Throughout my time working at B’nai B’rith, I have had the opportunity to tour a majority of our sponsored senior housing properties around the country. Recently, I visited B’nai B’rith Covenant House in Sheboygan, Wisconsin, helping to welcome Rep. Glenn Grothman to the building.  Before the congressman visited, I spoke with residents of the building and noticed how eager they were to advocate for seniors programs like affordable housing. What impressed me the most was that residents were more concerned with building additional senior housing across the country, which would help more seniors, and less worried about current rental reform proposals that could negatively impact them. It was reassuring that their first instincts were to address the affordable housing crisis facing low-income seniors who did not already have the benefit of subsidized safe and affordable housing, as they did.  

Over the past few years I have written numerous blogs detailing how policy proposals debated here on Capitol Hill, could impact older Americans. However, I thought it might be appropriate to highlight one of the faces behind HUD affordable housing for seniors. While visiting Covenant House, I had the pleasure of speaking with Evelyn Brazelton.

Evelyn has been happy to call Covenant House home since August 2018. While originally from Wisconsin, she never stayed in one town long enough to establish roots. Since her father worked on farms as a field hand, the family continuously moved around the state so her dad could find work. Evelyn said that because of the constant moving, coupled with her shy personality, she was never able to establish real friendships with other children. She always considered herself dedicated to family and at 19 married her high school boyfriend.

Evelyn was blessed to have five children and was a homemaker until she was 40, when she started attending technology  school with a focus on math and banking. This allowed her to work as a commercial loan assistant for a bank and at a dentist’s office tasked with accounting and receptionist duties.  
 
Prior to returning to Wisconsin, Evelyn lived with her children in California and Minnesota. Like so many seniors, she did not want to be a burden on her kids, and initially looked for HUD affordable housing in California. Unfortunately, while not surprising, the waiting list for senior housing in California was a year. Evelyn is no different than countless seniors in our country whose only source of income is Social Security, and who were unable to save enough for retirement and are placed on HUD senior housing waiting lists. Just look to B’nai B’rith housing communities across the country where waiting lists to get into our sponsored Section 202 properties can be a year or longer, or even closed. 

Finally, while living with her son in Minnesota, Evelyn got the call that Covenant House had a vacant unit she could call home.

Evelyn has absolutely loved her time living in Covenant House. For instance, she adores the small community feel and, because of her bad back, she appreciates how the building is customized for older persons. Furthermore, she enjoys developing friendships with the other people in the building.

Evelyn has been sick with anemia and she raves about the support in the building from her fellow residents. She talks about how friends in the building go with her to doctor appointments and bring her food. In return, Evelyn tries to be supportive of others in the building who are dealing with health concerns and donates excess clothing to other residents.

Like many residents at Covenant House, Evelyn wants to know why additional HUD senior housing is not being created. With of the aging of the large baby boomers demographic, she doesn’t understand why our government is not prioritizing housing.

Every building in the B’nai B’rith community has someone like Evelyn. Her story, while interesting, is also common throughout HUD senior housing.  She is someone who raised a family and had a professional career, but was unable to save enough for retirement. Programs like HUD senior housing make life just a little easier for older Americans. Consequently, Congress and the White House should be taking Evelyn’s advice, and do everything possible to create more affordable housing for seniors.    

Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.​​

Last May, I wrote a blog called “Grandmothers and The Fight Against Gun Violence,” which highlighted the important advocacy work seniors are doing to stem the tide of firearms violence. Since writing that blog, I have wondered about other issues that have spurred on senior advocacy throughout America. My first thought was there had to be seniors’ activism around global climate change. A threat to our planet as serious as climate change must have caused a spark in activism in the senior community, no?  Unsurprisingly I only had to perform a simple Google search to find countless articles and information regarding ways climate change has impacted older Americans and how they are fighting for a better environment.

So what is climate change?  The short answer: Climate change is an increase in the earth’s temperature which has caused sea levels to rise, ice masses to melt and highly concerning weather patterns to emerge. In addition, the U.S. Global Research Program concluded that human beings are the overwhelming cause of climate change, particularly because of the production of greenhouse gases.

Unfortunately, these dramatic changes in the earth’s climate can lead to dire consequences for older Americans.  According to the Environmental Protection Agency (EPA), climate change conditions like extreme heat, poor air quality and hurricanes can be particularly problematic for seniors. All too often, seniors suffer from heart conditions and diabetes, which can be exacerbated because of the heat. Increasing temperatures also cause ticks and mosquitoes to increase their geographical reach and remain for longer periods of time. Older adults with already-weakened immune systems are at greater risk of being bitten by ticks and mosquitoes if rising temperatures continue. In addition, during hurricanes, seniors often need to be evacuated, which causes obvious obstacles.  Around half of the people who died for reasons related to Hurricane Katrina were over the age of 75, with people over 65 accounting for half of the fatalities during Superstorm Sandy.  

