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Public Policy &
Aging E-Newsletter
Volume 3, Number 2, March 2009
This bimonthly e-newsletter highlights key developments
and viewpoints in the field of aging policy from a wide variety
of sources, including articles and reports circulating in the media,
academy, think tanks, private sector, government and nonprofit organizations.
The goal of this email publication is to reach teachers, students,
and citizens interested in aging-related issues, especially those
who may not have sufficient access to policy information disseminated
both in Washington and around the country.
I. WHATS HAPPENING IN WASHINGTON?
A. American Recovery and Reinvestment Act: On February 17, 2009,
President Obama signed into law the American
Recovery and Reinvestment Act (H.R. 1), a $787 billion economic
stimulus plan aimed at creating millions of jobs and halting the
U.S. economic downturn. The legislation will spur job growth through
massive new investments in energy, transportation, education, and
health care projects, while reviving social safety-net programs.
Just under two-thirds of the costs will represent new government
spending while a little over one-third will come from tax cuts.
President Obama launched the website recovery.gov
for people to track when and how the Act's funds are distributed.
B. NCOA's Bill Summary: The National Council on Aging (NCOA) released
a summary
of the key aging-related provisions of the American Recovery and
Reinvestment Act. Some provisions include: $100 million for senior
nutrition programs; $120 million for the Senior Community Service
Employment Program (SCSEP); a $1 billion investment in evidence-based
clinical and community-based prevention strategies; $500 million
to support programs that strengthen the health care workforce; and
$19 billion for health information technology infrastructure for
Medicare and Medicaid.
C. The Economic Recovery Package Will Help Poor Older Adults, but
More Could Be Done: An Urban Institute fact
sheet outlines how the American Recovery and Reinvestment Act
will benefit older Americans: one-time payments for Supplemental
Security Income (SSI) recipients will boost income for the poorest
elderly; funds for the Social Security Administration will help
older adults obtain benefits more quickly; and an increase in food
assistance will help poor older adults pay for food. The authors
then note how the Act falls short, specifically how the package
includes only a small investment in job training and development
for older workers even though older adults will need to work longer
than in the past.
II. WHATS HAPPENING AROUND THE COUNTRY?
A. The Nationwide Allocation of Recovery Funding: The Center for
American Progress developed an interactive
map that shows state-by-state funding allocations of the American
Recovery and Reinvestment Act. The map compares the amount that
each state will get relative to the size of its economy. These funds
include, among other provisions, direct tax cuts for families, increased
unemployment insurance and food stamps, new education-system funding,
additional funds for clean energy programs, state-level infrastructure
projects, and assistance necessary to protect vital services such
as Medicaid. The article also lists allocations for programs and
tax cuts that are greater than $1 billion.
B. The Social Security Administration (SSA) just released its annual
report on state assistance programs for Supplemental Security
Income (SSI) recipients. The report compares the administration-the
governmental unit responsible for administering these payments-and
eligibility requirements for the three major state assistance programs
for SSI: state supplementation (mandatory and optional) of federal
SSI payments; state assistance for special needs; and Medicaid.
Findings are presented for all 50 states and the District of Columbia.
C. Facing Deficits, at Least 40 States are Imposing or Planning
Cuts That Hurt Vulnerable Residents: The Center on Budget and Policy
Priorities released a report
that describes how continuing economic problems have led at least
40 states to propose or enact reduced services to their residents,
including the elderly and disabled. At least 22 states plus the
District of Columbia have proposed cuts to medical, rehabilitative,
home care, or other services needed by the low-income elderly or
disabled. The authors forecast that Congressional economic recovery
legislation that includes funding for state governments would mitigate
some of these budget cuts.
III. THIS ISSUE'S MAJOR POLICY STORY: PRIORITY POLICY PROPOSALS
FOR THE PRESIDENT
Less than 100 days into his presidency, in the midst of a deepening
recesssion, Barack Obama has acted on some campaign promises and
made clear many priorities. The President clearly wishes to stimulate
recovery in the housing and manufacturing sectors, and to rescue
the banking system. Besides offering tax relief and assistance to
state and local governments, Obama seeks to rebuild the nation's
infrastructure as the nation invests in solutions to the domestic
health-care disparities and addresses environmental challenges.
