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HONOLULU – Family caregivers face numerous physical challenges and often have little or no preparation for their responsibilities. On Saturday June 20AARP Hawaii and the Honolulu Elderly Affairs Division are co-sponsoring a free information session for family caregivers featuring practical tips to ease the physical and emotional burden of care.

 

WHAT: Caregiver Workshop: 10 Ways to Increase Flexibility and Strength

WHERE: Kapiolani Community College (Ohia 118 – near the cafeteria)

WHEN: June 20 (9:30 – 11:30 a.m.)
 
Registration Recommended: Call the Honolulu Elderly Affairs Division at 768-7700.
 
Participants in the workshop will have an opportunity to learn and practice 10 passive and active range-of-motion techniques that can help build strength and flexibility in themselves and the person they are caring for. The session features an interactive presentation by Toni Hathaway, education coordinator with Kapiolani Community College’s Kupuna Education Center. For more information about the Kupuna Education Center call 734-9108.
 
The contributions of family caregivers – relatives, partners,friends and neighbors – are the heart and soul of Hawaii’s long-term caresystem. Unpaid caregivers provide the majority of care services for persons with disabilities of all ages and are critical tohelping people stay in their homes rather than more costly institutions. On any given day there are up to 169,000 caregivers in Hawaii. Cumulatively, they provide an estimated $1.45 billion each year in unpaid care.
 
Caregivers also face financial challenges due to changes in workpatterns, often resulting in lost wages, loss of health insurance and other job benefits, andlower retirement savings.
 
Given our rapidly aging population, the challenges facing Hawaii caregivers areespecially daunting. The number of people age 65 and older is expected to grow by 78 percent over the next 20 years as the boomers pass into retirement.  The 50-64 population—the age range of many family caregivers—will shrink by 10 percent over the same period.  
Added: June 19, 2009
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HONOLULU– With the cost of nursing home care skyrocketing, and the number of Hawaii residents age 65 and older projected to nearly double in the next 20 years, AARP is supporting an increase in federal funding and eligibility for home and community based services through Medicaid. This would allow more people to stay in their homes and avoid more costly institutional care.
 
“We need to support family caregivers by putting more money into Hawaii’s safety net of home and community based services,” said State Director Barbara Kim Stanton. “Our nursing homes are prohibitively expensive, have the highest occupancy rates in the nation, and most residents say they want to stay in their own homes as they get older.”
 
According to a 2008 survey, nearly nine out of 10 registered voters in Hawaii said they would prefer to receive long-term care services at home. Yet, 83 percent of the state’s Medicaid long-term care spending for older people with physical disabilities goes to institutions, while just 17 percent goes to home and community based care (2007).
 
Under current law, Medicaid—the largest payer of long-term care—has an institutional bias. While states must provide coverage of nursing facility services, they do not have to cover most home and community based services (HCBS). And without support services in the home, Hawaii’s family caregivers are under relentless and unsustainable pressure. Today, up to 169,000 caregivers provide an estimated $1.45 billion in unpaid care each year, helping loved ones with bathing, dressing, and other activities of daily living.
 
Developing HCBS would help ease the burden on family caregivers in Hawaii and be cost-effective too. On average, Medicaid can pay for three older people in HCBS for every one person in a nursing home. Despite this, HCBS is often one of the first programs to lose state funding during an economic downturn, often forcing more people into higher cost nursing facilities even if they would prefer to remain at home. 
 
AARP has endorsed the “Empowered at Home Act” (S. 434), sponsored by Senators John Kerry (D-MA) and Chuck Grassley (R-IA), which would provide incentives and greater opportunities for states to expand access to home and community based services. It would also provide the spouses of people receiving HCBS with protection against impoverishment.
 
The Association has also endorsed the “Retooling the Health Care Workforce for an Aging America Act” (S. 245/H.R. 468) sponsored by Senators Herb Kohl (D-WI), Bob Casey (D-PA) and Blanche Lincoln (D-AR), and Representative Jan Schakowsky (D-IL). This legislation would provide support, training and information to family caregivers, and improve the health and long-term care workforce to better meet the needs of the aging population.
 
AARP’s Public Policy Institute has released a new fact sheet, “Providing More Long-term Support and Services at Home: Why It’s Critical for Health Reform.” It’s available at http://www.aarp.org/research/housing-mobility/homecare/fs_hcbs_hcr.html.
 
For details on AARP’s six specific health reform priorities, including long-term care, visit http://www.aarp.org/governmentwatch.
Added: June 4, 2009
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HONOLULU – The aging of Hawaii’s baby boomers poses significant challenges for the planning, design, and operation of our roads and transit systems—as well as pedestrian and bicycle facilities. With the passage of a “Complete Streets” law in the 2009 session, the state has taken a big step toward meeting those challenges and making it safer and easier for residents of all ages and physical abilities to get around in the years ahead. 
 
