This article originally appeared on The Conversation website. Marc Cohen is co-director of the LeadingAge LTSS Center @UMass Boston. Jane Tavares is a research fellow at the center.
By Marc Cohen and Jane Tavares
Ten years after the passage of the Affordable Care Act, the Trump administration is now asking the Supreme Court to overturn it. Yet it’s now clear that the ACA has brought significant improvements to the lives of millions of Americans. Today, they enjoy more health care coverage, with greater access, better outcomes and less cost.
One segment in particular gained the most: pre-Medicare adults from ages 50 to 64. Before the ACA, the number of uninsured in that group reached 8.9 million people. Insurance companies rejected more than one in five of their applications. Those who remained uninsured received fewer basic clinical services. They were more likely to experience health declines. Continue reading →
This is the first in a series of stories about how people across the country are using the Elder Index to understand the true cost of living for older adults and its economic implications. If you know someone who would like to receive information about these stories, send us a note at email@example.com.
By Taryn Hojlo
The Alamo Area Agency on Aging has a lot of ground to cover.
The agency serves a dozen rural Texas counties surrounding San Antonio. About a half-million people live in those counties, a combined territory larger than the states of Connecticut, Rhode Island and Delaware put together.
Trina Cortez was beginning to work on a draft of the Alamo AAA’s upcoming bi-annual area report and she wanted to track correlations between the level of elder expenses and service referrals for members. To do that, she needed a source that could accurately calculate the true cost living for older adults in individual counties.
AARP Foundation has awarded a grant to the Gerontology Institute at the University of Massachusetts Boston for a two-year project to increase access to economic opportunities for older people of color in the greater Boston area.
The $288,000 grant will fund the project that builds on the institute’s age-friendly work across the state, particularly the Age Friendly Boston Initiative, and its expertise in economic security issues in later life.
“We’re very excited because this project addresses economic security, a crucial need facing older adults,” said Caitlin Coyle, a research fellow at the institute and lead researcher on the project.
“It begins to answer a question we have encountered in a number of age-friendly community initiatives,” she said. “The question is, from a practical perspective, how do we build the capacity for authentic equity and inclusion?”
The project will be a joint effort by the institute’s Center for Social and Demographic Research on Aging and CANALA, a research collaboration of UMass Boston’s Institute for Asian American Studies, the Institute for New England Native American Studies, The Mauricio Gaston Institute for Latino Community Development and Public Policy, and the William Monroe Trotter Institute for the Study of Black Culture. Continue reading →
How do older adults think about the COVID-19 threat and go about their lives now, many months after the virus first changed their approach to activities of every kind?
Of course there is no single answer to that question, and the way older adults look to the future with the pandemic remaining a real threat varies as well. The Gerontology Institute Blog contacted several members of the Osher Lifelong Learning Institute at UMass Boston to ask them about how they approached the problem and how it affects their routines. They offer a small sample of everyday lives among older adults in the age of COVID-19.
Mona, 69, and Phil Rosen, 72 in Easton, Mass.
When news of the coronavirus first appeared, Mona and Phil were both reasonably concerned about contracting the virus. They isolated themselves from friends and family, only leaving the house for essential activities. However, they’ve begun to venture out a bit more in recent weeks – while still being careful to adhere to health authority guidelines. Continue reading →
Lisa Gurgone is the executive director of Mass Home Care, the trade association representing the Commonwealth’s network of 28 Aging Services Access Points (ASAPs) and Area Agencies on Aging (AAAs). This single, statewide network of coordinated care delivers home and community based services to over 60,000 individuals per month, providing over $600 million per year in services.
Gerontology Institute Director Len Fishman spoke with Gurgone recently about home care services and how the COVID-19 pandemic has affected both consumers and workers providing care. The following transcript has been edited for length and clarity.
Len Fishman: What would a composite profile of a consumer you serve look like?