Current and future cohorts of older Americans, contends the administration,
will benefit from outlays: Among other things funds are earmarked
for senior nutrition programs and Medicaid matches, and to fund
basic research as well as prevention strategies to reduce rates
of chronic illness.
The articles in this section go beyond policy details of H.R. 1.
They attempt to promote a dialog among stakeholders to (re)affirm
policy priorities for elders that have a positive impact on rising
generations, and thereby ameliorate targeted human-resources networks
in ways analogous to concerns over the safety of bridges and the
threat of climate change. We highlight issues in which Americans
of all ages have a stake, issues that require immediate attention
and action to prevent greater costs and catastrophes in the future.
--Andy Achenbaum
A. NCOA Priorities for the Presidential Transition: The National
Council on Aging (NCOA) has sent a set
of priorities to President Obama focused on five impact areas:
promoting healthy aging; creating long-term services and supports
to enhance capacity to live in communities with dignity, choice,
and financial security; investing in workforce development to increase
participation in meaningful work; expanding civic engagement opportunities
that address community needs; and increasing access to public and
private benefits and resources. The document categorizes priorities
for the first 100 days of the new administration, 2009, and long-term
administrative and regulatory changes.
B. LCAO Aging Policy Recommendations to the Transition Team: The
Leadership Council of Aging Organizations (LCAO) offered recommendations
to the Obama Administration regarding federal administrative and
legislative policies that will improve the lives of older Americans.
In the document, LCAO outlines the top issues facing America's seniors
and provides specific recommendations on how to best tackle these
challenges. Topics include civic engagement, Medicare, Medicaid,
research funding, the digital television transition, retirement
security, financing and quality of long-term services and supports,
strengthening the geriatric health and long-term services and supports
workforce, family caregivers, elder justice, and care coordination.
C. Strengthening Social Security for Vulnerable Groups: The National
Academy of Social Insurance (NASI) released a report
outlining twelve policy proposals for President Obama and the 111th
Congress. These policy proposals aim to improve Social Security
protections for low-wage workers, elderly widows, the oldest old,
disabled individuals, farm workers, and low-paid workers with careers
interrupted by caring for children or aging family members. The
authors note that the recent financial crisis makes Social Security
more important than ever.
D. FCA 2009 National Policy Statement: The Family Caregiver Alliance
(FCA) released a policy
statement that encourages President Obama to strengthen policies
and initiatives that recognize and support the estimated 44 million
U.S. family caregivers. Recommendations include: creating a National
Resource Center on Caregiving; modernizing Medicare and Medicaid
to better support family caregivers; commissioning an Institute
of Medicine (IOM) study on family caregiving; adequately funding
programs that assist family caregivers; expanding paid leave policies;
promoting policies that expand the geriatric care workforce; offering
tax credits for family caregivers and employers; and strengthening
Social Security by recognizing the work of family caregivers.
E. The Agenda: Seniors and Social Security: The Whitehouse website
outlines President Obama's priorities
for Seniors and Social Security. These include: ensuring Social
Security's solvency while neither raising the retirement age nor
privatizing the program; strengthening retirement savings by reforming
corporate bankruptcy laws to protect retirees, requiring full disclosure
of company pension investments, eliminating income taxes for seniors
making less than $50,000, creating automatic workplace pensions,
and preventing age discrimination; increasing the affordability
of health care by providing cheaper prescription drugs, and protecting
and strengthening Medicare and long-term care options; and supporting
senior volunteer efforts.
IV. WORTH NOTING
A. Social Security Begins Taking Online Applications: In preparation
for the coming eligibility of 80 million baby boomers, the Social
Security Administration now allows people to apply
online for retirement benefits in as little as 15 minutes. In
the past, retirees had to mail in or deliver paper documents such
as birth certificates; the new system usually requires no additional
documents. Those with more complicated questions can still call
the agency or visit an office.
