The skinny on age defying products How to help your grandchildren Belize, a treasure trove of activity page 17 page 14 page 10 Find Index of Caregiving Services on page 3 Published Monthly / FREE / December 2011 / Vol. 37 / No. 12 / 20 pp. BOSTON METRO EDITION WWW'OLDEN,IVING#ENTERSCOMs Equal opportunity provider of healthcare services. GLS-07030-11-IH CURRENT RESIDENT OR Fifty Plus Advocate • 131 Lincoln Street • Worcester, MA 01605 PRE-SORT STANDARD U.S. POSTAGE PAID PERMIT NO. 597 WORCESTER, MASS. Attention Diabetics! If you have Medicare, you may qualify for professionally fit therapeutic shoes along with custom made orthotics, all tailored to your specific needs and at no cost to you! Committed to a Culture of Excellence unparalleled People arewith our passion. 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UMass Medical School wins recognition for older worker offerings By Brian Goslow WORCESTER — he University of Massachusetts Medical School (UMMS) has joined previous honorees DentaQuest of Charlestown, Massachusetts General Hospital in Boston and the Massachusetts Institute of Technology in Cambridge on AARP’s 2011 list of Best Employers for Workers Over 50. The award follows an ongoing effort by UMMS to address issues related to older worker satisfaction, including the creation of a mature workforce committee which developed a “Program for the Mature Worker,” utilizing results from a Diversity and Equal Opportunity Office online climate survey. UMMS created programs to help employees with their career development. Employees at the school who work 20 hours or more a week are offered tuition reimbursement, certification classes and in-house classroom training. To assist employees who are visionimpaired, UMMS purchased technology such as Dragon speech recognition software. “There are all kinds of training here for full-time and part-time employees,” said Patricia Keith, chair of the 20-member mature workforce committee, which is open to all UMMS employees. UMMS utilizes various Internet sites and job fairs to recruit mature employees; the university defines mature workers as 40 and older, following federal guidelines. Keith said mature workers need to be retained. “It’s going to be total brain drain when the baby boomers retire,” she explained. T Thirty-four percent of the UMMS new nutritional information labeling. workforces is over 50 years old, 52 Eydie Cullen, 53, of Medway, has percent is over 40. worked in the university’s contract Administrative manager Susanna credibility and support services office Perkins, who is in her 50s, has worked for the past seven years; she’s been at at UMass for over six years. “I had taken UMMS for 12. “I had worked in high a buyout package at a high tech comtech and put out a bunch of applicapany and wanted to change industries,” tions,” she said. “When UMass called, she said. “I lived a half-mile away and I thought I’d try something different.” wanted to work here. I wish, in hindShe enjoys working at UMMS. “I sight, I had done this 10 years earlier.” love the atmosphere of academia,” Perkins started at UMMS as a finanCullen said. “I’ve never worked in a cial analyst; she was hired at a lower place with such a variety of people of rate than she made in high tech. She all ages and different backgrounds. noted the private sector tends to pay When you work with people of higher salaries. “I already had the backdifferent ages, you learn things you ground I needed for my position but wouldn’t otherwise have a chance I’ve taken a lot of internal educational UMMS workers (from l to r) Eydie Cullen, Pat Keith and to learn.” classes,” Perkins said. “In switching Susanna Perkins Cullen has taken courses for new from the private to the public sector, managers and research administrachild had twins and another employee needed we didn’t deal with grants and used a different time to help elders, they took advantage of tors, and is currently taking one through software system.” Commonwealth Medicine on leadership posithe flextime.” She enjoys the shared environment of Perkins personally benefited from her tions. “It’s a collaboration between UMass and working in a place that is part hospital, employer’s attention to older workers when Clark University that could lead to me getting part college campus. “My entire staff is over she returned to the office after undergoing a master’s degree in public health,” she said. 50,” she said. “They have a great amount of surgery for carpel tunnel syndrome. “They When UMMS workers retire the school experience — which comes with age — and had an ergonomics person do a study on encourages them to return to the campus a great work ethic too.” my workplace,” she said. “They changed a couple of days a week. “A lot of really They benefit from the option of a flexible my chair, keyboard and mouse, and the seasoned faculty teachers retire and come work schedule and other benefits important distance my monitor is from me, and gave back and teach medical students,” Keith to people of that generation, especially when me a foot rest.” said. “They’ve been teaching students for 30 it comes to caregiving concerns. “Folks in the UMMS employees receive individual or more years. They’re great and good at it.” sandwich generation have it more difficult and family medical and prescription drug Cullen agreed. “The value they bring is than younger parents,” Perkins said. “They coverage and individual and family vision the history and being someone who knows know where their kids are during the day. and dental insurance. At the request of its how things work, she said. “They give you When you have elderly parents or kids in col- employees, UMMS worked with its vendors the continuity; they know whom to go to if lege, you’re not so sure. When an employee’s to provide healthier cafeteria food and add you need help (solving a problem).” 5 hot job categories for retirees, older workers By Dave Carpenter CHICAGO — ooking for a job isn’t just a concern for those under 65. Retirees and those past the traditional age for calling it quits increasingly need or want to work. The challenge, of course, is finding suitable work in an economy with chronically high unemployment. Many are succeeding, as the rapid graying of the work force shows. The number of U.S. workers 65 or older has grown 24 percent in five years, to 6.7 million. And that’s with the babyboom generation just now entering the age group. More than half of that total were employed full-time, and nearly 1.3 million were 75 or older, according to a 2011 survey by the Employee Benefit Research Institute (EBRI). Seventy four percent said they expect to work after they officially retire, up from 63 percent in 2008. With that in mind, seniors looking for work must examine their own skills as well as the labor market’s needs in order to find L a satisfying job. Retirees typically have the advantage of being more interested in a job than a career, noted Bill Coleman, vice president at RetirementJobs.com. “They can be a good resource, bringing 30 or 40 years of work experience to the table and not looking to squeeze every last dollar out of a position,” Coleman said. “That can be very appealing to an organization.” Searching for work in your primary career field is the obvious approach. But that may not pan out, or perhaps you’re just ready for a new challenge. Here’s a look at five job categories with promising demand now and in the years ahead for retirees willing to tackle something different: 1. Health care — Home health aide and personal aide top a Bureau of Labor Statistics list of job fields expected to grow the fastest by 2018. The pay is modest — median wages of roughly $20,000 for each Eastern Massachusetts Edition 131 Lincoln Street, Worcester, MA 01605 Serving the Fifty Plus Community since 1975 (508) 752-2512 • FAX: (508) 752-9057 Bookkeeping: ext. 6, Circulation: ext. 7, Sales Manager: ext. 5 Publisher: Philip Davis Executive Editor / Assistant Publisher: Sondra Shapiro: ext. 136 Staff Reporter: Brian Goslow: ext. 135 Travel Writer: Victor Block Art Director: Susan J. Clapham: ext. 142 Bookkeeper: Stacy Lemay: ext. 6 in 2008. But caregiving work can be a good fit for those looking to work 20 to 25 hours a week and do something meaningful. Flexible work arrangements, substantial health care benefits, and training and development opportunities make the jobs appealing to many older workers, according to Jean Setzfand, director of financial security for AARP. Age discrimination shouldn’t be an issue. Health care facilities will likely recruit among older professionals to match their aging client base. Other health jobs in demand that don’t require special degrees include medical assistant, physical therapist aide and medical billing specialist. 2. Retail — Retail jobs are popular with older workers. Openings are frequent, hours are flexible and many part-time opportunities are available. Many retailers welcome seniors as customer service employees or cashiers because they have found that older work- ers are very good at making customers happy, according to Coleman. Other retail jobs available for seniors may include retail manager, floor supervisor, stock-room associate, greeter or food company demonstration worker. Seasonal work also gives retirees ample opportunities to work without the requirement of a year-round grind. Big retail chains, grocery stores and hardware stores all are a good bet. 3. Government — Two government agencies in particular — the Department of Veterans Affairs (VA) (www.va.gov/ jobs) and the Transportation Security Administration (TSA) (www.tsa.gov/jobs) — are known for seeking older workers. Both agencies have openings requiring little or no experience. The VA has a wide range of nationwide listings, including everything from technologists to clerks, cemetery caretakers and telephone operators. The department likes older workers in customer service, nursing and counseling positions, according to Coleman of RetirementJobs.com. “Older Research Study Advertising: Donna Davis: ext. 130 Boston Metro / Boston South Sales Manager: Reva Capellari: ext. 5 Sales: Cara Kassab: ext. 125 Steven M. Persichetti Members of the Associated Press. HOT JOB page 8 Fifty Plus Advocate is published monthly, 12 times annually by Mar-Len Publications, Inc. 131 Lincoln St., Worcester, MA 01605. Fifty Plus Advocate accepts no responsibility for unsolicited manuscripts or materials and does not return them to sender. Retractions for any inaccuracies will be printed when necessary. Unsolicited letters to the editor become the property of this newspaper and can be reprinted in part or in whole unless otherwise stated. Fifty Plus Advocate columnists writing under a byline are expressing their personal opinions and not necessarily those of the newspaper. Read more at www.fiftyplusadvocate.com Bargain hunter laments passing of Filene’s Basement By Sondra L. Shapiro entrance. During that first trip, I was so overwhelmed that I only managed to buy odesty took a backseat to a bargain two pairs of nylons and a tube of lipstick. at the original Filene’s Basement On subsequent trips, I learned how in downtown Boston. As women to push and shove with the best of them, stripped down to their bras and girdles in and developed a practiced eye for getting the middle of aisles to try on skirts, dresses through a lot of junk quickly in search of or slacks, men stood on the stairs leading that one treasure: a Tahari suit, which was down to the Basement unabashedly ogling so well-made