Congress Passes RAISE Family Care Givers Act

Published in the Woonsocket Call on January 14, 2018

With the dust finally settling after the heated partisan battles over the dismantling President Obama’s landmark Obamacare and later reforming the nation’s tax code, Congressional Democrats and Republicans put political and philosophical differences aside to overwhelming pass by voice vote the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act of 2017.

The RAISE Family Caregivers Act of 2017, introduced in the U.S. Senate by Senators Susan Collins (R-ME) and Tammy Baldwin (D-WI), was passed on January 8, 2017. Two months earlier a House companion measure (H.R. 3759), introduced by Reps. Gregg Harper (R-MS) and Kathy Castor (D-FL), was passed. At press time, the legislation now heads to the President’s desk to be signed into law.

The caregiver legislation would direct the U.S. Secretary of Health and Human Services to develop and sustain a strategy to recognize and support family caregivers across the nation. This bipartisan legislation has been endorsed by more than 60 aging and disability organizations, including AARP, the Alzheimer’s Association, the National Committee to Preserve Social Security and Medicare, the Elizabeth Dole Foundation, the Michael J. Fox Foundation, and the Arc.

Universal Praise for Congressional Passage

Congress clearly understands that caregiving is not a partisan issue but a life experience for millions of Americans.Yes, everyone at some time in their life may take on the role of caregiver for parents, spouses, children and adults with disabilities, or personally know caregivers.

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 caregiver 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.

“Family caregivers play an essential role in our communities by dedicating time and attention and making countless personal and financial sacrifices to care for their loved ones,” said Sen. Collins upon the Senate bills passage. “I am delighted that our bipartisan legislation to develop a coordinated strategic plan to leverage our resources, promote best practices, and expand services and training available to caregivers will now become law,” adds the Maine Senator, who chairs the Senate Special Committee on Aging.

Senator Sheldon Whitehouse sees the value of the RAISE Family Caregivers and its impact to Rhode Island caregivers. “The passage of the bipartisan RAISE Family Caregivers Act is an important first step toward easing the burden on the caregivers who mean the world to the family members they care for.” says the Rhode Island Senator who serves on the Senate Special Committee on Aging.

“Family caregivers play a key role in supporting their loved ones in Rhode Island and throughout the nation. adds Democratic Policy and Communications Committee Co-Chair David N. Cicilline. “The RAISE Family Caregivers Act ensures that family caregivers have the support and the resources they need to do their jobs safely and effectively. As a co-sponsor of H.R. 3759, I made sure my colleagues understood that this bill needed to become law as soon as possible, and I am glad that it passed both Chambers without objection. Now I urge President Trump to sign it and allow this important law to take effect”

“Thanks to the efforts of bipartisan Senate and House champions—Senators Collins and Baldwin and Representatives Harper and Castor—the RAISE Family Caregivers Act will help address the challenges family caregivers face,” said AARP Chief Advocacy & Engagement Officer Nancy A. LeaMond, in a statement. “Family caregivers are the backbone of our care system in America. We need to make it easier for them to coordinate care for their loved ones, get information and resources, and take a break so they can rest and recharge,” she says.

According to LeaMond, family caregivers take on a range of tasks including managing medications, helping with bathing and dressing, preparing and feeding meals, arranging transportation, and handling financial and legal matters. She estimates that the unpaid care that family caregivers provide helps delay or prevent costly nursing home care, which is often paid for by Medicaid.

What’s in the RAISE Family Caregiver Act?

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 (meetings open to the public) 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 development of the initial strategy would take up to 18 months, followed by updates of the strategy biennially. The bill would improve the collection and sharing of information, including information related to evidence-based or promising practices and innovative models regarding family caregiving; better coordinate, assess, maximize the effectiveness, and avoid unnecessary duplication of existing federal government activities to recognize and support family caregivers. The strategy and work around it could help support and inform state and local efforts to support family caregivers, promoting greater adoption of person- and family-centered care in all health and Long-Term Service and Support (LTSS) settings, with the person and the family caregiver (as appropriate) at the center of care teams

In addition to requiring the development of a strategy to support the nation’s family caregivers, the bill also establishes an advisory body that will bring together stakeholders from the private and public sectors to make recommendations that communities, providers, government, and others are taking and may take to help make the big responsibilities of caregiving a little bit easier.

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.

Calls for More Caregiver Assistance

“In Rhode Island, we’re working hard at staying ahead on legislation supporting caregivers,” said AARP Rhode Island State Director Kathleen Connell. “We passed temporary caregiver insurance, which covers thousands of working caregivers with salary protection much like TDI (Temporary Disability Insurance). Earned-paid sick leave fills in a gap that caregiver TDI may not cover in emergency situations. The AARP-back CARE Act now requires hospitals, upon admitting patients, identify a designated caregiver, inform that person on discharge and provide training for at-home medical tasks. We have passed legislation making it easier for caregivers to modify their homes. And just this month, the state opened applications for a grant program we fought for in the current budget that provides up to $5,000 in hard cash for caregivers who make qualifying home improvements.” (Download a grant application at http://www.aarp.org/ricaregiving)

“We cannot stop here,” added Connell. “And the RAISE Act keeps the need for ongoing strategic planning and smart policymaking on the front burner. The numbers demand escalating action that will improve conditions not just for people who need care, but their family caregivers as well. But it is very important to emphasize that all taxpayers benefit when someone with chronic illness or aging disabilities can stay in their homes, rather than move into Medicaid-supported nursing homes. We all win when we support caregivers.”

