Analysis Says That Aging Veterans at Greater Risk of Alzheimer’s Disease

Published in Wonsocket Call on October 2, 2017

On Monday, October 2, at a press conference USAgainstAlzheimer’s, (UsA2), along with veterans groups, plan to release an issue brief, “Veterans and Alzheimer’s Meeting the Crisis Head on,” with data indicating that many older veterans will face a unique risk factor for Alzheimer’s as a direct result of their military service.

Following the release of this issue brief, on TuesdPbulisheday evening at a reception in room 106 of the Dirksen Senate Office Building, UsA2, a Washington, DC-based Alzheimer’s advocacy group whose mission is to stop Alzheimer’s disease by 2020, will launch VeteransAgainstAlzheimer’s (VA2), a national network of veterans and their families, military leaders, veterans groups, researchers, and clinicians, to focus on raising awareness of the impact of Alzheimer’s and other dementias on active and retired military service members.

Dramatic Increase in Veterans with Alzheimer’s

Forty nine percent of those aging veterans age 65 ((WW2, Korea, Vietnam and even younger veterans, from the Iraq and Afghanistan conflicts in the coming decades), are at greater risk for Alzheimer’s compared to 15 percent of nonveterans over age 65, note the authors of the issue brief. “There is a clear and compelling obligation for greater support to meet the needs of veterans with Alzheimer, they say.

The issue brief pulls together research study findings released by the U.S. Department of Veteran’s Affairs (VA). On study estimates that more than 750,000 older veterans have Alzheimer’s disease and other dementias, another noting that the number of enrollee with Alzheimer’s grew 166 percent from roughly 145,000 in 2004 to 385,000 in 2014.

The “Minority communities are at greater risk for Alzheimer’s and minority veterans are predicted to increase from 23.2 percent of the total veteran population in 2017 to 32.8 percent in 2037, says a VA study.

The issue brief also cites study findings that indicate that older veterans who have suffered a traumatic brain injury (TBI) are 60 percent are more likely to develop dementia, Twenty-two percent of all combat wounds in Afghanistan and Iraq were brain injuries, nearly double the rate seen during Vietnam – increasing these younger veterans’ lifetime Alzheimer’s risk.

Veterans also face a multitude of barriers to effective Alzheimer’s diagnosis and care, including a complex Veteran’s Administration health system, a lack of understanding about available benefits, and a stigma related to brain and mental health, say issue brief authors.

George Vradenburg, UsA2’s Chairman and Co-Founder, sums up the message to Congress and federal and state policy makers in the released issue brief: “We need to understand so much more about why brain injuries sustained in battle put veterans at greater risk for Alzheimer’s. We must encourage veterans to participate in clinical studies to learn about the long-term effects of brain injuries, so we can do everything in our power to mitigate the impact on those who have given so much to this country.”

A Call for Funding…

When former Lt. Gov. Elizabeth Roberts released Rhode’s Alzheimer’s plan in 2013, to guide and coordinate the state’s efforts to care for those with debilitating Alzheimer’s and those who care for them, she called the report a ”living document, ” to be continuing updated as needed. With the 5-year update of the State’s plan being due June 2019, to be submitted to the Rhode Island General Assembly, Lt. Gov. Dan McKee and the Executive Board of the Alzheimer’s disease and related disorders working group, roll up their sleeves to meet that legislative deadline.

McKee and his Alzheimer’s plan working group are now turning to philanthropic organizations, like the Rhode Island Foundation, to fund their efforts to update the State’s Alzheimer’s plan. Yes, it costs money to do this and with the incidence of Alzheimer’s increasing in the Ocean State, lawmakers and state policy makers need an updated plan to provided them with a road map to effectively utilize state resources and dollars to provide care for those afflicted with debilitating cognitive disorder.

In 2013, 24,000 Rhode Islanders were afflicted with Alzheimer’s disease and other cognitive disorders and this number will continue to grow each year. With the state being so small, every Rhode Islander is personally touched, either caring for a family member with the cognitive disorder or knowing someone who is a caregiver or patient.

Funding from the Rhode Island General Assembly and philanthropic organizations are needed to get the ball rolling on the state Alzheimer’s plan. When updating, don’t forget the needs of Rhode Island’s aging veterans.

Founded in 2010, UsAgainstAlzheimer’s has worked to secure the national goal of preventing and effectively treating Alzheimer’s by 2025 and to assist in securing nearly $500 million in additional public funding for Alzheimer’s research over the past few years. The nonprofit’s global efforts has influenced the leaders of the world’s most powerful nations, the G7, to embrace a similar 2025 goal and to call for greater levels of research investment and collaboration to combat Alzheimer’s . Finally, UsAgainstAlzheimer’s works to forge pharmaceutical industry commitments to improve efficiencies for an expedited drug discovery and approval process. For more information click here.

For details on the updating of Rhode Island’s Alzheimer’s Plan, call the office of Lt. Gov. Dan McKee at (401) 222-2371.

Advertisements

Senate Republicans Pushing to Vote on Latest Health Care Proposal

Published in the Woonsocket Call on September 24, 2017

With the September 30 expiration of its special Senate budget reconciliations status that allows the chamber to repeal and replace Obamacare with just a simple majority, Senate Republicains are rushing to bring their latest health care fix up for vote by the end of next week. The GOP’s last attempt failed by a razor thin margin.

