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National Senior Health & Fitness Day – It’s Important, Now More Than Ever

Every year, for the last 28 years the National Health and Fitness Day has been held on the last Wednesday of May and this year, due to COVID, there will be two fitness days, one in two days, Wednesday, May 26th, and another on October 27th.

Now I know, you are probably saying to yourselves, “if I hear one more person tell me how I should get off my butt and exercise I’m going to hit them with a pair of sneakers”, but hear me out, I may have some predictable advice but very possibly a little different emphasis.

On this health & fitness day local organizations throughout the country will host senior-related health and fitness events at retirement communities, Ys/health clubs, senior centers, park districts, hospitals, houses of worship, local aging groups, and other community locations. The local health and fitness activities will vary widely based on the organization hosting the event and the interests of the local seniors they work with. Activities will be noncompetitive and may include walking events, low-impact exercises, health screenings and health information workshops. You can go to your local news source or the internet to see what activities will go on in your area.

One site, Silver Cuisine, gave seven activities you can do on your own to celebrate health & fitness day that might spark your interest and start an ongoing healthy activity.

1. Go to the Park

Park and Recreational Departments are getting involved in National Senior Health and Fitness Day, posing the opportunity for seniors to get out in nature. Check out local events near you or construct your own day at the park, filled with trail walking and a picnic!

2. Attend a Fitness Class

What more appropriate way to spend National Senior Health and Fitness Day than by attending a fitness class? Whether at a local community center or private gym, look for a structured workout session. Having an instructor helps demonstrate proper technique to prevent injury while a large group of people heightens motivation and energy!

3. Walk to Health

Organizations near you may be organizing walking events, so take advantage of such. But not all fitness activities have to be structured and can include a walk with close friends and family members. Whether walking on your favorite trail or around the neighborhood, enjoy the feeling of walking to health with loved ones.

4. Work in the Garden

Gardening is a leisurely hobby promoting both health and fitness. Attend to a personal or community garden or plant a garden bed or pot filled with fresh produce of herbs. Take gardening a step further, with personal crop or purchased from the grocer, and cook a meal with fresh produce filled with extensive nutrients to nourish the body.

5. Dance

Groove and dance to the music! Whether signed up for a Zumba class or in the comfort of your own kitchen, there are endless possibilities when it comes to dancing, as it can be done just about anywhere.

6. Schedule A Health Screening

Along with being active, be proactive with health. Scheduling a health screening keeps seniors in the know bout their own personal health and offers a chance to take preventative measures or actions, which may also be dependent on the physical results and discussions held with a healthcare professional.

7. Volunteer

Volunteering is a chance to offer health and wellbeing not only to yourself, but the ability to extend it to others. Seek out volunteer options at health fairs to spread the word of good health, food pantries to offer nutrition to individuals in need, or any other opportunities available in your community or area.

Ok, now that you’ve got the list of things that you’d expect from a blog about health & fitness day, it’s time for some unexpected emphasis. I would like to talk a little more about item 7, volunteering.

Over the last year, whether we liked it or not, we were limited in what we could do and where we could go. Our contact with others was extremely limited, it seemed like we were all focused on keeping ourselves from catching the virus. The key word in that last sentence is “ourselves.” We were focused on ourselves, and with good reason. This life-altering and life-taking virus was dangerous. Now that we are breaking the bonds of COVID we have a chance to change our focus.

I think volunteering is an excellent way to regain a sunny outlook. Turning our eyes toward others is a way to forget our own problems and help someone else regain their sunny outlook. Often when we volunteer it helps us exercise in a way that we hardly know it’s happening. I’ve found there is no better feeling than that aching body you have when you’ve shoveled the neighbor’s walks, cut the neighbor’s grass or did all the lifting and carrying required to get a handicapped friend to the doctor or to the park.

My wife’s aunt went over to the assisted living center once a week to push wheelchairs and help some of the women get to the hairdresser who volunteered once a week to do residents’ hair. She finally quit volunteering when she was 97.

I know that during the pandemic my life seemed to shrink to a very tight orbit where everything seemed to revolve around me. We need to expand our orbit and our universe and seek opportunities to serve others. I’ve found it’s a great way to feel good about yourself and your circumstance.

There are many places to volunteer – local senior centers, congregant eating and activity centers and county and state senior programs. Contact your local Area Agency on Aging (click here to find the closest Area Agency on Aging near you), as they have many ways you can volunteer. We all have some skills we’ve developed over our life that we can use to help others. Get involved!

While there will be many important issues that we will require us to raise our voices in unison, volunteering is a personal and immediate way we can brighten the lives of others . . . and maybe even get some exercise while we’re at it.

Best, Thair



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Osteoporosis Month – A Chance to Make a Difference

It’s Osteoporosis Month, which gives us a chance to focus on a debilitating and costly disease that effects a huge number of Americans. We probably all know someone, either a friend or a relative, who has osteoporosis, which is defined as porous bone. I remember, when I was much, much younger seeing old people who were bent over and had what appeared to be a big bump on their upper back. This is one of the symptoms of osteoporosis. My mother in-law suffered from this disease. Our bones are made up of living and growing tissue and are like honeycombs. If the spaces in the honeycomb become bigger over time, we develop osteoporosis and our bones become prone to breaking more easily. We can do things to strengthen our bones when we are younger but, since this is a blog for, and about, seniors, I want to concentrate on what we can do now to combat this disease.

