When my grandfather was 91, my parents sat him down and broached the idea of him giving up his car keys.  As you can imagine, that idea was not met with a lot of enthusiasm.  However, my parents felt that because of his physical limitations, safety required him to stop driving.  After a long discussion and a lot of convincing, he handed over the keys. I bring this story up because I recently learned our country arguably has more safeguards in place that govern who can drive a vehicle than those that govern who can own a firearm. Obviously, the purpose of this blog is not to advocate for the confiscation of guns from all people, but to discuss when conditions like dementia make gun ownership amongst our older American population a deadly problem.

So, how much of an issue is firearm ownership amongst seniors around the country? The Pew Research Center reported 45 percent of seniors live in a household with a firearm, and the United States Census Bureau indicated that 4.3 million seniors have dementia.  Also, the Center for Disease Control and Prevention stated that in 2016, about 8,200 older Americans (65+) committed suicide. Furthermore, according to the New York Times, amongst men in this age group who committed suicide, three quarters of them used a gun.  Dr. Yeates Conwell, a psychiatrist and director of the Office for Aging at the University of Rochester School of Medicine, said, “Suicide risk is elevated in people with dementia.”

In 2018, Kaiser Health News and PBS NewsHour studied aging Americans, dementia and gun ownership. While there is no formal office which keeps records on this matter, the investigation was able to study over 100 instances in the United States since 2012, where someone with dementia killed themselves or someone else with assistance of a firearm. Often, the shooter suffered from confusion, paranoia, delusion or aggression, frequently associated with dementia. Regrettably, their victims were the people closest to them, including caretakers, spouses and children.

For instance, according to the report, Larry Dillon of West Virginia, upon turning 65, started exhibiting several signs of concerning behavior such as being frightened of intruders entering and burning down his house. In addition, Dillon went to bed at night with a 9 mm semiautomatic Glock pistol in his nightstand.  Consequently, Dillon’s daughter made an appointment with a neurologist. However, it was unfortunately too late. One night, Dillon heard what he thought were people breaking into the house, so he took his Glock and fired bullets into the room where his wife and granddaughter were watching television. Sadly, his wife died, and his granddaughter has experienced horrific trauma witnessing the event. After a medical examination, a diagnosis revealed that Dillon had Lewy body dementia, which manifested itself in warning signs like vivid visual hallucinations.

Statistics and stories like these have caused the American Medication Association to declare gun violence a public health crisis! They have called for common sense reforms like banning assault style weapons and removing guns from those people who pose a high risk for violence.

Fortunately, seventeen states have passed red flag laws, which allow the government to be more proactive to ensure that firearms are not in the possession of individuals who are determined by the court to be a risk to themselves or other people. Many times, the court is alerted to concerning behavior because of friends or family of the individual. Recently, red flag laws having been gaining traction throughout the country, with 12 states having passed legislation since the tragic shooting at Marjory Stoneman Douglas High School in Florida. Obviously, further action is desperately required.  Presently, Senators Richard Blumenthal (D-Conn.) and Lindsey Graham (R-S.C.) have advocated for a federal red flag law that would provide financial resources to states that choose to implement the policy.  However, predictably, this legislation, along with countless other gun control efforts, has stalled, with the White House and too many members of Congress woefully neglecting their responsibilities by failing to pass common sense gun violence laws.  Until the federal government can govern on this matter, I hope the remaining 33 states pass their own red flag statutes to curb the epidemic of gun violence.   
What makes the federal government’s inaction on this matter even more disappointing is that there is overwhelming public support.  In 2017, the Pew Research Center indicated that 89 percent of the United States supports regulating firearm purchases to people with mental illnesses. Politically, this sounds like a slam dunk. However, to the surprise of nobody, we still don’t have red flag laws on the books that govern the entire country. 