Act 54 (SB 718) requires state and county transportation departments to accommodate access and mobility for all users of public highways, including pedestrians, bicyclists, transit users, motorists, and persons of all abilities. The Complete Streets law is being hailed as a touchstone for transportation planning and design that takes into account Hawaii’s aging population. 
 
“AARP salutes the Legislature and the governor for supporting this landmark legislation,” said AARP Hawaii State Director Barbara Kim Stanton. “Over the next 20 years the number of people in the islands age 65 and older is projected to swell to about 327,000. Already, we’re one of the most dangerous states in the nation for older pedestrians, and there’s a pressing need for planners to take into account the dangerous mix of people and cars on our roads. This law paves the way for better transit services, safer walking facilities, and better mobility options for our kūpuna in the years ahead.”
 
Hawaii’s Complete Streets law enjoys widespread community support. In a 2008 AARP survey of Honolulu residents age 50 and older, nearly nine out of ten said they supported transportation policies that ensure public roadways are designed not only for motor vehicles but for all users—including pedestrians, bicycle riders and those using public transportation. 
 
The new law also coincides with the release this week of a national transportation report by AARP’s Public Policy Institute. Titled “Planning Complete Streets for an Aging America,” the report warns that two-thirds of American transportation planners and engineers have yet to begin addressing the needs of older people in their planning. Streets, sidewalks and roadways designed to achieve Complete Streets can make getting around safer for everyone, it suggests.
 
The report recommends that federal, state, and local highway and street design guidelines serve older people by 1) reducing vehicle travel speeds at intersections where older drivers and pedestrians need more time to make decisions and execute changes, 2) making the physical layout of roads, crosswalks and sidewalks easier to navigate, and 3) making it easier for older drivers and pedestrians to notice, read, understand and respond to visual cues and information. 
 
Because of the time required to plan and make these improvements, Hawaii needs to begin now in order to be ready for the age wave. “It takes time to plan, design, fund and build capital projects,” said Stanton. “Federal officials, planners and traffic engineers need to focus now on adjusting roads to become safer and more user-friendly for everyone.” 
 
The principal author of the national transportation study will visit Hawaii in July. AARP Policy Advisor Jana Lynott will meet with transportation stakeholders about planning for an aging society.  She will also engage the public and policymakers in conversations about Complete Streets, laying the groundwork for successful implementation of the bill and preparing the public for involvement in the Pedestrian Master Planning Process and Transit Oriented Development in connection with Oahu’s rail system.
 
To get involved in the Pedestrian Master Planning Process and Transit Oriented Development discussions, or to learn more about pedestrian, cycling and transit amenities that can help older adults, contact AARP Hawaii at (808) 545-6003.
 
To read the full national Complete Streets study, go to http://www.aarp.org/research/housing-mobility/transportation/2009_02_streets.html.
 
Added: May 15, 2009
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HONOLULU – A new report from AARP shows there are more than 26,700 adults between the ages of 50 and 64 without health insurance in Hawaii. That’s 10.8 percent of the total number of people of that age group in the state. 

 

The problem is likely to become more serious due to the aging of the baby boomers and our weakening economy. There are approximately 241,700 people between the ages of 50-64 – just under 19 percent of the state’s total population (roughly one in five people). 
 
“In Hawaii, there’s a tendency to assume that the health care needs of this group are covered by employer-mandated insurance,” said AARP Hawaii State Director Barbara Kim Stanton. “But as our economy weakens and unemployment rises, older adults tend to remain out of work more than 20 percent longer than younger workers. That leaves them vulnerable, especially if they can’t afford to make costly COBRA payments.”
 
Going without health insurance is particularly risky for people age 50 to 64 because they are more likely to have a pre-existing condition, and may then be denied individual insurance in the private market. Without options for affordable health coverage, 50- to 64-year-olds are also more likely to forgo necessary medical care, keeping them out of work and increasing their health care costs when they reach Medicare eligibility.
 
AARP is pressing Congress to find a common-sense solution to the coverage gap for those 50-64 years old.  The age group makes up about half of AARP’s 40 million members.
 
For a complete copy of the AARP report, go to www.aarp.org/research/health/carefinancing/i24_hcr.html.
 