However, seniors are taking action! Predictably, older Americans are not advocating for their own self-interest, but speaking up for policies that protect the planet for future generations, like their grandchildren. Groups of senior citizens like Elders Climate Action (ECA) are strongly advocating for policies that will reduce greenhouse gas emissions. This group, consisting of 3,300 people, advocates their positions to members of Congress, gets their message out through social media and has monthly calls regarding ECA’s priorities. Furthermore, in 2017, ECA visited Washington DC, taking their message directly to the offices of every member of Congress, and participated in the People’s Climate March.

Given climate change’s devastating impact on our planet, how seriously is this crisis being taken by our elected officials?  As is always the case, the answer is a mixed bag.  The House of Representatives has taken encouraging steps by establishing the Select Committee on the Climate Crisis, which will help raise public awareness about climate change by holding hearings and organizing fact-finding trips. Sadly, some federally elected officials don’t believe action is required. Many politicians in Washington, D.C., despite scientific facts, have purposefully turned a blind eye towards climate change’s impact on our planet.  
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Like gun control, older Americans are picking up the slack for some of our elected officials, whose response on global climate change has been unacceptable. However, it’s nice to know we can count on the wisest people among us to lead the charge for a cleaner and better tomorrow.  

​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.​​

Last summer, something amazing happened on Capitol Hill. There was an agreement between members of Congress from opposing parties. Astonishing!  Both Democrats and Republicans agreed that there should be paid family leave. Now, before you get too excited, that’s about where the good feelings started and ended.  While both parties agreed on the basic premise, they put forth wildly different proposals. 

Paid family leave is the concept that employees should be granted paid time off from work to take care of family members who suffer from serious health issues, or to care for a newborn child. Currently, under the Family and Medical Leave Act (FMLA), certain employees may take unpaid leave for 12 weeks and be guaranteed their job upon return. This leave is for serious health issues for an employee or their family member (spouse, parent or child), new child or facts surrounding the deployment of a service member.  The problem with the current FMLA is that employees are not guaranteed income during their leave of absence from work.  

So why should pay be included in our federal laws that govern family leave? First, only about 10 percent of employees are granted paid family leave from their employer.  Furthermore, the employees whose employers offer paid leave are generally higher paid workers. In addition, only six states and the District of Columbia currently have a paid family leave policy. Secondly, not having a federal paid family leave policy causes financial hardship because employees are not receiving their regular income. Research demonstrates that a paid family leave policy with 2/3 wage replacement could reduce family economic insecurity by 81 percent.
 
While most people associate paid family leave with new parents, many people might be surprised to learn that this issue directly impacts seniors. For example, 18 percent of people take FMLA to care for a family member, including parents. According to the National Partnership for Women and Families, “The average caregiver over 50 who leaves the workforce to care for a parent loses $303,880 in wages, Social Security and private pensions when they do so.” Furthermore, it’s not just caregivers that need paid family leave. The labor force participation rate for seniors (65+) has grown significantly over the last 25 years. Too often, seniors, because of chronic conditions, must take time off from work to attend to their own serious health matters.

Presently, there are two competing ideas to implement paid family leave. Legislation released over the summer sponsored by Senator Marco Rubio and Congresswoman Ann Wagner would allow new parents, after a child is born, to borrow against their future Social Security for paid parental leave. The benefit from the federal government will last only a few months and will delay people from taking their Social Security benefits by three to six months, for every benefit. 
In theory this legislation sounds promising, especially in the short term. However, paid family leave should not come at the expense of the Social Security retirement system!

According to the National Committee to Preserve Social Security and Medicare, studies demonstrate how challenging it is for workers to forecast their fiscal future in retirement. Having to decide between paid family leave and future retirement defeats the entire purpose of Social Security. The main point of the Social Security Trust Fund is to serve as a secure pot of money for retirement, not individual accounts people can borrow against.

In addition, this proposed legislation does nothing to help people who need paid family leave for themselves, like seniors in the workforce, or for adults who need a source of income while taking care of their senior parent.
Fortunately, there is a better approach!