and timeless that I kept and the scene below. wore it for decades; a Willie Smith Zoot Suit that became a hit in my teen party circuit; luxurious cashmere sweaters (not the cheap, thin offerings that department stores put on sale these days); and a Diane von Furstenberg wrap dress, which pushed my budget to the limit. The Basement was a I learned the hard way that my best place where good manattempts at burying a prized hand-knit ners were left at the door as women of sweater underneath a pile of cotton underevery shape, size and age pushed, clawed wear in hopes it would still be there when and in some cases engaged in tug-a-war another markdown was taken was no to acquire a drastically marked down match for my fellow treasure hunters who Johnathan Logan dress or were far more seasoned a cashmere sweater at 75 than I. percent off. Friends brag about The Basement — the their purchases from disoldest off-price retailer in counters like T.J.Maxx the country — was started and Marshalls, but nothin 1909 in Boston by ing compares to the thrill William Filene as a place of the hunt during those for the Filene’s department early days at Filene’s store to sell excess merBasement. The disorgachandise. Filene invented nized merchandizing: the automatic markdown tables brimming with system, which meant the wrinkled, haphazardly price tag on each item was displayed clothing and marked with the date it hit racks so crammed with the selling floor. The longer hanging items that it an item remained unsold, Filene’s famous clock at the took brute strength and the more the price would Boston location a willingness to ruin a automatically be reduced manicure for the sake of to 25 percent off the original cost, then 50 possibly laying hands on a newly marked percent and finally 75 percent. What was down mini dress, like the one Twiggy wore not sold was given to charity. on the latest cover of Vogue. Without rehashing the various acquisiSince I was making the trip to Boston tions the store has been part of, suffice it specifically to shop at the Basement, I to say the latest company to own it, Syms would never consider leaving one stone Corp., filed bankruptcy and is liquidatunturned, or more accurately, no rack or ing all 21 Filene’s Basement locations. The table untouched. It was serious business, a news fills me with sadness and a sense day-long task. When I left the store, I’d be of bittersweet nostalgia, since the store sweating, regardless of the 30-degree temis where I developed my bargain shopperature outside. ping chops and a fondness for discount But my brimming bag filled with those designer duds. once-in-a-lifetime finds was worth every To venture into the dark depths that hour I spent underground. housed the Basement required the shopper Yes, I admit I respected and related to to embrace reckless abandon — a concept the women who filled the aisles in maniacal that was alien to my 1960s world since I frenzy — my fellow fashion warriors. was raised by a mother who would never The Filene’s Basement experience is an leave the house wearing slacks or without indelible memory of my youth, one that makeup and who had genteel manners to helped shape the “shopper.” If it’s not dismatch — habits that were surely ingrained count, I won’t buy it. Now and then I still by her southern background. Yet, her penfind myself burying a coveted scarf underchant for well-made clothing combined neath a pile of pocketbooks in hopes it will with a blue-collar income helped convince still be there when markdowns are taken. my mother that abandoning a sense of Some habits are just too ingrained to break. decorum was a small price to pay in order So, although Filene’s Basement is a ghost to venture into the underworld of retail of the off-price giant of its past, we bargain mayhem that was Filene’s Basement. addicts will pay homage by squeezing The Basement was the destination of my through the doors, pushing and shoving first adult-free trip to downtown Boston toward that final markdown. from my home in Malden. I was around 14 when my friend Pammy and I skipped Sondra Shapiro is the executive editor of going to a Saturday football game, caught the Fifty Plus Advocate. Email her at sshapiro. a bus, then hopped on the Orange Line [email protected] or read more at train and were finally deposited at Filene’s www.fiftyplusadvocate.com. M Just My Opinion (Zone 3) www.fiftyplusadvocate.com 5 Social service organizations rethink recruitment of baby boomer volunteers By Brian Goslow the two-year study period. “A lot of it is creating flexible opportuniaking advantage of the professional ties,” said David Voegele-Albin, DIAL/SELF skills of recently retired or nearing Teen Services’ executive director. Those retirement age baby boomers can opportunities include enlisting local college help non-profit organizations continue to faculty or staff to visit area schools to give provide high-level services to their clients a one-hour lecture or serve as a “vendor” despite recent funding cuts. The key at a career fair where they can discuss their is identifying potential volunteers who career paths, including whether they went have a background in areas that match an to college and what went into that decision, organization’s specific need — and as well as their life experiences. convincing those individuals that “Once someone engages with us their commitment would provide one time, it raises the chances a rewarding experience. of them working with us a secThat’s the finding of a two-year ond,” said Voegele-Albin, whose study and test program conductoffice serves as the AmeriCorps ed by the Massachusetts Service VISTA service program office for Alliance in partnership with the its region. ACT Volunteer Center of DIAL/ He said that in his dealing with SAFE Youth and Community Voegele-Albin young volunteers, they might stick Services of Greenfield and the Corporation around for 10 months to a year. But, boomfor National & Community Service. ers offer more longevity. “If they’re excited The report, “Volunteer Connectors as about the opportunity, they could be with Relationship Brokers: Toward an Expanded us for 10 years and play a vital role for a Role for Volunteer Centers,” details how long time.” ACT, through rethinking how it solicited The study found that one successful new volunteers, was able to bring aboard change at the start of the relationship new people to fill positions that would have — calling volunteers by the title of the been lost to funding cutbacks. job they fill — made a psychological The project targeted baby boomers difference, both to the person and those 45-64 currently employed at Western they interacted with. Oftentimes, when Massachusetts-based college campuses to someone would call businesses about the serve as volunteers at schools and nonprofit program, company representatives would agencies that serve children and youth. request to speak with someone other than Over 400 volunteers participated during a “volunteer.” T Thus, when Starr Pinkos, a retired Spanish teacher who lives in Montague, started as DIAL/SELF’s executive projects coordinator, she had a desk, a computer and business cards with her name and title waiting for her. She works two days a week, eight hours a day, helping with the organization’s fundraising. “She can help update our website,” Voegele-Albin said. “We used to do that maybe every six months. Weiner Now, thanks to her, it’s updated once a week with program updates and a calendar. We were able to create the right role for her and she’s enthusiastic about what she’s doing.” ACT Volunteer Center Director Barbara Abraham had been executive director of a multi-service agency in Leominster, where she resides. “She had 30 years of experience managing volunteers,” Voegele-Albin said. “She wasn’t interested in working full-time but was interested in continuing to do what she did in the past.” A flexible work schedule helped recruit Abraham, who travels to the Greenfield office twice a week while staying in touch with volunteers other days via phone or e-mail. To successfully engage new ACT volunteers, techniques such as creating compelling opportunities that provide flexible roles and tasks; researching ways to identify individuals best suited for a volunteer opportunity; and how to request their assistance with a personalized request were used. “Boomers will want flexibility when it comes to using their time,” said Naomi Weiner, the Massachusetts Service Alliance’s director of training and technical assistance. “They’re busy and have a huge choice of how to spend their time. Many of them don’t expect to retire in a traditional sense and they’re going to be healthier and active for longer periods than past generations. They want to work in the area in which they’re content. They’re able to say, ‘If I’m not happy, I’ll go somewhere else.’ ” Traditionally, organizations would seek a long-term commitment, usually a year, for a volunteer position. Weiner said if an organization finds someone it feels would be a good fit for what it’s looking for and they can’t make a long-time commitment, it should ask if the person would be willing to sign on for a small part of calendar year. “You might end up with four volunteers where you would have had just one, Weiner said. “If the experience is good and positive, even if it’s only for a short time, the volunteer will ask, ‘How else can I help?’ ” For more details: Massachusetts Service Alliance, online at mass-service.org or call 617-542-2544; DIAL/SELF Youth and Community Services, online at dialself.org or 413-774-7054. Medicare relief: Premiums will not be as high as feared By Ricardo Alonso-Zaldivar WASHINGTON — edicare’s basic monthly premium will be much lower than expected next year, the government recently announced. That could pay political dividends for President Barack Obama and for Democrats struggling to win over seniors in a close election. The new Part B premium for outpatient care will be $99.90 a month for 2012, or about $7 less than projected as recently as May. M The bottom line: most seniors will pay an additional $3.50 a month next year, instead of $10.20, as forecast earlier. Some younger retirees who enrolled recently will actually pay less. They have been paying up to $115.40 a month. Instead, they’ll also pay $99.90 next year. The main reason for lower-than-expected premiums has to do with the interaction between Social Security COLAs and Medicare. But the Obama administration is hoping seniors will get a simple takeaway message: Medicare is under sound management. Would you like to participate in research on aging? Are you 65 or older? The Face Perception Laboratory at Brandeis University, directed by Professor Leslie Zebrowitz, is currently looking for people who would like to volunteer as research participants for various psychological studies. Each study involves face perception tasks that are designed to investigate how people form first impressions about other people based on their faces. The tasks are interesting and results from the studies will contribute to our understanding of the aging process. Participants will complete a variety of pencil and paper tasks as well as computerized tasks (no prior computer experience is necessary). You must have at least a tenth grade education and be fluent in English to participate. t&BDITUVEZUBLFTUPIPVSTUPDPNQMFUF t4UVEJFTUZQJDBMMZQBZCFUXFFOBOIPVS If you’re interested in participating or would like more information, please call (781) 736-3294 or e-mail [email