Osteoporosis is often a silent disease; we many times don’t know we have it until we break a bone. It is more common in older women, but men are also at risk. White women and white men are more likely to get osteoporosis than their African American or Mexican American counterparts.

It’s important to assess whether we are at risk for osteoporosis. Take a moment and take the quiz below.

The more times you answer “yes,” the greater your risk of getting osteoporosis. Take this card with you to your next medical appointment and talk to your healthcare provider about what you can do to protect your bones.

During your visit with your doctor, remember to report:

  • Any previous fractures.
  • Your lifestyle habits, including diet, exercise, alcohol use, and smoking history.
  • Current or past medical conditions and medications that could contribute to low bone mass and increased fracture risk.
  • Your family history of osteoporosis and other diseases.
  • For women, your menstrual history.

The doctor may also perform a physical exam that includes checking for:

  • Loss of height and weight.
  • Changes in posture.
  • Balance and gait (the way you walk).
  • Muscle strength, such as your ability to stand from sitting without using your arms.

In addition, your doctor may order a test that measures your bone mineral density (BMD) in a specific area of your bone, usually your spine and hip. BMD testing can be used to:

  • Diagnose osteoporosis.
  • Detect low bone density before osteoporosis develops.
  • Help predict your risk of future fractures.
  • Monitor the effectiveness of ongoing treatment for osteoporosis.

Thankfully, there are some things we can do right now to help us avoid the broken bones.

  1. Get the calcium and vitamin D you need every day.
  2. Do regular weight-bearing and muscle-strengthening exercises.
  3. Don’t smoke or don’t drink too much alcohol.
  4. Talk to your healthcare provider about your chance of getting osteoporosis and ask when you should have a bone density test.

A big part of limiting the impact osteoporosis has on our continuing health and mobility is seeking the necessary treatment after we break a bone or discover we have osteoporosis. Following our doctors’ recommendations to ensure we don’t have another broken bone is very important. Preventing a downward spiral that reduces our mobility and exacerbates other health problems we may have will go a long way toward maintaining our health.

How many times have you heard of an older person who fell and broke his/her hip and just continued to spiral down as that traumatic experience affected their overall health to the point they eventually died? It happened just that way with my mother-in-law. Broken bones put pressure on already fragile organs and can rob us of precious time with loved ones.

This disease has a huge financial effect on our nation. The Bone Health Policy Institute, which is part of The National Osteoporosis Foundation, did a report on the clinical and cost burden of fractures associated with osteoporosis. A great graphic that captures this information can be seen here. You can also see the financial impact in your state by clicking here.

As you know, I’m always looking for ways that we can work to make Medicare more efficient, especially through the use of preventative measures. The Foundation’s study had recommendations on ways we could improve Medicare to avoid the life limiting results of osteoporosis. Here are the report’s recommendations:

  • Leading health systems like Geisinger and Kaiser Permanente have successfully reduced repeat fractures and lowered costs by employing a new model of coordinated care known as fracture liaison services (FLS). But most of those with fractures go without this cost-effective help because Medicare doesn’t incentivize its use.
    • Action – Congress and the Centers for Medicare and Medicaid Services (CMS) should make changes to Medicare payments to incentivize widespread use of model secondary fracture prevention/care coordination practices for beneficiaries who have suffered an osteoporosis-related fracture and are thus at risk for another fracture.
  • Medicare pays for high-quality bone density testing to identify those who are at risk of bone fractures, allowing for early and effective preventive steps and interventions. However, the Milliman report found that only 9% of women who suffer a fracture are screened for osteoporosis within six months of a new fracture. Other analyses have shown that Medicare payment rates have been cut by 70% and in the last 5 years the osteoporosis diagnosis of older women has declined by 18%.
    • Action – These cuts to Medicare payment rates for osteoporosis screening, which have reduced access, should be reversed either administratively or by legislation.
  • Medicare also pays for FDA-approved drug treatments for osteoporosis that can help reduce spine and hip fractures by up to 70% and cut subsequent fractures by about half. But about 80% go untreated, even after a fracture.
    • Action – Congress should mandate and fund a national education and action initiative aimed at reducing fractures among older Americans.

I can almost guarantee that you have osteoporosis or know someone who suffers from it. There are things we can do to reduce its impact on us, both in the steps we take in our own lives and things we can do to encourage those in Washington to improve Medicare’s approach toward preventative care for this debilitating disease. I encourage all of you to be active in improving your own health and by speaking out to those in Washington to let them know that, especially when it comes to osteoporosis, an ounce of prevention is absolutely worth a pound of cure.

Best, Thair



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Drug Price Hearing

Last Tuesday the Health Subcommittee of the Committee on Energy and Commerce held a hearing titled, “Negotiating a Better Deal: Legislation to Lower the Cost of Prescription Drugs.” The main focus of the hearing was U.S. House bill H.R. 3, the “Elijah E. Cummings Lower Drug Costs Now Act” but there were seven other bills, all dealing with drug prices and access in some manner, that were referenced in the hearing. This was the first hearing on drug prices in this congressional session. Historically, hearings are held in special hearing rooms on Capitol Hill with limited seating for the public, but with camera coverage for off site viewing. Due to COVID-19, this was a virtual hearing with all participants connecting on a YouTube live stream. The hearings are led by the committee chair, in this hearing that was Democrat Anna Eshoo of California, in concert with the ranking member of the subcommittee, Republican Brett Guthrie of Kentucky. A letter from the full Energy and Commerce Committee chairman, Frank Pallone, was available prior to the hearing.

