More Deaths than Birth for White Americans, a Minority in Three Decades
Don’t you love demographics? Demographics are a great forecasting tool, if you have the courage to use them. Demographics forced change on the United States military, forcing them to include women in more roles, recently increasing their job opportunities as the demographic pool dwindles. The same demographics are hurting the military budget now, as the huge bulge of baby-boomers retires, takes pensions and guaranteed free medical care, living a LONG time with more serious age-related illnesses, while the military struggles to allocate scarce resources.
Here is a fascinating factoid from The New York Times, a journal which notices small – but significant – changes, and gives us a little idea what the impact may be.
Census Benchmark for White Americans: More Deaths Than Births
By SAM ROBERTS
Published: June 13, 2013 232 Comments
Deaths exceeded births among non-Hispanic white Americans for the first time in at least a century, according to new census data, a benchmark that heralds profound demographic change.
The disparity was tiny — only about 12,000 — and was more than made up by a gain of 188,000 as a result of immigration from abroad. But the decrease for the year ending July 1, 2012, coupled with the fact that a majority of births in the United States are now to Hispanic, black and Asian mothers, is further evidence that white Americans will become a minority nationwide within about three decades.
Over all, the number of non-Hispanic white Americans is expected to begin declining by the end of this decade.
“These new census estimates are an early signal alerting us to the impending decline in the white population that will characterize most of the 21st century,” said William H. Frey, a demographer with the Brookings Institution.
The transition will mean that “today’s racial and ethnic minorities will no longer be dependent on older whites for their economic well-being,” Dr. Frey said. In fact, the situation may be reversed. “It makes more vivid than ever the fact that we will be reliant on younger minorities and immigrants for our future demographic and economic growth,” he said.
The viability of programs like Social Security and Medicare, Dr. Frey said, “will be reliant on the success of waves of young Hispanics, Asians and blacks who will become the bulwark of our labor force.” The issues of minorities, he added, “will hold greater sway than ever before.”
In 2010, according to the National Center for Health Statistics, more non-Hispanic whites died than were born in 11 states, including California, Florida and Pennsylvania. White deaths exceeded births in a majority of counties, including Los Angeles, the most populous.
The disparity between deaths and births in the year that ended last July surprised experts. They expected that the aging white population would eventually shrink, as it has done in many European countries, but not for another decade or so.
Nationally, said Kenneth M. Johnson, the senior demographer at the Carsey Institute, a research center based at the University of New Hampshire, “the onset of natural decrease between 2011 and 2012 was not anticipated.” He attributed the precipitous shift in part to the recession, adding that “the growing number of older non-Hispanic whites, which will accelerate rapidly as the baby boom ages, guarantees that non-Hispanic white natural decrease will be a significant part of the nation’s demographic future.”
Professor Johnson said there were 320,000 more births than deaths among non-Hispanic whites in the year beginning July 2006, just before the recession. From 2010 to 2011, the natural increase among non-Hispanic whites had shrunk to 29,000.
Census Bureau estimates indicate that there were 1.9 million non-Hispanic white births in the year ending July 1, 2012, compared with 2.3 million from July 2006 to 2007 during the economic boom, a 13.3 percent decline. Non-Hispanic white deaths increased only modestly during the same period, by 1.6 percent.
The census population estimates released Thursday also affirmed that Asians were the fastest-growing major ethnic or racial group. Their ranks grew by 2.9 percent, or 530,000, with immigration from overseas accounting for 60 percent of that growth.
The Hispanic population grew by 2.2 percent, or more than 1.1 million, the most of any group, with 76 percent resulting from natural increase.
The non-Hispanic white population expanded by only 175,000, or 0.09 percent, and blacks by 559,000, or 1.3 percent.
The median age rose to 37.5 from 37.3, but the median declined in Alaska, Hawaii, Kansas, North Dakota and Oklahoma. It ranged from 64.8 in Sumter, Fla., to 23 in Madison, Idaho.
The number of centenarians nationally neared 62,000.
Anesthesia Linked to Dementia Risk in Seniors
It may not be dementia. It may be a reaction to a medication in the elderly that LOOKS like dementia.
My father was 87, and doing pretty well for a man 87. He still walked on his own, using a walker when he had to, and very rarely, a wheelchair if we were going a long ways. He went into the hospital for a minor surgery. The tube inserted in his hand for the anesthetic became infected. Dad was acting weird, he was having hallucinations, and my sister rightly identified that Dad had a reaction to the diuretic drug Lasix; when they switched him to an alternative, the raving and hallucinations stopped.