Critics charge that the Senate Republicans push to quickly vote on their latest health care bill, crafted by Republican Sens. Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, comes before the issuance of a complete analysis of the Congressional Budget Office (CB)) that would detail the legislative proposal would impact coverage nationwide.

AARP, the National Committee to Preserve Social Security and health care provider groups say that Graham-Cassidy’s fix to put the brakes to rising health care costs will increase premium and out-of-pocket costs for millions. They say that the nonpartisan CBO would give the details to its negative impact.

Even Gov. Chris Christie came out opposing the GOP health care over haul bill that Senate Republicans are pushing. “I can’t support a bill that takes $3.9 billion away from the people of the state of New Jersey,” said the New Jersey Governor, reported last Wednesday by the Trentonian News. Democratic Colorado Gov. John Hickenlooper and Gov. Republican Governor John Kasich, of Ohio, held a bipartisan news conference this week calling for a bipartisan approach to reforming health care.

Talk Show Host Jimmy Kimmel also came out swinging against the Graham-Cassidy proposal, calling Sen. Cassidy, a co-sponsor of the bill, a liar. Earlier this year the Republican Senator had appeared on his show and after hearing that Kimmel had an infant son with a heart condition, he assure Kimmel that any GOP proposal would protect those with pre-existing conditions. It does not, at least to Kimmel’s satisfaction.

For days, aging and provider groups and even Democrats on cable shows expressed concern that the Graham-Cassidy Bill would allow states to permit insurance companies to charge people with preexisting conditions (an estimated 25 million Americans age 50 to 64) just because they have cancer, diabetes, high blood pressure, asthma, etc.

Age Tax Hits Seniors Right in their Wallets

On September 20, 2017, AARP writer Dena Bunis, charges in a blog posting, “Latest Senate Health Care Bill Revives Age Tax for Older Americans,” the GOP’s latest effort to repeal President Obama’s landmark Affordable Care Act (ACA), imposes an “age tax” on older Americans by eliminating premium tax credits and cost sharing payments that helped low-income persons afford deductibles and copayments for medical services.

The Graham-Cassidy bill would also allow states to get federal waivers for insurers to charge older Americans more so as to lower the cost for younger policyholders. The ACA limits the expense for older policyholders at three times the amount younger ones pay, says Bunis.

To illustrate the “age tax” Bunis, citing an AARP analysis, notes, that for a 60-year-old earning $25,000 a year, premiums and out-of-pocket costs could increase by as much as $16,174 a year. If that 60-year-old lives in a state that allows insurers to charge older individuals dramatically higher premiums, he or she would face an additional $4,124 increase in premiums,” she says.

The Graham-Cassidy bill takes away the premium tax credits that help older adults pay for their health care coverage, notes Bunis. . “About 6 million 50- to 64-year-olds buy their health coverage in the individual market, and about half of those individuals receive tax credits to help pay their premiums, she says, citing an analysis by the AARP Public Policy Institute.

The Graham-Cassidy bill would also eliminate vital cost-sharing payments that help low-income persons — especially those over age 50 — afford deductibles and copayments for medical services, too, adds Bunis, noting that “about 58 percent of adults enrolled in ACA marketplace plans get cost-sharing assistance, and 35 percent of those individuals are between 50 and 64 years old.”

Bunis notes that the latest Senate health care proposal would shift federal funds to the state through block grants that would allow each state to develop their own specific health care coverage initiatives to reduce costs. But, she says that Medicaid per capita cap or block grants funding proposals, “fundamentally change the Medicaid program [covering 17.4 million older Americans and people with disabilities], which has been a safety net for millions of poor Americans and people with disabilities.

Receiving Medicaid eligibility for coverage and services would leave fewer doctors and other providers willing to take Medicaid patients or provide needed care because reimbursement is too low.

Block grants, mandated by the Graham-Cassidy bill, would only last through 2026, offering no replacement health care plan, says Bunis. “Over 20 years, Graham-Cassidy would slash Medicaid funding by $1.2 trillion to $3.2 trillion, turning control of the program to the states and shifting costs over time to states and Medicaid enrollees,” she says.

“Americans have a right to know how this bill would impact them. Regretfully, the Majority Leadership is rushing the Senate to blindly consider Graham-Cassidy without fully vetting this proposal in committee hearings and mark-up, where amendments could be considered, and without a full Congressional Budget Office (CBO) score. CBO previously estimated that repeal-without-replace would cause 32 million people to lose health coverage,” said Max Richtman, President and Chief Executive Officer of the National Committee to Preserve Social Security and Medicare (NCPSSM), in a statement to Senate Finance. The Senate panel is scheduled to hold a hearing on the Graham-Cassidy bill next week.

“Senate consideration of any bill that would change the accessibility and affordability of essential health care for millions of Americans without a complete CBO analysis and committee debate would be the height of legislative malpractice,” says Richtman.

NCPSSM calls the latest GOP Senate Health care proposal “deeply flawed” and suggests that it be referred to the Senate Committee on Health, Education, Labor and Pensions where Chairman Lamar Alexander and Ranking Member Patty Murray are attempting to hammer out a bipartisan solution to strengthen the ACA’s individual health insurance market reforms.