B. AARP's Government Watch Website: AARP recently launched Government
Watch, an interactive website designed to enable older Americans
to track and provide input on federal and state legislative activity.
Government Watch features: AARP's 2009 federal advocacy agenda and
priority legislation; "Eye on Congress" that tracks Senators'
and Representatives' voting records on issues critical to older
Americans; "Eye on the States," which contains fact sheets
for each state detailing the importance of health care reform, investment
in home and community based care, aid to struggling homeowners,
and retirement preparation; and identification of Congressional
champions on issues that affect older Americans.
C. United Hospital Fund Launches Next Step in Care Website: The
United Hospital Fund launched the Next
Step in Care website to help improve working relationships between
family caregivers and health care providers. The website offers
guides and checklists for family caregivers, as well as guides designed
for health care providers to make patients' transitions between
care settings smoother and safer. The website is the first stage
of a larger campaign that will engage hospitals, nursing home rehabilitation
facilities, home health agencies, patient advocacy groups, and other
family caregiver-focused organizations in addressing a range of
transition-related challenges.
V. WHAT'S HAPPENING ABROAD?
A. Social Security Systems Around the World: The Population Reference
Bureau's (PRB) January newsletter
compares Social Security systems around the world. It tracks the
emergence and outlines the characteristics of Social Security programs
in many countries. It also describes Social Security's effects on
economic and demographic behavior in each country, specifically
its effects on retirement age and fertility rates. With this research,
the author intends to better inform Social Security financing reform.
B. Age Source/Age Stats Worldwide: AARP has launched two new, searchable
international databases. AgeSource Worldwide contains hundreds of
resources from about 25 countries. These resources include clearinghouses,
libraries, databases, training modules, and major reports. AgeStats
Worldwide provides access to comparative statistical data and projections
as far ahead as 2050 that compare the situation of older adults
across countries or regions on a variety of issue areas. Click here
to search either or both databases.
C. Pensions in Africa: A recent OECD working
paper examines the current pension arrangements in selected
African countries and discusses why the development of pension systems
is important for the African region. Individual country overviews
are provided for Botswana, Cape Verde, Gambia, Ghana, Kenya, Lesotho,
Malawi, Mauritius, Namibia, Niger, Nigeria, Senegal, South Africa,
Uganda, and Zambia.
VI. PERSPECTIVES ON POLICY: ROB HUDSON, EDITOR, PP&AR
There can be no question that the current economic crisis is emerging
as the most dire that we have seen since the 1930s. And, in terms
of both employment opportunities and retirement savings, it seems
certain to hit older Americans as hard as it will everyone else.
Looking for any silver lining in this situation, one finally occurs
to me. In recent years, pressures on age-related programs have built
as "the scope of conflict" around aging policy has expanded,
meaning that programs that were once politically insulated are now
under scrutiny and attack from those who see entitlement spending
for older adults leading us toward fiscal doom. Yet, the very challenge
we face has allowed the scope of conflict to expand even wider and,
in so doing, place aging policy on a side burner if not a back burner.
Specifically in the case of Medicare, the issue is being recast,
by President Obama and others, as being centrally about a health
care financing and delivery system that is largely out of control
and not as part of an entitlement crisis centered on older Americans.
Less certain, but possible, is that Social Security is coming to
be seen as either a manageable problem or even as en economic stabilizer
both meeting needs and protecting income. There is nothing more
shovel-ready in America than Old Age, Survivors, and Disability
Insurance.
Click here
to view an index of issues of the quarterly Public Policy &
Aging Report, including the most recent issue on the topic of "Aging
and Tax Policy.
The Public
Policy & Aging E-Newsletter is a free bimonthly email publication.
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Newsletter Editors: Sarah Frey and Greg O'Neill, National Academy
on an Aging Society; Andy Achenbaum, University of Houston.
The Public Policy and Aging E-Newsletter is supported in part
by a grant from the AARP Office of Academic Affairs.
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