He was transferred to a rehabilitation unit, where for two days, they put him back on Lasix. Poor communication between hospital and the rehab facility, plus standardization of drug regimens – they switched him without telling him, or us. Once again, he went loony tunes, and at the same time, his right hand began to swell until it looked like a lobster claw. He kept saying it hurt, and it was big and red, and the rehab people kept saying it would get better.
Dad was rushed to another hospital, one the rehab clinic worked with, and the doctors told us he had a ‘cascade of problems’ and which were the primary three we wanted them to work with?
Get him off the Lasix, first thing, we all agreed, and find a way to have it annotated on any record that he is never to have Lasix. (It did no good; the next hospitalization, back at the first hospital, they gave him Lasix again, which made him crazy and masked all the other symptoms.)
Long story short, there were a cascade of hospital mistakes – not one hospital, two hospitals and the rehab clinic – where miscommunications, inattentions and shortage of trained personnel resulted in a cascade of issues that led to my father’s death later that year. The other lesson learned is that if you go into a hospital, make sure you have a good support system, someone with you who will bravely ask questions, and remind someone if an inappropriate medication is prescribed. You need a family member with you for protection against inattention, mistakes, miscommunications and personnel shortages.
It’s not like there’s anyone to bring a lawsuit against; they were all doing the best they could, but Dad was old. My bet is that he might have lived another couple years, at the very least, had he not gone in for that first non-essential minor surgery. To me, the moral of the story is if you want to live a long life, stay away from hospitals.
Anesthesia Linked to Increased Dementia Risk in Seniors
Exposure to anesthesia has been linked to a 35 percent increase of dementia in patients over age 65, according to a new study.
By Jeffrey Kopman, Everyday Health Staff Writer
FRIDAY, May 31, 2013 — Caregivers and seniors struggling with the dilemmas of elder care have another risk to weigh against potential rewards — senior patients exposed to general anesthesia face an increased risk of dementia, according to research presented at Euroanaesthesia, the annual congress of the European Society of Anaesthesiology (ESA).
Researchers reviewed the medical information of 9,294 French patients over the age of 65. The patients were interviewed several times over a ten year period to determine their cognitive status.
After two years, 33 percent of participants had been exposed to anesthesia. Most of the exposed patients (19 percent overall) were exposed to general anesthesia — a medically induced coma. The rest were exposed to local/locoregional — any technique to relieve pain in the body — anesthesia.
In total, 632 participants developed dementia eight years after the study began. A majority of these patients, 512, were diagnosed with probable or possible Alzheimer’s disease. The remainder had non-Alzheimer’s dementia.
The gap between dementia related to general anesthesia (22 percent) and non-dementia patients (19 percent) was associated with a 35 percent increased risk of developing dementia. This risk was linked to at least one general anesthesia.
“Elderly patients are at an increased risk for complications following anesthesia and surgery,” said Jeffrey H. Silverstein, MD, MS, and vice chair for research at the Department of Anesthesiology at Mount Sinai in New York City. “[They] are particularly prone to postoperative delirium, which is a loss of orientation and attention. Anesthesiologists have been evaluating higher cognitive functions (for example, memory and executive processing) and found that a substantial number have decreases in one or more of these areas after a surgical procedure.”
Researchers hope this study will lead to more awareness for surgeons.
“Recognition of postoperative cognitive dysfunction (POCD) is essential in the perioperative management of elderly patients,” said study author Dr. Francois Sztark, INSERM and University of Bordeaux, France, in a press release. “A long-term follow-up of these patients should be planned.”
Elderly Care: Risk vs. Reward
Senior citizens and their caregivers might be willing to accept an increased risk of dementia if it means getting necessary anesthesia for an important medical procedure. Dementia is a relatively common occurrence in old age: One in three seniors has Alzheimer’s disease or dementia by the time of their death.
But surgery at old age can also carry more severe, and less common, health risks. In fact, simply surviving surgery can be difficult for elderly patients, especially those over the age of 80.
While the numbers vary depending on procedure, researchers have found that mortality risk tied to elective major surgeries increases with age. The risk more than doubles for patients over 80 compared to patients ages 65 to 69.
But other surgery complications are even more common in seniors.
“The major risk for elderly patients following surgery is pneumonia,” said Dr. Silverstein. “Cardiac complications are next most common.”
However, Dr. Silverstein still feels that if surgery is deemed necessary, patients should not fear the risks.
“In theory, only necessary surgery is done,” he said. “Knowing how [patients] reacted to anesthesia and surgery in the past may give them some idea of their postoperative course.”
Last Updated: 05/31/2013
Continued Efforts to Deal with Expats in Kuwait
93,000 illegals in Kuwait?
Minimum wage KD500 for Dependency Visa?
Forced retirements?