NOTE: “The Rhode Island Chapter of the Alzheimer’s Association has a commitment to assisting caregivers navigate the various challenges of caring for someone living with Alzheimer’s and other related dementias,” says Donna McGowan, Executive Director of the Alzheimer’s Association, RI Chapter. Call 1-800-272-3900 for details about caregiver and provider services (including confidential support, information, and referrals to local resources via access to a 24/7 Helpline, care consultation, caregiver support groups, education programs for families, and online information (www.alz.org/ri ).

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GOP Health Care Proposal Pulled at Last Moment

Published in Woonsocket Call on March 26, 2017

Days ago, unified Democratic lawmakers combined with a deep philosophical wedge between the conservative House Freedom Caucus and moderate Republicans over policy details of the American Health Care Act (AHCA), forced the Trump Administration and House Speaker Paul Ryan to pull the AHCA proposal minutes from a floor vote to steer it away from a humiliating legislative defeat last Friday. Interestingly, the seventh anniversary of President Barack Obama signing the Affordable Care Act (ACA), his signature health care law, took place one day before the House vote.

A day before Friday’s scheduled vote to dismantle and repeal Obama’s ACA, President Donald Trump taking a high-risk negotiation tactic straight out of his bestselling book, “The Art of the Deal,” gave a late-Thursday night ultimatum to the House GOP lawmakers. Trump told to them to vote up or down on AHCA or he would be prepared to move on to other legislative agenda items.

As to Trump’s ultimatum to GOP House lawmakers, CNN Presidency Historian Timothy Naftali noted on CNN Newsroom with Fredricka Whitfield, “He played chicken and he blinked.”

House GOP Making Legislative Sausage

In a report issued on March 13, the Congressional Budget Office (CBO), detailed the drastic impact of the initial AHCA legislative proposal. CBO, a federal agency that provides budget and economic information to Congress, found that AHCA would result in 24 million losing health insurance coverage by 2026, Medicaid would be cut by $880 billion over the next ten years, and premiums and out-of-pocket costs would skyrocket increase, particularly for older adults and individuals with lower incomes.

Earlier this week, on Monday, Ryan and his House GOP Leadership team made eight amendments to AHCA to pull in skeptical GOP moderate and conservative lawmakers, including the controversial speeding up tax cuts while whittling down the Medicaid program. Later, on March 23, CBO confirmed that these amendments would lead to essentially the same level of coverage losses, about 24 million people and cost increases for individuals and would yield $187 billion less in savings than the original GOP health care proposal.

Meanwhile, on Wednesday, Senator Wyden and Congressman Pallone revealed that the Center for Medicare & Medicaid Services’ independent Actuary “estimated that the repeal of the tax on prescription medications, known as the ‘pharma fee,’ beginning January 1, 2017 would increase Medicare Part B premiums by $8.7 billion through fiscal year 2027.” noted the Center for Medicare Advocacy.

On Thursday, three more amendments were offered to sway GOP House critics. One would strip the requirement that insurance companies cover essential health benefits (EHB). This amendment would effectively eliminate annual out-of-pocket caps, reinstate annual and lifetime coverage limits, and gut protections for pre-existing conditions. Another would delay – but not remove – the Medicare payroll tax cut that will undermine Medicare’s financing and its future stability.

After the defeat of AHCA, Trump blamed the Democrats for the House GOP’s failure to pass its health care proposal to scrap Obamacare. “The Democrats were not going to give us a single vote,” he said, warning that “Obamacare will explode” forcing the opposition party back to the negotiation table to craft a better health care law.

House Speaker Ryan also noted that “We are going to be living with Obamacare for the foreseeable future.”

“We just really did not get a consensus today,” say Ryan. “That’s why I thought the wise thing to do was not proceed with a vote but to pull the bill. When asked if he was going to try “to prop it up, Ryan responded by saying “it is so fundamentally flawed, I don’t know that that is possible.”

Sighs of Relief from Aging Groups, Democrats

“The American Health Care Act is not American in spirit or health care in substance. In fact, it’s a tax cut bill for the wealthy, not a health care bill for the people. It will make America sicker. Congress should reject this charade and this disaster of a bill today,” states Judith Stein, Executive Director of the Center for Medicare Advocacy.

“The House Congressional leadership was destined to lose on their disastrous American Health Care Act, which would have effectively repealed Obamacare and hurt seniors, including beneficiaries of Medicare and Medicaid. It doesn’t matter whether they pulled or failed to pass the bill,” says Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare in a statement. “It needed to go down and we thank the millions of National Committee members and supporters – and those of other senior advocacy organizations – whose protests were loud, numerous, and furious.”

“No one knew’ that health care could be so complicated. Hopefully, he has learned a lesson… that health legislation is built on a complex foundation that considers the real human needs – and costs – of changes to the system. A common refrain from Donald Trump during the campaign was, ‘What do you have to lose by electing me?’ Now we know what’s at stake: affordable health care for older Americans, Medicare, and Medicaid,” says Richtman.

“The leadership’s decision to withdraw the bill from consideration proves that the voices of Americans are very powerful. This harmful legislation would have added an Age Tax on older Americans and put vulnerable populations at risk,” says AARP Executive Vice President Nancy LeaMond, in a statement.

LeaMond calls on Congress to focus on the issues important to older Americans and their families, including: protecting and improving Medicare’s benefits and financing; providing access to affordable quality coverage; preventing insurers from engaging in discriminatory practices; lowering prescription drug costs; providing new incentives to expand home and community based services; and strengthening efforts to fight fraud, waste, and abuse.