So what’s the holdup?  For starters, gun advocate groups have been a major roadblock to responsible gun safety legislation.  These groups argue that red flag laws allow the government to take away firearms from citizens who have yet to commit a crime. Kaiser Health News and PBS NewsHour reported that Dr. Arthur Przebinda from the group Doctors for Responsible Gun Ownership “balks at any formal assessment of firearm use among people with dementia, saying it could lead to “a totalitarian system that decides when you can have rights and when you cannot.”

Dr. Przebinda is taking an absolutist stance on a law which could save lives.  Exactly what is his argument? Everyone can own a gun? I hope everyone accepts that young children shouldn’t own guns because they don’t have the appropriate cognitive abilities. So why would we accept adults with limited cognitive abilities be allowed to own a gun?  It’s absurd to argue that we should wait for people to die before taking proactive measures regarding an individual’s firearms, if they show clear signs of dangerous behavior. Let me be clear, I am not arguing for the confiscation of everyone’s guns. I am advocating for a process which respects due process and gets firearms out of the hands of someone the government believes doesn’t have the mental capacity to own a gun. Is that such an unreasonable position? Taken one step further, I can’t falsely yell “fire” in a crowded theatre because it puts people’s safety into danger, so why should someone who exhibits behavior that threatens themselves or other people be allowed to own a gun? I will take my chances we won’t spiral into a totalitarian government.

Florida is one of the states which has enacted red flag laws and Kendra Parris, a local attorney, has represented individuals in court who are at risk of losing their guns.  Parris told the Pew Charitable Trust in regard to due process and red flag laws,  “Rather than find clear and convincing evidence, [courts are] basically saying, ‘Better safe than sorry.”  I find Parris’ observations fantastic news! No gun owner should lose their property without due process. However, let’s neutralize any potential danger, and then the court can rule on the matter. Around 40,000 people die a year from gun violence. I can sleep at night having the court securing everyone’s safety and applying due process second.  

Organizations like the National Rifle Association (NRA) have argued that households that have firearms and people with dementia can safely secure their gun with trigger locks and gun safes.  However, the Alzheimer’s Association believes the NRA’s recommendations don’t go far enough, because people with dementia will still believe they are in danger and look for ways to crack safety precautions. The organization suggests the best way to protect your family is to not have the gun in your home.

So in the absence of further laws, what can people do? Well, the good news is that there is momentum in the medical community to help stop gun deaths.  In 2017, after the Las Vegas shooting that left 58 people dead, over 1,300 health care providers promised to start talking with their patients about guns when certain risk factors are identified. In addition, the Veterans Health Administration and Alzheimer’s Association both suggest asking about firearms when evaluating a patient for dementia. However, the medical community has been too limited for years because the Center for Disease Control (CDC) was basically unable to do gun violence research. Regarding the past twenty years, Giffords: The Courage to Fight Gun Violence’s (an organization led by former Congresswoman Gabby Giffords) website states, “In 1996 Congress took away dedicated federal funding for gun violence research from the CDC. For more than 20 years, federal investment in gun violence research has remained virtually absent at the nation’s primary health protection agency, despite gun deaths increasing for the past three years in a row to levels not seen in decades.” Fortunately, Congress, in the last government spending bill, finally appropriated $25 million to study gun violence.
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As we look to the future, the University of Colorado School of Medicine predicts by 2050,  8 to 12 million people will live in the U.S. who suffer from dementia and own a gun. As a country, we can’t be afraid to pass basic common sense gun violence legislation that could save countless lives. Congress and the White House must find the political courage to stand up to outside influences that believe common sense gun reform legislation is by definition against the Second Amendment. Until that day, hopefully, the individual states can lead the charge to ensure a safer America. 

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.​​

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.​

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.

Working at B’nai B’rith International during the past year has afforded me the opportunity to visit our sponsored Section 202 buildings across the country.  B’nai B’rith in partnership with Department of Housing and Urban Development (HUD) sponsors Section 202 housing for low-income seniors throughout the United States comprising 38 buildings that serve more than 4,500 people. While touring the properties, I have gotten to talk with residents and see exactly how seniors benefit from living there. Learning about affordable housing is always a humbling experience, never more so than visiting the food pantries in the buildings. Staff members in multiple buildings explained to me how residents, unfortunately, at the end of the month, often don’t have enough money for food. Consequently, these food banks provide vital nutrition for low-income seniors who now don’t have to choose between food and healthcare.
 