protected]. Older voters went for Republicans in the 2010 elections, after Obama’s health care overhaul law cut Medicare spending to help finance coverage for the uninsured. Since then, the administration has doubled down to reverse any perception that Obama is steering Medicare into decline. The Medicare news means the majority of seniors will have to fork over only a small part of a long-awaited Social Security increase next year for premiums. Premiums have been frozen at the 2008 level of $96.40 a month for about three-fourths of beneficiaries. That was due to the lack of a Social Security cost-ofliving adjustment during the depths of the economic downturn. But Social Security recently announced a COLA raise in monthly checks averaging $39 for 2012. Earlier this year, officials had announced that premiums for Medicare’s prescription benefit would remain unchanged for 2012, on average. Similarly, average premiums for popular Medicare Advantage plans will dip slightly in 2012. But those announcements do not have as much impact. Averages used RELIEF page 7 Tai Chi and Physical Therapy for Knee Osteoarthritis Study If you are age 40 or older with Knee Osteoarthritis, you may be eligible to participate in a study at Tufts Medical Center in 2011 and 2012! The study, funded by the National Institute of Health, will investigate the effects of Tai Chi and Physical Therapy on people with Knee Osteoarthritis. Up to twenty-four FREE Tai Chi or Physical Therapy sessions. Compensation of up to $200 is available For more information, call 617-636-2612 or email [email protected]. Obama directs FDA to help reduce drug shortages WASHINGTON — resident Barack Obama is directing the Food and Drug Administration (FDA) to take steps to reduce drug shortages, action he says will help stop a “slow-rolling problem” that puts patients at risk and raises the potential for price gouging. Obama signed an executive order instructing the FDA to take action in three areas: broadening its reporting of potential drug shortages; accelerating reviews of applications to change production of drugs facing potential shortages; and giving the Justice Department more information about possible instances of collusion or price gouging. Patient deaths have been blamed on the P ➤ Relief Cont. from page 6 by the government don’t reflect individual experiences. And fewer beneficiaries are enrolled in either of those two benefits. The Part B premium is one number that most of the 48 million people on Medicare can connect with. Upper-income retirees pay more, and Medicaid covers premiums for low-income beneficiaries. But middle-class beneficiaries shortages, which tend to affect cancer drugs, anesthetics, drugs used in emergency medicine and electrolytes needed for intravenous feeding. Hospitals have been forced to buy from secondary suppliers at huge markups. Surgeries and cancer treatments have been delayed. “Even though the FDA has successfully prevented an actual crisis, this is one of those slow-rolling problems that could end up resulting in disaster for patients and health care facilities all over the country,” Obama said. The president ordered the new steps without congressional approval, saying his administration refused to wait for lawmakers to act on similar legislation pending on Capitol Hill. The measure is part of a White House effort to use executive action to get around congressional Republicans. Obama said the White House would continue to push lawmakers to pass bipartisan legislation to prevent drug shortages, but said “we can’t wait for action on the Hill, we’ve got to go ahead and move forward.” The FDA reported 178 drug shortages last year, and the agency reported it continues to see an increase in shortages this year. Major causes of drug shortages are said to be quality or manufacturing problems, or delays in receiving components from suppliers. Drug makers also discontinue certain drugs in favor of newer medications that are more profitable. The FDA does not have authority to force drug makers to continue production of a drug. The administration acknowledged the steps Obama approved won’t solve a growing problem. Shortages have tripled in recent years and show no signs of slowing. Indeed, officials said the FDA has managed to prevent 137 drug shortages over the past 21 months when companies told regulators they were having trouble. Options include getting other manufacturers to ramp up their own production, helping to find alternative suppliers of key ingredients, even sometimes allowing temporary importation of competitors usually only sold abroad. — AP on tight budgets watch the Part B figure. A leading nonpartisan expert on Medicare said she doubted election-year politics are behind the lower-than-expected premiums for 2012. “Changes in premiums are obviously important to seniors but the numbers are based on what the law requires, and determined by independent actuaries, rather than politics,” said Tricia Neuman of the Kaiser Family Foundation. Neuman said the explanation is likely due to the complicated relationship bet- ween Social Security COLAs and Medicare premiums. By law, the Part B premium is set to cover 25 percent of the cost of Medicare’s outpatient care benefit. But premiums have been frozen for most beneficiaries in recent years because federal law also says that — with some exceptions — an individual’s Medicare premium cannot go up more than their Social Security COLA. That left a relatively small share of beneficiaries, including recent enrollees, bearing the brunt of higher Medicare costs. Indeed, the so-called “standard premium” for 2011 rose to $115.40. Back in May, when government experts originally forecast a premium of $106.60 for 2012, they were also projecting a Social Security COLA of just 0.7 percent. But the final COLA increase turned out to be a 3.6 percent raise. And that meant rising Medicare costs could be spread among many more people, resulting in smaller increases for each individual. — AP Make a difference for many lifetimes Volunteers in research studies contribute to medical science, thus charting new pathways of treatment and care for others. Participants can also benefit by obtaining breakthrough research treatments available only thru trials, most at no cost. You can make a difference. Call one of the clinical trials advertising in the Fifty Plus newspapers for volunteers now! SAVE TI M E FREE, NO-OBLIGATION INFORMATION ON ANY OF THESE STUDIES? (Check off the study you would like to receive information on. A research study coordinator will call you.) Fifty Plus Advocate, 131 Lincoln Street, Worcester, MA 01605 Name: Address: City: Telephone #: ( State: Zip: ) We cannot process without your phone #. It will be used only in regard to the studies you have marked. z-3_12.11 ✁ CUT OUT THIS COUPON AND MAIL TO: ❍ Alzheimer’s Study ~ Neurocare ❍ Aging Study ~ Brandeis University ❍ Tai Chi / Knee Osteoarthritis ~ Tufts New England Medical Center (Zone 3) www.fiftyplusadvocate.com 7 Viewpoint Deadline nears for Medicare Part D enrollment By Ron Pollack I f you have Medicare, you know that as soon as the leaves start falling from the trees, your mailbox will fill up with information about your Medicare choices for 2012. And, as tempting as it is to ignore it all, you really should take the time to review your current Medicare coverage to see if it will be different next year and whether you want to switch plans. There’s one big change this year that affects most people with Medicare. It’s not a change in coverage, but a change in timing. This year, the annual enrollment period for Medicare Advantage and Medicare prescription drug plans started and will end earlier. It began Oct. 15 and ends Dec. 7 for changes that take effect January 1, 2012. This is actually a longer period of time to make a decision — more than seven weeks, instead of the six weeks in past years. But it means that, unlike past years, you can’t wait until the very end of the year to decide about your coverage for next year. The new enrollment period is part of the Affordable Care Act (the health reform law). The longer enrollment period gives people more time to make decisions. And making it earlier means that people won’t be changing Medicare plans around the Christmas holidays, when it’s hard to get help and paperwork can be delayed. But it means that those with Medicare, and those who help loved ones with Medicare, need to be on his or her toes this year to make sure to meet the earlier deadline. So, what should you do during the upcoming enrollment period? First, you should review the coverage you have now. If you have a Part D prescription drug plan or Medicare Advantage plan, you should have received a letter from your plan (your “Annual Notice of Change”) by the end of September. Don’t ignore it. That letter tells you how your plan will be changing next year. Check to see what will happen with your premiums and copayments. Find out if coverage of particular drugs or services is changing. Then take some time to look at your other options. Maybe you can find a different drug or Medicare Advantage plan that’s cheaper or better fits your needs. Or, maybe the plan you have now is the best one for you. Here are a few tips: •If you have original Medicare and a supplemental plan (sometimes called Medigap), and you like your coverage, you don’t need to change. Be very careful if you do decide to drop your Medigap plan — you may not be able to get it back later. Each state has its own rules about purchasing Medigap plans. •Don’t fall for any high-pressure sales. Everyone with Families USA Medicare has the same enrollment period: Oct. 15 to Dec. 7. There are no “limited-time offers.” Don’t make any changes in your coverage until you fully understand the consequences. •Don’t be shy — do your research, ask questions and get help if you want it. The Medicare.gov website lists all the plans in your area. You can call 800-MEDICARE for general information and to enroll in a plan. You can also ask for a referral to your local State Health Insurance Assistance Program, or SHIP. There’s one in every state, and they provide free counseling and advice to everyone with Medicare. •If you or someone you know has limited income and resources, there are programs that can help with your costs. Talk to your local SHIP or go to the Social Security website: www.ssa.gov/prescriptionhelp. •If you decide to enroll in a new plan, do it through 800-MEDICARE, rather than through the plan itself. The annual enrollment period is a good time to take stock of your Medicare coverage, even if you’re happy with what you have. Just remember, Dec. 7 is the last day you can make changes for coverage starting in January, 2012. Ron Pollack is the executive director of Families USA, a national organization for health care consumers. It is nonprofit and nonpartisan, and its mission is to secure high-quality, affordable health coverage and care for all Americans. Online: www.familiesusa.org. The Social Security COLA wars are fizzing up By Al Norman A fter two straight years with a 0 percent Social Security cost of living adjustment (COLA), the recently announced 3.6 percent Social Security COLA must have looked pretty good to retirees. But this is one of those cases of “been down so long it looks like up to me.” On Oct. 19, the Social Security Administration announced that Social Security checks will rise by 3.6 percent beginning January of 2012. By comparison, the COLA increased 5.8 percent in January of 2009. Since 1975, Social