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Showing posts with label New Old Age. Show all posts
Showing posts with label New Old Age. Show all posts

Monday, August 11, 2014

Addressing Caregivers’ Loss of Retirement Income

Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com
Earlier this month Representative Nita M. Lowey, Democrat of New York, introduced what she’s calling the Social Security Caregiver Credit Act, intended to increase retirement income for middle-class citizens who must reduce their work hours or leave the work force because of caregiving duties.
It’s hard to feel optimistic about its passage in this political environment. I’m braced, even here, for a chorus of “How can we possibly afford that?” But you can’t really argue with the problem it tries to address.
Representative Nita M. Lowey
Representative Nita M. Lowey
Representative Nita M. LoweyCredit Pablo Martinez Monsivais/Associated Press

The toll that family caregiving can take isn’t only emotional and physical; it’s also financial, but not always in obvious ways.
The groceries you pick up on the way to see your mother, the utility bills you quietly pay for your aunt — you’re aware of those. If you cut back your hours, turn down promotions or leave your job, as some caregivers feel forced to, you’re keenly conscious of your lost income.
But I wonder how many people consider the ways that their own retirements, years down the road, may suffer. The pressures of caring for a disabled or dependent family member can reduce Social Security income for the rest of the caregiver’s life.
And not by peanuts.
A MetLife study in 2011, based on data from the national Health and Retirement Study, estimated that men who reduced work hours to...
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Monday, February 10, 2014

‘Aid in Dying’ Sentiment Gathers Momentum

Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com

Thanks to the marvels of medical science, our parents are living longer than ever before. Most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
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Saturday, November 2, 2013

Are Caregivers Healthier?

Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com


The idea that caring for a chronically ailing or disabled family member might be good for you is so startling, so counterintuitive, that it sends researchers rummaging through their data to see where they went wrong.

“There are hundreds of studies about how caregiving is stressful and bad for your health,” said David Roth. As director of the Johns Hopkins Center on Aging and Health, and someone who has spent 15 years compiling caregiving data, he has probably read most of them.

But his recent study in The American Journal of Epidemiology is the most recent to lend support to an emerging counter perspective, dubbed the “healthy caregiver hypothesis.”

Inserting a few key questions into a large national stroke study, his team was able to compare about 3,500 family caregivers older than 45 with noncaregivers of the same age, gender, education level and self-reported health. The researchers also matched caregivers and noncaregivers for cognitive status and for health behaviors like smoking and drinking — 15 variables in all. The caregivers included spouses (about 22 percent of the 3,500 followed), adult children caring for parents (about a third), and people caring for other family members.

After an average six-year follow-up, he and his colleagues found that the noncaregivers had 
significantly higher mortality rates. Nine percent of them had died, compared with 7.5 percent of caregivers, who were 18 percent less likely to die during the six-year...
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Friday, November 1, 2013

Two Kinds of Hospital Patients: Admitted, and Not

Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com


Judith Stein got a call from her mother recently, reporting that a friend was in the hospital. “Be sure she’s admitted,” Ms. Stein said.
As executive director of the Center for Medicare Advocacy, she has gotten all too savvy about this stuff.
“Of course she’s admitted,” her mother said. “Didn’t I just tell you she was in the hospital?”
But like a sharply growing number of Medicare beneficiaries, her mother’s friend would soon learn that she could spend a day or three in a hospital bed, could be monitored and treated by doctors and nurses — and never be formally admitted to the hospital. She was on observation status and therefore an outpatient. As I wrote last year, the distinction can have serious consequences.
The federal Centers for Medicare and Medicaid Services tried to clarify this confusing situation in the spring with a policy popularly known as the “two-midnight rule.” When a physician expects a patient’s stay to include at least two midnights, that person is an inpatient whose care is covered under Medicare Part A, which pays for hospitals. If it doesn’t last two midnights, Medicare expects the person to be an outpatient, and Part B, which pays for doctors, takes over.
It’s rare to have hospital and nursing home administrators, physicians and patient advocates all agreeing about a Medicare policy, but in this case “there’s unanimity of dislike,” said ...
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Thursday, September 12, 2013

Getting While the Getting Is Good

Preparing for disability can only go so far. Sometime pre-emptive action needs to be taken. This is an example of what aging workers need to consider. Today's post was shared by The New Old Age and comes from newoldage.blogs.nytimes.com


“Don’t wait for a crisis,” I told a friend whose elderly parents were struggling to care for themselves and a big Connecticut home.

“Don’t wait for a crisis,” I told another friend, his mother recently widowed, lonely and overwhelmed, rattling around in a family house that was now her solo responsibility.

“Don’t wait for a crisis,” I told a third friend, whose widowed father-in-law dropped his daily insulin regimen after his live-in girlfriend left him.

“Don’t wait for a crisis,” I’ve told readers of “The New Old Age,” no doubt ad nauseam.
As just about everyone who has cared for an aging parent knows, getting old is both an inexorable and maddeningly unpredictable forward march. Everything is OK. Then it’s not. Then it is again. What felt early on like a roller coaster becomes the new normal. In between swerves and plummets, it is almost possible to doze off.

And planning for all possible eventualities is useless — after the essential documents are in place, the family has talked openly and often about end-of-life wishes, they understand the difference between Medicare and Medicaid, they know how much money is available and that it is probably not going to be enough.

Caregivers and their elderly charges both know, in a spoken or unspoken way, that on the horizon is The Crisis. That’s the one that demarcates “before” and “after.” Your parents...
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