During my years in Kuwait, I saw many sorry situations. It doesn’t matter where you are on the social scale, if you are not Kuwaiti, you are expat labor. When management, for whatever reason, wants you to go, you go. People who have lived in Kuwait 50 years, who are elderly, sent home, and sent home quickly, barely time to sell what you can’t take with you, people who have had a health setback and can’t work anymore, handed their papers and told their visas will no longer be valid in 30 days.
There is no point in romanticizing your position. You’re hired help. You think you have friends, but your friends are not going to help you live out your days and die in Kuwait. When your usefulness is over, they want you gone.
We often had to get special permission to bring in professional workers for critical jobs who were over – or even approaching – 60 years old. Long-in-the-tooth is not a highly valued characteristic for imported labor.
Have an exit strategy.
The Kuwait Times title for this photo is “Illegals”
Embassies push for deportees’ rights – KD500 minimum wage proposed for dependency visa
From 30 May 2013 Kuwait Times:
KUWAIT: Two Asian embassies complained to Kuwaiti officials about the “arbitrary actions” taken during the deportation of illegal residents and lawbreakers, who were arrested in a series of crackdowns over the past few weeks across the country, a local daily reported yesterday, quoting sources with knowledge of the case.
Nearly 1,260 people of Arab and Asian nationalities have been deported since Kuwait launched crackdowns on traffic violators late last month. The General Traffic Department stated that deportation was enforced in cases of repeat offenders.
Thousands of others have been detained in simultaneous crackdowns targeting people with expired visas or those working in violation of labor regulations. But according to a report published yesterday by Al-Qabas daily, the Ministry of Interior received complaints from the embassies of India and Bangladesh, regarding the swift deportation of a large number of their nationals without them getting the opportunity to receive what they were owed from their employers.
The sources, who spoke to Al-Qabas on the condition of anonymity, said many of the deportees were sent back home through the use of travel documents released by their respective embassies, instead of their original passports that, in most cases, are kept by their sponsors. “The Indian and Bangladeshi embassies are currently taking legal recourse to secure the rights of the deported nationals, including their original passports”, the sources said.
Many expatriates arrested during the recent traffic crackdowns reportedly remain in custody, as their respective embassies refuse to grant authorities travel documents on the grounds that their visas are still valid. In that regard, the sources revealed the ministry had been trying to reach the employers in order to retrieve the passports of the soon-to-be-deported expatriates.
Meanwhile, a senior Interior Ministry official defended Kuwait’s right to deport illegal residents or foreigners who break the law. “It is the right of every country to deport expatriates who violate its residency laws or its laws in general, or take legal action against them, in order to maintain safety and security, in line with human rights principles,” Assistant Director of the ministry’s General Training Department, Brigadier General Adel Al-Saadoun, was quoted by Al-Jarida yesterday. He made these comments at a workshop on Tuesday, organized by the International Organization for Migration office in Kuwait.
In other news, Undersecretary Assistant for Citizenship and Passports Affairs, Major General Sheikh Faisal Al-Nawaf Al-Sabah, during a meeting with directors of migration departments in Kuwait, called for “tougher procedures” with regard to the issuance of visitor visas, so marginal labourers would not be able to gain access into the country.
He made the demand amid a discussion on efforts to address Kuwait’s demographic imbalance, which senior ministry officials described as “a main duty” for his department. “Maj Gen Al-Sabah told the directors that labor forces in countries having internal struggles should not be able to move to Kuwait, and that Kuwait should not become a shelter for them and their problems,” said sources quoted in an Al-Rai report yesterday.
Nationals of Syria, Iraq, Iran, Pakistan, Afghanistan, and Yemen are currently banned from obtaining visas to work in or visit Kuwait. In that regard, Maj Gen Al-Sabah said the lifting of the ban on them in the future must be coupled with controls to regulate their entrance and prevent the country’s demographic imbalance from getting worse, said the sources, who spoke to Al-Rai on the condition of anonymity.
The meeting also discussed other suggestions aimed at reducing the number of expatriate workers in Kuwait, including Maj Gen Al-Sabah’s intentions to “prepare a memorandum about the benefits of raising the minimum cap for foreigners applying for dependency visas for relatives”. Currently, such visas can be obtained as long as a supporter earns a minimum of KD250 a month, but the Undersecretary Assistant reportedly suggested during the meeting that the cap be raised to KD500.
“Maj Gen Al-Sabah questioned the capability of a man who receives KD250 a month to meet the educational, health and living requirements of a family with children,” the sources explained. They added that the senior official also plans to refer a letter to the Ministry of Social Affairs and Labor, recommending that it suspend issuing work visas to holders of commercial visit visas.