Adds, Justice in Aging Executive Director, Kevin Prindiville, “Congress tried to rush this disastrous bill through Congress without regard for the health and safety of older Americans and their families, and such a bill cannot and should not be revived. Older adults and their families rely on Medicaid and Medicare and these programs must be protected.”

Compromise might well be the way to make sound changes to the nation’s health care law, says Rep. David N. Cicilline (D-RI), who serves as House Democratic Policy and Communications Committee. “The Affordable Care Act is a good law, and Republicans and Democrats should be working together to make it even better. If Republicans ever decide to come to the table, we should work together to increase competition, expand coverage, and bring down premiums. That’s a decision that Republicans have to make – whether to work with Democrats or continue down the path they’re on,” he says.

Rep. James Langevin (D-RI) also stresses the importance of reaching over the aisle to create a better health care law and getting away from partisan bickering. “It’s time for Republicans to move on from their misguided crusade to dismantle the ACA. The health care law has brought insurance coverage to millions of Americans. Its consumer protections, premium assistance, essential health benefits, and countless other provisions that were at risk of elimination have improved our nation’s health and saved lives. We must work together in a bipartisan manner to strengthen and improve the ACA, not risk the health and wellbeing of everyday Americans for an empty, partisan victory,” he says.

Cicilline: Let’s Bring Back the House Permanent Select Committee on Aging

Published in the Woonsocket Call on March 5, 2017

Twenty-three years after the House eliminated the House Permanent Select Committee on Aging, Rep. David N. Cicilline (D-RI) introduced a House resolution days ago to reestablish the House select committee, once charged with investigating and putting a spotlight on aging policy, spurring legislation and other actions. During the last Congressional session, Cicilline, attracting 63 cosigners (no Republicans) out of 435 lawmakers, threw his simple resolution into the House legislative hopper only to see no action taken.

During the 115th Congress, on March 1, 2016, Cicilline introduced House Resolution 16, which would bring back the House Permanent Select Committee on Aging. Its charge would be to conduct a continuing comprehensive studies on specific aging policy to identify issues, problems and trends. Like the former House Select Committee, its work would not be limited by narrow jurisdictional boundaries of the standing committees but broadly at the targeted aging issue.

According to Cicilline, all standing and select committees of the House (except Appropriations) are authorized by a simple House resolution, detailing purpose, defining membership and any other issue that needs to be addressed, and funding is then provided through appropriations.

House Aging Panel to Play Important Role in Today’s Congress

It is extremely obvious to Cicilline and his 24 Democratic cosigners that included Rep. James R. Langevin (D-RI), about the important role the House Permanent Select Committee on Aging would play in today’s Congress. In explaining why he introduced the simple resolution, Cicilline tells this writer that, “Our nation’s seniors deserve dedicated attention by lawmakers to consider the legislative priorities that affect them, including Social Security and Medicare, the rising cost of prescription drugs, poverty, housing issues, long-term care, and other important issues.”

“As you know, the House Permanent Select Committee on Aging was active in the House of Representatives between 1974 and 1993 with the purpose of “advising Congress and the American people on how to meet the challenge of growing old in America,” noted Cicilline, who represents the state’s First Congressional District. “ The select committee did not have legislative authority, but conducted investigations, held hearings, and issued reports to inform Congress on issues related to aging,” he said.

Cicilline says, “The reestablishment of this Select Committee would emphasize Congress’ commitment to our current and future seniors and would allow us to focus our energy to ensure that they are able to live with dignity and enjoy a high quality of life,”

A newly operational House Permanent Select Committee on Aging would be charged with conducting ongoing comprehensive studies to examine the myriad of problems that older Americans face, taking a look at income maintenance, poverty and welfare, housing, health (including medical research), employment, education, recreation, and long-term care.

The newly established House Select Committee would also study ways that would encourage the development of public and private sector programs and policies that would keep older Americans active in their community. Finally, hearings would generate federal policies to encourage coordination of both governmental and private sector programs designed to deal with problems of aging. House Lawmakers and staff on this Select Committee would also review any policy recommendations made by the President or by the White House Conference on Aging that impact the nation’s older population.’

Hammering the Nail in the Casket

Claude Pepper’s death in 1989, who had served as a former Chairman of the House Permanent Select Committee on Aging, might have been an omen to aging groups of the bleak future of the House Aging panel. In 1993, Congress moved to tighten its belt to match President Clinton’s White House staff cuts. Democratic House leadership’s efforts to streamline its operations by slashing $1.5 million from its budget jurisdictions over aging policy would lead to its elimination in that year.

If alive in 1993, Rep. Pepper (D-Florida), serving as the House Permanent Select Committee on Aging, its chair for six years and considered by many to be the nation’s most visible Congressional advocate for the nation’s seniors, would have fought tooth and nail to save his beloved Select Committee.
House lawmakers who opposed the elimination of this Select Committee warned that standing committee staff did not have the time nor resources to thoroughly investigate aging policy but this select committee did. Even with these arguments and the intense lobbying of aging groups, including AARP, National Council on Aging, National Council of Senior Citizens, and Older Woman’s League, the House Permanent Select Committee on Aging could not be saved. No vote was scheduled to continue its existence on March 31, 1993 when its authorization automatically expired.

The former House Permanent Select Committee on Aging did have an impact on crafting national aging policy. In 1993, with the demise of this select committee staff, writer Rebecca H. Patterson reported on March 31, 1993 in the St. Petersburg Times that Staff Director Brian Lutz said that during its 18 years, the House Aging panel “has been responsible for about 1,000 hearings and reports.”