Security’s general benefit increases have been based on increases in the cost of living, as measured by the Consumer Price Index for urban workers. Beginning this January, the typical retired Enjoy Home Delivery of ❍ 1 year - $18 worker earning $1,186 will see his/her monthly check rise by $43 per month to $1,229. Over the course of a year, the 2012 COLA amounts to $516 a year in increased benefits. The typical disabled worker will see a benefit check rise from $1,072 to $1,111, or $39 more per month. Although the COLA hike was good news for the 60 million Americans on Social Security and Supplemental Security Income, the numbers show just how meager Social Security is for most retirees — before any cutbacks are made by Congress to the program. The estimated average annual earning for retired workers will be only $14,748 after the latest COLA increase kicks in this January. Many seniors feel that the COLA that Congress uses is not a good measure of the living expenses actually facing the elderly. Push Back You can enjoy the convenience of having your Fifty Plus Advocate delivered to you at home, insuring you that you will never miss an issue. Just fill out this coupon and enclose payment. ❍ 2 years - $34 ❍ 3 years - $48 Name:_________________________________________________________ Address:_______________________________________________________ City:___________________________ State:_________ Zip: _____________ If change of address or renewal, place mailing label here and your new address. MAIL TO: 131 Lincoln St., Worcester, MA 01605 Even though the COLA is the only way retirees can cope with the rising cost of daily living, Congress is considering changes in the method used to calculate the COLA. Some lawmakers argue that the current consumer price index does not accurately reflect the inflation experienced by seniors and argue that the COLAs should be larger. Others argue that the COLAs should be smaller. The federal government actually calculates what is known as the CPI-E, a measurement that more accurately reflects the market basket of goods and services purchased by the elderly. But opponents of a CPI-E argue that more than 20 percent of the people on Social Security are under the age of 62. Congress is also being lobbied to adopt the “chained CPI,” which takes into account the tendency for people to substitute cheaper goods for more expensive items as prices go up. For example, if the price of ➤ Hot Job Cont. from page 4 people have more patience and tend to come across as more caring and nurturing — that’s what we hear from employers,” he said. The TSA, with over 450 work locations around the country, has jobs as screeners or otherwise dealing with passengers and customers. It values flexibility and reliability in its employees — two traits older workers are known to offer. 4. Computer work — One of the most popular profession switches for older workers and retirees is going into computer-related work, according to Jim Toedtman, editor of the AARP Bulletin. The jobs entail such tasks as data entry or working with data communication systems and networks. pork increases but the price of beef does not, consumers might shift from pork to beef. The chained CPI adjusts for this type of consumer substitution. But elderly households spend about twice as much on health care as all other households, and unlike discretionary spending, health care cannot be substituted or short-changed. Elders won’t like the chained CPI because the average earner retiring in 2011 at age 65 would lose roughly $6,000 over 15 years if the chained CPI were adopted compared with the current urban worker CPI. Cut this column out and send it to your congressman. Let him/her know that you don’t want to be tied to a “chained CPI” and want a COLA that more accurately reflects your true cost of living. Al Norman is the executive director of Mass Home Care. He can be reached at 413-7735555 x 2295, or at: [email protected] Specific training to learn new skills is required. Anyone looking to get work in another specialty in retirement should seek out low-cost training opportunities at a community college or elsewhere. 5. Temp agencies — Retirees have been flocking to temp agencies. Like seasonal retail work, temporary help in an office or elsewhere can be an ideal match for an older worker and employer. The worker offers flexible hours and experience and gets the opportunity for new challenges and limited-term working assignments that sometimes lead to fulltime positions. The largest staffing services firms — including Adecco, Manpower and Kelly Services — have thousands of office locations among them and hire on behalf of employers in many fields ranging from medical and information technology to teaching and tele-services. — AP ?M_QTTÅVL\PMZQOP\IQLNWZaW] NZWUITTTop Laboratories The Promise of Dignity. With more than a decade in service, AseraCare Hospice is dedicated to providing a gentle, holistic approach at the end of life. ?MIZMLMLQKI\MLXZWNM[[QWVIT[XZM[KZQJQVO PMIZQVO[IQL[NZWUWVTa\PMUW[\ZM[XMK\ML TIJWZI\WZQM[QVKT]LQVO";QMUMV[8PWVIS =VQ\ZWV;\IZSMa?QLM`IVLUWZM “Ask About Our Price Match Guarantee” 781-979-0800 DECEMBER ONLY This is our life’s work. This is our promise. 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Arawak Indians. Their lifestyle I knew that its dense jungles hide intriguing may be experienced in coastal Mayan ruins, some dating back before the birth of settlements of wooden houses Christ — and they do. lining dusty streets, including What surprised and delighted me during my visit to Dangriga, Punta Gorda and the New Hampshire-size Central American country was Seine Bight. the treasure trove of other attractions and list of things I was fortunate enough to to do. meet 78-year-old Erdengela Like most visitors, I spent some delicious time relax- Polonio, a buyei (healer) who ing on soft sand beaches. I also relived the mastery, and was preparing to conduct a mystery, of the great Mayan civilization. I hiked hidden dugu ceremony in her wooden, paths, enjoyed gentle canoe paddles and explored the thatch-roofed “temple” to cure jungle, rain forests and rivers that encompass inland two young girls who could not Belize. walk. Just off its Caribbean coastline, some 200 island I also relived the compelcayes (pronounced “keys”) bask in the warm waters. ling story of the Mayans. Most visitors head for Ambergris Caye, which has Wherever you are in Belize, exploded in recent years as a diving and snorkeling remains of Mayan sites are destination. likely to be nearby. The jungle I preferred the more laid-back life on smaller, lessconceals more than 600 ruins Waterfall in a rain forest developed Caye Caulker. Brightly painted wooden of that once-great civilization. houses line its two narrow lanes. Most transportation is My introduction focused upon by foot, bicycle or golf carts. Caracol, the largest Mayan location in Belize, which One of Belize’s most intriguing attractions is the sprawls over 50 square miles and encompasses remains mélange of its residents. Mestizos, descendants of of some 36,000 structures. Spanish and Mayan ancestors, and Creoles of mixed Massive pyramids, broad plazas, ball courts and African and white blood, account for about 75 perover 100 reservoirs are linked by more than 20 miles cent of the population of some 275,000. Mayans, East of roads that radiate out like spokes of a wheel. Indians, Chinese, and even Mennonites and Amish add Hieroglyphic texts carved into stelae and other facades to the mix. provide the names and sometimes portraits of rulers, and descriptions of important historical events. Descendants of the Maya today live in villages of thatch-roofed wooden homes, dine on traditional foods like corn tortillas and caldo (a kind of cabbage), and keep their customs alive in other ways. Along with strolls through Mayan sites, very different kinds of walks attempt nature lovers. A personal favorite was the Cockscomb Basin Wildlife Sanctuary, a remote rainforest known as the only jaguar preserve in the world. Because jaguars are nocturnal animals, human visitors have little chance to see one. As our guide Santos Gonzalez remarked, “The best place to see a jaguar is a zoo.” However, we did spot jaguar tracks, and a wild pig and tapir. We also encountered a troop of howler monkeys in the treetops, which complained about our presence by their chorus of barking noisBelize beach (photo by dave humphreys) es that can be heard for a mile. We also saw croco- I (photo by damian solano) dile half submerged at the edge of a river, a tarantula hidden beneath a fallen tree trunk, and a number of the estimated 300 species of colorful tropical birds that live in the overhead tree canopy. Caving is another popular pastime in Belize, and it doesn’t have to be the crawl-on-your-belly, slide-downa-rope kind of activity. You may choose a walk-in experience, canoe or kayak ride, or float in an inner tube. I enjoyed a pleasant hour-long canoe ride into Barton Creek Cave. Even without the human skulls, animal bones, clay pots and other evidence of Mayan occupation, the beauty of the cave itself is entrancing. Multi-hued stalactites suspended from the ceiling reach almost to the water. The ceiling soars to a cathedrallike height of 165 feet, then descends so low that boaters have to duck in order to pass. As our canoe glided between walls just wide enough to navigate through, I recalled the open expanse of Caribbean beach I had enjoyed just hours before. That diversity — of nature, people and history — is to me the greatest appeal of a visit to Belize. If you go For more information contact the Belize Tourism Board by logging onto www.travelbelize.org or calling 800-624-0686. The Same Quality Care & Lifestyle of Assisted Living at a fraction of the price. C ome Home to the Pettee House, a warm and welcoming, not-forprofit, retirement community. This rest home, an alternative to assisted living, provides added security for greater peace of mind, and is designed for seniors who may need a little help with daily activities and who would benefit from the support of the community, in the lovely historic district of Newton Upper Falls. 