Minister of Social Affairs and Labor Thekra Al-Rashidi announced two months ago a plan to deport 100,000 foreigners every year, as part of a strategy to reduce the number of expatriates in the Gulf state by one million over a period of 10 years. Criticism sparked by the lack of details about the proposed plan prompted the minister to later clarify that the plan targeted illegal residents, whose numbers have reached 93,000, as per official statistics released last year. Kuwait is home to 2.6 million expatriates who account for 68 percent of the country’s total population of 3.8 million.
Meanwhile, minister Al-Rashidi released an order – with effect from July 1, 2013 – to terminate the services of expatriate employees who have worked for at least 30 years in the Social Affairs and Labor Ministry. According to sources familiar with the issue, the ministry has already started the process to end the services of nearly 70 foreigners by the beginning of July. The decision is in accordance with a government plan that requires forcing Kuwaitis who have held government posts for 30 years, including senior officials, into retirement. According to official statistics, published by Al-Qabas yesterday, 138 senior officials, including 11 women, will be subjected to this regulation. – Al-Qabas, Al-Jarida & Al-Rai
In a related article, measures are gaining support for withdrawing Kuwait citizenship from naturalized citizens for different reasons; below another article from the 30 May 2013 Kuwait Times Foreign spouses married to Kuwaitis watch these developments with trepidation.
MPs want citizenship revoked for breaching security – Long-time employees won’t be forced out
KUWAIT: A number of MPs yesterday proposed that Kuwaiti nationality should be withdrawn from naturalized Kuwaitis who abuse the country’s internal security or insult the country’s figures. The lawmakers also proposed that all benefits given to the naturalized person proven to have breached national security should be withdrawn and this measure should include withdrawing the citizenship of other people who gained the citizenship as a result of naturalizing that person. The proposal also suggests that people who applied for Kuwaiti citizenships and carried out similar offenses should have their applications rejected even if they fulfilled all the conditions for nationality.
To become effective, the proposal must be adopted by the concerned Assembly committees, mainly the legal and legislative and the interior and defense committees and then passed by the National Assembly and eventually accepted by the government. The proposal comes amid protests by opposition activists and former MPs and a crackdown on opposition tweeters – several of whom have received jail terms on charges of insulting the Amir. Meanwhile, MP Faisal Al-Duwaisan yesterday asked Justice Minister Sharida Al-Meosharji about implementing a law passed a few months ago to establish the Anti-Corruption Authority. Besides the corruption authority, the legislation also calls for wealth disclosure of ministers, MPs and top government officials. Duwaisan asked the minister about the steps that have been taken to implement the law and the obstacles facing it.
MP Yacoub Al-Sane said yesterday that he was informed by Prime Minister Sheikh Jaber Al-Mubarak Al- Sabah that top bureaucrats who served 30 years and above will not be forced to resign as has been published. The lawmaker said he told the premier that forcing such top officials to step down is “unconstitutional” and the prime minister replied that the government will not force them to resign but will grant them incentives and benefits to encourage them to resign. In the meantime, MP Saud Al- Huraiji questioned Finance Minister Mustafa Al-Shamali about the charges collected from expatriates for the health insurance scheme and other charges since applying the law in 1999. Huraiji said that he learned that KD522 million have been collected since that year but the ministry of finance has failed to utilize the funds in proper channels. He asked the minister if the ministry has any plan to spend the funds in the right way.
By B Izzak, Staff Writer
‘Hundreds’ deported for traffic offences
KUWAIT: Kuwait has deported hundreds of expats for traffic offences in the past month, a report said yesterday, drawing condemnation from a human rights group.
The Al-Anbaa newspaper cited a senior interior ministry official as saying that as many as 1,258 foreigners have been deported for traffic violations since a crackdown began about a month ago.
Foreign residents caught driving without a licence, using their cars to carry paying passengers, jumping a red light for a second time, or breaking the speed limit by more than 40 km per hour, can be deported without a court order. The Kuwait Society for Human Rights called on the government to halt the deportations describing them as “oppressive”. “The oppressive measure against expatriates… violates the basic principles of human rights,” it said.
The group warned that the measure could tarnish the state’s image abroad at a time when its human rights record is under scrutiny. Kuwait is home to 2.6 million expatriates who form 68 percent of the country’s 3.8 million population.
Kuwaiti nationals who commit similar offences have their vehicles seized and can be sent to court. Last month, Minister of Social Affairs and Labour Thekra Al-Rasheedi said the state plans to deport around 100,000 expatriates every year for the next decade to reduce the number of foreigners living in the Gulf state by one million. She did not say what measures she would adopt to carry out the plan.