The Family and Medical Insurance Leave (FAMILY) Act sponsored by Senator Kristen Gillibrand and Congresswoman Rosa DeLauro provides a significantly better alternative and does not threaten employees’ future Social Security.  This proposal provides paid family and medical leave for newborn children, care for a family member (including a parent) or an employee’s serious health condition. According to the findings from the FAMILY Act:

1. “The average worker age 50 and older who leaves the workforce to care for an elderly parent loses more than $300,000 in earnings and retirement income. Working caregivers should not have to risk their family’s economic security to fulfill their caregiving obligations.”

2. “The population aged 65 and over is expected to double over the next few decades. The number of people with chronic conditions is expected to reach nearly 160,000,000 by 2020. Many of these individuals will at some point require family care, and for older workers still in the workforce, many will need time off at some point to address serious health conditions.”

3. “Ensuring working family caregivers have paid family leave to care for ailing elders could drive down Medicare costs by decreasing recurrences of ailments and re-admittance into hospitals”.

Furthermore, this legislation funds paid family leave through additional revenue stemming from a very modest increase in the payroll tax split evenly between employees and employers. The average cost to employees would be $2.00 per week.  This would cover the benefit to individuals and the program’s administrative costs.

While, I think the legislation has tremendous promise, it’s not without question.  For example, the Social Security Trust Fund will not be able to meet all its financial obligations around 2034. Should this legislation be part of a bigger plan to place Social Security on more secure financial footing?  Certainly, these are fair questions to ask. However, this all part of the legislative process.
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Members of Congress on both sides of the aisle agree that paid family leave in some iteration is important. Like all issues, there are competing approaches to solve the problem.  However, funding paid family leave by taking away from Social Security only opens an additional can of worms.  Taking from one hand to give to the other is irresponsible.  A paid family leave approach, guided by the principles from the FAMILY Act, will help ensure that basic economic needs of all types of families are being met. 
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​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.​​

Since 2013, the federal government has “shut down” four times, three of those times during the Trump administration. A government shutdown occurs when there is a lapse in federal funding because Congress and the White House are unable to agree on appropriations. Usually, this happens because of political brinksmanship, the most recent example stemming from a dispute over the White House refusing to fund the government without first obtaining appropriations to build a border wall between Mexico and the United States. Government shutdowns are inevitably terrible for Americans, especially seniors, because of the loss or slowdown of important government services.  

Many people’s first thoughts about seniors being impacted by a government shutdown are about Social Security and Medicare. While these programs still make payments during a shutdown, Social Security and Medicare still feel the pinch during the government’s closure. For example, basic activities like processing new applications for seniors who desperately need a source of income and health care are delayed, and Social Security has gone as far as terminating the issuance of new cards during a shutdown. 

While Social Security and Medicare are still functional during a government shutdown, our country’s nutrition programs that benefit older Americans, like Meals on Wheels and the Supplemental Nutrition Assistance Program (SNAP), could be impacted more significantly. For instance, the office of Food and Nutrition Services that oversees SNAP could see major staff reductions during any shutdown.  Furthermore, if the shutdown persists too long, SNAP could run out of funding completely, which would impact the 4.8 million people aged 60 and above who rely on the program. Lastly, in the run-up to the government shutdown of January 2018, Meals on Wheels America President and CEO Ellie Hollander, said, “The number of hungry, isolated seniors who may not know where their next meal is coming from has doubled over the past 20 years…A government shutdown for any considerable length of time would lead to a delay in federal funding reimbursements for meals and services delivered, forcing Meals on Wheels programs to make near impossible choices such as suspending meal services, initiating or expanding waiting lists for meals, reducing the number of meals or delivery days or even closing their doors altogether.”

Obviously, B’nai B’rith International, as a sponsor of Section 202 supportive housing for the elderly, takes a keen interest in funding lapses that impact the Department of Housing and Urban Development (HUD).  During a short-lived government shutdown, HUD should be able to meet its basic obligations to the Section 202 program.  However, the longer shutdowns last, the greater the likelihood HUD won’t have the funding to meet its core responsibilities.   
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During any government shutdown, members of Congress or the President should not be advancing their own political agenda at the expense of government programs that benefit seniors and all Americans. Basic needs like nutrition and housing should be fully funded, without the threat of a government shutdown. The exact impact of a government shutdown always varies. However, the harm it causes people remains constant. While the most recent government shutdown will eventually end, at this point in our country’s history, another shutdown always seems sadly inevitable. 

​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.​

Building off our momentum from 2017, the Center for Senior Services (CSS) team hit the ground running last year.  We are pleased to report that CSS established new connections on Capitol Hill and at the Department of Housing and Urban Development (HUD). In addition, we enjoyed learning from each other at the Managers and Service Coordinators and B’nai B’rith Housing Conferences.