10 Fifty Plus Advocate (Zone 5) Priced Out of Assisted Living? The Pettee House, on the campus of The Stone Institute offers you an alternative with all the special amenities you want and need at an affordable price. Services Provided: s!LL-EALS s(AIRDRESSER s0ODIATRIST s4ELEPHONE#ABLE s(OUSEKEEPING,AUNDRY sHOUR3UPPORT3ERVICES December 1, 2011 !SKFOR Gail Schwartz to give you a tour or e-mail [email protected] The Pettee House 277 Elliot Street, Newton, MA 617-527-0023 Visit our website: www.stoneinstitute.com Secrets of long life sought in DNA of the elderly NEW YORK — eorge Eberhardt just turned 107, and scientists would love to know how he and other older folks like him made it that far. So he’s going to hand over some of his DNA. He’s one of 100 centenarians taking part in a new project that will examine some of the oldest citizens with one of the newest scientific tools: whole-genome sequencing, the deciphering of a person’s complete collection of DNA. Scientists think DNA from very old healthy people could offer clues to how they lived so long. And that could one day lead to medicines to help the rest of us stay disease-free longer. By the time you reach, say, 105, “it’s very hard to get there without some genetic advantages,” said Dr. Thomas Perls, a geriatrics expert at Boston University. Perls is helping find centenarians for the Archon Genomics X Prize competition. The X Prize Foundation, best known for a spaceflight competition, is offering $10 million in prize money to researchers who decipher the complete DNA code from 100 people older than 100. The contest will be judged on accuracy, completeness and the speed and cost of sequencing. The contest is a relaunch of an older competition with a new focus on centenarians. Genome pioneer J. Craig Venter said the centenarian project is just a first step in revealing the genetic secrets of a long and healthy life. “We need 10,000 genomes, not 100, to start to understand the link between genet- G Trusted Care Givers Altranais Home Care ics, disease and wellness,” said Venter, who is co-chairing the X Prize contest. The 107-year-old Eberhardt of Chester, N.J., played and taught tennis until he was 94. He said he’s participating in the X Prize project because he’s interested in science and technology. It’s not clear his genes will reveal much. Nobody else in his extended family reached 100, and he thinks only a couple reached 90, he said in a telephone interview. So why does he think he lived so long? He credits 70 years of marriage to his wife, Marie. She in turn cites his “intense interest in so many things” over a lifetime, from building radios as a child to pursuing a career in electronics research. But scientists believe there’s more to it, and they want to use genome sequencing to investigate. Dr. Richard Cawthon of the University of Utah, who is seeking longevity genes by other means, said it may turn up genetic features that protect against multiple diseases or that slow the process of aging in general. Protective features of a centenarian’s DNA can even overcome less-than-ideal lifestyles, said Dr. Nir Barzilai of the Albert Einstein College of Medicine in New York. His own study of how centenarians live found that “as a group, they haven’t done the right things.” Many in the group he studied were obese or overweight. Many were smokers and few exercised or followed a vegetarian diet. His oldest participant, who died this month just short of her 110th birthday, smoked for 95 years. — AP Do You Have a Loved One In a Nursing Home? Did you know that there are legal ways to reduce or even eliminate your nursing home costs without lowering the standard of care? 2XUODZ¿UPLVGHGLFDWHG to helping families who are overwhelmed or confused by all the decisions they have to make about placing a loved one in a nursing home. With our knowledge of the law and our proven legal methods, we can often greatly reduce or even eliminate those large monthly nursing home bills. For a copy of our FREE special report, “How to Find the Right Nursing Home, Get Good Care There, and Pay for it Without Going Broke,” please call 978-465-5407. Elder Law Solutions Margot G. 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The 77 million-strong generation born between 1946 and 1964 is increasingly worried about retirement and their finances in light of the economic crisis of the past three years. Just 9 percent say they are strongly convinced they’ll be able to live comfortably when they retire, according to the Associated Press-LifeGoesStrong.com poll. Shelley Wernholm, a 47-year-old single mother of two who works for a health insurance company in Cleveland, said she wanted to retire and move to a new home by 60. But her pension was eliminated five years ago, her personal investments tanked during the recession and her home of 21 years has lost more than half its value. “I was hoping I’d be moving to a beach somewhere, anywhere, preferably a warm one,” Wernholm said. “But I’m not moving. I can’t. It’s hard to remain optimistic.” Overall, about 6 in 10 baby boomers say their workplace retirement plans, personal investments or real estate lost value during the economic downturn. Of this group, 53 percent say they’ll have to delay retirement because their nest eggs shrank. Financial experts say those losses, including home prices that have dropped by a third M nationwide over the past four years, have left boomers anxious about moving and selling their homes. “There’s a mistrust of the real estate market that we didn’t have before,” said Barbara Corcoran, a New York-based real estate consultant. “There’s a concern about whether people will get money out of their house. They envision the home as a problem, not an asset, and this unshakable belief in homes as a tool for retirement has been shaken to the core.” Fifty-two percent of boomers say they are unlikely to move someplace new in retirement, unchanged from March. And 4 in 10 say they are very likely to stay in their current home throughout their retirement. Older boomers are more apt to say they’re already settled in for their golden years; 48 percent say it’s extremely or very likely they’ll stay in the home they live in now throughout their retirement, compared with 35 percent among younger boomers. Those who’ve lived in their current home for 20 or more years are also more likely to say they’ll stay. Midwestern and rural baby boomers are more inclined to stay put, too. Not surprisingly, higher-earning boomers who make more than $100,000 a year are more likely to buy a new home during retirement. Overall, boomers are just as likely to say they expect to buy as rent their retirement home: About 3 in 10 say it’s at least somewhat likely they will buy, and about as many expect to rent. THE ROAD FROM OUR HOUSE LEADS STRAIGHT TO YOURS At Sherrill House, our patients enjoy access to exceptional services and programs, including: • Fully equipped, 2,200 sq. ft. state-of-the-art sunlit gym overlooking Olmstead Park • 24-hour Skilled Nursing Care and a Primary Care Nursing Model • Nutritional Counseling by our full-time Dietician Online: Questions and results: www.surveys.ap.org; Lifegoesstrong.com: www.home. lifegoesstrong.com/new-poll-reveals-midliferswill-retire-close-home. “Best service I have ever had, your staff have just been wonderful” - ABC Home Healthcare client Experience the difference. We’re owned and operated by nurse practitioners and geriatric case managers. When it comes to home care, trust the professionals.... The Return to Home Program,™ located on our second floor, is designed to prepare patients to return to their homes as quickly as possible following a hospitalization. • Comprehensive rehabilitation delivered by our experienced in-house team of Physical, Occupational, and Speech Therapists perhaps because 3 out of 4 say they would prefer visiting friends and family stay with them instead of at a hotel. Many boomers are saying they’ll keep working during retirement: a total of 73 percent in the new poll, compared with 67 percent in March. That’s more than in any other generation. Sherry Wise, a 53-year-old agricultural economist in Lorton, Va., a suburb of Washington, said she is worried she will have to work well into her 60s and beyond in order to continue paying her mortgage, keep up an investment property in New Mexico and look after her two daughters. “The one thing I know is that you can’t count on anything anymore. This economy has gotten so screwed up,” Wise said. “We’re just going to try to earn as much money as possible.” Knowledge Networks of Palo Alto, Calif conducted the AP-LifeGoesStrong.com poll Oct. 5-12. The poll involved online interviews with 1,095 people born between 1946 and 1964, as well as companion interviews with an additional 315 adults of other age groups. The margin of sampling error for baby boomers was plus or minus 3.6 percentage points. Knowledge Networks used traditional telephone and mail sampling methods to randomly recruit respondents. People selected who had no Internet access were given it for free. — AP Why buy a new home? About 4 in 10 of those who say it’s likely they’ll buy a new home would prefer a smaller one. Other important considerations include a different, and perhaps warmer, climate (30 percent); a more affordable home (25 percent); and being closer to family (15 percent). Just 8 percent of those surveyed are looking for a larger home and only 10 percent are searching for a city with more services. John Fortune, a 60-year-old small business owner in Scotch Plains, N.J., outside Newark, said he’d ideally like to move in his retirement years. But he’s unsure about the future and whether he’ll have any money left over after putting three kids through college. “I don’t expect to fully retire,” said Fortune, who runs a business that sharpens knives, tools and other cutlery. “It just depends on what happens to the economy. I’d like to find someplace that is warmer and doesn’t have the high taxes but we’ll just have to see.” Regardless of whether they are likely to move, boomers’ top priorities for their retirement home is to be near their children (50 percent), not have any stairs (46 percent), and close to medical care (39 percent) and shops and services (38 percent). Mothers were far more likely than fathers to say that living near their children was an important consideration in planning retirement housing. When those kids have left the nest, baby boomer parents are most likely to turn their children’s rooms into new guest bedrooms — ® Home Healthcare P r o f e s s i o n a l s • Award-winning Music Therapy Program • Complex Wound Management • Fully appointed patient rooms with complimentary cable, phone, and wireless Internet access • Convenient location, minutes from all major Boston hospitals and accessible by public transportation Our home care aides and nursing staff can provide all the services you’ll need to remain safe in the comfort of your home for as long as you wish. Assist with personal care, bathing, dressing and day-to-day activities Reinforce exercise programs Supervise medications Light housekeeping and laundry Meal preparation We also offer: Live-In, Hospice and Respite Care, Homemaking, Companion, Nurses and Case Management. All services available from 1 to 24 hours a day, 7 days a week. For more information call Call 617-735-1775 to schedule a personal tour or visit www.sherrillhouse.org to learn more. 135 South Huntington Avenue • Boston, MA 02130 • 617-735-1775 www.sherrillhouse.org 12 Fifty Plus Advocate (Zone 5) December 1, 2011 781-245-1880 online at www.abchhp.com Committed to Life at Home Resource for Caregivers Dementia patients suffer dubious hospitalizations By Marilynn Marchione O ne-fifth of Medicare nursing home patients with advanced Alzheimer’s or other dementias were sent to hospitals or other nursing homes for questionable reasons in their final months, often enduring tube feeding and intensive care that prolonged their demise, a new study found. Nursing homes may feel hospital care is warranted when a frail, elderly patient develops swallowing problems, pneumonia or a serious infection, but researchers suspect a different motive for many transfers: money. Medicare pays about three times the normal daily rate for nursing homes to take patients back after a brief hospitalization. “I think that’s unfortunately a factor in what’s happening here,” said Dr. Joan Teno, a palliative care physician and health policy professor at Brown University. “A lot of this care just feels like in and out, in and out. You really have to question, is the health care system doing a good job or not.” She is a co-author of the study, published in a recent New England Journal of Medicine and done with researchers from Harvard University and Dartmouth Medical School. Among the nearly 475,000 patients studied, 19 percent were moved for questionable