Foreigners need to hold a university degree, earn KD 400 a month and have lived in Kuwait for at least two years to be eligible to apply for a driver’s licence, under a decision issued nearly a decade ago. —AFP
The Little Blue Pill
I’m not a person who feels a lot of pain. I hardly ever get a headache, rarely get even a paper cut. At one point in my life, when my biliary duct blocked, the doctor gave me pictures and looked at me sternly and said “You could have died, politely waiting out there in the waiting room. When this happens, come in immediately, show the ER people these photos and tell them you need this blockage cleared immediately.”
That one really did hurt, but I’m not much for groaning and writhing in pain, so I didn’t.
Today was a confluence of events. Yesterday, when the air conditioning people were at our house, all day, configuring and installing the new air conditioning system, the terrified and disoriented Qatari Cat spent the day in the large laundry room, with his cat bed and his food and water, and his litter box. It was a long day, and he was alone, and he could hear loud bumps and thuds, and he could smell strange smells, and hear strange voices. Therefore, when let out, he needed to snuggle, closely, to the one he thinks is his mother, i.e. me.
He curled into my arm and purred and cried about his long day and how scared he had been. He was still snuggling, closer and closer, during the night, as I was trying to sleep. He is a good sleeper, doesn’t move around a lot, but when he is snuggled up against me, it is hard to move. Now and then he will snore, or go into kitty-dream state, legs thrumming along and sub-vocal snarling, which can wake me.
Our normal water aerobics instructor was out, and the substitute was wonderful, but we did more repetitions of high kicks, jacks-crunches, and more high kicks; it was a great workout, different from what we are used to.
We really needed to clean our floors after the air conditioning crew, so AdventureMan took all the carpets outside for a good vacuum front and back while I tackled the tile floors throughout the main level of the house. Some of the grime was ground in, this wasn’t one of those quick swish washes but a lot of stoop and scrape, or hands and knees and scrub kind of jobs. While down close, I also noticed the base boards needed a swab, more bending and stooping.
I still had one appointment to go before I could kick back, and while waiting, I noticed my back was a little uncomfortable. By a little uncomfortable, I mean it had my attention, I couldn’t get comfortable. By the time I got home, it had my undivided attention. I know what works for me, back when I had a reaction to a root canal, I discovered Aleve, so I had some on hand.
When I went to take one, I saw this great big capsule. I remembered tiny little blue tablets, sort of ovoid, but I guess I had just grabbed whatever I saw and it happened to be a capsule. Swallowed the capsule.
There is a reason I don’t like taking medicines, and that reason is that because I don’t take a lot of medications, when I do, I can tell. It takes the edge off. I feel slow. I feel a little loopy. I feel tired. And then, by the grace of God, in an hour or so, I feel no pain in my back.
It wasn’t a bad day, just a day with some unexpected conditions. Scrubbing floors is not my favorite thing. In Kuwait and in Doha I had wonderful women who kept my floors sand-free, and sparkling clean. As I clean my floors, I found myself remembering them fondly.
AdventureMan popped his head in the door to tell me how much he likes vacuuming the carpets outdoors, where he can see the intricacies of the patterns. He can see I am grumpy. “I don’t really like cleaning floors!” I grump.
“Let’s hire someone to do it for us!” he responds, and my day suddenly looks a lot brighter. 🙂
League of Women Voters
My friends and I had an animated conversation about Florida politics as we sat around the table having a late breakfast at Adonna’s Bakery, down on Palafox in Pensacola. We were explaining how in the last election, if it were not for the voters handbook the League of Women Voters published, explaining exactly what a yes or no vote would mean for each proposed amendment, Florida would be stuck with constitutional amendments voters never intended to approve.
The League of Women Voters cuts through all the baloney and explains the issues, clearly and objectively. Without their clear, cool voice of reason, voters would be blown to and fro by the turbulent election rhetoric which blows at hurricane force during each election in Florida, obscuring the clearest issues. The League is neither liberal nor conservative, but contains members of all parties. Their goal is getting people to vote, and to understand the issue on which people are voting.
So grown up. So mature. So wise and clear sighted. Way too grown up for me, all these years, until, after that conversation, one of these friends sent me an invitation she had received for an upcoming League of Women Voters annual luncheon. As an added attraction, a local NPR reporter would be the speaker.
I hate meetings. It brings out the ADD child in me; I fidget, I wish I were anywhere but in the meeting.
And yet . . . this is a group I have long admired, and I want to support them. So I agreed, and we attended.
It was so much fun. These women – and men, about a fifth of the attendees were men – are people focused on ISSUES. They have study groups for how juveniles in the local area are arrested and treated in our jails and custodial facilities. They have groups which study the impact on the environment of legislative and local government decisions. They go to civic meetings, speak out, and report back to the League. This is a group of people who take positions and recommend actions! Exciting stuff.