Last spring brought welcome news for the Section 202 capital advance funds, because the federal budget allocated $105 million towards the program. This was the first time since 2011 that meaningful money was appropriated to build new properties for low-income seniors. For years, B’nai B’rith has felt the Section 202 capital advance funds had been woefully neglected, and we believe this is an important first step towards creating badly needed additional affordable housing for seniors.  

Unfortunately, it wasn’t all good news this year for the Section 202 program. HUD released proposed legislation that called for an increase in Section 202 residents’ monthly rental contributions.  B’nai B’rith spoke out against these damaging reforms and took our message directly to Congress. Fortunately, there was little appetite on Capitol Hill to raise rents on low-income seniors, and HUD’s rental reforms were not enacted into law.

As always, our visits to Capitol Hill were in conjunction with the American Association of Service Coordinators, an organization that naturally fits with B’nai B’rith’s housing mantra of “aging in place.”

In addition, meetings with lawmakers’ offices always included an open invitation to visit our beautiful B’nai B’rith-sponsored properties. Representatives Cheri Bustos (D-Illinois), Gene Green (D-Texas), Ted Deutch (D-Florida) and Donald Payne (D-New Jersey) all enjoyed their time touring Section 202 buildings and speaking with their constituents about seniors’ issues.  Always looking to build on our successes, we expanded our congressional outreach this year to include candidates running for Congress. Republican congressional candidate Marty Nothstein and Democratic congressional candidate Susan Wild toured B’nai B’rith Apartments in Allentown, Pennsylvania, to meet with residents and discuss the critical importance of housing for adults with limited means. This opportunity allowed whichever candidate won the race to take back to Congress the conversations they had with residents about how critical affordable housing, income security and healthcare matters are for seniors.

Our work certainly did not stop on Capitol Hill.  The B’nai B’rith Housing Conference and the Managers and Service Coordinators meetings were both fantastic. The B’nai B’rith housing community was able to directly hear from HUD, B’nai B’rith staff and other experts who work with seniors. Topics included elder fraud prevention from the Consumer Financial Protection Bureau; working with Adult Protective Services (APS); avoiding staff burnout; dealing with difficult residents and residents’ mental health issues; fire safety for seniors; resident empowerment; program models to help residents access nutritious food; HUD updates; eliminating barriers to housing access and providing support for formerly homeless residents; fair housing; and congressional updates. It’s always fun learning about our buildings’ success stories and seeing what works throughout our community.

CSS staff work travel certainly did not stop at the B’nai B’rith conferences. In May Janel Doughten, associate director, Center for Senior Services, and Evan Carmen, assistant director for aging policy, were hosted by the Jewish Community Housing Corporation (JCHC) management company at the South Orange B'nai B'rith Federation House in New Jersey. The two put on a fair housing training for residents as well as a session entitled “How to Be Your Own Best Advocate.”

Janel and Breana Clark, senior program associate, attended the 2018 National Service Coordinator Conference in August. The conference was hosted by the American Association of Service Coordinators in Austin, Texas. The following month, Janel presented at the SPM Property Management 2018 Managers Workshop in Sandestin, Florida.  The presentation focused on how to de-escalate tense situations with a resident, how to recognize and deal with adult bullying in senior housing and how to become more empathetic towards residents.

The B’nai B’rith 2018 Annual Leadership Forum took place in New York from Oct. 14-16. As a part of the agenda, Evan and Breana sat on a staff panel devoted to domestic policy issues. The two highlighted the HUD Section 202 program and other federal programs that seniors in the B’nai B’rith network rely on, such as Medicare, Medicaid, the Supplemental Nutrition Assistance Program and Social Security.

Most recently, Janel visited Mollie & Max Barnett Apartments & Tarrant County B’nai B’rith Apartments in Fort Worth, Texas, to put on programming for residents regarding adult bullying, empathy and compassion.

Saving the best for last, Mark Olshan, associate executive vice president of B’nai B’rith International, was instrumental in the recapitalization of the Adelstein Family-Project H.O.P.E B’nai B’rith House in the Bronx, New York.  This project will allow residents to see a completely renovated building when the construction is finished. Upgrades include new bathrooms, kitchens, appliances, lighting and paint. Exterior and common area renovations will include new masonry, replacement of exterior doors, new elevators, safety windows, plumbing infrastructure, boilers and pumps. It will also see the addition of smoke detectors and sprinklers and electrical and security upgrades. All of this will allow the building to be preserved for the next generation.