This hearing followed the format of these type of hearings, with statements by the chair and ranking member followed by statements by witnesses who are invited to testify.  The witnesses in this hearing were a patient, a caregiver and three experts in the pricing of prescription drugs. Democrats and Republicans each choose people to testify. After the witnesses make their opening statements, the hearing is left open for questions from committee members, who each have five minutes to ask the witnesses questions.

The hearing lasted just over four hours and I watched every minute of it! By my count there were 40 members who asked questions. This hearing was longer than most, especially considering it was a conducted by the subcommittee. Click here if you would like to listen to the entire hearing. Rather than trying to review and summarize each statement and 40 series of questions, which would make this a very long and probably boring blog, I’ll try to capture the essence of the hearing and identify the salient points. If you don’t already know from my previous blogs, I don’t think H.R. 3 is the right approach to lowering drug prices. It quickly became apparent that all of the Democrats were supportive of H.R. 3 and all the Republicans were against it, although there were parts of the bill that the Republicans liked. There were some questions asked about the other seven bills included in the hearing; they dealt with specific aspects of the prescription drug supply chain and business model and ways to make them more efficient or lower costs. As time goes on some of these bills may have hearings of their own or be included in a larger bill. The vast majority of the time was spent on H.R. 3 and that’s where I will focus my comments.

H.R. 3 seeks to substantially change the way prescription drugs are priced and paid for. These changes will have huge impacts on patients and hearings like this one are conducted to identify this impact. It’s not a small bill but there are really three main parts of H.R. 3 that were the main focus of the hearing:

  • Lowering the out-of-pocket costs for patients.
  • Restricting the amount an existing drug’s price can be increased year over year.
  • Allowing government “negotiations” for drugs.

Lowering the out-of-pocket costs for patients – This part of the bill gained the most bipartisan acceptance. It propose a yearly out-of-pocket cap for prescription drug costs. The amount discussed was $2,000 but there were some questions and discussions about the amount and how it should be applied. There was also some discussion about how the increased cost of the cap should be split between the drug manufacturers, insurance company and the government. There were some questions concerning rebates and whether some of the money retained by middlemen in the supply line could be used. This proved to be a popular approach for both Democrats and Republicans, but the Democrats repeatedly indicated in their questions and statements that this was just one part of the solution.

Restricting the amount an existing drug’s price can be increased year over year – This part of the bill would limit the amount an existing drug’s price could be raised each year to the percentage indicated in the consumer price index (CPI), which measures the average amount of inflation year-over-year. There were many questions and statements on this approach, some by the expert witnesses and some by the patient witness. There did seem to be a few Republicans that thought this was a problem, though they weren’t convinced that a blanket solution of tying the increase to the CPI was a viable solution. I know that some increases are due to the increased cost of some ingredients or increased manufacturing costs. There were questions asked concerning some of the other bills that dealt with this problem in other ways, like identifying the “bad players” and their use of loopholes to increase prices. It was evident that this part of the bill will be discussed further.

Allowing government “negotiations” for new drugs – This part of the bill garnered the most discussion and questions. It dealt with the government getting involved in (negotiating) the price of selected drugs. The government would use the average price charged in six foreign countries – Australia, Canada, France, Germany, Japan, and the United Kingdom – as the basis for their negotiations. If a manufacturer was not willing to accept this price, they would be charged anywhere from 65% to 95% of their gross sales to continue to sell the drug in the U.S. There were many statements and questions from the Republicans on whether this was really negotiation. No drug manufacturer could continue to sell their product if they had to pay 65% of their gross sales to the government. One Republican said that this was not negotiation but a take it or leave it ultimatum which reduced the negotiations to simply price fixing. A Democrat made the point, which some Republicans agreed with, that America shouldn’t bear the cost of the research and development of new drugs. A Democrat made the statement that free market advocates should embrace the concept of negotiations with the Republicans indicating that price fixing is not a valid part of the free market. One member brought up the point that this approach may not be constitutional.

There were statements that some of the 6 countries used quality adjusted life years (QUALY) to ration healthcare and to negotiate drug prices. Republicans were nervous that this approach would make its way into America’s healthcare system. They pointed out that some patient groups had written letters to Congress stating that using this international pricing approach would help promote the use of QUALY which they deemed discriminatory to both the disabled and to the older population.

The biggest discussion on the use of these pricing approaches centered on their impact on the discovery of new medicines. The counterpoint to these approaches was the fear that they would greatly reduce the amount of money investors would be willing to risk on new drug discovery if the return on their investment was limited. It was pointed out that 9 out of 10 drugs discovery failed at some point in their development, making investment in drug research a risky endeavor. The proponents of H.R. 3 indicated that the decline in the number of new drugs would be minimal. One of the expert witnesses made an interesting statement He said, in essence, why limit drug research and development when we’re at the dawn of the golden age of health changing discoveries. Other members pointed out that the research and development business would move from the U.S. to other countries costing the loss of tens of thousands high paying jobs.