Throughout its existence, the House Permanent Select Committee on Aging prodded Congress to abolish forced retirement, reform nursing home operations and reduce abuse against patients, to increase home care benefits, cover breast screening for older women, combat elder abuse, improve elderly housing as well as establish research and care centers for Alzheimer’s Disease.

Support from the Trenches

It’s about time that Congress brings back the House Permanent Select Committee on Aging, say long time aging advocates.

As a former Staff Director of the Senate Select Special Committee on Aging, Max Richtman, CEO and President of the Washington-DC based National Committee to Preserve Social Security and Medicare, says bringing back the House Permanent Select Committee on Aging is “long overdue.” The House Aging panel will once again provide serious oversight and lay the ground work for House legislative proposals impacting Social Security, Medicare and Medicaid, he says.

According to Richtman, the Rhode Island Congressman is highly regarded by House Democratic lawmakers and was recently appointed to a Democratic leadership position,” he says. “America’s seniors have been looking for “a champion in the mold of the late Rep. Claude Pepper for a very long time, he says, noting that Cicilline “may well be just the person to fill his shoes.”

Fernando Torres-Gil, M.S.W., Ph.D., Director of the Center for Policy Research on Aging at the UCLA Luskin School of Public Affairs, says “The U.S. House Select Committee on Aging was a leading voice for older persons and an aging society and with illustrious champions for the elderly. Claude Pepper and Edward Roybal were examples of congressional leadership on protecting Social Security and enhancing nursing home protections.” As a former staff director of this select committee during the l980s, Torres-Gil remembered how important it was to have this committee “gerontologize” Congressional lawmakers. “It became in its time the largest committee in the Congress with members on both sides of the aisle vying to be appointed to this committee,” he said.

After the elimination of the House Permanent Select Committee on Aging in 1993, a brief effort was undertaken by Rep. Nancy Pelosi (D-California) when she became House Speaker to bring back the Aging panel but this attempt was not successful. It’s time for Pelosi and her Democratic lawmakers to make a full court press to make it happen in 2017.

Cicilline’s legislative efforts to resurrect the House Permanent Select Committee on Aging is in the hands of GOP House Speaker Paul Ryan who controls the chamber. The Washington, DC-based Leadership Council of Aging Organizations, a coalition of 72 national nonprofit aging advocacy groups, could play a key role in advocating for and supporting the Resolution that would establish, once again, a House Select Committee focused on the issues of aging in America.

Calling on Congress to Increase Alzheimer’s Funding

Published in Woonsocket Call on February 21, 2016

Three weeks before President Obama released his Fiscal Year 2017 Budget on February 9,  Senators Susan Collins (R-ME), who chairs the U.S. Select Committee on Aging, and Amy Klobuchar (D-MN) along with seven of their colleagues, called on the Democratic President to increase funding for Alzheimer’s research as part of his last proposed budget request. Senator Sheldon Whitehouse (D-RI), who sits on the Senate Aging Panel, was among the cosigners.

In the bipartisan January 28 correspondence,  the cosigners said, “If nothing is done to change the trajectory of Alzheimer’s, the number of Americans afflicted with the disease is expected to more than triple between 2015 and 2050,” the Senators wrote.  Already our nation’s costliest disease, Alzheimer’s is projected to cost our country more than $1 trillion by 2050… Surely, we can do more for Alzheimer’s given the tremendous human and economic price of this devastating disease.”

Furthermore, cosigners warned that “$2 billion per year in federal funding is needed to meet the goal of preventing or effectively treating Alzheimer’s by 2025.” 

 Aging Groups Express Disappointment

Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare (NCPSSM), says that the Consolidated Appropriations Act, 2016, (P.L.114-113) provided $936 million in FY 2016 (a $350 million or 59.7% increase over FY 2015) for Alzheimer’s disease research at the National Institute on Aging (NIA), the nation’s leading funder of Alzheimer’s disease research.

Richtman expressed disappointment that Obama’s budget proposal did not recommend funding about the FY 2016 level for Alzheimer’s disease and dementia research, it was essentially flat funded.

“Scientists have estimated that spending at least $2 billion a year on research is necessary to accomplish the national Alzheimer’s plan goal of preventing or effectively treating Alzheimer’s disease by 2025,” says Richtman.

According to NCPSSM’s 2016 Legislative Report, “the number of people suffering from Alzheimer’s disease or a related dementia is expected to skyrocket over the next few decades because many people are living longer and the incidence of Alzheimer’s disease increases with age.”

Richtman says “making a significant investment in funding towards finding a cure and appropriate treatments for persons with Alzheimer’s disease and dementias is key to reducing the massive financial drain this disease will impose on the future of the Medicare program, along with the devastating emotional and financial toll exacted on the millions of Alzheimer’s victims and their family members and caregivers.”

The Alzheimer’s Foundation of America (AFA) also expressed disappointment in the proposed $337 million cut in research funding at NIA, contained in Obama’s 2017 Fiscal year budget proposal. “The Administration has been a champion in the fight against Alzheimer’s disease; however, we are disappointed that, in his final budget, the President is retreating,” said CEO and President Charles J. Fuschillo, Jr., of the Alzheimer’s Foundation of America (AFA). “We were hoping President Obama would take the dramatic step necessary to confront the dementia crisis in this country head-on. We will continue to work with Congressional appropriators to ensure we are on the path to a cure,” says Fuschillo, Jr.