In addition, the management team plans to provide the financial resources for supportive and social services for the residents. Through partnerships with local organizations, for the first time, residents will have access to community resources, supportive listening and casework services and a host of new classes, workshops, events and regular activities.

Lastly, in 2018, the CSS team was excited to start an educational webinar service that trained the B’nai B’rith community on affordable housing.  We did webinars entitled “Senior Housing 202” and “Fair Housing and Diversity Awareness.”  These webinars provided important information on the background of B’nai B’rith’s relationship with the Section 202 program, and how we can make our housing community more inclusive and welcoming.     
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As we begin 2019, this year is shaping up to be even better.  We have our conferences tentatively scheduled for Fort Worth, Texas and San Juan, Puerto Rico, and we are already planning for the Resident Leadership retreat over the summer, which is always a blast! Lastly, rest assured that our advocacy on Capitol Hill will continue in earnest, as we hope to report additional congressional visits to our sponsored buildings throughout the year.   

​​Mark D. Olshan, Ph.D. began his career with B’nai B’rith in 1983 when he was hired as its Director of Senior Housing.  He currently serves as Director of the Center for Senior Services and Associate Executive Vice President of B’nai B’rith International.  He was awarded the Julius Bisno Professional Excellence Award in 2000. To view some of his additional content, click here.​

​​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.​

Recently, I received a very strange voicemail from my grandfather indicating he had put together the money to bail me out of jail.  Obviously, this message caught my attention, because at that moment I was watching TV on the couch with my fiancé, a far cry from wearing an orange jumpsuit behind bars.  I immediately called back and learned that someone claiming to be a lawyer contacted him indicating I was currently in prison for getting into a car accident due to driving while texting. And of course, I would be released from jail if my grandfather sent the attorney $9,800 for my bail. I quickly informed him none of that story was true, and he should under no set of circumstances send this individual money.  Thankfully, no real harm was done to my grandfather, and this incident will only serve as a cautionary tale for when another con artist inevitably preys on him.   

Later that day, I was on the phone with my grandmother and relayed my grandfather’s story.  During the call, she told me of a different scam she experienced where someone called claiming to be her bank and said she owed them $3,000.  Fortunately, she called my mother to verify the caller’s claim, and my mom quickly realized it was a scam.  

While both of my grandparents were lucky, I know that countless seniors are not so fortunate.  After hearing my grandparents’ stories, I couldn’t help but wonder about other types of sophisticated scams that target seniors. After researching, I learned that con artists call seniors claiming to be from the Internal Revenue Service (IRS) indicating that they owe the government money for taxes, and failure to pay will result in their arrest. Another scam occurs when people read the obituaries, then call the grieving family asking for money, fraudulently claiming the deceased was in their debt.    

Can you imagine the type of low-life who calls seniors, scaring them into thinking they are going to jail, or steals money from the elderly while they are grieving for a loved one?
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Last March, the Senate Special Committee on Aging had a hearing called “Stopping Senior Scams,” where this was topic was addressed.  During the hearing, Chairman Susan Collins disclosed the IRS impersonation scam had been the most consistently reported to the Committees’ hotline over the past three years.  Furthermore, because of information obtained by the hotline, the Treasury Inspector General for Tax Administration was able to arrest 15 people associated with a scam that stole about $9 million.  However, efforts to fight this type of criminal behavior must continue in earnest, because according to the Department of Justice, about $3  billion continues to be stolen from seniors each year.
 
According to the Federal Bureau of Investigation (FBI), seniors are unfortunately susceptible to scams for a variety of reasons. These include: Older Americans tend to own “nest eggs” and have outstanding credit; seniors often do not report fraud because they are embarrassed or unsure of who to contact; and  scam artists know that seniors make poor witnesses because they have a difficult time recalling facts.  A former conman awaiting sentencing in California for the “grandparent scam” explained, “You can make $10,000 sometimes in a day if you do it properly,” despite only generating a 2 percent success rate. Asked why scammers pick on seniors, he said, “We target people over the age of 65, mainly, because they're more gullible…They're at home. They're more accessible. Once you get them emotionally involved, then they'll do anything for you, basically.”
 
So, what can seniors do to avoid being taken advantage of? It’s simple: Never give personal financial information over the phone, unless you placed the call; set privacy settings on social media accounts to their highest levels; and, to ensure that a phone call is really coming from a loved one, ask questions over the phone that only a family member would know.
 
Hopefully, through public awareness and education, seniors can be less vulnerable to these types of scams. However, in the meantime, I applaud my great-uncle, who has been frequently targeted by these types of scams.
 