This hearing produced many comments and interesting questions and answers. The issue of drug prices has been at the center of many political campaigns, Presidential Executive Orders, demonstration projects and proposed legislation. This is not a new issue. H.R. 3 was proposed in an earlier Congressional session but was never advanced. Now, holding the majority in the House, the Democrats are working to advance the bill. One interesting thing that caught my attention was some statements by Republican members that they were convinced that this bill, even if it passed the House, would not pass the Senate. They wondered why the committee was wasting time on this bill rather than sitting down and working out compromises that would produce a bill that could pass the Senate. I’m convinced that there will be much more talk and more hearings on this subject.

One last thing. . . as you know, I’m a fan of instituting a yearly cap on patient’s out-of-pocket prescription drug costs. People shouldn’t go bankrupt or not have access to prescription drugs because of cost. We need to fix this part of our healthcare. Using international prices to fix the price of drugs is not the answer. The question I ask is, what better place should we spend our money than finding life changing and lifesaving medicines that could save your life or the life of your loved one? The government has spent trillions of dollars to help us through a pandemic that was caused by a virus that was first contained by a vaccine that used a new method for creating vaccines. This new method was discovered because research was funded years earlier, enabling it to be brought to bear in a short period of time to combat this life taking and economy crippling virus. Why wouldn’t we be willing to spend money to continue to make these types of discoveries? The drug manufacturers understand there’s a problem, and they have indicated they want to be part of the solution. More government involvement is not the solution. At least that’s my opinion.

We’ll keep you informed as these bills move forward, keeping you informed, highlighting their effect on you and your health. As always, I’d appreciate your opinion. Take the opportunity to leave a comment.

Best, Thair



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Medicare Quiz – The Answers May Surprise You

Medicare was launched as a basic healthcare program that older Americans could count on when they reached age 65. It provides:

  • Part A – Inpatient hospital coverage.
  • Part B – Outpatient/doctor care and doctor administered drugs.
  • Part C – Another choice for obtaining Medicare coverage (see below).
  • Part D – Prescription drug coverage, added in 2003.

Part C was introduced late in the 1990’s and was labeled Medicare+Choice; in 2003 the name was changed to Medicare Advantage (MA). This new Medicare option allowed private insurance providers to be paid a set fee for taking full responsibility for the healthcare needs of Medicare enrollees. This approach incentivized the MA provider to offer programs that helped keep their customers healthy since they were responsible for their long-term healthcare costs. Medicare Advantage offered seniors another choice, a choice that has had rapid growth in the last decade. Over 36% of Medicare beneficiaries have chosen Medicare Advantage. Historically, MA programs offer many added benefits, like reduced or free gym memberships. And they often include some eye, dental and hearing aid benefits. While there is often no cost for these added benefits there can be higher premiums and some limited choices of healthcare providers, limiting them to providers that are in the plan’s network. However, people can have more predictability in their healthcare expenses and budgeting.

As Medicare usage grew, private insurance providers then stepped in to offer Medicare supplemental insurance to further reduce out-of-pocket costs and increase benefits for Medicare beneficiaries. This offered even more choices for those over 65, although this insurance must be fully covered out of pocket.

As you can see, Medicare has gone through some changes over the years and has added more choices. It seems like this simple healthcare benefit has become more and more complicated. I thought maybe a short quiz may help shed some light on different aspects of Medicare. You may even learn some things you didn’t know about this important benefit.

I’ll ask 4 questions; the answers are below . . . don’t cheat and look at the answers before you answer the questions!!!!

Question 1 – True or false, everyone pays the same over the years for Medicare.

Question 2 – True or false, you don’t have to be 65 to be eligible for Medicare.

Question 3 – True or false, you can switch back and forth between Medicare Advantage and basic Medicare with minimal impact.

Question 4 – True or false, Medicare has a cap on how much a beneficiary will spend out-of-pocket each year.

Answer 1, False – For Medicare Part A, the actual dollars that you pay into Medicare depends on how much you earned and your tax status. If you are self-employed, you paid 2.9% of your income; otherwise your employer paid 1.45% and you paid 1.45%. Also, if you make over $200,000 ($250,000 if you’re married) your share goes up .9%. Your Part B premium is also based on your income, if you earn more than $85,000 ($170,000 if you’re married) your premium can go up substantially. Part D premiums can also go up based on your income. The government also contributes a portion of the cost of Medicare when you are retired. The bottom line is that the more you earn, the more you contribute to Medicare, both in your earning years and after you turn 65.

Answer 2, True – There are situations where someone who is younger than 65 will be eligible for Medicare. In 1972 Medicare was expanded to cover people younger than 65 with certain disabilities.

Answer 3, False – There are important rules that can come into play when you want to switch from Medicare Advantage back to basic Medicare and Medicare supplemental insurance. With Medicare supplemental insurance, the insurance company can require a physical and health history that can result in significantly higher premiums . . . in all but four states you may not be eligible for guaranteed coverage. Do your homework and ask questions as you make changes to your Medicare coverage.

Answer 4, False – Unlike the great majority of health insurance we had before we turned 65, which had a maximum amount we would have to pay a year for our healthcare, Medicare has one segment of healthcare that is not capped, Part D, the prescription drug benefit. If your total out-of-pocket costs for the year reach $6,550 you reach the catastrophic stage where your portion is 5% of the list price of the drug. While this seems like a small percentage there are serious, often rare diseases where the price of the drugs is extremely high. A drug that costs over $100,000 a year can add over $5,000 to the $6,550 that has already been paid. Seniors Speak Out has continually lobbied for a yearly cap on Part D. We just don’t think it’s right for the sickest among us to carry the largest financial burden.