A Final Take

A press time, Republican Sens. Ron Paul (Kentucky) and John McCain (Arizona) give thumbs down to the Graham-Cassidy bill with the Portland Press Herald reporting that Sen. Susan Collins of Maine, saying “I’m leaning against the bill.” Fifty Republican Senators must give their thumbs up, with Vice President Mike Pence casting the tie-breaking vote, to get a simple majority for passage. Now, the votes are just not there for passage.

But, one long-time Republican Senator speaks honestly on the record why President Donald Trump his fellow Senate caucus members are pushing so hard for passage of the latest Senate health care proposal. “You know, I could maybe give you 10 reasons why this bill shouldn’t be considered,” Iowa Republican Senator Chuck Grassley. “But Republicans campaigned on this so often that you have a responsibility to carry out what you said in the campaign. That’s pretty much as much of a reason as the substance of the bill.”

Sadly, if true the Republican-controlled Congress has put millions of Americans at risk of losing their health care coverage and at risk for the sake of a political promise. Our lawmakers must become statesmen and vote on legislative proposals because it is the right thing to do, not politicians who vote by party-line.

It’s Time to Pass RAISE Family Caregivers Act

Published in the Pawtucket Times on September 18, 2017

Editor’s Note: Four months after S. 1028, titled the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act, was introduced in the Senate, an updated House companion bill (H.R. 3759) gets dropped into the chamber’s legislative hopper. On September 13, Reps. Gregg Harper (R-MS) and Kathy Castor (D-FL) along with original cosponsors Reps Michelle Lujan Grisham (D-NM) and Elise Stefanik (R-NY) introduced the legislation that calls for the development of a strategy to support family caregivers. It was referred to House Committee on Education and the Workforce. At press time, Rep. David Cicilline (D-RI) will shortly become a cosponsor of H.R. 3759.

On May 3, Sens. Susan Collins (R-ME), the Chairman of Senate Aging Committee, and Tammy Baldwin (D-WI) reintroduced the RAISE Family Caregivers Act, with Sens. Lisa Murkowski (R-AK) Michael Bennet (D-CO) signing on as cosponsors. At press time, there are now 12 cosponsors. Sen. Collins and Baldwin and Reps. Harper and Castor first introduced the family caregiver legislation in July 2015, and it passed the Senate unanimously in December 2015.

Eight days later the Senate Health, Education, Labor and Pensions Committee unanimously passed this legislation by a voice vote later that month and the bipartisan legislation will now be considered by the full Senate.

The Nuts and Bolts

The House bill introduced this week is updated from the Senate version introduced in early May. That Senate version is almost identical to the Senate-passed version from 2015.

The RAISE Family Caregivers Act directs the Secretary of Health and Human Services to develop and update a national strategy to support family caregivers. The legislation would also create a Family Caregiving Advisory Council comprised of relevant Federal agencies and non-federal members, also including family caregivers, older adults with long-term care needs, individuals with disabilities, employers, health and social service providers, advocacy organizations engaged in family caregiving, state and local officials, and others with expertise in family caregiving.

The newly established Advisory Council would be charged with making recommendations to the Secretary. The strategy would be updated to reflect new
developments. The Advisory Council’s initial report would include an initial inventory and assessment of federally funded caregiver efforts that would be incorporated into the initial strategy. The strategy would then identify recommended actions that government, providers, communities, and others could take to support family caregivers.

The activities under the bill would be funded from existing funding appropriated for the Department of Health and Human Services. No new funding is
authorized and it would sunset in five years.

This bipartisan caregiver legislation has been endorsed by over 60 aging and disability organizations, including the AARP, the Alzheimer’s Association, the w Michael J. Fox Foundation and the Arc.

Shouldering Caregiver Burdens

“Every day, more than 40 million ordinary Americans take on the challenge of caring for parents, spouses, children and adults with disabilities, and other loved ones so they can live independently at home and in their communities,” says AARP Chief Advocacy & Engagement Officer Nancy A. LeaMond. “The RAISE Family Caregivers Act is a commonsense, bipartisan step to recognize and support our nation’s family caregivers. AARP appreciates the leadership of Representatives Harper and Castor, and we urge Congress to pass this important piece of legislation,” she notes.

According to LeaMond, the nation’s family caregivers assist loved ones with eating, bathing, dressing, transportation, medical tasks, managing finances, and more. Many do this while working full time and raising families. The unpaid care family caregivers provide—37 billion hours valued at about $470 billion annually—helps delay or prevent more costly care and unnecessary hospitalizations, saving taxpayer dollars.

“Caregiving is, in one way or another, now an inevitable part of everyone’s future,” said AARP Rhode Island State Director Kathleen Connell. “It has been said that if you ask people about caregiving they fall into one of three or more categories: They know a caregiver, they are a caregiver or they will require a caregiver. AARP works hard at the state and federal level to direct resources and support to family caregivers. In Rhode Island, we have fought successfully for temporary caregiver insurance (TCI), the CARE Act, accessory dwelling unit legislation and a new fund to help offset the cost of ‘livable’ home improvements that benefit caregiving and make aging in place easier.”