Lisa Gurgone: The typical age is 82 and about one in five are 90 or older. About 55 percent live alone. We have a lot of women with basic homecare needs, someone to help with shopping and food prep. They may need some bathing assistance or have trouble getting dressed in the morning. People sometimes stay in our system for a very long time and may need additional services as they age. We might sub-contract with a visiting nurses association to provide more skilled care. It runs the gamut but the goal is to help these people stay in the community as long as they want. Continue reading →
The impact of the COVID-19 pandemic on older adults around the world has been nothing short of breathtaking. Like any sudden crisis, it begs a few common questions: What actually happened and how did we respond? What lessons should we take from that experience? And, most importantly, what do we do now?
In a special double-issue of the Journal of Aging and Social Policy, dedicated to the COVID-19 pandemic crisis, leading gerontology researchers tackle those questions from a wide range of perspectives. The issue, Older Adults and COVID-19: Implications for Aging Policy and Practice, offers 28 scholarly articles available online free of charge.
“The COVID-19 pandemic has devastated populations and economies globally but older adults have been particularly hard hit, due both to direct exposure to the virus itself and to the adverse consequences of efforts taken to mitigate its effects,” said Edward Alan Miller, a University of Massachusetts Boston gerontology professor and JASP’s editor-in-chief. Continue reading →
The coronavirus pandemic has dramatically altered the ways education takes place at all levels and institutions, including the Osher Lifelong Learning Institute at UMass Boston. OLLI, which serves an older student population with an elevated COVID-19 risk, responded quickly to the virus early in its spring semester.
The Gerontology Institute Blog recently talked with James Hermelbracht, the director of UMass Boston’s OLLI program, about the decisions that were made, what actually happened in the spring and how that experience is shaping plans for the fall semester and beyond. The following transcript is edited for space and clarity.
Q: Let’s start by describing how the COVID-19 pandemic completely upended plans for the spring OLLI semester.
A: It played out on several levels. Things were changing so quickly as soon as the semester started. We were already hearing a few members say, “Maybe not this semester.” They were seeing the news and felt unsure about being in a classroom or taking public transportation. We were three days into our spring semester when the decision was made to first postpone. That was mid-March and we postponed until April 1. But it became very clear that our members, being in the high-risk category for age, were not that enthusiastic about coming back. We decided to cancel or postpone our entire spring semester just a few days prior to the university making the decision that everything would become remote. Continue reading →
Relationships between senior children and their very old parents can be complicated enough. How does those relationships change when the parent is living with dementia?
UMass Boston Gerontology associate professor Kathrin Boerner has spent two years studying the relationships between older adults and their parents, an increasingly common phenomena involving people in their 60’s and 70’s with parents living well into their 90’s. The ongoing project has already attracted broad interest and media coverage in The New York Times and The Boston Globe.
The study’s original design, funded by the National Institute on Aging, was based exclusively on interviews with senior children and their parents together. But researchers found they had to turn away a significant number of volunteering senior children whose parents, living with dementia, could not be interviewed. They were missing an important part of the story. Continue reading →
William E. Reichman is a physician and chief executive of Baycrest, a leading non-profit elder care organization comprising health care and housing facilities, outpatient services and a research center on one campus in Toronto. His organization operates a 300-bed rehab hospital, a 472-bed skilled nursing facility, 200 assisted living units and 125 independent-living apartments. (Note: In characterizing the facilities, we have used terminology familiar to U.S. readers.)
Baycrest, affiliated with the University of Toronto, is also home to one of the world’s largest research institutes focused on brain aging and an innovation accelerator focused on elder well-being. Its tele-education program delivers education content and training to 42 countries around the world.
Gerontology Institute Director Len Fishman recently spoke with Reichman about ways Baycrest has deployed technology to manage the impact of the COVID-19 pandemic and how those innovations can permanently influence elder care practice. Fishman is also a board director at Baycrest. The follow transcript has been edited for length.
Len Fishman: A recent Washington Post article reported that 81 percent of COVID-19 deaths in Canada are nursing home residents. How has Baycrest been affected?
William Reichman: Baycrest has had some sporadic cases of COVID-19, both in residents and patients, as well as staff members who likely brought the virus to the campus inadvertently. I think all told, we’ve had six cases among our 1,100 beds. There have been other senior care organizations in Canada which tragically have had 40 percent or more of their residents test positive for the virus and 25 percent or more actually die from infection. So it’s been catastrophic in Canada. Continue reading →