Medicare can be complicated, each of us needs to ask questions, do research, get help from trusted sources like our doctor and access the help offered by our government. It seems like we get bombarded with ads, phone calls, emails and internet ads urging us to buy a specific supplementary insurance or Medicare Advantage program. Remember, each of us has unique circumstances and health requirements. Seeking trusted sources who know us and our situation, is the best way to make the right choice when it comes to Medicare.

Best, Thair



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A Harmful Path on Drug Pricing

You may have seen in the news last week that the majority leadership in the U.S. House of Representatives had decided to make prescription drug affordability a priority and introduced new legislation that they say will reduce what you’re paying for medicine.

Well, it’s not exactly new legislation.  It’s actually the same bill that the House passed in 2019 but that didn’t receive action in the then-Republican Senate.  H.R. 3 was a bad idea then and it remains a bad idea now.

H.R. 3 is a piece of legislation that would fundamentally change the way we determine pharmaceutical pricing in the United States. It would replace our market-based approach that utilizes private sector negotiations with a much heavier regulatory hand and a reliance on the government price controls used in other countries.

The sponsors of H.R. 3 talk almost exclusively about reducing prices, but they don’t address the consequences of their approach. The Congressional Budget Office has said that there will be fewer new medicines developed over the next 20 years if this government-centered philosophy toward pricing becomes the law of the land.  We shouldn’t have to choose between lifesaving medical progress and an unproven pricing method.

I want to focus on two of the primary components of H.R. 3. One provision would use the prices of six other countries as a baseline to determine the U.S. price for many drugs in the Medicare Part B (which covers drugs injected or infused in healthcare settings) program. Another would empower the Secretary of Health and Human Services to “negotiate” prices in the Medicare Part D program that millions of seniors use for their prescription drug coverage.

Let’s put all of the rhetoric aside and deal with the facts.  There are three reasons why this legislation would be bad for seniors:

  1. The notion that we should base our prescription drug prices on six countries – Germany, the United Kingdom, France, Canada, Japan, and Australia – whose healthcare systems are fundamentally different than ours is incomprehensible. Because the United States is the world’s hotbed of biopharmaceutical innovation, we have more access to new medicines than citizens in those countries.  For example, 96 percent of new cancer drugs developed in the last decade are available to Americans.  In Australia, only 49 percent of those drugs are available.  Yes, our government should be tougher in pressing those countries to pay their fair share for medical innovation, but we shouldn’t undermine our system in order to emulate theirs.

  2. Giving the Secretary of Health and Human Services “authority” to negotiate Medicare Part D drug prices is a flawed premise.  Government doesn’t negotiate, it sets prices.  This is a solution in search of a problem.  Medicare Part D average monthly premiums have remained steady and affordable for several years now.  Medicare Part B average prices aren’t going up any faster than any other commodity in healthcare. Private sector negotiations are working.  Why throw that out for government price setting that could have severe ramifications for our access to drugs?

  3. COVID-19 has taught us that we need a robust innovative pharmaceutical sector that can produce breakthrough vaccines, treatments, and cures.  HR 3 would take $1.5 trillion out of this industry over the next decade.  As I mentioned earlier, CBO says this would result in dozens of fewer new medicines being produced. At a time in which we’ve seen the rapid production of COVID-19 vaccines and we need more, not less, research and development to fight cancer, Alzheimer’s, diabetes, future infectious viruses and other diseases, undermining innovation would be a terrible direction to go.

There are ways Congress can pursue greater affordability that don’t involve these terrible consequences.  Keep an eye on this battle that will be unfolding over the upcoming months and make sure your Senators and Representatives hear your opinions on the matter.



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Town Hall – Survey Results

Seniors Speak Out conducted a poll to give America’s seniors a chance to speak out about the impact that the COVID pandemic has had on them and their attitudes concerning vaccinations. We had over 400 responses and reviewed those responses at a virtual town hall last Wednesday, April 14. I was joined on the town hall by Nona Bear, a trusted colleague and an experienced senior advocate who has worked on issues concerning older Americans for over 40 years. You can click here to view the recorded town hall.

Since Nona and I have been vaccinated and have waited the appropriate time after our second shot we, in compliance with CDC guidelines allowing us to “Visit with other fully vaccinated people indoors without wearing masks or physical distancing,” did the town hall sitting next to each other without wearing masks. It was exhilarating to communicate directly back and forth with Nona during the town hall. People commented afterwards how different it was to have two people in the same screen box actually speaking back and forth without unmuting (or forgetting to unmute) themselves. It seemed like a first step on the road back to normalcy.

We do these polls periodically to check the pulse, and understand the attitudes, of older Americans on relevant issues. We’ve all been inundated with information from a multitude of sources concerning COVID-19. This poll gave seniors a chance to reveal how they digested all this information and how they personally feel about the pandemic and the vaccines that will give us a chance to return to normal. Seniors Speak Out focuses on older Americans — and those who completed the survey reflected that focus, 90% were over 65 and 30% were over 75.

We went through the questions as they were presented to the poll takers, discussing the results, and adding any insight we might have.

Question – Have you tested positive for COVID-19 or has a healthcare professional told you that you had COVID-19?

