retired to Wenatchee, Wash., wanted to go to a nursing home.

The photo above of my parents and me was taken in the late 1980s while they were still living in their own home.

In 1990, my dad, a farmer, died of non-Hodgkin’s lymphoma, which is linked to pesticide exposure. He spent about a month in a nursing home before he died.

My mom, a diabetic, lived at home until 1997 when she had a heart attack. She then went to a nursing home for eight years. She died in 2005.

It’s not pleasant to think about getting older and possible declining health. It’s also challenging to figure out what to do to prepare.

The financial planner I work with urged me to buy long-term care insurance.

“When the boomers get old, it’ll be Quonset huts and oatmeal,” he said. He’d talked with a friend who works in healthcare, and she’d reported the industry and government aren’t ready for the explosion of older boomers who’ll need care.

I wonder if he’s right.

I hope, like most boomers, that I’ll be able to age in place in my home.

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How to pick out the best place to retire

Posted by RitaR on April 9th, 2009

By Rita R. Robison, Blogging at The Survive and Thrive Boomer Guide

As the dreary weather in the Pacific Northwest drags into spring, I’m thinking about retiring somewhere where it’s warm.

retirement-empty-chairs-img_3962Is it a good idea to leave your community when you retire? How do you go about making the decision?

About a quarter of baby boomers think they’ll move from their homes in the future, an AARP study shows.

Here are some things to consider if you think you want to select another community for retirement:

  • Where your children live. You may want to move to be near your family. However, if you live near your children now, it could be more difficult for them to help you as you grow older if you move away.
  • Where you grew up. You may want to move back to where you were raised. A number of my Chelan High School classmates are moving back to Chelan, Wash., home of the lovely Lake Chelan, to retire.
  • Costs of retirement. It’s important to gather information on the costs of living in your prospective retirement cities and compare it to where you currently live. If you live in a high-cost area, you may be able to find a community where you’d pay lower taxes and less for maintenance and utilities. I’d like to live near Santa Barbara, Calif., but it’s expensive to live near the coast in Northern California.
  • Downsizing. You’ll need to find out if the cities you’re considering have less costly homes. You’ll probably want to find a smaller one that will require less care and upkeep.
  • Quality of Life. An attractive, pleasant community that’s easy to get around in will help to enhance your retirement. You’ll also want to gather information about the air quality, crime rates, and other quality of life factors.
  • The weather. It’s easier these days to do research on the Internet about climate. You also will be able to check out the weather when you visit.
  • Colleges and educational opportunities for adults. If the city has a college, you’ll be able to have opportunities to hear well-known speakers and musicians, as well as take classes for older adults.
  • Medical care. When you visit, be sure to ask local people about the quality of the medical care in the area. Databases, such as Hospital Compare and AARP’s Top 125 Hospitals, offer information on hospitals.
  • Cultural activities. If you love museums and historical buildings, include finding out about these facilities as part of your research.
  • Recreational activities. Parks and trails for walking and bicycling, health clubs for exercising, and lakes and streams for fishing and boating may be among the recreational facilities you’d like to enjoy in your new community.
  • Social opportunities. If you enjoy belonging to clubs and other organizations, make sure that your new city will provide these opportunities.

Here are resources to help you with your decision making on finding the right retirement community for you:

“The 20 Cities Where the Most Baby Boomers Will Retire” – U.S. News and World Report

“Where to Find the Cheapest Places to Retire” – Great Retirement Places

“Best Places for Baby Boomers to Thrive in U.S.” – The Survive and Thrive Boomer Guide

“The Dream of Retiring Where It’s Warm in the U.S.” – The Survive and Thrive Boomer Guide

“The Dream of Retiring Where It’s Warm Abroad” – The Survive and Thrive Boomer Guide

“15 Great Places to Reinvent Your Life” – AARP

“Benefits of Downsizing and Relocation” – New Retirement

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 By Rita R. Robison, Consumer Specialist, Blogging at The Survive and Thrive Boomer Guide

I’ve experienced discrimination. It’s upsetting and depressing. My younger collagues were sent to conferences and given plum assignments and promotions. I worked hard and occasionally received a thank you…

Go to Retirement advises baby boomers to be on the look out for discrimination as more layoffs occur because older workers are often the first to be let go.The article offers background on discrimination laws and examples of discrimination in the workplace.
It also provides this list of what to do if you think you’ve been subject to age discrimination:
  • Document as many of the facts of the discrimination as possible so you’ll have a record that you can use if a claim is filed.
  • Consider making a formal complaint with your employer.
  • File a complaint with the nearest field office of the U.S. Equal Employment Opportunity Commission or EEOC.
  • File a complaint with your state EEOC.
  • Contact an attorney.
Remember, being an aware, informed boomer consumer will help you if you need to take action due to age discrimination in the workplace.

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By Rita R. Robison, Consumer Specialist, Blogging at The Survive and Thrive Boomer Guide

The technology is being used now. Sensors attached to older people’s medicine cabinets, beds, and toilets and room sensors to monitor whether they’re moving around in their assisted living facilities. The information is available to family members and caregivers to determine whether the older person needs assistance.

How technology can help baby boomers will be the topic of discussion at the Silvers Summit from 8 a.m. to 5:30 p.m. on Saturday Jan. 10 in Las Vegas as part of the 2009 International Computer Electronics Show.

The summit will display a variety of technologies for boomer as they use digital devices for texting their kids in college, caring for elderly parents, traveling, or reinventing their careers in a home office. About a dozen speakers will offer the latest information on technological advances for boomer consumers.

One of the presenters at the summit, Majd Alwan, Ph.D., director, Center for Aging Services Technologies, agreed to answer the following questions about technology and aging:

Rita: What do you see as the biggest need for baby boomers as they grow older?

Majd: The ability to remain independent, safe, socially engaged, and connected, and the ability to manage chronic conditions.

Rita: What does your organization offer to help boomers age in place?

Majd: The Center for Aging Services Technologies advocates a vision for independent living with the support of a caregiver network that includes the family (informal caregiver), the primary care provider, and aging services connected and empowered with technology and information.

We raise awareness to available solutions, conduct research to identify barriers, and advocate to remove such barriers. We encourage technology companies to partner with providers to design needs-driven solutions with the intended target users. We also help providers objectively evaluate technology, adopt best practices, and share the lessons learned with other providers.

Rita: What technology do you see working today to help older people and how will it be able to assist boomers in the years ahead? How expensive is this technology now? Will it become more affordable in coming years?

Majd: That’s a big question. Please see the state of technology report. Some technologies are quite affordable even today (personal emergency response systems at $35 a month and behavioral monitoring systems at $99 plus $60 a month). With mass production and sales, prices will come down.

See the Silvers Summit Web site for further information on presenters at the summit.

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