reasons. The study provided no evidence that money motivated such transfers or that there was wrongdoing involved. However, the large variation that researchers saw from state to state suggests money may be playing a role. Rates of such transfers varied from 2 percent in Alaska to more than 37 percent in Louisiana. In McAllen, Texas, 26 percent of study participants had multiple hospitalizations for urinary infections, pneumonia or dehydration — conditions that usually can be treated in a nursing home. That compares to just 1 percent of patients in Grand Junction, Colo. The researchers used Medicare records from 2000 through 2007 to identify “burdensome” transitions of care: moving patients in the last three days of life, moving them multiple times in the last three months of life, or moving them so they landed in a new nursing home afterward. Medicaid pays on average $175 per day, depending on the state, for long-term care, but Medicare will pay three times that for skilled nursing care after a patient returns from three days or more in a hospital. “If you have a nursing home that is operating on a margin, it adds up. It can be a tremendous incentive to hospitalize these people,” Teno said. Researchers found that patients who had a dubious transfer were more likely to have a feeding tube inserted, to spend time in intensive care in the last month of life, to have a severe bedsore or to be enrolled in hospice late (three days or less before they died). Dubious transfers were more common with black patients, Hispanics and those without advance directives, legal documents spelling out care wishes. The National Institute on Aging sponsored the study. One author consults for a nursing home system and owns stock in a long-term care information services company. The study is important because more than 1.6 million Americans live in nursing homes, and nearly one-quarter of people admitted to one after hospitalization wind up back in the hospital within a month, Dr. Joseph Ouslander of Florida Atlantic University in Boca Raton and Dr. Robert Berenson of the Urban Institute in Washington, D.C., wrote in an editorial in the journal. Nursing homes may fear legal liability if they don’t hospitalize a very sick patient, they wrote. However, people with advanced dementia have a terminal condition. “These are people who are unable to recognize their relatives, they’re bed-bound and they’re now usually having problems with swallowing. This is a population where the burdens of hospitalization often outweigh the possible benefits,” Teno said. “These patients actually do better when they stay in a nursing home,” where caregivers and surroundings are familiar, she said. For families and nursing homes, “it may be difficult to recognize that in fact, this person is in the dying process,” said Dr. Michael Malone, medical director of senior services for Aurora Health Care, a network of 15 hospitals in eastern Wisconsin. His 87-year-old father, Wendell Malone, died in January of advanced dementia in a nursing home that managed his care without frequent hospitalizations. “It provided dignity, it provided comfort for the family,” and let him stay in a place and with caregivers he knew, Malone said. Beth Kallmyer, who runs programs for caregivers for the Alzheimer’s Association, said the most important thing is to have a plan in place, with legal documents like “do not hospitalize” directives, before a nursing home has to make a decision about whether to hospitalize someone or instead focus on comfort care and not try to prolong life. “When the time comes, the family will be able to say ‘This is what dad wanted,’ ” Kallmyer said. She and other experts offered these tips: •Involve patients in planning their care while they’re still able to do so, and make sure wishes like “do not resuscitate” or “do not call 911” are spelled out in legal documents. •Develop good relationships with nursing home staff and attending physicians so they understand the family’s goals of care. •Consider hospice care when seniors with advanced dementia are admitted. •Revisit and review the plan whenever there is a change in a loved one’s status. Someone may not be end-stage when they enter a nursing home but that can change. •Seek advice. The Alzheimer’s Association has a 24-hour toll-free number, 800-272-3900, with counselors to help families. State reports: www.LTCFocUS.org. What to look for when choosing a walk-in tub By Dan Martin M ost people have never seen, let alone experienced, a walk-in tub. To make an informed buying decision, there are things to consider. Caregiving Tips First, what are the benefits of walk-in tubs? They are particularly suited for those aging in place (at home) and people with mobility challenges. Walk-in tubs also help caregivers to transfer and bathe patients. Some tubs offer therapeutic hydrotherapy, which is often prescribed by doctors to provide relief from fibromyalgia, poor blood circulation and arthritis, as well as sore muscles and joints. The built-in jets will soothe sore muscles, alleviate fatigue, reduce stress, and can be part of a rehabilitation program. Different tubs offer different levels of accessibility. The original walk-in tub has a small door that swings in. These come in a variety of qualities and are appropriate for fully mobile individuals. Then there are “out-swing tubs” These are truly accessible tubs that safely accommodate persons of varying mobility levels. Good quality tubs use quality materials that will last for years. Cheap versions are made of poor-quality materials that will inevitably fail, costing the buyer time, money and frustration. The frame of a tub can be made of wood, steel or aluminum. Aluminum seems superior because wood can potentially rot while steel expands and contracts in the opposite direction as the fiberglass, thus stressing the tub and causing unwanted problems. The door, seal and valve are also crucial components to the quality of any tub. Cheaper tubs use small valves that make filling up the tub a long, arduous process. Larger valves allow tubs to fill quickly and not waste time. One might wonder while inspecting or sitting in a tub: “How does this thing not leak?” The answer is the design and quality of the door and seal. The process of buying a tub is most important of all. There are generally two scenarios. There are companies that typically will get their tubs overseas, use a distributor to ship them, have another independent person marketing the tubs and another installing them, for instance. All these (Zone 5) disjointed components make for a disorganized process with little to no customer service. Worst of all, there is no one company to call when something goes wrong. The second scenario is a real business that can assess your needs properly and make sure the tub will fit in your bathroom. These companies order the tub, deliver it, install it, place it under warrantee and service it over the years if needed. These second types of businesses are generally local and involved in the community while the first types are not. Walk-in tubs are a wonderful way to improve quality of living for yourself and loved ones. Their safety and luxuriousness will keep older adults independent, healthy and joyfully living an improved life. Dan Martin is the owner of Total Access New England, serving New England from his local base in Westborough. He is also a certified aging in place specialist (CAPS) and can be reached during business hours by phone at 508-329-1031 anytime by email at [email protected]. Visit his websites: elegantbathroomsbydan.com or totalaccessne.com. Archives of articles from previous issues can be read at www. fiftyplusadvocate.com . www.fiftyplusadvocate.com 13 Sponsored by: Money Matters 3 common money missteps grandparents make By David Pitt I t’s so tempting to want to give the grandchildren everything and put their wants and needs first. However, one of the common money mistakes grandparents make is to put spending on grandkids ahead of their own retirement security. Here are three money missteps grandparents make and ways to avoid them: 1. Excessively spoiling grandchildren — Financial advisers and estate planners have all kinds of stories about retirees who insist on spending significant amounts of their savings on grandchildren. Too often they fail to recognize the severity of the risk it poses for their own retirement security. “You really cannot reason with people not to do it,” said Jean A. Dorrell, an estate planner in Summerfield, Fla. “They know they shouldn’t be doing it, but they will continue until they don’t want to do it anymore.” Another temptation is for grandparents to set up Uniform Gifts to Minors Act (UGMA) or Uniform Transfers to Minors Act (UTMA) accounts for children as a way to pay private school expenses or for college costs such as tuition, books or room and board. However, many don’t realize that when their grandchild becomes an adult (age 18 or 21 depending on the state where the account was established) the money can be spent on anything the child wants, said Casey Weade, a financial planner with Fort Wayne, Ind.-based Howard Bailey Financial Inc. The child owns the assets in these accounts. That also means the account can affect the amount of financial aid a college student may receive. Weade said it makes more sense to set up a 529 college-savings plan which offers tax benefits when used for qualified college expenses including tuition, books and housing. 2. Failing to establish an estate plan — Estate planning is essential. The smooth transfer of wealth between generations is an important part of a family’s financial well-being, yet most families don’t have the proper documentation in place. That would include a will, a power of attorney for finances or a trust. In a 2009 survey of more than 1,000 people aged 18 and older by Lawyers. com, just 39 percent of respondents reported having a will. Even fewer had a power of attorney and fewer still had set up a trust. While it may seem daunting to think about all the aspects of estate planning, it’s not impossible to pull together the basics so that last wishes are fulfilled when the time comes. 