Like NCPSSM, Cicilline, Reed, Whitehouse, and many members of congress, the New York-based AFA urged the Administration to build on the historic 60 percent increase in Alzheimer’s research funding that was included in this year’s budget that provided an additional $1 billion in research funding in the upcoming federal budget.  If done, total federal spending would reach almost $ 2 billion, an amount that Alzheimer’s experts say is necessary to finding a cure or meaningful treatment by 2025 (detailed in the National Plan to Address Alzheimer’s Disease.

According to AFA, currently Alzheimer’s disease is the sixth leading cause of death in the United States, with studies indicating it could actually be as high as the third-leading caused.  But this devastating disorder is the only disease in the top 10 for which there is neither a cure nor impactful treatment.  Furthermore, “even with the Fiscal Year 2016 funding increase, funding for Alzheimer’s lags far behind HIV/AIDS, cancer and heart disease.

On the Home Front

Congressman David N. Cicilline, who successfully led the effort in the House to increase funding for Alzheimer’s research by more than 50% last year, sees a need for increased funding a necessity in the Fiscal Year 2017. “Alzheimer’s disease afflicts 22,000 Rhode Islanders and their families each year,” the Democratic congressman representing Congressional District 1.

With Congress poised to begin hammering out next year’s federal budget, Cicilline plans to continue his efforts in the House to fight for an increase federal funding for a treatment and a cure of the devastating disorder.  He urges for Alzheimer’s disease research remain a major funding priority for policymakers at every level of government.

Senator Jack Reed, serving as a member of the Labor-HHS Appropriations Subcommittee, says, “Last year, we successfully included a $350 million boost in new spending for Alzheimer’s research, a 60% increase over the previous year.  Looking ahead to the coming fiscal year, we still have our work cut out for us in this challenging budgetary climate, but I am pushing to secure additional resources to help prevent, treat, and cure Alzheimer’s, as well as for education and outreach.”

“More and more Americans are being impacted by Alzheimer’s disease and we need a serious national commitment to finding cures and treatments.  That means making strategic investments now that will help save lives and future dollars in the long-term,” notes the Senator.

A Call for Action

Experts tell us an impending Alzheimer’s disease epidemic is now upon us. Federal and state officials are scrambling to gear up for battle, developing national and state plans detailing goals to prevent or treat the devastating disease by 2025.

According to the Rhode Island Chapter of the Alzheimer’s Association, an estimated five million Americans over age 65 are afflicted with Alzheimer’s disease in 2013.  The prevalence may well triple, to over 16 million, if research does not identify ways to prevent or treat the cognitive disorder, says the Rhode Island nonprofit.  By 2050, it’s noted that the estimated total cost of care nation-wide for persons with Alzheimer’s disease is expected to reach more than $1 trillion dollars (in today’s dollars), up from $172 billion in 2010.

Congress must not act “penny wise and pound foolish” when it ultimately comes to determining the amount of federal dollars that will be poured into Alzheimer’s research in next year’s fiscal budget.  Less dollars or level funding will only increase state and federal government’s cost of care for Alzheimer’s care in every municipality in the nation.  A total of 469 seats in the Congress (34 Senate seats and all 435 House seats) are up for grabs in the upcoming presidential election in November.  Lawmakers must remember that every voter may be personally touched, either caring for a family member with the cognitive disorder or knowing someone who is a caregiver or patient.  That ultimately becomes a very powerful message to Capitol Hill that it is important to increase the funding to NIA to find the cure.

 

 

Rhode Islanders Share ’16 Resolutions

Published in Woonsocket Call on January 3, 2016

 

Each New Year, on January 1, we make promises to ourselves to start doing something good or stop doing something bad, either way on a personal and/or professionally level. Here’s a listing of Rhode Islanders, many who you may know, who reflect on their successes of keeping last year’s resolutions and they even share their 2016 New Year Resolutions, too.

Ernie Almonte, 60, Partner at RSM, LLP and former candidate for Rhode Island Treasurer.  The Scituate resident’s 2015 resolution was to find a firm with a “great work culture.”  Did he succeed? Yes, “wildly beyond his expectations,” he says. For his 2016 New Year’s Resolution, he plans to create a great future for his family.

Jonathan Bissonnette, 28, a reporter covering the Pawtucket Beat for the Pawtucket Times. In 2015, the journalist looked to cut back on junk food from fast food restaurants.  He did not succeed.  For this year, he repeats last year’s resolution and continues to look for ways to improve his nutrition.  He again looks to stay away from fast food restaurants.

Rep. David N. Cicilline, 54, representing Rhode Island’s First Congressional District.  Last year, the lawmaker backed legislation that helps create jobs and grow the economy and worked to ensure that government was “fair and more efficient” for his constituents  He was successful in enacted that strengthens America’s manufacturing sector, a bill that renamed a local post office for the late Sister Ann Keefe, provisions in the new education legislation that enhance after school partnerships across the nation, and ensuring Rhode Island receives funding for infrastructure as part of the new multi-year federal highway funding bill fund. This coming year Cicilline looks to curb the skyrocketing costs prescription and education.  He will also focus his attention on fixing the broken campaign finance system and making our communities safer from gun violence.

Scott Davis, 58, owner of Rhode Island Antiques Mall and an Entrepreneur.  The Providence resident worked last year to “eliminate stressors” in his life.  Did he succeed?  “Mostly,” he responded. For 2016, Davis says he will “figure out how to make a living once stressors are eliminated.”