You know I am a believer, so I might see things differently from you, or others, but I met some really cool members, people I believe I was meant to meet. One said wonderful things about my son as he practices his profession. There is no Mother’s Day gift on earth that means as much as the words she spoke, praising his ethics and integrity.
An elderly man sitting next to me was leaving this week to go to Heidelberg.
“Are you going for the closing down?” I asked, and told him I had graduated from Heidelberg American high school, lo, these many years ago. “Yes,” he replied, he has family who have lived there many years, and he has been back many times. It led to a discussion around the table, where I discovered two other women who had been in DoDs schools in Germany. What an unexpected blessing!
Every now and then, as you lead your life, you get the feeling you are exactly where you are meant to be at this very moment, and I had that feeling as I left the meeting. I am so thankful for the serendipity that led me there, and for the rush of blessings the meeting provided.
LOL, the group I thought might be stuffy and staid played this wonderful Lady Gaga video:
Sunrise in Seattle: A Quick Trip
Oops!
Sorry! I intended to keep writing, but as it sometimes can, life just got away from me. I took a quick trip to Seattle to see my Mom on Mother’s Day, stayed with my best friend from college, ummm . . . when I count the number of years we have been friends, I am shocked!
Flying out of Pensacola, we flew over Bayou Texar:
I had a great seat, but the lady next to me sounded like she had terminal pneumonia, so I kept my face toward the window. Everything went smoothly, arrived a little early. Two hassles: I had decided for just a short trip I would use a shoulder bag/suitcase, and even though it was light, it gets heavy lugging it from gate to gate. On the good news side, it sure is a lot easier to travel with just cabin baggage, easy on – easy off.
Second, I just hate it that Seattle has relocated all the rental cars to an off-site location. The buses only stop at one end of the terminal or the other so again, there is a lot of lugging, whether it is wheeled or shoulder. You have no control over when the bus will come or when it will leave. It used to be so easy, just dropping the car off and walking directly into the terminal; now I have to calculate extra time for unknowns in the rental return process, oh aarrgh.
Traffic to north Seattle was horrible, even on a Saturday, it was like a normal work day when all the workers are streaming out of the city. On work days, there are windows when traffic is less, but a Saturday! Aarrgh!
It was not raining, or not much. That was a really good thing. Temperatures were lower than Pensacola. That was a good thing. We had a great Mother’s Day brunch, with my sisters and their hubbies, and Mom and I did some shopping. The next day, more errands and catching up on banking and bureaucracies. Those were all good things.
My good friend and I had time to catch up and – as we are wont to do – analyze and strategize. We spent a good amount of time laughing at ourselves and our dilemmas. We laughed at the problems of aging. We laughed at who we thought we would be (who ever thinks they will get old??) and who we have become. Here is what sunrise over Lake Washington looks like from my friend’s house:
Flight home uneventful; arrived in Atlanta a few minutes early and I was out the door in a flash, running running running down one concourse and up the other to see if I could get on the earlier flight to Pensacola which was leaving in MINUTES! “No, no, not possible” the gate clerk said without even looking up; she was already working on two other women, I am guessing flight attendants trying to get back home. I waited a minute, bushed from the long run and lugging the shoulder luggage, then said “I think I will just go find a barbecue” and the gate attendant said “Wait!” and I thought she was going to tell me where to find the best barbecue, because I had like three hours, but no . . . she was printing me out a ticket! I got the last seat, back, back, way back in between two great big United States Marines, but it was a fun 45 minutes and I was home three hours earlier. All that is really good!
Even though it is not Seattle to Kuwait, I still like to shower after a long flight, I just feel germy! AdventureMan made me a beautiful salad with sauteed Portobello mushrooms on top, oh yummmmm and we delighted to be together again. Woooo HOOOOO, home again 🙂 Sorry to be out of the loop, but when you are one day out, one day back with two days in between, time just swooshes by.
Western Diet Killer:
From the UK Daily Mail Online:
The Western diet really IS a killer: People who eat white bread, butter and red meat are most likely to die young
- Those who ate fried and unhealthy food had doubled risk of early death
- Key culprits include red meat, white bread, butter, cream and sweet foods
- Findings ‘help explain’ why heart disease is still the UK’s biggest killer
PUBLISHED: 13:20 EST, 16 April 2013 | UPDATED: 02:08 EST, 17 April 2013
The typical Western diet, high in fat and sugar, really does lead to an early grave, new research suggests.
A study of more than 5,000 civil servants found those who ate the most fried and sweet food, processed and red meat, white bread and butter and cream doubled their risk of premature death or ill health in old age.
It adds to evidence that ‘Western style food’ is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness.