3. Leaving retirement funds on autopilot — It’s very common to have multiple accounts, said Chuck Cornelio, president of defined contribution for Lincoln Financial Group, which provides retirement and other financial services. It’s not unusual to see workers with as many as six or seven. Frequently workers fail to consolidate accounts in a way that would enable them to manage their money effectively. Consolidating accounts into an IRA, for example, helps ensure the money is adequately diversified across investment options and can help in developing an overall retirement plan. “That’s actually a good idea because then you can get a holistic picture of all your investment opportunities and where you can get your money from in retirement,” Cornelio said. Workers frequently leave 401(k) money with a previous employer or sometimes roll it over to an IRA and keep it invested in the stock market, said Dorrell. She advises them to evaluate the risk of keeping too much exposed to the volatility of stocks when at or near retirement age. Having both a traditional IRA and a Roth IRA account to pull money from can help a retiree control taxable income. With a Roth IRA, deposits are taxed when made to the account, but money can be pulled out in retirement tax-free. For many it would make sense to consider converting to a Roth. Anyone who expects to be in a higher tax bracket at retirement would benefit by paying the taxes on those savings now. And with tax rates widely expected to rise in the future, many retirees may end up in higher brackets than they are currently. The Vanguard Group provides a good review of Roth conversions here: www.vanguard.com/pdf/rpd21.pdf. For further help, check this calculator to help determine whether a Roth conversion makes sense: www3.tiaa-cref. org/iracalcs/conversion_calc.jsp. — AP Cremation … Why Pay More? 1,395.00 “Simplicity” Cremation. $ “No Membership or Extra Costly Charges.” Professional, Caring and Dependable. Serving all of Massachusetts: Toll Free 800-314-1890 617-269-1930 (Boston) 508-444-3307 (Cape Cod) or or AVAILABLE 24 HOURS A DAY ALL MAJOR CREDIT CARDS AND STATE ASSISTANCE ACCEPTED Visit Us Online: www.CasperCremation.com A+ rated by Helping families survive after a death or disability By Linda T. Cammuso D eath and taxes are certainties in life, we’ve all heard that. What you may not know is that the likelihood of becoming disabled is much greater than the likelihood of dying. Proper planning for either disability or death is one of the most thoughtful things you can do for your family. The documents that you need to pull together to make things easier for your family in the event of your disability or death are listed below. Legal Briefs Essential documents Speak to an estateplanning attorney if you don’t have the first five vital documents in place. They will ensure that your spouse, children or other family member can easily take charge and make decisions on your behalf, and that your wishes are honored and end-of-life matters are carried out with dignity. Have on hand the following: •Will; •Trust(s); •Durable power of attorney; •Health care proxy/HIPPA release; •Living will; •Funeral insurance policies or prepaid funeral arrangements; and •Letter describing your last wishes. Additional important documents Make a list of the following documents and their locations to include with your end-of-life documents: •Deeds; •In-force life insurance policies and annuity contracts; •Bank statements showing account numbers and contact information; •Brokerage statements with account numbers, broker’s name and contact information; •IRA, pension and all retirement fund information; •Income tax returns; •Homeowners insurance policies; •Auto and vehicle insurance policies; •Long-term care insurance policies; •Disability policies; •Business owners — corporate/company records including share certificates and shareholder agreements; and •Titles to vehicles. For consideration There’s even more that you can do to make it easier to handle your affairs. Consider including the following information as well: •Contact information for your executor, successor trustee, financial advisor, accountant and insurance agent; •The names and numbers of your primary care physician or specialists; •A list of prescription medications; •Copies of your Medicare, Medicaid or other health insurance cards; •Birth certificate; •Marriage license; •Divorce decree; •Employer information; •Military discharge papers; •Citizenship documents; and •List of credit cards and list of debts. Finally, be sure to secure your documents in a safe place and inform key family members, friends and/or advisors where the information is kept. Undoubtedly it might seem daunting to gather all of this information. With the holiday season upon us, what better time to think of giving family members the gift of disability and end-of-life planning information to help guide them through what can be a grievous and trying time. Linda T. Cammuso, a founding partner at Estate Preservation Law Offices and an estate planning professional, has extensive experience in estate planning, elder law and long-term care planning. She may be reached at www.estatepreservationlaw.com or by calling 508-751-5010. Archives of articles from previous issues may be read at www.fiftyplusadvocate.com. “What happens if I don’t have a will or an estate plan?” A lot and it’s not good. If you don’t have a will or an estate plan: • A court could appoint a third party to make medical and financial decisions for you…instead of someone you love and trust • You could lose your home and life savings to pay for long-term or nursing home care • The government could take a huge chunk of the inheritance that you planned to leave behind for loved ones – is that what you really want to happen? No matter what your net worth is… you need a will and an estate plan! Don’t wait! Let Estate Preservation Law Offices help protect you and your loved ones. Our consultations are free; and, if you cannot come to us – we’ll come to you. Contact Attorney Linda T. Cammuso or Attorney Brendan J. King at Estate Preservation Law Offices today. Estate Preservation Law Offices Wrap up your retirement application before holiday wrapping By Kristen Alberino I f you’re planning on retiring sometime early in the new year, you should wrap up your retirement application now before wrapping any holiday gifts. Just go to www. socialsecurity.gov/applyonline. Social Security The website makes the retirement application process quick, easy and secure. In most cases, once your application is submitted electronically, you’re done. There are no forms to sign and usually no documentation is required. Social Security will process your application and contact you if any further information is needed. Before you start your application, you may want to spend a few minutes to get an estimate of your retirement benefit at www. socialsecurity.gov/estimator. Then, jump right into the retirement application. You can use the online application to apply for Social Security retirement or spouses benefits if you: •Are at least 61 years and 9 months old; •Want to start your benefits in the next four months; and •Live in the United States. Before filing online for retirement, you should have the following information on hand: •Your date and place of birth and Social Security number; •Your bank or financial institution’s routing transit number and the account number, for direct deposit of your benefits; •The amount of money earned last year and this year. If you are filing for benefits in the months of September through December, you also will need to estimate next year’s earnings; •The name and address of your employer(s) for this year and last year; •The beginning and ending dates of any active U.S. military service you had before 1968; •The name, Social Security number and date of birth or age of your current spouse and any former spouse. You also should know the dates and places of marriage and dates of divorce or death (if appropriate); and •A copy of your Social Security Statement. Kristen Alberino is Social Security Public Affairs Specialist in Quincy. Protecting assets during your lifetime. Preserving them for the next generation. www.estatepreservationlaw.com 508.751.5010 With offices in Worcester, Braintree, Cambridge and Hyannis, MA For our FREE brochures, Long-Term Care Planning, The Medicaid/MassHealth Application Process, and Estate Plan: Without one you are living on the edge, please call 508.751.5010. (Zone 5) www.fiftyplusadvocate.com 15 Home Improvement Getting creative with color: how to do it right By Melissa Rayworth Striped staircases and lavender walls? They’re not just for high-profile designers anymore. Home-decorating TV shows and glossy shelter magazines have many homeowners embracing the bold, unexpected use of color that cutting-edge designers love. But creative color can be tricky. Three experts offer advice on doing it right: Being adventurous with color doesn’t always mean using loud hues. Unexpected places Bursts of color are perfect for areas that normally get little attention, said Cortney Novogratz, co-host of the new HGTV series Home by Novogratz. Stairs, alcoves and unused corners of rooms, she said, are spots “that people don’t realize they can really dress up and have fun with to show a reflection of who they are as homeowners.” For her show’s first episode, she painted a beach house staircase white with pink and blue stripes from top to bottom. This nar- row approach to the second floor suddenly became bright and inviting. Skip the standard pairings Black and white. Red and green. Brown and light blue. These common color palettes surface frequently in home decorating. Freshen up these typical pairings by bringing in a third color no one would expect, said Brian Patrick Flynn, HGTV blogger and founder of DecorDemon.com. “If you really want chocolate brown with pale blue, which has been done to death, then add something like celery green,” he said. “All of a sudden, it’s fresh and you’ve made it your own.” If you love wild colors like bright orange but aren’t sure how to decorate with them, Flynn suggests using a bright hue alongside a very dark and a very light one. Orange might be a disaster mixed with green and yellow, but it can look sophisticated when used with silver and dark charcoal. Bold doesn’t have to mean bright Being adventurous with color doesn’t always mean using loud hues. Betsy Burnham, founder of Los Angeles’ Burnham Design, recently chose lavender for the entryway of a home in Beverly Hills. Her client had expected the walls of this two-story space to be painted a classic neutral — maybe cream or taupe. Lavender was an unexpected choice, but the owner was thrilled: It gave the entryway subtle drama Do You Want without looking outrageous. Paint isn’t the only way Paint is inexpensive and easy to apply, so it can be the perfect vehicle to bring in wilder colors. But Flynn finds that some homeowners are intimidated by choosing a bold or quirky color for their walls: “They feel like it’s permanent, even though it isn’t,” he said. If you prefer neutral walls, you can easily bring in edgier colors with furniture, window treatments and accessories. Novogratz suggests another option: Choose vibrant pieces of art, and then frame them in brightly colored frames. She and Novogratz her husband, Robert, who is also her design partner, sometimes take basic wooden picture frames and repaint them in a vivid red lacquer. It’s all in the shade No color is off-limits, provided you choose the right shade, Novogratz said. A tip from Burnham: If you want to use a color like teal or chartreuse but are worried it will be overpowering, look for what she calls a “dusty” version of these colors — one that’s tempered by a bit of gray. Balance bright, quirky colors with wood tones The edgiest colors can be tamed nicely by pairing them with natural wood tones. Burnham often adds furniture with black wood finishes to rooms where she has used intense colors. Novogratz did the same in a master bedroom where she used a single shade of bright yellow for the walls and floor. A large wooden bed in the center of the room created a calming break from the energizing yellow that filled the space. Overall, said Flynn, give yourself permission to experiment and indulge your creativity. “Every time I do my own space,” he said, “I think of it as a canvas where I can experiment with completely unusual color combinations.” — AP FREE HOUSING INFORMATION mailed to you? 