Linda Dewing, ageless, is a broker associate at Places & and Spaces Realty and a seasoned artist.  The Pawtucket resident’s 2015 New Year’s Resolution was “to grow in business and wisdom.”  When asked if she succeeded, Dewing responded “somewhat.”  For next year, 2016 she plans to finish two pieces of art work and continue to contribute to Pawtucket’s growth by bringing more businesses into the City’s historic downtown.

Josh Fenton, 52, CEO and Co-Founder of GoLocal24.  Last year Fenton made a resolution to get up earlier in the morning to be more productive. The Providence resident believes he generally succeed by getting up by 4:45 a.m. “I saw a lot of good sunrises,” he says.  For 2016, his New Year Resolution is to spend more time with close family and friends.

Charlie Fogarty, 60, is the Director of the Rhode Island Division of Elderly Affairs.  Last year the Glocester resident resolved to be mindful of his health and wellness. .He made small lifestyle changes, such as adding a 30-minute walk to each day, resulting in improved health. In the New Year he resolves to promote physical, social, and mental well-being. He says healthy lifestyles for seniors, supported by family, friends, caregivers and the community enables these individuals to remain at home.

Attorney General Peter Kilmartin, 53, Office of the Attorney General.  When asked about his 2015 resolutions he responds “I typically don’t make New Year’s resolutions, as I try to work on improving myself throughout the year.”  For 2016, he says, “I will try to work on improving myself and the Office of Attorney General each and every day.  Every morning I read a spiritual piece which is aimed at recognizing not only what is good in our lives, but also how to keep a positive attitude and improve our lives.  It is my goal to continue this practice each day for 2016.”

Nicholas A. Mattiello, 52, is a self-employed Cranston attorney who serves as Speaker of the House in the Rhode Island General Assembly.  Last year the lawmaker resolved to pass a State budget that would include an exemption from the State income tax for many Social Security recipients.  “Retirees have worked their whole lives and do not deserve to be taxed on Social Security,” he said.  He was pleased to see his chamber pass the budget unanimously, and the Governor sign into law.  For the upcoming year, his resolution is to continue to work hard in improving the State’s economy and job climate.  “I want to see the economic momentum we have built-in the last few years continue to grow and to make Rhode Island once again competitive with other states in the region,” he says.

Edward M. Mazze, 74, Distinguished University Professor of Business Administration, at University of Rhode Island.  In 2015, the Narragansett resident’s New Year’s resolution was to lose weight (become more healthy) and be more optimistic about Rhode Island’s Economic Growth.  He believes that he succeeded.  In 2016, he is looking to continue losing weight and hopes to be more patient with Rhode Island’s Economic Growth.

Lt. Governor Daniel J. McKee, 64, a former Mayor of Cumberland who served 6 terms.  Last year he resolved “to be champion of the family’s annual holiday ping-pong tournament.  “Let’s just say there’s a next year,” he says.  As to 2016 resolutions, McKee says, “While many people are resolving to hit the gym and lose weight, I want to build on my “39 Cups of Coffee” tour (one in every city and town) and support our economy by dining at as many local restaurants as I can.“

John J. Partridge, 75, is Senior Counsel at Partridge Snow & Hahn, LLP.  In 2015, the Providence resident worked “on patience.”  When asked if he succeed, Partridge responded “impatiently yes.”  For 2016, the lawyer who has published three murder mystery thrillers plans on publishing his fourth Algy Temple mystery, “Hanger.”

Governor Gina Raimondo, 44, is the highest elected state official in Rhode Island.  Last year the governor’s resolution was to “bring Rhode Islanders together to grow our economy.”  It’s too early to make judgements if she has succeed, says Raimondo, but the signs of improvement are there.  She resolves to come back in January, “re-energized to keep fighting for Rhode Islanders.

“There are crucial challenges ahead, including our under-performing schools, and our crumbling roads and bridges. We’ve just got to keep the momentum going with more work, more action, and more results,” she says.

Scott Rotondo, 42, is the Accounting Manager at Tivoli Audio in Boston, Massachusetts and a radio talk show host.  The Pawtucket resident’s 2015 resolution was to challenge his own assumptions and opinions.  He believes he “mostly succeeded.”  For the upcoming year his New Year’s Resolution is “to be more patient with others and with myself.”

Ron St. Pierre, over 21, is the Morning Drive host for News radio 920/I Heart Media.

The East Greenwich resident’s 2015 resolution was “to make it to 2016.  Was he successful?  He responds, “to be determined by making it to January 1, 2016.   This year’s New Year Eve’s resolution is “to make it to 2017.”

Charles Steinberg, 57, President of PawSox, at McCoy Stadium.  The baseball executive’s 2015 resolution was to help the Boston Red Sox “enhance bonds with fans through experiences and events at the ballpark and outreach to the community.  Did he feel he succeed?  “I hope so, but the fans are the best judge of that.”  As to this year’s New Year resolution, he hopes to help the PawSox, Pawtucket’s AAA Team bond with its fans by giving them great, memorable experiences and events at the ball park and to reach out to the community.

To all my loyal readers, may you have a Happy New Year and a great 2016.