He simply hangs up the phone, but beforehand, he asks the con artist, “Does your mother know what you do for a living?”  

​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.

Capitol Hill has been relatively quiet recently because members of Congress are back home pounding the pavement stumping for votes. With election day only a few weeks away, now is a great time for me to blog about the important role older Americans will play in the upcoming election. With a rapidly expanding senior population, politicians across the country will have to court seniors if they hope to be victorious. Consequently, older adults are in a great position to make elected officials take notice of the issues important to them, whether that’s Medicare, Medicaid, Supplemental Nutrition Assistance Program (SNAP), Social Security or affordable housing.

First, seniors are in an advantageous position to be heard because they are one of the biggest voting blocks in the country. According to the United States Census Bureau, 70 percent of seniors (65+) turned out to vote in the 2016 presidential election, and in a recently conducted poll, 74 percent of seniors say they plan to vote in the upcoming midterm elections. As statistics demonstrate, seniors keep showing up at the polls in large percentages, and the number of older Americans keeps rising. This translates to one important point; our leaders running for political office should be paying attention to the issues important to a good percentage of the electorate: A demographic group which continuously grows!

So why are the 2018 midterm elections so important for seniors? During the past two years our elected representatives in Washington D.C. have debated legislation with major implications for older adults. For example, in 2017 Congress and the administration put forth serious proposals that would have negatively impacted older Americans. These include repealing and replacing the Affordable Care Act, cutting affordable housing and the enactment of tax reform legislation. Fortunately, with the exception of the tax reform legislation, these bills never became law. On a positive note, the 2018 government funding bill included more than $100 million dollars for the creation of additional low-income seniors housing. These policies play a critical role in the daily lives of older Americans, and illustrate why seniors’ activism is so important.   

One state where seniors can definitely make their voices heard is in Florida, home to about 4 million seniors and the site of a hotly contested Senate race. A state whose population is 20 percent seniors is in a great position to demand that candidates running for public office protect the needs of older Americans. In the 2014 Florida midterm elections voters 50 and over accounted for a whopping 67 percent of ballots cast. Furthermore, a recently conducted poll of Florida residents ages 50 and over revealed that 82 percent of respondents reported Social Security as a very important issue, coupled with 74 percent for Medicare. Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer said, “Candidates who ignore the issues that matter to voters age 50 and up do so at their own peril,” and “Older voters were decisive in the last two elections, and they will likely be decisive this year as well.”

Older Americans should take the time to learn about the positions of candidates running for office.  Go to town hall meetings where candidates take questions from constituents. Ask the candidate if they are going to cut financial resources from important senior programs. Remind elected officials that your contributions to the Social Security Trust Fund were not intended to pay for other government programs.

When Congress returns from election day, lawmakers might feel more emboldened to make big policy changes to senior programs that impact healthcare, nutrition, housing and income security.  
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Now is the time when every American should make their voice heard, especially seniors!

​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.

Since I started my job at B’nai B’rith International, I have written several blogs being critical of the Trump Administration and Congress’ proposals to cut funding from affordable housing. Over the past twenty months, there have not been many opportunities to applaud our elected representatives in Washington, D.C. for bi-partisan legislation that looks to tackle the severe shortage of reasonably priced homes in this country. Consequently, the recently introduced bipartisan Senate legislation, called the Task Force on the Impact of the Affordable Housing Crisis Act, should be positively recognized. The purpose of this task force is to study how affordable housing financially impacts other government programs (federal, state and local), different facets of people’s lives (i.e. health, nutrition, education, employment, etc.) and make policy recommendations to Congress on how affordable housing can strengthen additional federal programs.   
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Working at B’nai B’rith offers me the unique opportunity to see how housing is intertwined with other areas of senior’s lives, especially health care. One of the goals of B’nai B’rith is to “age in place” which we accomplish through our sponsored Department of Housing and Urban Development (HUD) Section 202 housing. Older Americans are able to “age in place” because service coordinators connect residents with community based services, which have demonstrated a greater likelihood of retaining residents in their existing buildings and therefore avoiding more pricey institutions like a nursing home.

