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Boomers begin to wonder: Who will take care of me?

Vera Quarberg, left, and Evelyn Martin

Last of four articles

Vera Quarberg and Evelyn Martin met in their new home, across town from the townhouse communities they left 10 years ago for another lifestyle. They found it at Presbyterian Homes in Woodbury, where they’ve also found companionship, exercise, entertainment, enlightenment and more. It is the kind of place aging boomers may well find attractive in a few years.

Both widowed and in their mid-80s, the two have become good friends. “We play games together,” Evelyn said. Bunko on Mondays, bingo on Tuesdays and Rummikub on Thursdays with a larger group. Vera faithfully gets to exercise classes three mornings a week in adjoining Central Park, where the regulars know her by name. Down the hall from her convenient apartment, “There’s always a group sitting around talking in the community room or the gathering room,” she said. She often joins in. Evelyn usually prefers “sitting at home and reading a book,” she said.  

She’s in the right place. Woodbury’s public library is an elevator ride away. That’s not all. The library adjoins a spacious sun-splashed atrium with leafy green plants, wooden tables and benches, a rock-rimmed waterfall and a performance stage. It’s all part of Woodbury’s Central Park complex, which encompasses a coffee shop, exercise sessions and other classes, internet access and adjoins the Woodbury YMCA. True to its name, Central Park has become a central attraction in this suburban community.

Choices and responsibilities

With independent and assisted-living apartments and a memory-care unit, Presbyterian Homes is one among myriad choices for living out one’s years.

The importance of planning for that life stage will surface across the state in coming weeks, said LaRhae Knatterud, director of aging transformation for the Minnesota Department of Human Services. Minnesotans ages 40 to 65 will be introduced to Own Your Future, a nationwide campaign urging that they take a big step toward planning for their old age. Some information is posted on the DHS website. A link will be available on that site by mid-May to a website offering Minnesota-specific actions individuals can take to develop a plan for their long-term care and specific action kits for the campaign, Knatterud said.

The goal is to urge all adult Minnesotans to create a workable plan that will enable them to pay for their long-term care when they need it. And to “take this seriously,” Knatterud said. You need to have a plan for long-term care “so you have the money to get through the next 20 or 30 years.”

A couple of tips: Long-term-care insurance policies cost less for people who are younger and “aren’t yet failing.” For those lacking other options, there’s the possibility of purchasing a long-term-care policy to cover one year – “to get at least a year of care,” she said.

Minnesota Department of Human Services

Eric Schubert, vice president for communications and public affairs for Ecumen, a Shoreview-based non-profit company providing diversified senior housing and services throughout Minnesota, said that about 10 percent of Minnesota adults have long-term-care insurance policies. Many don’t purchase them for a number of reasons, he said.

“Some assume government will pay for care. Some don’t understand the policies or don’t trust that they’ll be there when they need the benefit.” For others, “It’s not a priority. Or they can’t afford it. Or they don’t want to think about aging or the end of life.”

In the past, people needing services went straight to the nursing home. Over time, that has changed, Schubert said. More older people are aging in place in their homes or in apartments that provide services, he said. But when people spend down their assets to get on Medicaid and become impoverished, the option ends up being the nursing home. That’s changing, too, because Minnesota is allocating more dollars to home and community services, he said. But if it’s government dollars they’re spending, “they really don’t match up with a person’s desire to stay independent, because there are more and more cuts to government dollars. So we have to figure out a sustainable way to finance services.”

Own Your Future

The state now spends a billion dollars a year on care for the elderly, Knatterud said. About 10 percent of Minnesota’s population is on Medicaid at any one time. If the state continues to pay for care at that rate as Minnesotans age, the cost would be $5 billion in 2030, according a report drafted by the Minnesota Legislature in 2005. That figure is based on a predicted doubling in the next 25 years of the state’s population over age 65 and a tripling of those over 85.  

Own Your Future is aiming to put a new perspective on the situation.

“Planning for the future is something we have to do,” Knatterud said. That’s partly because some people “have no option but Medicaid.”

The Own Your Future campaign includes an effort to develop more affordable long-term care options for individuals who aren’t poor enough to qualify for public programs but not well-off enough to self-fund their care over their lifetime, she said. A second effort would seek to change Medicaid’s long-term-care provisions to better align with and encourage private payment for long-term care. 

Assistance in long-term-care insurance planning, health insurance counseling and caregiver planning, along with volunteer opportunities and available services for seniors, is offered by the Senior LinkAge Line  or by calling toll-free 1-800-333-2433. 

Lt. Gov. Yvonne Prettner Solon will chair an advisory group made up of key stakeholders who will oversee the campaign. Internet ads will help spread the word.

Technology a big player

In a statewide poll by Shoreview-based Ecumen, Minnesota’s largest non-profit senior housing company, boomers said they expect technology to help them live not only longer but more independently as they age. The poll identified technology as an integral part of boomers’ lifestyle, Ecumen’s Schubert said. Technology will increase, he said, as it supports themes boomers identified as important to them in senior living: independence, choice, mobility, ease and quality of life.