The findings published in The American Journal of Medicine are based on a survey of British adults and suggest adherence to the diet increases the risk of premature death and disability later in life.
People who ate the most fried and sweet food, processed and red meat, white bread, butter and cream doubled their risk of premature death or ill health in old age
Lead researcher, Dr Tasnime Akbaraly, of the National Institute of Health and Medical Research in France, said: ‘The impact of diet on specific age-related diseases has been studied extensively, but few investigations have adopted a more holistic approach to determine the association of diet with overall health at older ages.’
She examined whether diet, assessed in midlife, using dietary patterns and adherence to the Alternative Healthy Eating Index (AHEI), is associated with physical ageing 16 years later.
The AHEI is an index of diet quality, originally designed to provide dietary guidelines with the specific intention to combat major chronic conditions such as heart disease and diabetes.
More…
Dr Akbaraly added: ‘We showed that following specific dietary recommendations such as the one provided by the AHEI may be useful in reducing the risk of unhealthy ageing, while avoidance of the “Western-type foods” might actually improve the possibility of achieving older ages free of chronic diseases.’
The researchers analysed data from the British Whitehall II cohort study and found following the AHEI can double the odds of reversing metabolic syndrome, a range of disorders known to cause heart disease and mortality.
The research adds to evidence that Western style food is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness
They followed 3,775 men and 1,575 women from 1985-2009 with a mean age of 51 years.
Using a combination of hospital data, results of screenings conducted every five years, and registry data, investigators identified death rates and chronic diseases among participants.
At the follow up stage, just four per cent had achieved ‘ideal ageing’ – classed as being free of chronic conditions and having high performance in physical, mental and mental agility tests.
About 12 per cent had suffered a non-fatal cardiovascular event such as a stroke or heart attack, while almost three per cent had died from cardiovascular disease.
About three quarters were categorised as going through ‘normal ageing’.
The researchers said participants who hadn’t really stuck to the AHEI increased their risk of death, either from heart disease or another cause.
Those who followed a ‘Western-type diet’ consisting of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products, lowered their chances for ideal ageing.
The Baboon Coughed
We’ve had three sets of houseguests in a very short time span, and today is our first day of ‘normal.’ We saw our friends off at 0430 (we used to call it oh-dark-hundred) and I couldn’t get back to sleep, so by the grace of God (and I mean that literally) I got up and walked.
I know I need to walk. I’ve always walked. I used to run, but I suffered for it – the knees – and decided I didn’t want to pay that price. But when my sister was here, we decided to take a walk and I said “don’t worry, I walk fast” and she said “I don’t, I am so slow now, my body has to warm up.” Confidently I started – and starting is uphill from my house. Very shortly, I discovered my fast was her slow, and I was HUFFING and puffing, and so embarrassed because I guess it’s been a while since I did this walk . . . but we did it. It felt good. And I was happy for a nice cool morning so I could do it again.
I ran into a neighbor, ignored that she was in her nightgown, we both pretended she was as fully dressed as I, had a brief conversation and she went inside with her newspaper and I carried on. About halfway through my walk, as I puffed along, I heard it.
The baboon coughed.
I could even smell a faint drift of wood burning fire. I could hear the doves. But it was only very briefly, very intangential, and I quickly realized it must have been a dog barking distantly; I could still hear him. For one brief moment I was back in Zambia, and while I love the magic of Zambia, I would not be out for a mile long hike early in the morning while the lions prowl for a last meal before they settle down for their day-long snooze.
We are off this morning to a grand plant sale across the bay in Milton. Symphony tonight. Back to “normal” for Pensacola.
PGM: Proud Grandmama Moment
I took a wonderful photo at Easter, wonderful because I have the same exact photo at the same exact age of my son, holding up his Easter Egg exactly (or, oh pardon me, I can’t resist, eggsactly) the same way. There are just some little things that make a Grandmama’s (and Mama’s) heart sing 🙂
Because AdventureMan has worked so hard with him, little Q has been moved up to a more advanced class, and we are all excited about that. I know there are some who prefer to be the BEST in their group, but we always learn and achieve more when surrounded by people a little more accomplished and skilled than we are. We are happy he will be pushing himself to be a really GOOD swimmer!
When we pick Q up at school, all his little school friends say “Q – your BaBa is here!” LOL @ all these little kids speaking Arabic!
Long Term Care Insurance: Buy it Young
I have a whopping bill to pay, and while I hate to do it, it is necessary. Women in my family live a long time. People in America are living longer. While retirement funds can look generous at the time you retire, health care costs and late-life care can eat those funds down to nothing . . . and then what?
