May is Older Americans Month, and a new report shows the Volunteer State is among the bottom of states when it comes to caring for its most vulnerable adults.

America's Health Rankings 2023 Senior Report from United Healthcare ranks Tennessee 42nd in health outcomes for those age 65 and older. Notable challenges include a high prevalence of frequent mental distress, drug deaths, smoking, lack of physical activity, and increased poverty.

Michele Johnson, executive director of the Tennessee Justice Center, said elected leaders are not focused on creating policies to serve all Tennesseans.

"We need to have elected officials to roll up their sleeves and address the health care infrastructure," Johnson asserted. "Expanding Medicaid is vitally important not just for people who are in the coverage gap, which it is important for them, but it's important for older Tennessee because we have health care deserts."

Tennessee is among 11 states to not expand Medicaid. Johnson noted some states are six times more likely to lose a hospital when they have not expanded Medicaid, and she believes expanding Medicaid would strengthen the state's health care infrastructure and economy.

Johnson is also concerned about the unwinding of the public health emergency, which is in the process of redetermining health care for older Tennesseans. She contended state leaders should make it simple and ensure it protects seniors.

"This should be a fair process that is simple and lacking in bureaucracy as possible," Johnson argued. "And unfortunately that right now we're really concerned like hundreds of thousands of people, including seniors, will go without health care, not because they're not eligible but because the process is just so daunting."

The report found about 10% of Tennessee adults age 65 and older are living in poverty.

Dr. Rhonda Randall, chief medical officer of Employer and Individual for United Healthcare, said the comprehensive report found poverty increased overall by 10% between 2019 and 2021.

"We know that's really important because it has impacts on how much of their dollars are they spending on housing, food, medical care and more," Randall explained. "We want to make sure that not only are we seeing that number decrease, where seniors are living in poverty that the communities are aware of it."

Randall noted because of the pandemic, they saw more seniors receive access to home-delivered meals and seniors who were eligible for the Supplemental Nutritional Assistance Program signed up. She added as we age, nutrition is very important and a decrease in food insecurity by 6% was an improvement, as fewer worried about accessing nutritious food.

September is National Preparedness Month, when AARP raises awareness about the importance of preparing for disasters and emergencies.

A recent survey found most older adults are not prepared to respond quickly in the event of a natural disaster, which can strike with little warning. AARP Tennessee said fewer than one-third of people surveyed have created a comprehensive emergency plan for natural disasters.

Tom Kamber, executive director of Older Adults Technology Services for AARP, said the organization provides online resources for Tennesseans to access ahead of an emergency or natural disaster.

"There is a quiz at the top of the page that we put together, and in just a few minutes, it will allow you to answer some questions around your own preparedness for disaster and what you've got in place and what you might need in place," Kamber explained. "Right there, you're going to be able to find links to the FEMA website with their apps."

Kamber stressed it is important to sign up for online alerts to get accurate information during an emergency. He recommended buying a car phone charger as a backup in case the power goes out at home. He also suggested putting emergency contacts in your phone, downloading your bank's smartphone app, and creating copies of important documents you can access online.

Kamber added given the unpredictability of extreme weather events, it is important for everyone to have some level of disaster preparedness, and recommends discussing a plan with friends, family, neighbors or caregivers before a disaster strikes.

"It also sets up questions," Kamber noted. "For example, who is going to be your in case of emergency contact in your phone? If you do have to relocate in an emergency, is there somebody who you've already identified where you can go and stay? What are you going to do with your pets? Do they have GPS trackers?"

Throughout September, the Tennessee Emergency Management Agency is educating the public on the importance of emergency preparedness topics including how to make a plan, build an emergency kit and stay informed about risks in the area.


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AARP Michigan's Vital Voices survey results are in, and more than 700 Michigan adults 45 and older say they are most concerned with staying mentally sharp as they age.

Lisa Dedden Cooper, manager of advocacy for AARP Michigan, said the Vital Voices survey analyzed health security, financial security and community livability. Although concerns for things such as retirement and access to Social Security are common results, the survey also made new financial findings.

"Being able to afford groceries and other necessities actually was extremely highly rated," she said, adding that "93% of people said that was an important issue that something that was on their mind, that's we think an important issue."

AARP conducts the Vital Voices research every three years. Results for each state are released based on the timing of their survey. Michigan's came out this month.

Cooper said family caregivers are particularly interested in things such as the ability to age in place in their homes, and having access to alternatives to nursing-home care. Dedden Cooper said those issues will shape how they vote in the 2024 elections.

"Ninety percent of the survey respondents support having some sort of a tax credit for family caregivers to help offset the caregiving expenses that they are facing," she said.

AARP's legislative priorities include family caregiving issues at both the state and federal level. About 4 million Michigan residents are age 50 and older, representing 39% of the state's population. In November 2022, voters in this age demographic cast more than 60% of the total ballots in the state's general election.

New Hampshire officials in charge of investigating elder abuse are ramping up staff and education efforts to better protect the state's growing elderly population.

Statistics show that one-in-ten older people are the victims of financial exploitation, abuse or neglect each year in the U.S. - but few cases are actually reported to authorities.

Bryan Townsend II is the senior assistant attorney general and a prosecutor with the New Hampshire Consumer Protection and Antitrust Bureau's Elder Abuse and Financial Exploitation Unit.

Townsend said prosecutors will work more closely with local law enforcement, the medical community, and even financial advisors.

"We're looking kind of at a holistic kind of approach at protecting older adults," said Townsend, "and in doing so we really need to strengthen our partnership collaboration."

Townsend said the state aims to expand education efforts regarding the signs of abuse and neglect, and how to protect one's personal and financial information.

New Hampshire law requires anyone who suspects a person is financially vulnerable to exploitation, being abused, or neglected - to report their observations to police or state agencies.

Townsend said red flags often include someone having trouble managing their daily affairs or becoming increasingly isolated.

"They start to not return telephone calls or not answer the door when you come over," said Townsend. "Changes in behavior."

Townsend said elderly people can fall victim to international financial scams - but often its family members or friends, who use their position of trust to steal from them.

He said educating the public will help officials not only investigate and punish those responsible for elder abuse but also prevent it.





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