According to HUD, the average annual income for a Section 202 household is around $13,300 or $1,108 or a month. Clearly Section 202 residents are not a group of people from great wealth. Given the type of resident these buildings attract, I am saddened a proposal introduced by HUD may RAISE residents’ rental contributions. 

For people reading this blog, you have read correctly! The policy recently proposed by HUD could raise the rent on low-income seniors!   

First the proposal changes how HUD calculates Section 202 rental contributions from 30% of adjusted income to 30% of gross income. Simply put this change will subject more of low-income seniors very limited financial resources to rental contributions. Secondly, the bill is requesting $50 a month minimum for rental contributions. To put this in perspective, this impacts people who make less than $2,000 a year, the exact type of person who the government should be looking to shield from further financial hardship.    

The Administration and some members of Congress argue that government spending is out of control with our country’s debt reaching around $20 trillion dollars. There is no argument that our country’s debt needs to be tackled.  However, addressing our debt on the back of elderly Americans is not acceptable.  How is a better way of governing, one that leaves seniors without a roof over their head?          
                 
The proposed legislation slashes assistance for our most needy seniors by reducing their assistance for affordable housing.  If taking away basic necessities for low-income seniors is required to return our country to greatness, I think the Administration’s definition of greatness is in my humble opinion morally bankrupt! 

​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.

Ever wonder why so much attention is paid to the Census every ten years? Or why every decade the number of members in the House of Representatives for each state potentially changes? The answer is the United States Constitution mandates that every ten years the government conduct a population count of the country. Afterwards that statistical information is used, amongst other things, to reapportion the 435 seats in the House of Representatives, and determine how much funding cities and states receive from the federal government.   

So why does the B’nai B’rith Center for Senior Services care about the Census? As the 2020 Census approaches there is a high-risk that seniors could be undercounted. For example, this is the first Census where the government intends for most people to be counted through the internet, with the Census Bureau’s goal of encouraging 80 percent of the population to respond through this medium. However, as many people are aware, seniors are less likely to use the internet. For instance, only 62 percent of seniors use the internet, consequently leaving about 18 million seniors who do not have familiarity to the Census Bureau’s preferred method of surveying people. To put 18 million people in perspective, only four states have populations that exceed 18 million. To make matters worse, the number of low-income seniors (less than 30,-000) who use the internet is 46 percent meaning more than half of these individuals do not use the internet.  

While the Census plans to provide paper forms to neighborhoods with older-adult populations, the Bureau’s budget being terribly underfunded is a cause for major concern. The Bureau requested about $15.6 billion in funding for the 2020 Census, however, Congress only wants to spend $12.5 billion. Congress’ budget for the upcoming Census is the same amount of funding as what it cost to run the 2010 Census. Despite the use of technology, I don’t know how Congress can reasonably expect the Census to be conducted at the same price in 2020 that it cost in 2010, without adjusting for inflation. Consequently, the Bureau has unfortunately been forced to cut corners by canceling plans to test local outreach and messaging approaches that encourage people to participate in the Census. If there is potentially less money for advertising and education, seniors who are not internet savvy could be woefully neglected.

Problems like this have caused the Government Accountability Office, to label the 2020 Census as one of the federal government’s programs at a “High Risk” of failure!  