The benefits of the Section 202 program go to the very heart of what this potential task force is hoping to accomplish, that is, to find ways affordable housing can help other federal programs. For example, the financial cost of three seniors in a Section 202 building with home and community-based services is about the same as one person in a nursing home. Keep in mind that Medicaid is a key subsidizer of nursing homes. According to HUD, 38 percent of Section 202 tenants are frail or near-frail, and consequently need help with daily activities, making them potential candidates for long-term institutional care. Therefore, the more Section 202 buildings that can be developed for frail or near-frail seniors, the less financial resources Medicaid will require for nursing homes.
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In addition, bi-partisan policy solutions generally have a better chance of becoming law, especially in the Senate. This legislation was introduced by U.S. Sens. Todd Young (R-Ind.), Maria Cantwell (D-Wash.) and Angus King (I-Maine), along with cosponsors from both political parties. Furthermore, the people who serve on the Task Force will be appointed by both Democrats and Republicans. These Senators should be commended for taking an important “first step” toward discovering how integral affordable housing is to other federal programs. 
 
Obviously, the introduction of this legislation is a far cry away from being sent to the president’s desk for his signature, and even further away from any policy recommendations from the task force to Congress. However, you have to walk before you can run. Hopefully, this legislation becomes a reality, and the policy proposals are Congress’ full sprint towards creating additional affordable housing in the country. 

Currently the Affordable Care Act (ACA) protects people with pre-existing conditions by outlawing health insurance companies from refusing to sell plans to individuals because of existing health issues. These protections are particularly important for older Americans who obviously are more likely to have a pre-existing condition. Unfortunately, these protections could be compromised by Department of Justice’s (DOJ) decision not to defend the ACA’s in a lawsuit brought by Texas and 19 other states. The basic premise behind the litigation is that because of last year’s tax reform legislation, the individual mandate has been effectively eliminated because people will no longer be taxed for not carrying health insurance. Taken one step further, these 20 states argue that because the individual mandate is so integral to the ACA, that the rest of the legislation should be found unconstitutional (it should be noted the administration is only arguing pre-existing protections and community ratings should be found invalid). Currently around 25 million older Americans (50 to 64) could be denied insurance in the individual market if the protections for people with pre-existing health conditions are eliminated.   

First the DOJ’s  decision is concerning because it runs contrary to its own long standing tradition of generally defending federal law in litigation, even if the current administration is ideologically opposed to the policy. Law professor Nicholas Bagley from the University of Michigan who used to work at the DOJ said, “I am at a loss for words to explain how big of a deal this is. The Justice Department has a durable, long-standing, bipartisan commitment to defending the law when non-frivolous arguments can be made in its defense. This brief torches that commitment.”
In addition, in a letter from Attorney General Jeff Sessions to House Speaker Paul Ryan regarding this litigation, Sessions argues that without the individual mandate, “individuals could wait until they become sick to purchase insurance, thus driving up premiums for everyone else.” Meaning people could go without insurance until they become sick, and because of pre-existing conditions protections insurance companies would be forced to sell sick people policies, thus driving up the costs for everyone else. If I understand this correctly, Congress and the White House repeal the individual mandate, which will likely drive up health insurance premiums, and their solution to this problem is to deny protections for people with pre-existing conditions. 

While a final resolution regarding this litigation is a ways off, currently the ACA has been instrumental in providing improved health care protection and coverage for older Americans. For example, according to the Commonwealth Fund in 2010, 43 percent of individuals between the ages of 50 to 64 who attempted to purchase health care coverage where either rejected, charged higher premiums or had certain health conditions omitted from policies. The ACA combats these problems by not allowing people to be denied for pre-existing conditions, limiting what insurance companies can charge older Americans compared to younger people and regulating individual’s insurance premiums through tax credits. The Commonwealth Fund reports between 2012 to 2016 older Americans between 50 and 64 saw the uninsured rate drop from 13 to 8 percent. Clearly older Americans have seen substantial improvements in health insurance access since the ACA was enacted; eliminating protections for pre-existing conditions will inevitably cause older adults health care costs to increase.

Furthermore, as I have reported in my previous blog, Repealing and Replacing The Affordable Care Act And Its Impact on Medicare, older Americans who don’t have health insurance prior to turning 65 are more likely to require more expensive health care once they enroll in Medicare.  The Justice Department’s decision not to defend pre-existing conditions in litigation will only make older adults less healthy before they enroll in Medicare by potentially limiting access to health insurance.  

Lastly, this litigation flies in the face of public opinion. According to a Kaiser Family Foundation poll, support for pre-existing protections is solid across the political spectrum with support amongst 84 percent of Democrats, 68 percent of Independents and 59 percent of Republicans.

Thankfully, the ACA is still standing and our elected officials in Washington, D.C. have been unable to repeal and replace the ACA. Realizing that a legislative repeal of the ACA might be unworkable, everything has been done to weaken this legislation. The administration has drastically reduced the ACA’s advertising budget, eliminated the cost-sharing subsidies and expanded short-term health plans which don’t offer key ACA protections.