  • Yes à 7.2% (29 respondents)
  • No à 92.8% (376 respondents)

Discussion – Only 7.2% of our poll takers caught the virus compared with just under 10% for America as a whole. I pointed out that 80% of the deaths from COVID occurred to those over 65. Seniors bore the brunt of this virus. I recounted that an assisted living facility near me, which had been absolutely off limits to visitors since the pandemic began, now has a big banner that proclaimed, “we are all vaccinated, come visit.” That is literally a sign of progress.

Question – Have you received the COVID-19 vaccine or are you scheduled or on a waiting list to receive the vaccine?

  • Yes, I’ve received or waiting to get vaccinated à 81.7% (308 respondents)
  • No, I have not received the vaccine, nor do I plan on getting vaccinated à 18.3% (69 respondents)

Discussion – Both Nona and I recalled what a sense of relief and empowerment we felt when we got our vaccinations. Our poll went on to ask those who had replied no to this question some follow-up questions.

Follow-up question – Why haven’t you received the vaccine or signed up to receive one?

  • Getting an appointment was too hard à 5.8% (4 respondents)
  • Getting to the vaccination site was too hard à 5.8% (4 respondents)
  • I’m waiting to see if there are side effects or other health issues with the vaccine à 34.8% (24 respondents)
  • I am not planning on getting the vaccine à 53.6% (37 respondents)

Discussion – We pointed out that getting appointments should improve each day and with pharmacies beginning to give vaccinations it should be easier to get to the inoculation site. The people in the third category were the “wait and see” people. That category of vaccine hesitancy has been steadily shrinking. In last week’s blog I encouraged people in this group to talk with someone they trust to get their advice. Nona talked about some of her friends who had been hesitant. A total of 9% of our poll respondents fell into the fourth category, they were not going to get vaccinated. Nationally, 14% of us are in this category. This percentage hasn’t changed over the last months. We felt like these people, for whatever reason, were not going to change their mind. It will be up to the rest of us to get our country to herd immunity.

The poll then stopped the follow-up questions and asked everyone the following questions.

Question – Do you think a vaccinated person needs to still wear the mask?

  • Yes à 75.3% (305 respondents)
  • No à 24.7% (100 respondents)

Discussion – The 75% who responded ”yes” were echoing the CDC guidelines for being with non-vaccinated people, in big groups, in public places and indoors. I pointed out that maybe the other 25% were thinking about the situation like this one, meeting with vaccinated people or were just willing to take the risk. Nona and I then discussed how each of us have our own level of risk that we are willing to tolerate. This level of risk is a very personal thing and should be based on the science but remains a product of our own experience and our personality.

Question – Do you think a vaccinated person’s chance of getting hospitalized or dying of COVID-19 is?

  • 0% à 14.8% (60 respondents)
  • 5% à 43% (174 respondents)
  • 10% à 26.9% (109 respondents)
  • Higher à 15.3% (62 respondents)

Discussion – When it was revealed that the first two vaccines that gained emergency authorization were 95% effective, it seemed natural that 5% would be the logical answer to this question. Actually, in the trials, of the people who tested positive after being vaccinated, none were hospitalized or died. We have experienced some hospitalizations and even a few deaths in the over 75 million vaccinations that have been given but the odds of getting seriously ill after getting vaccinated remain very, very low.

Question – Concerning the impact of the restrictions of COVID-19 on your physical health – check all that apply:

  • It has been more difficult to get my medicine à 8.5% (39 respondents)
  • It has been harder or I’ve been hesitant to see a doctor or other healthcare professional à 41.6% (190 respondents)
  • I’ve had trouble receiving home healthcare à 2.4% (11 respondents)
  • I’ve had trouble receiving home services (cleaning, food delivery, etc.) à 9.2% (42 respondents)
  • Other à 38.3% (175 respondents):

Discussion – Nona talked about the importance of returning to see our doctor if we have delayed or cancelled appointments. We discussed later in the town hall how important it is to follow-up on our other vaccines, shingles, pneumonia, flu, etc. We hope that there wouldn’t be an increase in some illnesses, like colon cancers due to people delaying their colonoscopies due to the pandemic. We were encouraged by the increase in the use of telemedicine. 

Question – In their responses to COVID-19, do you think the healthcare sector (hospitals, drug and device manufacturers, insurers, Medicare, Medicaid, VA) has:

  • Performed better than expected à 40% (162 respondents)
  • Performed as expected à 42.5% (172 respondents)
  • Performed worse than expected à 17.5% (71 respondents)

Discussion – 82% said the healthcare sector performed as expected or better than expected. That’s a rousing vote of confidence. We felt like it was a recognition of the heroes that have helped us through this pandemic and quickly developed a vaccine to combat it.

Question – In their responses to COVID-19, do you think the Biden Administration and new Congress has:

  • Performed better than expected à 43.5% (176 respondents)
  • Performed as expected à 20.2% (82 respondents)
  • Performed worse than expected à 36.3% (147 respondent

Discussion – While the Biden administration’s numbers are better than the last poll of the Trump administration (64% to 46%), it is important to note that much of the initial successful research and response to the pandemic occurred under the Trump administration. The main point is that America senses that the momentum to conquer the pandemic has strengthened and will continue.

Question – Concerning the impact of the restrictions of COVID-19 on your emotional health – what worries you the most?