“In the upcoming special session of the General Assembly, another key caregiving bill will be before lawmakers,” Connell added. “Earned Paid Sick Leave will be especially helpful to working family caregivers whose employers do not offer paid time off. Temporary caregiver insurance requires several days advanced notice. That can be helpful, for example, if a family member has a scheduled test or medical procedure. Earned paid sick leave would allow employees to used paid sick time when they are called away to attend to immediate emergencies.”

“The RAISE Family Caregivers Act is intended to provide a policy framework for improving caregiver support from national level down to states, cities and towns. In short, where the caregiver rubber meets the road,” Connell said.

Caregiver Legislative Proposal a Bipartisan Issue

According to AARP’s Public Policy Institute, there are 40 million family caregivers in the United States who provided an estimated $470 billion in uncompensated long-term care in 2013. In the Ocean State at any time during the year, an estimated 134,000 Rhode Island family caregivers step up to provide 124 million hours of care for an aging parent or loved one, most often helping them to live independently in their own homes.

With many caregivers putting their own health at risk, experiencing experience high-levels of stress and have a greater incidence of chronic conditions like heart disease, cancer, and depression, these individuals need the support and assistance that the enactment of the RAISE Family Caregivers Act could help bring about. Both sides of the aisle must put their political differences aside and push for passage. Both Republicans and Democrats shoulder caregiving duties.

Quickly passing the RAISE Family Caregivers Act in the Senate and House and sending it to the desk of President Donald Trump for his signature is the right thing to do.

LRI Graduates Give Sage Advice to President Trump

Published in Woonsocket Call on September 3, 2017

“I never considered a difference of opinion in politics, in religion, in philosophy, as cause for withdrawing from a friend.” — Thomas Jefferson

With the dust settling after the surprising victory of GOP Candidate Donald Trump last November, the news analysis on the election results clearly revealed that America is a divided nation of red states and blue states, either leaning Republican or Democrat. Throughout the 2016 presidential campaign and into President Trumps 226 days in office, personal attacks are a very common occurrence on Face Book if the person disagrees with your posting.

Jeffersonian Dinners: Finding a Common Purpose

We have lost our way in agreeing to disagree on political issues. We are no longer able to civilly discuss our differences on issues. How can a politically divided nation relearn how to have civil political dialogue to find a bridge between our differing political philosophies and positions on policies. Here’s Leadership Rhode Island’s answer.

Last January, LRI released its second book in three years. “Dear President Trump,” a compilation of 31 letters written by LRI alumni who attended 1 of 13 structured “Jeffersonian Dinners” held across the state in 2016. The attendees began each dinner conversation answering the question, “When faced with ideological or principle-based differences with another, how did you and the other party find common ground and/or progress?”

Each letter compiled in this 32-page book was written “to the office/position and not the person,” as submissions and selections were made prior to the Presidential election on Nov. 8, 2016. “Given the emotional nature of this year’s presidential election, which might be best described as identity politics at its most divisive, we thought advice from accomplished Rhode Island leaders from different sectors and industries to our incoming president would be gladly received by the next President and the citizens of Rhode Island,” said Mike Ritz, Executive Director of Leadership Rhode Island, in a statement.

“There’s much wisdom and perspective inside.” In all, about 30% of the 111 dinner attendees – corporate executives, small business owners, directors of state agencies, elected officials, executive directors of non-profits, retirees, and veterans – submitted a 300-word letter which began with “Dear President.” Inserted between letters are quotes by each of the 44 U.S. Presidents, which were curated by Dr. Jane Nugent, a 1995 graduate of Leadership Rhode Island and LRI’s volunteer project advisor.

Sage Words of Advice

Here are a few snippets of advice in letters from LRI graduates…

Tricia O’ Neil, LRI ‘09, Family Wealth Director and Financial Advisor at Morgan Stanley, asks the incoming president to remember: “You are no longer a Democrat or Republican; you are now the leader of the greatest country in the world. Regardless of party, we are a rightfully proud country that continues to hold the truths of our Declaration of Independence, all the freedoms it stands for, as self-evident. Sometimes we will agree with your stances and sometimes we will not, but if you talk to us with honesty, patience and understanding, and stay consistent and steadfast, we will all successfully grow together.”

Jerauld Adams, LRI ’14, President of North American Industries, Inc., urges the new president to: “Find the strength to negotiate a middle ground on issues and policies so that your team will lead responsibly and will gain respect. Americans need you to be strong; they crave someone they can look up to. As the earth grows smaller, we need a more united America.”

Mayor Scott Avedisian, LRI ’97, of Warwick, gives his thoughts to the incoming president, too: “When dealing with the opposition, please find ways to agree and to disagree without vilifying them. Lead this nation by being an example of calm, allowing all to have their say and make decisions that exemplify the best in all people and all things.”

The “Jeffersonian Dinner” series, which provoked the idea for the book, will continue by Leadership Rhode Island in 2017. Leadership Rhode Island is currently in talks with other organizations outside of the state to collaborate on a national initiative for helping citizens talk through their differences productively and with civility, an action which Ritz says is desperately needed to heal a divided country after very contentious and negative election campaigns.