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It will be used only in regard to the properties that you have marked. December 1, 2011 z-3 12.11 Feeling Healthy Boomers will be spending billions to counter aging By David Crary NEW YORK — aby boomers heading into what used to be called retirement age are providing a 70 million-member strong market for legions of companies, entrepreneurs and cosmetic surgeons eager to capitalize on their “forever young” mindset, whether it’s through wrinkle creams, face-lifts or workout regimens. It adds up to a potential bonanza. The market research firm Global Industry Analysts projects that a boomer-fueled consumer base, “seeking to keep the dreaded signs of aging at bay,” will push the U.S. market for antiaging products from about $80 billion now to more than $114 billion by 2015. The boomers, who grew up in a culture glamorizing youth, face an array of choices as to whether and how to be a part of that market. Anti-aging enthusiasts contend that life spans can be prolonged through interventions such as hormone replacement therapy and dietary supplements. Critics, including much of the medical establishment, say many anti-aging interventions are ineffective or harmful. From mainstream organizations the general advice is to be a skeptical consumer on guard for possible scams involving purported anti-aging products. No treatments have been proven to slow or reverse the aging process. Advice for aging well is basic: Eat a healthy diet, exercise regularly, don’t smoke. “If someone is promising you today that you can slow, stop or reverse aging, they’re likely trying hard to separate you from your money,” said S. Jay Olshansky, a professor at the University of Illinois-Chicago’s School of Public Health, who has written extensively about aging. “It’s always the same message: ‘Aging is your fault and we’ve got the cure,’ ” Olshansky said. “Invest in yourself, in the simple things we know work. Get a good pair of running or walking shoes and a health club membership, and eat more fruits and vegetables.” But such advice hasn’t curtailed the demand for anti-aging products, including many with hefty price tags that aren’t covered by health insurance. These include cosmetic surgery procedures at $10,000 or more, human growth hormone treatment at $15,000 per year and a skin-care product called Peau Magnifique that costs $1,500 for a 28-day supply. Another challenge for consumers is that many dietary supplements and cosmetics, unlike prescription drugs and over-the- B counter medicines, aren’t required to undergo government testing or review before they are marketed. The Food and Drug Administration and the Federal Trade Commission (FTC) do crack down at times on egregiously false anti-aging claims, but generally there’s little protection for people who don’t get hopedfor results. Mary Engle, director of the FTC’s division of advertising practices, said her agency focuses on the cases that could cause serious harm, such as bogus cancer treatments that might prompt an ill person to forgo proper care. She said the agency lacks the resources to crack down comprehensively on ads with exaggerated claims that exploit customers’ hopes for better looks or more energy. In contrast to the caution of mainstream organizations, there are many vocal promoters of anti-aging products and procedures, including the American Academy of Anti-Aging Medicine. It hosts annual conferences in the U.S. and abroad, and claims 22,000 members, mostly physicians. In its mission statement, the academy says the disabilities associated with normal aging “are caused by physiological dysfunction which in many cases are ameliorable to medical treatment, such that the human life span can be increased.” One of the academy’s co-founders is Robert Goldman, a doctor of osteopathic medicine. He contends that much of the resistance to the anti-aging movement comes from sectors of the health and pharmaceutical industries that feel threatened financially — for example by the surging use of over-the-counter nutritional supplements. Though many anti-aging interventions are expensive, Goldman said people on tight budgets still can take useful steps such as drinking purified water, taking vitamins and using sunscreen. “People should be healthy and strong well into 100 to 120 years of age,” Goldman says in a biographical video. Olshansky, who over the years has been among Goldman’s harshest critics, believes there will be scientific breakthroughs eventually, perhaps based on studies of the genes of long-lived people, that will help slow the rate of aging. In the meantime, Olshansky said, “I understand the need for personal freedom, the freedom to make bad decisions.” A look at some of the major sectors in the anti-aging industry: •Hormone replacement therapy — BILLIONS page 18 Meet Ginny Ginny lives in her own apartment and enjoys going out to dinner often with friends. A true social butterfly, her wheelchair doesn’t hold her back, she is an active member of the Red Hat Society, Handicapped Commission and the Multiple Sclerosis Society. Ginny has been attending a PACE day center for five years. Knowing the PACE team is there to support her as her needs change, she says “I am able to focus on enjoying and living my life.” Call Information & Referral at Elder Service Plan of the North Shore 877-803-5564 Servin g Beverly Danvers Essex Gloucester Hamilton Ipswich Lynn Lynnfield Manchester Marblehead Middleton Nahant Peabody Rockport Salem Saugus Swampscott Topsfield Wakefield Wenham Upon enrollment participants must receive all health care, primary care and specialist physician services--other than emergency services--as authorized by PACE, or be fully and personally liable for costs of unauthorized services. H-2222_2011_24 (Zone 5) www.fiftyplusadvocate.com 17 ➤ Billions Cont. from page 17 Numerous companies and clinics promote hormone replacement drugs, including testosterone for men and custom-mixed “bioidentical” hormones for women, as a way to slow the aging process. Many consumers have seen ads featuring muscle-bound Dr. Jeffry Life, now 72. He used testosterone and human growth hormone in his own bodybuilding regimen and recommends hormonal therapy for some of the patients patronizing his age-management practice in Las Vegas. The FDA has approved hormone replacement drugs for some specific purposes related to diseases and deficiencies, but not to combat aging. “Finding a ‘fountain of youth’ is a captivating story,” said the National Institute on Aging (NIA). “The truth is that, to date, no research has shown that hormone replacement drugs add years to life or prevent age-related frailty.” Dr. Evan Hadley, director of the institute’s Division of Geriatrics, said hormone replacement drugs can have harmful side effects. He said there is a need for more research, such as an institute study of testosterone therapy, to identify the potential risks and benefits. Hormone drugs can be expensive. HGH shots can cost more than $15,000 a year, according to the institute. A hormonebased dietary supplement known as DHEA (dehydroepiandrosterone), a precursor of estrogen and testosterone, is marketed online for $12.95 per capsule by Utah-based NutraScriptives. Some proponents say over-the-counter DHEA supplements can improve energy and strength, boost immunity and decrease fat. The institute says there’s no conclusive scientific evidence of any such benefits. Life says he’s a staunch advocate of exercise and healthy eating, but insists that hormone replacement therapy, under a doctor’s supervision, is a crucial addition for some men, and that includes him. Life acknowledged that the cost of testosterone replacement, probably more than $5,000 year and not covered by insurance, could be daunting for some. But he contends the investment pays off in more vitality. •Cosmetic surgery — According to the American Society of Plastic Surgeons, there were 13.1 million cosmetic plastic surgery procedures performed in the U.S. in 2010, a 77 percent increase over a decade. One notable trend is increased preference for less invasive procedures that enable patients to get back to work and social settings without a long leave of absence. The most popular of these is treatment with the wrinkle-smoothing drugs Botox or Dysport. They account for 5.4 million procedures, averaging about $400 per treatment. Other popular noninvasive procedures include soft-tissue facial fillers, chemical peels and microdermabrasion. More invasive procedures come at a higher price. Face-lifts can run from $6,000 to $15,000; the plastic surgeons’ academy reported performing 112,000 of them in 2010. Dr. Peter Schmid, who runs a cosmetic surgery practice in Longmont, Colo., said his field is flourishing because of evolving attitudes among appearance-conscious boomers. A recent Associated Press-LifeGoesStrong. com poll found that 1 in 5 boomers either have had or would consider cosmetic surgery. While the noninvasive procedures cost less than a face-lift, the effects won’t last as long and repeat treatments might be needed several times a year, Schmid said. He advised patients to calculate carefully which type of procedure makes the most sense for them financially. Schmid, who is on the board of the American Academy of Cosmetic Surgery, cautioned against any rush to try new procedures that get a burst of publicity. Some critics of the anti-aging industry are supportive of cosmetic surgery, provided the patient can comfortably afford it. •Skin care — One of the industry’s booming sectors is anti-aging skin care, featuring wrinkle creams and facial serums. By some estimates, the U.S. market for cosmeceutical products — cosmetics with medicine-based ingredients — is approaching $20 billion a year. The FDA, which oversees cosmetic safety and labeling, doesn’t require manufacturers to prove the effectiveness of cosmetic products before they go on sale, and many ads make claims that critics say are exaggerated or unverifiable. The American Academy of Dermatology recommends consulting a dermatologist on what skin care products have been proved safe and effective in human studies. Consumer Reports has ventured into the realm of anti-aging cosmetics several times recently, using high-tech optical devices and other scientific methods to assess the products. Last year, the magazine tested nine face serums, available at drug stores for prices ranging from $20 to $65 and all claiming to reduce wrinkles. “After six weeks of use, the effectiveness of even the best products was limited and varied from subject to subject,” according to the review. “When we did see wrinkle reductions, they were at best slight, and they fell short of the miracles that manufacturers seemed to imply on product labels.” Earlier, the magazine tested wrinkle creams. “Even the best performers reduced the average depth of wrinkles by less than 10 percent, a magnitude of change that was, alas, barely visible to the naked eye,” it said. Its top-rated product, Olay Regenerist, cost about $19 at the time of the testing. La Prairie Cellular, the most expensive at $335, was rated among the least effective. Similar conclusions were reached in testing 16 over-the-counter eye creams. “Even among the best-performing products, wrinkle reduction around the eyes was generally pretty subtle,” the magazine said. “After six weeks of daily use, none came close to eliminating wrinkles.” It said the most expensive, Perricone MD at $95 a jar, was no better than cheaper drugstore brands. One recent development in anti-aging skin care is the use of stem cell technology. ReVive’s expensive Peau Magnifique is among the new products, claiming to “recruit adult stem cells into brand new stem cells.” Neither Consumer Reports nor the FDA has conducted any specific assessment of Peau Magnifique’s effectiveness. 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