Health Among Top Issues That Matter Most to African Americans

In January 2011, AARP interviewed Americans 50 and older from every state, the District of Columbia, Puerto Rico and the Virgin Islands. We asked about their dreams as they think about what is next in their life as well as the challenges they see themselves facing. Staying healthy tops the list for African American/Black respondents in the Voices of the 50+ America: Dreams & Challenges study, with staying mentally sharp, having adequate health insurance coverage, and receiving Medicare benefits very …

No Silver Bullet: Lessons From International Programs for Financing Long-Term Services and Supports

Life spans are increasing around the world, but countries differ enormously in how they deal with increasing demands for long-term services and supports (LTSS). AARP International recently sponsored a policy symposium on the LTSS systems in Germany, France and the United Kingdom to inform important discussions about how to reform the U.S. system. As AARP Executive Vice President Debra Whitman noted in her opening remarks, the costs associated with LTSS represent the largest uninsured risk to the retirement security of …

Should I Buy Long-Term Care Insurance?

One of the most frequent questions I get from clients is whether to buy long-term care insurance. With the average cost of a private room in care facilities topping $94,000 a year, according to a 2013 study by insurer John Hancock, it’s a reasonable concern. Many of us will need some form of long-term care (LTC), so the question of whether to buy insurance to help with the associated costs is a real one. I think the decision is a very close call. At …

A Different Type of Long-Term Care, Resort-Style

I used to cringe when the staff at Pop Pop’s nursing home called him “Sweetie.” Bernie would have been fine. Mr. Covitch would have been better. Sweetie, to me, wasn’t a name you’d call a man who identified as a military officer, a business owner and a father of three. It was just too cute and too casual. So when I recently visited a long-term care resort in Thailand, I initially was struck by how the owner insisted on calling residents guests. Well, “care …

Improving Quality Measurement and e-Health in Medicaid Home- and Community-Based Services: The TEFT Demonstration

Many Americans with personal care needs receive services in their own homes to help them with daily tasks such as bathing, dressing and meal preparation. But the quality of care provided in private homes often is not measured. The medical community is beginning to adopt electronic health records: health information in a digital format that can be shared with providers. Unfortunately, these records may not be helpful to consumers, especially those with long-term care needs, in managing their own care. …

What’s Different About Family Caregiving Today?

This is a pivotal time. Converging sociodemographic trends and more complex care needs are contributing to historically unprecedented challenges in family care of older people in the U.S. For most of human history, requiring help in old age was uncommon. As Atul Gawande writes in Being Mortal, “The natural course was to die before old age.” Only 41 percent of people born in 1900 survived to age 65. In sharp contrast, an estimated 84 percent of people born in 2010 …