  • Becoming sick with COVID-19 à 13.1% (75 respondents)
  • The COVID-19 vaccine not working à 13.5% (77 respondents)
  • Family members becoming ill with COVID-19 à 27.1% (155 respondents)
  • Loss of retirement income à 7.2% (41 respondents)
  • Loneliness à 21% (120 respondents)
  • Access to healthcare à 8.4% (48 respondents)
  • Other à 9.6% (55 respondents)

Discussion – Nona noted that the second most popular response was loneliness and that it certainly impacted a lot of seniors. She also noted that it seemed that older people have found ways to cope with their loneliness . . . that maybe their life experiences helped them weather this storm. The number one response (27%) was fear that a family member would get COVID, in true selfless fashion they were twice as worried about their family than they were about their own health (13.5%).

Question – What top two healthcare priority issues are you concerned with this year?

  • Prescription drug costs à 27.1% (185 respondents)
  • COVID-19 treatments and research to prevent another pandemic à 25.8% (176 respondents)
  • Problems with Medicare coverage and/or costs à 25.8% (176 respondents)
  • Making healthcare more accessible à 17.6% (120 respondents)
  • Other à 3.7% (25 respondents)

Discussion – We thought it was interesting that concern over how much we were paying for prescription drugs and treatment and research were at the top of our concerns. A significant portion of our drug costs pays for research on new drugs. We discussed how critical it will be to reach a balance in these two areas. Another top concern was problems with the cost and coverage of Medicare. We can expect proposals to change Medicare to be submitted sooner rather than later. It will be important for us to understand those changes and the impact they could have on each of us. 

Question – Do you have family members helping you make healthcare decisions?

  • Yes, a spouse, other family member, or home healthcare worker helps me make healthcare decisions à 18.8% (76 respondents)
  • No, I handle my healthcare decisions on my own with my doctor’s consultation à 81.2% (329 respondents)

Discussion – We were amazed at the self-reliance of the respondents. We conjectured that maybe the emergence of Zoom and other electronic methods that let us stay in contact with our families helped us to be better on-line researchers and find our own answers to questions. There is no doubt that we have become better informed.

Question – Are you worried the new Administration will restrict your access to care?

  • Yes à 41.7% (169 respondents)
  • No à 58.3% (236 respondents)

Discussion – 42% is not a small number of people that are worried about their access to healthcare. The pandemic has magnified how important healthcare is to each one of us. I’ll keep this in mind as we discuss existing and future proposed changes to Medicare.

Question – What do you think the Biden Administration should prioritize?

  • Lowering prescription drug costs à 53.3% (247 respondents)
  • Reforming health insurance à 34.3% (159 respondents)
  • Other à 12.3% (57 respondents)

Discussion – Prescription drug costs was at the top of the list. I always point out that the true impact of prescription drug costs is the out-of-pocket money each of us pays for our prescription drugs. As I’ve discussed in my blogs, one solution that has gained some bi-partisan support in the past has been putting a yearly cap on our Medicare Part D out-of-pocket costs. We pointed out that we have had caps on these costs as part of our private insurance when we were younger and introducing this cap in Medicare could really help the sickest amongst us.

We purposedly spent very little time during the town hall discussing the pause in the Johnson and Johnson vaccinations. It happened the day before our town hall and there wasn’t very much information available. We know that it is a concern for all of us and because of that we will be re-releasing the survey in the next few weeks to ascertain if this pause has changed your attitudes. We hope it will not.

As always, we left some time for questions. The first question was:

  • How do we obtain a balance between lowering prescription drug prices and maintaining the robust research and development environment that discovers new medicines?

I replied that if I had the exact answer everyone would be seeking my opinion on a variety of topics. I commented that we need to somehow find this balance and that the drug manufacturers want to come to the table and find a solution. Nona pointed out that all the progress in oncology treatments were made possible because investors were willing to invest in the research and development. The two German scientists who worked for 5 years to pioneer the science for the vaccines that will conquer the COVID virus were financed by someone who was willing to take the risk.

  • A follow-up question was asked to expand on why it is a bad idea to import drugs from other countries.

I pointed out that some states have passed legislation to allow drugs to be imported from Canada, but nothing has happened because the Canadian government couldn’t or was unwilling to support it and that the drugs that would come through Canada would be manufactured in other countries and would be outside of the pipeline that the FDA and HHS monitors in order to guarantee the drugs are safe. For decades, the secretary of HHS has had the ability to authorize the importation of drugs. No secretary, whether it was under a Republican or Democrat administration, has allowed importation, simply because they couldn’t guarantee the safety. There are ways to solve this problem so America doesn’t bear the brunt of the cost for R&D, importing drugs is not a viable solution.

  • Nona was asked a question about how we would know when it was safe to go back to the doctor.

She said that it is vitally important that you feel comfortable going to see your doctor. She recommended that you call the doctor and ask as many questions as needed about how they will keep you safe until you feel comfortable. She encouraged everyone to use telemedicine as much as possible. I pointed out that Medicare quickly authorized payment for the use of telemedicine. We also touched on the importance of preventative care, we may have got behind on some of our vaccines and we need to get back on schedule.

  • The last question was about loneliness and how it has affected older Americans and whether there was a chance to learn from our experience of the last year?

Nona pointed out that the impact of loneliness on our health is often under recognized and that all age groups are impacted. We added that there might be some silver linings to this experience because we became much better at using technology to combat loneliness and that we experienced huge strides in expanding the use of telemedicine.