Adds, Matt Coupe, LRI’s Alumni & Community Engagement Liaison, the idea for Jeffersonian Dinners came out of a series of alumni focus groups held in early 2016 regarding membership benefits. “Alumni told us they wanted to connect with each other in more intimate settings than the large parties and networking events we often host, and they wanted to discuss topics of substance, says Coupe.

According to Coupe, Maryellen Butke, of Providence-based Namaste Consulting who graduated from LRI in 2008, introduced the concept of Jeffersonian Dinners, which had been developed by Jeffrey Walker at the Monticello Foundation, to LRI. Walker wrote a book, called The Generosity Network, in which he describes the Dinners as being modeled after dinner parties that Thomas Jefferson had once hosted at Monticello. Jefferson’s idea was to bring people of different backgrounds together to discuss topics of importance, so he could hear multiple perspectives on various issues he was facing.

LRI launched its Jeffersonian Dinner series in March 2016, after a few months of initial planning. Each dinner took about a month to plan, said Coupe, noting that the nonprofit organization did not even any expenses in planning these dinners, other than some minor advertising costs and staff time. “Thanks to the generosity of Paul O’Reilly, President and CEO of the Newport Restaurant Group (graduating LRI in 1995), we were able to host six dinners at his restaurants [22 Bowen’s Avvio, Castle Hill Inn, Trio, and the Waterman Grille] at no cost to us. The rest of the Dinners were hosted and paid for by individual alumni, held a t the Hope Club, University Club and in their homes” he said.

LRI has recently conducted an online survey of participants, which showed an overwhelming consensus of agreement that the conversations held at the Dinners were valuable in and of themselves, even if they didn’t always change someone else’s way of thinking, says Coupe. “We view this as a validation of the Jeffersonian Dinner model, since their purpose is to expose participants to different viewpoints, not necessarily to build consensus,” he says.

LRI continues to hold its Jeffersonian Dinners in 2017 and plans to continue for at least another year, says Coupe, with the goal of eventually host inviting LRI graduates and the general public to participate. We want to eventually spread the word about the value of Jeffersonian Dinners outside Rhode Island with assistance from the Monticello Foundation and the national Association of Leadership Programs (ALP),” he says.

Now, is the time to work together to build a better American and world by learning how to discuss our differences and finding the root of compromise. Jeffersonian Dinners organized throughout the nation my just be the answer to bringing a politically divided country together.

Let’s hope that a copy of “Dear President Trump,” finds it’s way to Trump’s desk. It’s a great read.

Books may be purchased for $20 (domestic shipping included) online at http://bit.ly/dearpresidentbook or by credit card over the phone at 401-273-1574. About Leadership Rhode Island Leadership Rhode Island is a nationally awarded community leadership development nonprofit organization, founded in 1981, with over 2000 graduates across the state of Rhode Island. For more information about Leadership Rhode Island, visit http://www.LeadershipRI.org

On Taking a Stand Against Racism and Antisemitism

Published in Woonsocket Call on August 27, 2017

Morris Nathanson, an 89-year-old who served in the United States Navy in World War II, was outraged for President Trump’s failure to strongly speak out against the hateful philosophy of neo-Nazis, white nationalists, Ku Klux Klan (KKK) and militia groups exhibited at a violent protest that escalated out of control in the streets around the University of Virginia campus in Charlottesville, Va.

Growing up Jewish, Nathanson is horrified about the growing racism and antisemitism so visibly flaunted at the Charlottesville rally and seen throughout nation. Before the Second World War, his parents had escaped the violent pogroms in Russia, ultimately settling in a three decker house with relatives in Pawtucket. Family members who remained in Europe were killed, victims of the Holocaust, he said.

“It’s is indefensible,” says Nathanson, an Eastside resident who in an internationally acclaimed artist and semi-retired restaurant designer, for Trump to not outright denounce the neo-Nazi groups. He warns, “We must recognize the growth of the neo-Nazi movement for what it is, a terrible disease that must be eliminated.”

The jarring historical imagery of the torchlight procession of supporters of Adolf Hitler moving through the Wilhelmstrasse in Berlin on the evening of January 30, 1933, came to life for Nathanson and millions of Americans last weekend when hundreds of neo Nazis, white nationalists, KKK, militia members and other right-wing groups gathered for a “Unite the Right” rally in Charlottesville, Va. Carrying tiki torches, flags with swastikas and confederate flags, they came to the City’s Emancipation Park to ostensibly support a protest against the removal of a statue of Civil War confederate General Robert E. Lee. But it was really an opportunity to display their strength.

Battle Lines Drawn

On the evening of Friday August 11 at 10:00 p.m., the torch bearing marchers, some wearing Nazi-style helmets, carrying clubs, sticks and round makeshift shields emblazoned with swastikas and other Fascist symbols, and others entered the one-block square in downtown Charlottesville, the site of the controversial monument, chanting “Jews will not replace us”, “Blood and Soil” (a Nazi rallying cry), “White Lives Matter,” along with homophobic, racists and misogynistic slurs. Heavily armed militia members, carrying semi-automatic weapons and dressed in camouflage military fatigues came to support and embolden their fellow extremist groups that identify as the “alt-right”.