With more than 158,000 members in Hawaii, AARP is a nonprofit, nonpartisan membership organization that helps people 50+ have independence, choice and control in ways that are beneficial and affordable to them and society as a whole.  
Added: May 12, 2009
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As Congress hammers out the details of health-care reform legislation before Memorial Day Recess, AARP announced six specific elements that must be part of health reform. They are:

  • Guaranteeing access to affordable coverage for Americans age 50-64
  • Closing the Medicare Part D coverage gap or "doughnut hole"
  • Preventing avoidable re-hospitalizations and improve patient care by providing people in Medicare with a follow up care benefit to help them safely transition home after a hospital stay
  • Increasing federal funding and eligibility for home- and community-based services through Medicaid, so older Americans can remain in their homes as they age and avoid more costly institutional care
  • Creating access to generic versions of costly biologic drugs used to treat cancer and other serious illnesses
  • Improving programs that help low income Americans in Medicare afford the health care and prescription drugs they need
These elements of health reform are not likely to be enacted without AARP’s leadership. We need you to lend your support and your voice to this effort. You can learn more and share your thoughts by logging on to our new health reform website at www.healthactionnow.org .   While AARP stands ready to lead, we don’t pretend to have all the answers. That’s why we are seeking your stories, opinions, and ideas.  Please join with us in this historic opportunity to make a difference.
 
To get involved, contact AARP Hawaii at 545-6006.
 
Added: May 12, 2009
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More than 200,000 Social Security recipients in Hawaii can expect to receive $250 payments from the government in the next few weeks as their share of the economic stimulus package enacted in February. One of the key provisions of the American Recovery and Reinvestment Act is a one-time $250 economic recovery payment for Social Security recipients, people with disabilities, and veterans.

 
Here are some frequently asked questions about the payment:
 
Q:     Am I eligible for the $250 payment?
 
A:     If you received, between November 2008 and January 2009: retirement, survivor, disability, and/or SSI benefits from Social Security; benefits from Railroad retirement; and/or disability compensation, pensions or survivors’ benefits from the U.S. Department of Veterans Affairs, you are very likely eligible to receive this one-time $250 payment. 
 
         Eligible individuals must also have an address of record that is in one of the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, or the Northern Mariana Islands.
 
         Nearly 57 million Americans will receive the $250 payment.
 
Q:     What do I have to do to get my $250 payment?
 
A:     Nothing. The Commissioner of Social Security, the Railroad Retirement Board, and the Secretary of Veterans Affairs will certify the individuals who are entitled to receive the $250 payment and provide the Secretary of the Treasury with the information needed to disburse such payments.
 
Q:     How will I receive my $250 payment?
 
A:     If you are an eligible Social Security or SSI beneficiary, Social Security will deliver your payment in the same way they currently deliver your Social Security or SSI benefit.  If Social Security delivers your monthly benefit by check, they will deliver your one-time payment by check.  If you receive a monthly direct deposit or Direct Express® debit card payment, that is how you will receive your one-time payment.
 
Q:     When will I receive my $250 payment?
 
A:     The Secretary of the Treasury must begin sending payments to eligible beneficiaries no later than the middle of May 2009. Social Security expects that all eligible Social Security and SSI beneficiaries will receive their payment no later than the first week of June 2009. The one-time payment will be a separate payment, which will not be included in your regular monthly benefit payment.
Added: April 29, 2009
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HONOLULU—Changes in vision, flexibility, and range of motion can make driving more stressful and reduce our control behind the wheel as we age. But older drivers don't necessarily have to hang up the car keys. By making basic adjustments to their vehicle, they can improve their comfort and safety on the road.

For a free demonstration of how to make comfort- and safety-enhancing adjustments to their vehicle, older drivers are invited to attend a Hawaii “CarFit” event on May 9 (8 a.m. – noon) at Kaimuki High School. Registration is required: call 843-1906.
 
CarFit is designed to give older drivers a quick but comprehensive check of how well they ‘fit’ their vehicle. A trained professional asks participants simple questions and completes a 12-point Carfit checklist. The entire process takes about 20 minutes and participants leave with a list of recommended car adjustments. The program is offered as a free public service by AARP Hawaii, AAA Hawaii, the American Occupational Therapy Association, the Occupational Therapy Association of Hawaii, and the Hawaii state Department of Health.
 
How effective is the CarFit program? Based on follow-up surveys of checklists completed at events in 10 American cities, more than a third (37 percent) of program participants had at least one critical safety issue that was addressed. One in 10 participants were seated too close to the steering wheel, and about 20 percent did not have a proper line of sight above the steering wheel.
 
What kind of adjustments are part of the CarFit checklist?
 
  • Clear line of sight over the steering wheel – at least three inches above the wheel.
  • Plenty of room between your chest and the front airbag and steering wheel.
  • A seat you fit in comfortably and safely – easy access to controls.
  • Properly adjusted headrests – with the center of the headrest against the back of your head, not against your neck.
  • Easy access to break pedals – without having to stretch too far.
  • A seatbelt that holds you in position and remains comfortable as you drive.
CarFit can also help open a dialogue with older drivers about safety issues as they age.
Added: April 22, 2009
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AARP and Shred-it Hawaii are sponsoring a free document shredding event at the State Capitol on April 25. Bring old tax forms, bank statements, and other personal papers for convenient on-site destruction. This is a drive-thru and drop-off event with unloading assistance available (limit of two boxes or bags of papers per vehicle).  The event is free and open to the public.