Already senior living is benefiting from “nana technology,” a term coined by Andrew Carle, director of a senior housing program at George Mason University. That spans innovations in categories from cognition and health to lifestyle and safety products. The latter include sensors that alert a living community’s staff when there’s been no movement in a resident’s apartment – or the refrigerator hasn’t been opened or the toilet flushed – for too long, indicating something may be wrong. That’s just a glimpse at how technology is helping people to live independently as they age.

Technology is forging social connections, too. Ecumen Connects, a community website now serving 25 of  Ecumen’s 60 communities, gives family members another way to connect, said Lesli Donahue, an Ecumen systems analyst. “But also ways for our residents to connect with the greater world. “It’s kind of our personal Facebook,” tailored for ease of use. Family members and friends invited into the system share its benefits, including video chats. “Like on Skype,” Donahue said. Some post photos, too.

The site also serves as an electronic bulletin board, posting newsletters, menus and activities. Family members can log in from wherever they are. “Someone might say, ‘OK, Mom’s got bingo tomorrow night,’ ” Donahue said. An adult son or daughter and/or a grandchild might decide to join in the game. “Or knowing about it offers a point of conversation,” she said. Such as, “Did you have fun last night at Bingo?”

Caregivers play vital role

Almost everyone turns to family first for elder caregiving, Knatterud said. Ninety-one percent is provided by family, usually a spouse or adult children. That’s down 6 percent from two decades ago. Families tend now to be smaller, more women are working, and churches’ role in assisting families is decreasing, she said. Yet Knatterud estimates that family-provided long-term care is worth about $7 billion annually in Minnesota. And every 1 percent decline in the number of families providing elder care costs the public sector an additional $30 million per year.

Finances are an issue for many caregivers as well. “If you have to quit your job, it has an impact on your future, too” in lost income and reduced pensions as a result, Knatterud said. The Family Medical Leave Act allows caregivers 12 weeks off work a year for medical needs in the family, she said. But it’s often challenging, she said, to decide on the right time in a loved one’s decline to use it. “Flexible arrangements in the workplace,” she said, “are the thing that’s happening the most.”

Knatterud recommends additional initiatives to support family caregivers. “Parents are moving in with the kids,” or vice-versa, she said. “Multigenerational households have increased dramatically.” Some are sharing transportation, too. With the “great risk shift” of the last decade comes a redefinition of the safety net. The family becomes more important. Values and what’s important start changing. We’re going back to community values.”

As the population ages and more workers need to care for family members, employers will need to provide flexibility to ensure productivity, Knatterud said. “Soon half of workers will be caring for someone.”

‘Life work’ as caregiver

Deborah Castaneda is among baby boomers who has transitioned from paid work to “life work.” Now 63, she has been a family caregiver for 11 years and across three generations. She took care of her husband for two years while he was dying of cancer. For six years she has taken part-time care of her granddaughter, now 7, and 12-year-old grandson in their home. “Their parents have erratic schedules,” she said, and her son-in-law’s work involves travel. She often picks the children up after school, gets them to guitar lessons and other activities, then heads home to make dinner for her mother.

She moved into her mother’s home in Minnetonka – the house where Castaneda grew up – seven years ago. “Mostly because my mother became less and less able to live by herself,” she said. Hilda Martin, 88, has spinal stenosis. “She was in pain, couldn’t walk well and went from a cane to a walker. Any excursion is usually in a wheelchair.” Her mother now has dementia, her daughter said. “Each moment is a beginning. The conversation 10 minutes ago somehow didn’t register. She is less motivated and sleeps a lot, which is a concern.” 

Castaneda doesn’t leave her mother for more than a few hours. She tends the house, bills, maintenance, repairs and a big yard where her late father created lovely gardens. “There is always something to do,” she said. A sister-in-law and a sister often stop by to help. But her mother has stopped wanting to invite old friends in. “It’s now much more isolating for her,” she said. “More isolating for me, too.” Castaneda misses the paid work she once did. She misses having her own space and her own belongings around her.

“It’s a juggling act,” she said of her caregiving duties. But she’s happy to be part of her grandchildren’s day-to-day lives. And time with her mother has brought the two closer.

“I’ve learned a lot about her growing up and about her family,” Castaneda said. “I’ve become more patient. I’ve learned a lot about myself and how to be a more humane person. I’m often very grateful to be doing this.”

Kay Harvey wrote this article as part of a MetLife Foundation Journalists in Aging Fellowship, a project of New America Media and the Gerontological Society of America.

Comments (5)

  1. Submitted by Richard Kooyer on 04/13/2012 - 09:22 am.

    Cost and Resource Balance

    I am currently in training to become a Chaplain in a liberal faith tradition and am on the path toward Chaplaincy for Military, Prison and Memory Care ministry. The financial price for schooling is very high and the return on investment usually means a second profession in addition to the vocation unless you are the premiere profession on that care team.

    My plans are to be Board Certified and write a book or possibly provide spiritual direction or counseling as a second income because Chaplaincy will not provide enough but I am called to this vocational area.