 

 

 

Everyone Loves a Countdown

In his own words, this writer’s top 5 commentaries of 2015

Published in the Woonsocket Call on December 27, 2015

As a columnist on “the aging beat” it has been a very eventful year in covering aging, health care and medical issues. During 2015, over 47 weekly commentaries appeared in the Pawtucket Times and Woonsocket Call. By reading my weekly commentaries readers were kept abreast on a dazzling array of aging issues including Congressional attempts to whittle away the Social Security and Medicare programs. They learned first-hand about the Rhode Island General Assembly’s move to not tax Social Security and to provide new benefits to Ocean State caregivers. Commentaries even touched on the passing away of Wayne Dwyer and Capitol TV’s Dave Barber, how to put the fire back in your relationship, and even travel tips.

Below are five article, providing you with the breadth and depth of my commentaries. Al other articles can be found on my blog, herbweiss.wordpress.com.

1. “Cicilline Spearheading Key Comeback: Rep. Wants to Reestablish House Select Committee on Aging, published in the Dec. 20 issue of the Woonsocket Call; in the Dec. 21 issue of the Pawtucket Times.

After Congress eliminated the House Select Committee on Aging in 1993 to rein in costs, this commentary takes a close look at Rep. David N. Cicilline (D-Rhode Island) and 63 House colleagues efforts to urge the newly elected GOP House Speaker Paul Ryan in correspondence to bring back the Aging panel to the House Chamber. It was extremely obvious to Cicilline and his cosigners of the House Aging panel’s importance to today’s Congress, especially with efforts to put Social Security and Medicare on the budgetary chopping block. In the late 1980s as a journalist covering Capitol Hill I saw first-hand how the former Aging panel’s bipartisan approach ultimately created sound aging. Working together for the common good of older Americans is sorely needed now with a House divided. Cicilline’s legislative efforts to bring this select committee back to life, can send a powerful message that the House is ready to confront concerns of the nation’s seniors. Go to: http://www.herbweiss.wordpress.com/2015/12/20/cicilline-spearingheading-key-comeback/.

2, Pausch’s The Last Lecture Is a Must Read,” published in the Jan. 30 issue of the Pawtucket Times. The 206 page book, “The Last Lecture” coauthored by Randy Pausch and Wall Street Journal reporter Jeffrey Zaslow, published by Hyperion in 2008, is a great read for those wanting to get their life’s priorities in order. The tome is jam-packed with Pausch’s wisdom that will certainly come in handy to the reader when confront by the “brick walls” or challenges in personal and/or professional careers

This commentary details the thoughts of terminally ill Carnegie Mellon University (CMU) Professor Randy Pausch, a 47-year-old father of three who had from three to six more months to live at the time he was diagnosed with pancreatic cancer in August 2007. One month before his death he gave his last lecture, part of an ongoing CMU lecture series where top academics give their “final talk,” revealing what really matters to them and the insights gleaned over their life if it was their last opportunity. Sadly, Pausch literally got his last chance to give his talk, “Really Achieving Your Childhood Dreams.” Go to: http://www.herbweiss.wordpress.com/2015/01/30/pauschs-the-last-lecture-is-a-must-read.

3. “You are Never Too Old for Romance,” published in the February 13 issue of the Pawtucket Times. Rekindling your relationship may be as simple as packing your bags and taking a romantic trip. In this commentary AARP’s Love and Relationships Ambassador Dr. Pepper Schwartz, a sociologist and sexologist teaching at the University of Washington in Seattle Washington, says the findings reveal a need for couples to plan romantic getaways as a way to spend quality time with their partner and bolster their relationship.

In this commentary Dr. Schwartz, co-author of the newly released book Places for Passion, says “I wish we could be as romantic at home as we can on a trip but there is something about getting away that lets us forget about our daily stuff and instead, fully concentrate on each other. When we stay at home, it’s hard not to answer the phone or try to answer one more email but in fact, we seem to need to get away to have a new stage setting’ for romance to bring out the best in us.” Couples with children can take a short trip without them to boost the romance in their relationship, she says. Readers will find the commentary chock-full of tips for heightening the romance on the trip. Go to: http://www.herbweiss.wordpress.com/2015/02/13/baby-boomers-can-spice-up-valentines-day.

4. “Sensible Advice from Seasoned Folk to the Class of 2015,” published in the May 17 issue of the Woonsocket Call; in the May 18 Pawtucket Times. Every year very notable and professionally successful commencement speakers gather at the nation’s Colleges and Universities to give the graduating seniors their practical tips and advice as how to have a rewarding personal and professional life. This commentary calls for the end of the practice of bringing celebrities, politicians and corporate heads to give commence speakers. Regular people will do. Thirteen Rhode Islanders, many not recognized on the street but well-known in their communities were asked to give their “pearls of wisdom” to graduating seniors if they had the opportunity. They most certainly did. Go to:  http://www.herbweiss.wordpress.com/2015/05/17/sensible-advice-from-seasoned-folk-to-the-class-of-2015.

5. “Aggressive Scams Popping up All around the Ocean State,” published in the November 25 issue of the Woonsocket Call; in the November 26 issue of the Pawtucket Times. Throughout the year there were several commentaries to increase the reader’s awareness of protecting themselves from financial scams. According to the U.S. Federal Trade Commission list of top consumer fraud complaints last year, more than 6,200 Rhode Island residents were victims of imposter scams. The commentary details one scam where the caller “Sergeant Bradley” threatens a person with a felony for not appearing in court unless they immediate make a payment on a debit card.

The commentary details AARP’s Fraud Watch Network. By registering for the free service a person can receive alerts via smart phone or your computer when a new scam surfaces. This program also allows you to report a scam going around your neighborhood that is shared across the network. For those not connected to the Internet, you can receive alerts and tips via a quarterly newsletter mailed to homes. Rhode Island Attorney General Peter Kilmartin calls for “constant vigilance” and gives tips also gives tips on protecting yourself against scams.