It’s not like the old days. There was a time when we didn’t live so long, and women didn’t work. Who, these days, has time to stay home and care for the ailing elderly? Because we live longer, by the time we become ailing-elderly, our children are borderline elderly themselves, unable to do the heavy lifting that comes with helping the elderly do even the smallest of everyday tasks, bathing, grooming, eating, dressing – it takes strength.
I found this article on AOL’s Daily Finance page.
Long-Term Care Insurance Should Be Part of Your Financial Plan
by Michele Lerner, Mar 12th 2013 5:00AM
In the world of insurance products, long-term care insurance is a relative newcomer. It was introduced in the late 1970s, but in recent years, it has become a much more important element of retirement planning thanks to twin rises in health care costs and longevity. (Life expectancy in 1930 was just 59.7; in 2010 life expectancy for Americans was 78.7.)
Many people associate long-term care insurance with nursing homes, but it also pays for in-home care and assisted living facilities. According to the American Association for Long-Term Care Insurance, 50 percent of long-term care insurance benefits in 2011 went to pay for in-home care, 31 percent for nursing home care, and 19 percent for an assisted living facility.
How Long-Term Care Insurance Works
Each long-term care insurance policy is slightly different, but most benefits kick in based on a similar definition of “disability”: either you have severe cognitive impairment or you need help with at least two daily living activities. These activities include bathing, dressing, eating or using the bathroom.
In other words, you don’t just automatically receive the benefits when you think you could use some help or when you move into a retirement community. Policies are typically purchased with fixed daily benefits for a fixed period of time such as three years or five years.
Can You Cover These Costs Without It?
On an hourly, daily and monthly basis, the cost of the kinds of services covered by long-term care insurance really add up.
A 2012 MetLife Survey of Long-term Care Costs found:
The national average monthly base rate in an assisted living community cost $3,550 in 2012.
The national average daily rate for a private room in a nursing home cost $248; a semi-private room ran $222 per day.
The national average daily rate for adult day services was $70.
The national average for hourly rates for home health aides was $21.
While many people recognize the value of having insurance coverage to help pay for their care when they age, not everyone purchases it.
A 2012 Generational Research project by Financial Finesse showed that just 10 percent of people age 45 to 54 have purchased long-term care insurance, and only 16 percent of people age 55 to 64 have it.
Why are people forgoing coverage? It comes down to cost, according to the AARP.
How Much Does Coverage Cost?
Long-term care insurance can vary widely depending on your age at the time of purchase, the length and amount of coverage, and policy characteristics including whether your benefits are adjusted for inflation and the length of any waiting period before benefits are paid, among other things.
According to the American Association for Long-Term Care Insurance, the average annual premium for long-term care insurance in 2012 for a policy for a 50-year old with a daily benefit of $200 for three years of coverage and a 3 percent automatic compound inflation coverage was $2,235. Your policy can’t be cancelled (except for non-payment) and premiums for long-term care insurance cannot be increased on an individual basis for your age or health reasons. Still, insurance companies can raise the premiums for an entire class of policyholders (such as everyone age 75 and older).
Obviously, the older you are when you purchase long-term care insurance, the more expensive the policy and the higher the likelihood that you will be turned down for the coverage. Underwriters look at your health records as well as mortality risk to determine your eligibility for coverage.
Some companies give you a discount if you’re married because they assume spouses are likely to take care of each other longer before resorting to a nursing home.
Four Reasons You Need Long-Term Care Insurance
So how do you know if you need this kind of insurance? If you have more limited retirement savings, long-term care insurance should probably be part of your financial plan. And even if you have $2 million or $3 million in the bank for your retirement and future health care needs, don’t dismiss these policies before you examine the benefits more closely. Consider, for example:
How much longer we’re living these days. The longer you live, the higher your chances of needing some type of long-term care, either in your home, in a nursing home or in an assisted living facility.
Rising health care costs. AARP says that health care costs have historically outpaced the overall rate of inflation. If you need to live in a nursing home for more than a year or two, you could need $250,000 or more to pay for it.
How far your retirement investments will really take you. Your 401(k) may look good when you retire at 65, but if you need to pay for assisted living or even a home health aide the income generated by your retirement investments could get eaten away very quickly. If one spouse needs to live in a nursing home but the other can stay at home, you’ll need enough savings to cover two separate living expenses.
Your family’s emotional and financial health. Even wealthy families often choose to purchase long-term care insurance because the policy can make decisions about how to care for loved ones easier by giving them more options. Instead of draining their inheritance, your family members can use insurance benefits to pay for home health care or to cover some of the expense of a more costly nursing home.
Financial experts suggest purchasing long-term care insurance between age 55 and 64, but remember that the younger you are when you buy it, the lower your premiums will be. If you or your parents are 50 or 55, it’s time to discuss your options with an insurance agent.
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