If seniors are undercounted in the Census, what does that mean for the government programs they have come to rely on?  Every year the federal government sends $600 billion to state and local governments for health programs like Medicaid, which are based on formulas which derive their numbers from the Census. If the Census is inaccurate, cities and states will not get the appropriate amount of funding they need to serve their populations. Furthermore, data from the Census is used to determine the number of seniors which live in a given community and the services they need to live independently, as mandated by the Older Americans Act. Kenneth Prewitt, former director of the Census Bureau explained the negative results of an inaccurate Census, “The consequences of not reaching that goal are substantial. The Veteran’s Administration wants to put a new hospital where it can serve elderly veterans. To do so, it needs measures of age and of veteran status that are accurate. A significant undercount puts the hospital in the wrong town. A poor-quality census means policies that miss their mark.”
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The Census’ long term influence on important government programs that impact seniors is undeniable — therefore our country should take every step possible to ensure its accuracy. Fully funding the Census at $15.6 billion is a small fraction of the federal government’s budget, making it a smart financial investment for policy that has enormous consequences on all Americans. 

​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.

We are delighted to report that Rep. Cheri Bustos (D-Ill.) recently visited B’nai B’rith Covenant Apartments in Peoria, Illinois. This visit was a great opportunity for the Congresswoman to learn about the Section 202 program and see firsthand how seniors benefit from affordable housing. B’nai B’rith’s long history with Section 202 housing started in 1971 when we formed a partnership with Department of Housing and Urban Development (HUD) to sponsor housing for low-income seniors. The B’nai B’rith Senior Housing Network in the United States comprises 38 buildings and serves more than 8,000 people. B’nai B’rith International is the largest national Jewish sponsor of low-income housing for seniors in the country.

B’nai B’rith Covenant Apartments, like many of our sponsored buildings, are more than just apartment units. It is a residential community where seniors can age in place. The Congresswoman learned about the wonderful amenities the building offers such as low cost meals, salon, gift shop, grocery store, community rooms and libraries.

After taking a tour of the property, the Congresswoman gave remarks, took questions from residents and shared her positions on important topics that touch their everyday lives, such as Social Security, Medicare, rental subsidies and nutrition assistance. In addition, Bustos offered to help the residents with getting federal benefits from agencies like the Social Security Administration and the Department of Veterans Affairs.

Bustos said, “I had a great discussion with the seniors of B'nai B'rith Covenant Apartments today about all of the issues affecting them and their families. Our seniors worked hard all of their lives and they deserve to retire with dignity, and that includes providing them with affordable housing options through the Section 202 program. I believe that all seniors should be able to retire with peace of mind which is why I'm fighting hard to protect the Social Security, Medicaid and Medicare benefits they've earned.”

We thank Bustos for all her hard work to protect critical programs for seniors that enable them to retire with dignity. Too often Congress and the White House are debating policies that will inevitably cut important funding from federal programs that impact the lives of ordinary older Americans. Congressional visits like this allow B’nai B’rith residents the opportunity to be their own best advocate by speaking directly with the representative and making them aware of the human faces and stories behind federal programs that benefit seniors.
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It was great that Bustos’ visit kicked off our 2018 congressional outreach efforts. We are thankful we were able to show off B’nai B’rith Covenant Apartments and most importantly all the great residents who call the building home. 

​​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.

It has been a busy 2017 at the Center for Senior Services (CSS), and we are pleased to report on our advocacy efforts. Throughout the year we have been advocating on a wide range of senior issues relating to health care (Medicare and Medicaid), Social Security and affordable housing. Our work included meetings on Capitol Hill, organizing tours of B’nai B’rith sponsored buildings and co-sponsoring rallies on affordable housing. During the year we were excited that our work was noted by the Jewish Telegraph Agency (JTA), The Times of Israel and the New York Jewish Week.

Our advocacy efforts went into high gear in March when the White House’s proposed 2018 “skinny” budget was released, which called for a 13 percent reduction in the Department of Housing and Urban Development’s budget. A few months later when the administration’s more detailed budget was announced, B’nai B’rith was severely disappointed that Section 202, which is housing that was developed for low-income seniors, was underfunded and the White House proposed a rental increase for residents. 