At the site of the controversial monument in the City’s park and surrounding streets, throughout Friday evening and Saturday, August 12, members of alt-right groups opposed counter-protestors including Antifa, a far-left militant political movement that opposes fascist groups, members of Black Lives Matter, and church groups along with others who oppose racial bigotry and antisemitism. During the weekend rally, it was reported that 15 people were injured. On Saturday, James Alex Fields Jr., a 20- year-old, drove his gray Dodge Challenger into a group of counter-protesters, killing 32 year old Heather Heyer and injuring 19 other counter-protestors. Two Virginia State Police officers, monitoring the protests, died when their helicopter crashed.

Immediately following the rally on Saturday and the death of Heyer, Trump went to Twitter and posted an opened ended statement, calling the nation to “condemn all that hate stands for.” Following this tweet, on Sunday, August 13, he issued a statement at his golf club in Bedford New Jersey, stating, “We condemn in the strongest possible terms this egregious display of hatred, bigotry and violence on many sides.”

Trump Vacillates on Who’s to Blame

On Monday, August 14, intense political pressure would force Trump to make a statement at the White House to strongly condemn KKK and neo-Nazi groups after he blamed violence at the Charlottesville, Va., two days earlier in a tweet on “many sides”

By Tuesday August 15, Trump had backed off his public scolding of America’s hate groups At an impromptu press conference held at Trump Tower, he cast blame for Charlottesville’s violence equally on the “alt-right” and “alt-left” counter- protestors. “You had a group on one side that was bad, and you had a group on the other side that was also very violent,” Trump said, noting that “Nobody wants to say that, but l say it.”

“Not all of those people were neo-Nazis and white supremacists, believe me,” says the president, noting that some protestors wanted to stop the removal of the Robert E. Lee statue. Some were “nice people” he stated.

“So this week, it’s Robert E. Lee, I noticed that Stonewall Jackson’s coming down. I wonder, is it George Washington next week? And is it Thomas Jefferson the week after. You know, you really do have to ask yourself, where does it stop?” said Trump.

Trump’s comments that not all rally marchers were neo-Nazis or white supremacists caused a political tsunami, with critics pointing out that these individuals marching with the neo-Nazis were not “nice people”. It was guilt by association.

The two former Bush Presidents joined world leaders, GOP and Democrat Senators, Governors, and rank-and-file Republicans, Democrats, and Fortune 500 Executives to chastise Trump for his failure to speak out against Nazi and white supremacist ideology and that his comments trivialized the antisemitism and racism of these extremist alt-right groups.

Even the members of the Joint Chiefs of Staff, the senior uniformed military leaders in the United States Department of Defense who advise the President, posted tweets denouncing the alt-right extremists and blaming them for Saturday’s bloody violence in Charlottesville.

However, white supremacists took Trump’s Charlottesville statements as an endorsement to their legitimacy and acceptance to allow their members to become more visible in society. David Duke, a white nationalist and former Imperial Wizard of the KKK, tweeted, “Thank You Mr. President Tamp; God Bless You for setting the record straight for All Americans.” The Daily Stormer, a neo-Nazi website, quickly called Trump’s statements on blaming both sides a sign that he implicitly supported their goals and objectives.

The Increasing Visibility of Racism and Antisemitism

Ray Rickman, 65, Executive Director of the nonprofit Stages of Freedom, says, “I am deeply worried about the piercing images of men marching with Nazi torch lights on the University of Virginia campus. These men were screaming “Jews won’t replace us.” It was Nazi Germany all over again. The idea of seeing a Nazi flag, the most vicious symbol of antisemitism on American soil, is almost unbelievable to me. All of this is followed by the deeply divisive comments from Mr. Trump”, says the long-time Rhode Island activist.

“This man in the White House has shown total disrespect for the millions of American soldiers both living and dead who died to save the world from the Nazis,” adds Rickman, noting that “It’s the first time since Woodrow Wilson that a president has refused to condemn racism after such an act of violence.”

Rickman says that the neo-Nazi groups used the Charlottesville gathering as a public show of force and to promote hatred. “Maintaining the Robert E. Lee Monument was just an excuse to attack Jews and Blacks,” he says, noting that the three-day protest was planned as a “hateful rally by people who hate people of color and Jews. It is as simple as that.”

One of the most interesting aspects of beliefs held by General Lee was that he was not in favor of raising Confederate monuments, says Rickman, noting that in 1869 he wrote that it would be wiser “not to keep open the sores of war but to follow those nations who endeavored to obliterate the mark of civil strife.”

Combating Intolerance and Hatred

While both GOP and Democrat lawmakers lambasted Trump’s choice of words for laying the blame of violence at the Charlottesville rally on both the far right demonstrators and counter protestors, there were some who remained silent or defended his comments, saying his words were adequate.

With the increased public visibility of the neo-Nazis, white supremacist and other hate groups, if Trump fails to use his national bully pulpit, and the moral authority of the Office of the Presidency to steadfastly condemn hate groups, national and state elected officials and Americans of all walks of life must take on this responsibility.

In response to the violent weekend in Charlottesville, Va., the Illinois Senate adopted a resolution, sponsored by Sen. Don Harmon, D-Oak Park, urging law officials to recognize white nationalists and neo-Nazi groups as terrorist organizations.

Nathanson, who in 1965 marched with Martin Luther King in Selma, Alabama to fight racism, calls for organizing rallies at the state and national level to “reduce the damage of Trump’s comments.”