 
Joining AARP and Shred-it for this community service project will be members of the Roosevelt High School Leo Club. Volunteers will distribute information on how avoid identity theft and consumer fraud. 
 
WHERE:    State Capitol – Beretania Street drop-off
WHEN:       Saturday, April 25 (10 a.m. – noon)
                     AARP members only (9 – 10 a.m.)
 
Hawaii residents are reminded that placing a security freeze on your credit report can be an important tool for protecting critical personal information. 
 
Hawaii law allows residents to place a security freeze with each of the three credit reporting agencies that prohibits each from releasing any information to unauthorized parties.  This prevents a person from securing credit in someone else’s name. A security freeze requires the three consumer reporting agencies (Equifax, Experian and TransUnion) to block access to credit information and score without consumer consent.
 
AARP studies show that older consumers are largely unaware of the existence of this protection, and would be more likely to take advantage of security freezes if the process of placing and using the freeze were easier and less costly. Anyone may freeze their credit report.  Victims of identity theft may do so for free.  Others must pay $5 per request.  All requests need to be sent by certified mail to each credit reporting agency.
 
For more information about the shredding event contact AARP Hawaii at 545-6006.
 
For more information on placing a security freeze on your credit report visit the state Department of Commerce and Consumer Affairs web site at http://hawaii.gov/dcca/quicklinks/id_theft_info/new_security_freeze.
 
Added: April 10, 2009
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HONOLULU—AARP Hawaii and PHOCUSED are inviting residents of all ages to participate in a rally at the State Capitol Rotunda on April 7 (10 – 11 a.m.). The purpose of the rally is to ask legislators to ensure that the Emergency Budget and Reserve Fund (known as the Rainy Day Fund) is used to provide safety net services essential to public health and safety, public welfare and education. 

Anyone not able to attend is asked to call their legislator in support of Senate Bill 1679, which protects the Rainy Day Fund for its intended purpose. AARP’s toll-free hotline may be used to contact any state legislator: 1-800-211-0908.
 
AARP believes that critical services for Hawaii families must be maintained—especially since the safety net is already frayed. Raiding the fund to balance the state budget would undermine Hawaii ability to help its most vulnerable residents in time of need.
The following points illustrate the need for the elderly:
 
  • Caregivers provide the majority of elder-care in Hawaii, and the physical, emotional and financial pressures on them are growing. At any given time there are up to 169,000 family caregivers throughout the state providing an estimated $1.45 billion per year in unpaid care. Support services enable them to care for their loved ones.
  • More than one fifth (21.2 percent) of Hawaii adults aged 60 and older have incomes below 200 percent of the poverty threshold. 
  • The number of Hawaii residents age 65 and older is projected to grow by 78 percent in the next two decades.
  • Almost 13 percent of Hawaii’s children are being raised by grandparents—the highest percentage in the nation. Grandparents often forego their own health care needs to keep their families intact.
 
AARP is a membership organization for people 50 and older – with nearly 160,000 members in Hawaii. We are committed to championing access to affordable, quality health care for all generations, providing the tools needed to save for retirement, and serving as a reliable source on issues critical to older Americans.
 
PHOCUSED is a member organization formed to unite, organize and Protect Hawaii Ohana, Children, Under-Served, Elderly, and Disabled.
Added: April 1, 2009
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AARP Hawaii is asking residents to call their state legislators in support of Senate Bill 1679. The bill would appropriate money from the emergency budget and reserve fund (known as the Rainy Day Fund) to maintain services that are essential to public health and safety, public welfare and education. 

Critical services for the elderly and their families must be maintained—especially since the safety net for Hawaii’s kupuna is already frayed. Raiding the fund to balance the state budget would undermine our ability to help our most vulnerable residents in their time of greatest need.
 
Use AARP’s toll-free hotline to be connected to your legislator: 1-800-211-0908.
 
Tell them to support Senate Bill 1679.
 
Here are some points that illustrate the need:
 
  • Caregivers provide the majority of elder-care in Hawaii, and the physical, emotional and financial pressures on them are growing.  At any given time there are up to 169,000 family caregivers throughout the state providing an estimated $1.45 billion per year in unpaid care. Support services enable them to care for their loved ones.
  • More than one fifth (21.2 percent) of Hawaii adults aged 60 and older have incomes below 200 percent of the poverty threshold. 
  • The number of Hawaii residents age 65 and older is projected to grow by 78 percent in the next two decades.
  • Almost 13 percent of Hawaii’s children are being raised by grandparents—the highest percentage in the nation. Grandparents often forego their own health care needs to keep their families intact.
 
Added: March 30, 2009
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