Staying on top of the issue, the CSS team started visiting senator and representative’s offices on Capitol Hill that represent B’nai B’rith sponsored buildings. Specifically, we met with offices that work on the House and Senate Appropriations Subcommittees on Transportation, Housing and Urban Development. These committees are responsible for writing legislation that funds rental subsidies for the Section 202 program.  During the course of these meeting we explained to staff members how damaging the White House’s budget would be for low-income Section 202 residents. While the 2018 budget has not been finalized we are hopeful that our advocacy efforts on Capitol Hill will lead to the Section 202 program being funded more. 

In addition, we followed up those visits by inviting members of Congress and their staff to tour B’nai B’rith Section 202 buildings throughout the country. We are pleased to report that Reps. Jamie Raskin (D-Md.), Matt Cartwright (D-Pa.), Grace Meng (D-N.Y.) and Charlie Dent (R-Pa.), representing both political parties, toured our sponsored properties.  Furthermore, three of the four members who visited B’nai B’rith sponsored buildings work on the Appropriations Committees. These tours were a fantastic opportunity for members of Congress to see the benefits of the Section 202 program, and gave residents a chance to speak with their elected representative. Residents were able to directly tell their member of Congress the vital role Section 202 housing plays in their lives.

B’nai B’rith was also pleased to co-host with LeadingAge the “Save HUD 202” Rally and partner with the National Low Income Housing Coalition for the “National Housing Day of Action” over the summer. These rallies took place on Capitol Hill and featured representatives and senators who spoke about the need for affordable housing. We were certainly delighted  members of Congress who represent B’nai B’rith sponsored buildings attended the event. 

Our advocacy during the course of the year didn’t just stop with affordable housing. We spoke out against the White House and Congress’ attempts to repeal and replace the Affordable Care Act (ACA). After analyzing various proposed bills, B’nai B’rith was very concerned how these policies could negatively impact seniors. For example, many of the proposed replacement bills would have cut critical funding to Medicaid, allowed older Americans to be charged more for insurance, repealed vital taxes that help fund Medicare and waive important regulations that protect health care consumers. We spoke out on these issues by releasing press releases, blogs and joined with liked minded organizations opposing this legislation in a full page advertisement in Politico.   

Recently, B’nai B’rith has been very vocal against the recently passed tax reform legislation. We expressed serious reservations about this bill because of the damaging impact it could have on funding for Medicare and Medicaid attributable to rising deficits that will give cover to members of Congress to slash spending. In addition, the negative consequences repealing the ACA’s individual mandate will have on older Americans. We brought our concerns straight to congressional offices during our regular scheduled Capitol Hill visits regarding Section 202. However, we certainly applaud Congress for not eliminating the Low Income Housing Tax Credit which is critical for affordable housing construction, and the medical expense deduction which is incredibly important to countless seniors with high health care costs.
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The CSS team embarks on 2018 looking to continue our success from 2017. We will certainly look to invite more members of Congress and their staff to B’nai B’rith sponsored buildings, and advocate for the Section 202 program and other policies that are vital to seniors. 

This piece originally appeared in B'nai B'rith Magazine's Winter 2017 issue. To read this and other stories from the issue, visit our magazine online here.

I’ve always thought of myself as a caring person, considerate of others and always thinking that we have a duty to be part of a society in which we respect and help one another where and when we can. Call me a do-gooder if you will, but please know that I am proud to wear that label.

With Congress back in session, I continue to be baffled by its continued attempt to turn back the clock in the face of such overwhelming evidence of the number of aging Americans who require assistance with finding a safe, secure place to live.

The United States used to have a national housing policy focusing in part on creating affordable housing for older persons of limited means. Section 202 of the Housing Act of 1959 was the only federal program that provided safe, affordable housing exclusively for low-income elderly.

The program was envisioned as a partnership between government and community-based nonprofits like B’nai B’rith to supply housing to these individuals. The government would supply the financial means to build the property, while the nonprofits would oversee the initial development and ongoing operations. Subsidies, such as Section 8 vouchers, would bridge the gap between what the tenant could afford and the cost of that apartment.

Over time, the funding mechanism for the program changed from a direct loan, with interest payments to the federal government, to a simple advance of funds for construction.
 