It would be an appropriate time to remember the speech given by Martin Niemoller, a German Lutheran minister who opposed the Nazis and was sent to several concentration camps. He survived the war and explained:

First they came for the Jews. I was silent. I was not a Jew.
Then they came for the Communists. I was silent. I was not a Communist.
Then they came for the trade unionists. I was silent. I was not a trade unionist.
Then they came for me. There was no one left to speak for me.

 

Report: Cognitive-Simulating Activities Good for Your Brain’s Health

Published in Woonsocket Call on August 6, 2017

Don’t expect playing “brain games” to have the long-term brain health benefits oftentimes reported in newspapers. According to a statement released last month by the Global Council on Brain Health (GCBH), the scientific evidence supporting the benefits of “brain games” is at best “weak to non-existent.” But, the researchers say you can engage in many stimulating activities to help sharpen your brain as you age.

GCBH’s latest statement on “Cognitive Stimulating Activities” follows earlier reports issued by this independent organization created by AARP, advocating on behalf of its 38 million members with the support of Age UK, one the United Kingdom largest charities advocating for seniors. Previous areas included: “The Brain Body Connection;” The Brain Sleep Connection;” and “The Brain and Social Connectedness.”

The 25-page GCBH report, released on July 25, says that while many find “brain games” to be fun and engaging activities, oftentimes the claims made by companies touting the game’s cognitive benefits are exaggerated. The researchers noted that there are many ways to support and maintain your memory, reasoning skills, and ability to focus, such as engaging in formal or informal educational activities, learning a new language, engaging in work or leisure activities that are mentally challenging, and connecting socially with others.

Keeping Mentally Sharp

The report debunks “brain health” myths, too. Contrary to the many stories told about the brain as we age, the GCBH finds that a person can learn new things, no matter their age. Getting dementia is not an inevitable consequence of growing older. Older persons can learn a second language. And, people should not expect to forget things as they age.

“The GCBH recommends people incorporate cognitively stimulating activities into their lifestyles to help maintain their brain health as they age,” said Marilyn Albert, Ph.D., GCBH Chair, and Professor of Neurology and Director of the Division of Cognitive Neuroscience at Johns Hopkins University in Baltimore, Maryland. “The sooner you start the better, because what you do now may make you less susceptible to disease-related brain changes later in life.”

“We know that the desire to stay mentally sharp is the number one concern for older adults,” said Sarah Lock, AARP Senior Vice President for Policy, and GCBH Executive Director. “Seeking out brain-stimulating activities is a powerful way for a person to positively influence their brain health as they age.”

GCBH pulled 13 independent health care professionals and experts together, who work in the area of brain health-related to cognitive functioning, to examine “Cognitively Stimulating Activities.” This group crafted the report’s consensus statement and recommendations after a close examination of well-designed randomized scientific studies published in peer review journals and studies replicated by other scientists.

Taking Control of Your Brain Health

The report concluded that people have control and influence over their brain changes throughout their lifespan. People can maintain their memory, cognitive thinking, attention and reasoning skills as they age by doing brain-stimulating activities. There is sufficient evidence that brain-stimulating activities are beneficial to staying mentally sharp over your lifespan

The researchers found through their literature review that training on a specific cognitive ability such as memory may improve that specific ability, but scientific evidence suggests you need to continue to apply that training to maintain or improve the ability over time.

The researchers also found that there is insufficient evidence that getting better at “brain games” will improve a person’s overall functioning in everyday life. Maintaining or improving your brain health is tied to the activity being “novel, highly engaging, mentally changing and enjoyable.”

The GCBH report suggested that just by learning a new skill, practicing tai-chi, learning photography, even investigating their family history, you can stimulate their brain and challenge the way they think, improving “brain health.” Also, social engagement and having a purpose in life, like “volunteering as a companion and mentoring others in your community,” can be mentally stimulating and improve your “brain health.”

But, the researchers say don’t forget physical activity, such as “dancing and tennis.” because the mental engagement and physical exercise can mentally benefit you, too.

The GCBH, founded in 2015, is an independent international group of scientists, health professionals, scholars and policy experts working on brain health issues. Convened by AARP with support from Age UK, the goal of the GCBH is to review the current scientific evidence and provide recommendations for people so that they can maintain and improve their brain health.

The full GCBH recommendations can be found here: http://www.globalcouncilonbrainhealth.org.

Yes, routinely challenging your brain can lead to improved “brain health. As the old adage says, “Use it or lose it.”

Three GOP Senators Derail ‘Skinny’ Repeal Maneuvers

Published in the Woonsocket Call on July 30, 2017

After seven years of vowing to repeal and replace President Obama’s Affordable Care Act, nicknamed Obamacare, Congressional GOP efforts went down in flames on Friday when Sens. John McCain, of Arizona, Susan Collins of Maine, and Lisa Murkowski, of Alaska, voted nay in supporting the Senate Republican’s “skinny” repeal bill.

Sen. McCain, giving his no vote with a thumb down gesture, left Republican Senators gasping and Democratic Senators clapping. The 80-year old Arizona Senator, recently diagnosed with an aggressive brain cancer, had flown back to vote. The Senator’s vote was considered the decisive vote to derail the GOP’s long-time efforts to repeal and replace Obamacare.