  2. Submitted by mark wallek on 04/13/2012 - 11:08 am.

    Institutional caring…

    is a misnomer. No institutions care for anything other than the famous “bottom line.” Do not mistake me. There are INDIVIDUALS who do care, and who lovingly attend to the needs of the inmates, to a degree. They are not family, and they often work with marginal support. Most of the “social workers” in the industry are younger and consequently you see a failure to empathize and a tendency to elevate the pitch of the voice, like speaking to children. Many good nurses see this disconnect but can do nothing. Budgets may dictate the new hires. An older, skilled and seasoned social worker will necessarily cost more.
    Our current lifestyles are too harried to accomodate the needs of the aged and dying. They are in the way of our persuit of happiness. These institutions we have created to make our lives easier (i.e. free from painful obligations in the prime of our years) but not for the aged and dying. If anyone thinks that these places are wonderful places to die, that the staff of these institutions can “do what the family cannot” you are sadly mistaken. They can take care of the physical needs, which is done more or less efficiently, depending on the staff of the moment (and nighttime can be horrific), but the love of caring family, when absent, leaves a gaping, unfillable hole. I have seen this many many times over the years. Raisin Farm is an appropriate term. You can see it happening right before your eyes: first get all the assets, park ’em in front of the television, then hit up the state and, if you are insensitive like some staff member at St. Threse’s, you send a letter, addressed to the resident, AFTER THEY ARE DEAD, asking them to settle up the bill.
    I pray for the wisdom and strength to take my own life if one of these places is in my future.

  3. Submitted by Rachel Kahler on 04/13/2012 - 11:30 am.

    Yes, who?

    In the last article, Katy Boone, Carver county’s director of aging services says, “I think the baby boomers will change the world if they don’t find what they want.”

    This realization is nearly half a century late. The Boomers have been in charge of the government since at least the mid 60’s–first as voters, and then as actual participants. With the exception of Newt Gingrich (who, along with dropouts Herman Cain and Buddy Roemer, is just barely too old) and Ron Paul (who is way outside of the Boomer generation), each of the major candidates for president are Boomers.

    If anything, the policies of the Boomer generation are maturing at the same time the Boomers themselves are maturing. The Baby Boomer generation was probably the first “me” generation, and that view is just now coming home to roost. The Boomer generation began hitting their 40’s, when they should have been at the peak of their earning capacity, since the mid 80’s. You would have thought that the greatest mass of constructive potential should have been able to foresee their own retirements, right? I guess that when everyone is your age, you forget that you’re just as mortal as your parents.

    Still, the Baby Boomer has a lot of economic power. They represent 80% of all the wealth and nearly the same percentage of all medical expenses based on prescriptions, as well as spending on leisure travel. Yet, they only represent about half of all *discretionary* spending, and just over half of all consumer spending. That means that there is a LOT of immobile money in the Boomer Generation that is not being spent on their own welfare. Nor is that money moving down to those expected to make up for any shortcomings–their children and grandchildren.

    IS it unrealistic to expect the Baby Boomer generation to figure out who will take care of them on their own? Probably. The sheer mass of people in need of retirement and medical services is overwhelming. And the cost is incredible, especially as the earning potential of the group declines. That being said, I think the first people to turn to should really be their peers. As I mentioned above, their peers are holding the purse and policy strings that will make or break the social and economic backbone of this country as the later generations inherit it.

    The fact of the matter is, about a quarter of the entire working-aged population (employment rate aside), are Baby Boomers right now. Within 20 years, all of them will be beyond “retirement age.” If the 80% of the wealth that they control continues linearly and does not otherwise spread out (by whatever means–spending, real investment, or taxes), we will not be able to afford to take care of them all.

  4. Submitted by mark wallek on 04/13/2012 - 11:39 am.

    “MetLife Foundation Journalists

    Any association with an industry that profits from the “healthcare for the aging” marketplace should be suspect. Personally, these institutions are good ONLY because they accomodatre our oh so busy lifestyles. Any spin that makes these places seem like wonderful substitutes to a real community of family and friends is bogus. Now if someone is truely alone in life, devoid of any contact whatsoever, then maybe this is a step up. If a person has a rotten family, then this maybe is a step up. Otrherwise it’s a depressing world making anemic and futile attempts at normalcy. Could we have some non-affiliated writers take on the subject? Someone with NO association to the industry? Someone who, without question, has no alternate agendas?

  5. Submitted by Linnea Tweed on 04/13/2012 - 02:12 pm.

    Aging in Place

    Thank you, MinnPost, for this valuable series. It’s not just the Boomers looking for innovative ways to age in place. Beacon Hill Village and the “Village Movement” was launched more than 10 years ago in Boston by the Silent Generation. Since then, many communities within cities have developed their own “Villages” where members connect to resources that support interdependence. A national organization, the Village to Village Network, was created to support the growth.
    Mill City Commons is a “Village” here in Minneapolis. It is a nonprofit, membership organization launched in 2009. Sited as most valuable to members: getting to know their neighbors through educational, cultural, social and wellness programming.
    — Linnea Tweed, Executive Director, Mill City Commons

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