Since 1971, B’nai B’rith has been a partner with the U.S. Department of Housing and Urban Development (HUD) in constructing and overseeing such properties. With 38 properties in 26 communities nationwide, we are the largest national Jewish sponsor of HUD-assisted senior housing. Our network comprises nearly 5,000 apartments available to more than 8,000 seniors.

In the 1960s and 1970s, the eligibility criteria were slightly refined. During the 1980s, “cost-containment” became the focus, and there was a shift to reducing the number of units being built and the overall construction cost. While budget driven, many of these decisions had an opposite effect. Having to replace and maintain systems cost more in the long term.

During the mid 1990s the program began to recognize and incorporate the physical and emotional needs of the residents, and the use of service coordinators become more prevalent.

With the aid of these professionals, residents were better able to obtain the support and services they might need to make aging-in-place more possible. HUD finally understood that providing some level of service support within the property often precluded a premature move to a more institutional setting for a resident, at a tremendous overall cost savings to society in general.
 
Even the definition of a well “independent” senior had changed. As these properties were basically apartments without medical or basic service supports when the program was initiated, one of the criteria for admittance into a HUD-assisted property was the ability to vacate your apartment in the event of an emergency. Today, residents are able to remain as long as they can direct the service supports around them to assist in vacating their apartment in the case of an emergency. Yet, today, nearly 40 percent of residents are considered frail and require assistance with some of the basic activities of daily living.

But, remaining in their homes with support beats having to move to a skilled-care or institutional facility many years before actually needing that level of medical support.

So, for a period of time, the program evolved and — despite severe budget cuts during the congressional efforts to reduce overall federal domestic spending — survive. Politicians from both sides of the aisle have taken pride in visiting these properties and publicly marvel at what they say is their tremendous value, not just for the individuals but for the whole community.

So, where do we stand now?  

We know the country is growing older. The percentage of persons 65 and up is a larger percentage of the total population, growing from 35 million (12.5 percent) in 2000 to 49.5 million in 2016 (15 percent) to an expected 71.5 million (19.4 percent) by 2030. Compounding the issue is the increase in the number of persons 85 and older — 6.2 million in 2016, projected to grow to 6.9 million by 2020 due to our increased longevity.

But, the senior population’s sustained growth has not been matched by a corresponding growth in affordable housing. Currently, data show that there are at least 10 to 12 people on a waiting list for every available subsidized unit. The funding to create more of these properties has dried up. Currently, there are no federal dollars available to create new housing for this most vulnerable, growing population.

Where we housing advocates need to expand our efforts is to combat proposals currently being introduced in Congress that would charge current residents even more of their very low income to simply stay put. Even worse are attempts to cut subsidies completely, which could effectively throw current residents out of their apartments, and potentially into the street.

Remember, older persons must already have very low-incomes to qualify — below half of the area median income. Once deemed “income eligible,” they must pay 30 percent of their adjusted gross income for rent. If they have no income, they pay no rent. And we have a number of those individuals residing in our senior housing network. Bottom line is that these applicants were either homeless, near homeless, or at best, very low-income individuals.

Congress has recently debated amendments to the Transportation, Housing and Urban Development Appropriations Bill that would reduce these subsidies while increasing tenants’ contributions from 30 to 35 percent of their meager incomes and require them to pay a minimum amount of rent, or lose the apartment entirely.

And, taking this even further, 139 House members voted for an amendment to reduce funds for project-based rental assistance by $266 million in the current fiscal year, thus jeopardizing approximately 3,000 apartments which could be affected by this action. Fortunately the amendment failed, but the threat remains.

The numbers are alarming, and the White House is threatening to make a bad situation worse. The administration’s budget proposals include the most dramatic cuts to HUD programs since the 1980s, gutting federal housing assistance and redirecting the savings to “higher priority areas.”  What could be of higher priority than making certain that vulnerable older persons of very low income status have access to safe, affordable and adequate housing?