Sadly, the current lawsuit’s end result could potentially strip away basic health care protections for older Americans. What happens if the court sides with the plaintiffs and gets rid of pre-existing conditions protections? Are older Americans expected to go back to a health care system where their plans are more expensive and protections are less stringent? Let’s hope for the sake of all Americans our court system protects safeguards put in place by the ACA for people with pre-existing protections.

As most Americans are aware, our country is fighting an opioid epidemic that claims thousands of people’s lives a year.  What may surprise you is that sometimes, grandma and grandpa are the ones selling drugs in your neighborhood. I imagine some readers are saying, it’s not possible that “grandparents” are the drug dealers on the streets of America!  Unfortunately, due to a variety of unfortunate circumstances relating to economics and vulnerability, some seniors, have resorted to selling drugs.  

Maybe more than any other population group, seniors have relatively easy access to prescription drugs. Obviously, older Americans more so than younger people, because of their physical condition, are more regular candidates for potent prescription medication.  For example, according to the American College of Preventive Medicine, elderly people make up 13 percent of the American population but receive one-third of all prescribed medications. Considering how accessible prescriptions drugs are for seniors, older persons are in a unique position to turn around and sell their medication. However, according to Sharon Walsh, director of the University of Kentucky Center for Drug and Alcohol Research, seniors are not dealing drugs in the traditional sense, but rather selling these pills to a network of family and friends.

So, what’s going on with seniors that make them more likely to sell their drugs?  First countless seniors live on a fixed-income in addition to being riddled by poverty. Keep in mind this money has to be stretched every month for basic expenses like housing, health care, nutrition and transportation. Imagine only having $1,000 a month to live on. Unfortunately this helps to explain why seniors supplement their income through illegal streams.  Luzerne County, Pennsylvania, County Drug and Alcohol Director Steve Ross issued a report stating, “Our seniors are in a very volatile state right now because what we’re learning is that there are a number of seniors out there who are selling the prescription painkiller to pay for their other medications and/or for food.”

Furthermore, seniors have fallen prey to younger, more sophisticated drug dealers who purposefully target the elderly. Because of their easy access to prescriptions, drug dealers promise seniors money in exchange for their medication, which the drug dealers will later sell for large profits. According to a report by the Ohio Substance Abuse Monitoring Network, “Reportedly, dealers stand outside of drugstores and approach seniors about selling their prescriptions, or dealers will convince a senior to go to the doctor and fake pain to get a prescription.” The report goes on to state, “If the senior agrees, the dealer will drive the senior to the doctor and to the pharmacy to fill the prescription and will then pay them.” “That's the only way they (seniors) can make ends meet.” 

With seniors turning to selling drugs to pay for their basic necessities, are grandma and grandpa going to jail? While, elderly Americans are being arrested for their unfortunate role in the opioid crisis, prosecutions are uncommon, and when prosecuted sentencing is light. Captain Jeff Orr, president of the Ohio Task Force Commanders Association said in reference to older drug dealers, “If we get information about sellers, we are following up on it.  Are they going to prison for it? No. They are being diverted to probation at that age.”

While it’s comforting to learn that our grandparents aren’t doing hard time, the mere thought of them being arrested and thrown in the back of a police car should make people pause.

So what is being done to combat the opioid epidemic in our country? While the White House and Congress have taken steps to combat the opioid crisis, I think our elected leaders in Washington, D.C. would be better served if they more thoroughly investigated the root causes of why people sell drugs. Specifically, as it relates to this issue, why seniors need to sell drugs to earn enough money for their basic necessities. Clearly many older Americans are financially strapped.  Consequently, the policies which the administration and some members of Congress have endorsed, such as cutting financial resources for health care and affordable housing programs that benefit seniors, could make elderly people more impoverished and more susceptible to selling medications.
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Common sense dictates if we want to get seniors to stop selling their medications then we should enact laws that  provide them with the financial security they need, so they are not tempted to sell drugs to pay for their rent, health care or food. 

​​Evan Carmen, Esq. is the Assistant Director for Aging Policy at the B’nai B’rith International Center for Senior Services. He holds a B.A. from American University in political science and a J.D. from New York Law School.  Prior to joining B’nai B’rith International he worked in the Office of Presidential Correspondence for the Obama White House, practiced as an attorney at Covington and Burling, LLP, worked as an aide for New York City Council Member Tony Avella and interned for Congressman Gary Ackerman’s office. Click here to read more from Evan Carmen.