Senate Republicans Begin Efforts to Repeal Obamacare

On July 25, GOP leadership began its efforts to begin debate on the Senate health care bill to repeal AHA. On that Tuesday afternoon, the Senate passed a “motion to proceed” vote by 51-50, the deciding vote being cast by Vice President Mike Pence. The votes outcome allowed the upper chamber to begin debate on the Senate Republican’s Obamacare repeal-and-replace proposal. Sens. Collins and Murkowski had opposed this motion, but McCain, returning to Washington, D.C. after being diagnosed with brain cancer, voted yes to proceed with the debate.

Senators began a 20- hour period of debate, considering various amendments to the House version of the health care bill. By a vote of 43 to 57, the Senate rejected one version that included Sen. Ted Cruz’s (R-TX) controversial amendment that would have allowed those with pre-existing conditions to be separated into plans with much higher premiums. The Senate also rejected, by a vote of 45 to 55, another version that would have repealed the ACA with no replacement but with a two-year delay, giving GOP senators more time to create their replacement.

Late Thursday evening, GOP Senate leadership finally unveil its expected “skinny” repeal bill, formally called the Health Care Freedom Act, that would repeal ACA’s individual and employer mandates, temporarily repeal the medical device tax, and give states more flexibility to allow insurance that doesn’t comply with Obamacare regulations.

CBO’s analysis of the “skinny” repeal bill, estimated that 15 million more people would be uninsured next year than under Obamacare, with 16 million more in 2026, and that premiums would increase 20 percent next year, compared to current law.

Earlier that day, Sen. McCain and Republican Senators Lindsey Graham of South Carolina and Ron Johnson of Wisconsin, held a news conference threatening to oppose the “skinny” repeal bill if the House Speaker did not offer sound guarantees that the House would enter negotiations after the Senate passed it. They feared that the House would end up passing “the skinny bill” rather than a more comprehensive bill hammered out in conference committee.

Ryan’s carefully crafted statement to the concerned Senators that the House would be willing to go to a conference committee did not include a specific guarantee that the House would not vote on the Senate’s proposal. Both Graham and Johnson went on to vote for the legislation. But, after his surprising vote it seems that McCain still had his concerns.

Before the Senate vote, President Trump even tweeted his displeasure of Murkowski’s opposition, her no vote against debating Obamacare repeal, says the Alaska Dispatch News. The state’s daily newspaper reported that Interior Secretary Ryan Zinke called the state’s Senators, Murkowski and Dan Sullivan, to inform them that Murkowski’s vote would “put Alaska’s future with the administration in jeopardy.”

After Zinke’s call, “Murkowski, who chairs the Senate and Natural Resources Committee, sent a message back to the Interior Secretary and Trump. Overseeing the agencies confirmation process, a committee hearing on nominations to the Interior and Energy departments, was “postponed indefinitely” with no reason given, stated the Alaska Dispatch News.

Finally, early Friday, by a vote of 49-51, Senate Republicans failed to repeal Obamacare with three Republican senators — McCain, Collins and Murkowski – joining 48 Democrats to vote against the “skinny” repeal bill. Sen. McCain’s reputation as a political maverick was evident when he voted against GOP Senate leadership. But, this vote will be considered his political legacy.

A Sigh of Relief

Reacting to the defeat of the Senate’s ‘skinny’ repeal bill, AARP Executive Vice President Nancy LeaMond, in a statement, called the vote “a victory for Americans age 50-plus.”

“The ‘skinny’ bill the Senate defeated would have dramatically increased health care costs, caused millions to lose their health coverage, and destabilized the insurance market,” says LeaMond.” She also thanked Senators Collins, McCain, and Murkowski, Senate Democrats and Independents who “called, emailed, rallied and wrote to object to this seriously flawed bill.”

Max Richtman, President and CEO of the National Committee to Preserve Social Security, in a statement stated, “Senators Susan Collins, Lisa Murkowski and John McCain were under extreme pressure from the White House and their colleagues to vote with the party instead of voting for the American people. It’s important to applaud them for stopping this train wreck of a healthcare bill. We have to wonder, however, why other Senators were willing to put their constituents at risk by cutting off their healthcare coverage.”

“We urge the majority party to put raw politics aside and work with Democrats to improve the Affordable Care Act in a way that benefits millions of American families in both blue states and red states. Let’s move forward, not back,” said Richtman.

A Bipartisan Approach

President Trump and Congress must finally listen to listen to their constituents to create policies to bring health care coverage to those in need. It is time to put politics aside and work in a bipartisan manner to hammer out a viable solution to provide affordable health care insurance to millions of Americans without coverage. McCain, Collins, and Murkowski, did just that when they resisted their party’s pressure to vote their own personal conscience not party line. They believed that the bill they voted against would do more harm than good.

Obamacare can be reworked to become more cost effective and to provide more health insurance to those in need of coverage. A recently released USA Today/Suffolk University poll at the end of June says that “just 12 percent of Americans support the Senate Republican health care plan. But, “a 53 percent majority say Congress should either leave the law known as Obamacare alone or work to fix its problems while keeping its framework intact.”

The majority of America says keep Obamacare, but make it better. Hopefully, lawmakers will listen.