The right of every American to vote is one of the most cherished liberties in the United States.  An individual’s ability to make his or her voice heard at the ballot box should be protected by all levels of government. However too often state legislatures are passing laws which make it more difficult for all people to vote, especially seniors. In particular, photo identification laws have made going to be polls too onerous for the elderly, and have chipped away at their ability to make their vote count on Election Day. In 2017, 17 states require citizens to show photo identification to participate in an election, which has put an unnecessary hardship on seniors, who are one of the least likely population groups to have a driver’s license or other government-issued photo ID.

A study conducted by the Brennan Center for Justice in 2006 (the latest year available) demonstrated that 18 percent, or eight million older voters, did not have a government ID. This can often be explained because many seniors give up their driver’s licenses, and consequently have an expired government ID.

Many people, upon hearing these numbers, might just say, “Why don’t seniors just get a government ID. How difficult can that be?” The problem for seniors is that obtaining government-issued identification can be cost-prohibitive and/or require extensive travel.

For example, a Harvard Law School study published by Richard Sobel, “The High Cost of ‘Free’ Photo Voter Identification Cards,” concluded that between public transportation expenses, fees associated with documents and waiting times, it could cost between $75 and $175 to obtain an ID. For low-income seniors who sometimes have to choose between health care and eating, a government ID is a luxury they just can’t afford. Furthermore, there are states that necessitate a birth certificate upon registering to vote. Many seniors were born before issuing birth certificates to a family was standard procedure. Even when a birth certificate can be located in a county clerk’s office, some elderly people would be required to travel to the cities in which they were born to pick up documentation.  In addition, the validity of birth certificates at times can be called into question because it might contain minor errors regarding their name, especially for women who changed their last name when they married.  

In 2014 Ruby Barber, a 92-year-old woman from Texas with an expired driver’s license, faced incredible obstacles to get an ID in order to vote. Incredibly, Barber was unable to obtain an identification card that would allow her to vote, despite providing her social security card, two utility bills, an expired driver’s license and a Medicare card. Barber couldn’t provide her birth certificate because one did not exist. Barber said, “I’m sure (my birth) was never reported because I was born in a farmhouse with a coal oil lamp.” Eventually Barber was granted her constitutional right to vote when her birthday was discovered in the 1940 U.S. Census. Baber’s story illustrates how burdensome voter identification laws can be for elderly Americans. These types of laws could discourage otherwise eligible voters from going to the polls on Election Day.

Outside of the obvious fact that every U.S. citizen has the right to vote, a small group of people can make a big difference in the result of an election. In 2014 the Government Accountability Office (GAO) published a study, “Issues Related to State Voter Identification Laws,” that indicated that stringent voter ID laws can suppress voter turnout by two to three percentage points. Further to the point, the study demonstrated that senior voter turnout was decreased by one to two percentage points because of changes to voter identification laws. While mere percentage points might not seem like a lot of people, this reduction in voter turnout can mean thousands of lost votes in a single state. Elections can be won or lost based on a few thousand votes.

Proponents of voter identification laws argue they are needed to stop voter fraud at the polls.  While voter fraud at the polls is a reasonable initial fear to have, studies and statistics don’t provide any evidence of meaningful voter fraud. Voter fraud is just not a problem in the United States. Professor Justin Levitt at California’s Loyola School of Law in a study discovered only 31 credible allegations of voter impersonation, between 2000 and 2014, when 1 billion ballots were cast. Obviously any voter fraud is unacceptable, still, I don’t think 31 allegations of voter impersonation is enough justification to make it considerably more difficult for seniors to exercise their constitutionally protected right to vote. 

In the U.S. we should be thinking of new and creative ways to increase voter turnout by passing legislation that ensures every senior entitled to vote is able to cast a ballot on Election Day.  Sadly, state governments around the country have implemented policies that make the simple act of voting for seniors too burdensome all in the name of stopping fraudulent voting at the polls, a problem which doesn’t exist.  

​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.