 

Cicilline Spearheading key comeback?

Rep. Wants to Reestablish House Select Committee on Aging

Published in Woonsocket Call on December 20, 2015

Four years after the Rep. Claude Pepper, (D-Florida) died in 1989, the former Chairman of the House Select Committee on Aging, would be turning in his grave with the elimination of his beloved Aging Panel three other House Select Committees in 1993.  Serving as its chair for six years, the nation’s most visible spokesperson for the elderly, put the spotlight on aging issues in his chamber.

In 1973, the House Select Committee on Aging was authorized by a House whopping vote of 323 to 84.  While in lacked the authority to introduce legislation (although its members often did so in their standing committees), the House Aging panel begin to conduct comprehensive studies on specific aging issues to identify issues, problems and trends.  It was not limited by narrow jurisdictional boundaries of the standing committees but looked broadly at the targeted aging issue.

Congressional belt-tightening to match President Clinton’s White House staff cuts and efforts to streamline its operations would seal the fate of the House Select Committee on Aging. House lawmakers supporting the elimination of the House Aging panel viewed its $1.5 million a waste because 12 standing committees had jurisdiction over aging issues. Those opposed to putting the House Select Committee on Aging on the chopping block to rein in Congressional spending charged that the standing committees staff did not have time broadly investigate issues of the nation’s seniors as this select committee did..

Even with the mobilization and lobbying efforts of a coalition of aging groups including AARP, National Council on Aging, National Council of Senior Citizens, and Older Woman’s League to save the House Select Committee on Aging, House leadership ultimately chose to “put the nails in the coffin.”  No vote was scheduled to continue its existence on March 31, 1993 when its authorization automatically expired.

But did the House Select Committee on Aging really have an impact on the development of aging policy crafted by Congress as its supporters contend?   In 1993, with the demise of this select committee staff, writer Rebecca H. Patterson reported on March 31, 1993 in the St. Petersberg Times (p.8A)that Staff Director Brian Lutz noted that during its 18 years, the House Aging panel “has been responsible for about 1,000 hearings and reports.” This writer believes that the House Select Committee on Aging’s advocacy role prodded Congress to act abolishing forced retirement, investigating nursing homes, monitoring breast screening for older woman, improving elderly housing and putting the spotlight on elder abuse and the issues nation’s caregivers face when caring for a loved one with Alzheimer’s Disease.

Bringing the Aging Panel Back from the Ashes

After the disbandment of the House Select Committee on Aging in 1993, a brief effort was undertaken by Rep. Nancy Pelosi (D-California) when she became House Speaker to bring back the Aging panel but this attempt was not successful.  Last month, Rep. David N. Cicilline (D-Rhode Island), representing the State’s First Congressional District, urged newly elected GOP House Speaker Paul Ryan in November 6th  correspondence to bring back the Aging Panel to the House Chamber.  There were 63 cosigners out of 435 lawmakers, all of them democrats, says the Democratic Lawmaker, who noted that many who did not sign wanted “additional time to review the proposal with their staff.”

It was extremely obvious to Cicilline and his cosigners as to the House Aging panel’s importance to today’s Congress.  “The considerable challenges that face our nation’s seniors, including Social Security and Medicare solvency, the rising cost of prescription drugs, poverty, housing issues, and location term care and other important issues, deserve dedicated attention from lawmakers, said Cicilline in his correspondence to Ryan and House GOP leadership.

Furthermore, Cicilline stressed the select committees relevant today as America’s baby boomers face the struggles of growing old.  “The addition of this demographic to the senior population will require thoughtful policy development and a focused effort to meet the many challenges by the increasing senior population”. He added that “Strains on resources for America’s seniors not only impact the elderly, but also those who support them, including family and professionals who provide care to seniors.”

A Quick Legislative Process

Cicilline notes that the House can readily create a temporary ad hoc select committee by approving a simple resolution that contains language establishing the committee – giving purpose, defining members and detailing other issues that need to be addressed. All standing and select committees of the House (except Appropriations) are authorized by a House resolution, and funding is then provided through appropriations, he adds.  “If the Speaker is supportive of the initiative, we would like draft and introduce a House Resolution establishing the committee, says Cicilline.

Robert Blancato, the longest serving staff member on the House Select Committee on aging, knows that the cost issue may be brought up to derail Cicilline’s efforts to reestablish the House Aging panel in 2016.  “There are certainly costs involved but an effective committee can be operated with a reasonable budget,” he says.  Now with Matz, Blancato and Associates, a strategic consulting and public relations firm, he is firmly behind Cicilline’s efforts.

“The aging population and its issues from chronic care to care giving have grown dramatically since the end of the House Select Committee on Aging in 1993.  No [Congressional] committees and defined Congressional champion has emerged since that time.  A new Aging panel would be very relevant for the future,” notes Blancato.

As an eye-witness to the legislative activities of the Aging panel for 17, Blancato’s keen political observations must be heard by House Speaker Paul Ryan and Minority Leader Nancy Pelosi.  The House Select Committee on Aging, with its bipartisan approach to crafting sound aging policy, is sorely needed now with a House divided and “compromise” being touted by some in the chamber as a “dirty word.” By bring this select committee back to life, House lawmakers can send a powerful symbolic message that they are ready to roll up their sleeves and tackle issues of concern to the nation’s seniors. Cicilline along with his letter’s cosigners calling for bringing by the Aging panel are definitely on the right track.