We closed by reminding everyone that there will be another virtual town hall in June and that we will be sending out the survey again in a few weeks to gauge if there has been any changes in our attitudes on vaccines and the pandemic. We will also be asking for ideas for the subject of the June town hall. I will publish the link to our follow-up survey on my weekly blog.

Best, Thair



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Who Do We Trust?

One thing the pandemic has highlighted is a general lack of trust in our government when it comes to how to stay healthy. We have been instructed by two presidents, by multiple federal agencies and by the governors of our states as they sought to influence us on how best to make our way safely through this pandemic. We heard that masks weren’t important and then they were, that we needed to wipe everything down and then that it wasn’t that critical, that it would take over two years to get a vaccine and then it took 6 months, that we needed to get 60% of Americans vaccinated to reach herd immunity and then 70% and maybe higher. I don’t know if any of this contradictory guidance was politically motivated, was done to guide public behavior or resulted from the lack of good information. What I do know is that each of us had to decide for ourselves who we trusted.

We are fast approaching the time when there will be vaccines available for all who want them – many states already have opened up their vaccines to anyone 16 or above. This means that soon the only thing keeping us from vaccinating everyone will be those who are refusing to get vaccinated. Our government has started a campaign to convince those that are hesitant to get vaccinated, to step up and get their shot. There have been advertisements, speeches, and blogs (like this one I authored), encouraging people to get vaccinated. It quickly became evident that the best was to influence people to get vaccinated was to get them to talk with people they trust . . . their doctor, their religious leader, or a close friend or relative.

While I hope that if you are hesitant to get vaccinated you talk to someone you trust for advice on getting vaccinated, I have another reason for making this point – the people that know us and our individual health status, especially our doctors, are bound to be the most accurate when they give us advice on what will keep us, each one of us, healthy. We are correct in trusting those people.

While the federal government handled the coordination of finding an effective vaccine and providing stimulus money to help our economy, it was up to the governors of each state to decide how their state would guide its citizens on mask mandates, business openings, and the distribution of the vaccines. It just is logical that the closer those who advise us or make decisions on our behalf are to us, both physically and individually knowledgeable, the better those decisions will be.

I’m afraid that our government has forgotten this powerful fact and continues to try to control our healthcare from Washington through one-size-fits-all solutions. The most powerful approach we can have for our health is to give our local health providers more choices so they can treat us as individuals. For instance, our healthcare shouldn’t be subjected to the price control strategies like importing prescription drug pricing schemes from foreign countries. When we control prices, we chill investment and stymie innovation. Scientists continue to give us tools to personalize our healthcare; what we need are more choices, not fewer. Our doctors and local healthcare providers shouldn’t have fewer choices because they are hesitant to prescribe prescription drugs that have been imported without the tracking and safety guarantees that we rely on.

One method of price fixing is for the government to insert itself into the negotiations between insurance companies and drug manufacturers. This once again is an approach that seeks to negate the free-market functions that have been working in Medicare for 15 years. If it ain’t broke, don’t fix it.

It is evident that our trust in the government has suffered during this pandemic, it seems foolish to sit back and let this same government have more control over our healthcare. As you hear about proposals to change our healthcare, ask yourselves whether their proposed change will give those we trust the most, your doctors and other local healthcare providers, more choices and tools to treat your individual health needs most effectively. We’ll work to keep you informed about proposed changes that affect your healthcare.

One more thing, at Seniors Speak Out we periodically survey seniors and find out how they feel about healthcare issues that affect them. We recently sent out a survey and got over 400 responses. We will be talking about the results of that survey at a virtual town hall webinar this Wednesday at 2:00 pm ET. You can register for the town hall here. You don’t have to turn on your camera on if you join on your computer and there is also a phone option if you prefer that. Hope to talk with you then.

Best, Thair



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National Minority Health Month

The blog this week puts the spotlight on National Minority Health Month, and it couldn’t be timelier. Before I get into the details, I want to offer a little background. It’s evident that the mere fact that there is a minority health month, and an Office of Minority Health (OMH), created in 1985, within the U.S. Department of Health and Human Services, indicates that there has been and remains a disparity in the treatment of minorities within our healthcare system. This fact is confirmed by the mission statement of OMH, “The Office of Minority Health is dedicated to improving the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities.”. The facts show that minorities have not received the same level of care within the U.S.

The reasons for this disparity in treatment are many and varied — they can be financial, level of education, housing, the lack of adequate insurance, biological differences, and discrimination. The COVID-19 pandemic has brought many of these disparities to the forefront and, hopefully, will hasten the resolution of these disparities.

The OMH has worked unceasingly to ensure that minorities receive the same care as the rest of America. They provide grants, create programs, sponsor research, and establish guidelines, all toward eliminating disparities in care.

National Minority Health Month is especially important during this critical vaccination phase of our battle with COVID-19. It has been shown that some minorities have been more reluctant to get vaccinated than the general population. The OMH offers information about how you can ensure you are #VaccineReady when the time comes.

  1. Understand how the COVID-19 vaccines work.
  2. Learn more about what to expect after getting the vaccine.
  3. Check with your doctor if you have questions or concerns about side effects.
  4. Use VaccineFinder to find out where you can get vaccinated.
  5. If you have questions about receiving the vaccine at a specific location, please contact that location. Vaccine availability is subject to change and appointments are required at most locations. Follow instructions for each provider listed on VaccineFinder Exit Disclaimer.
  6. Get the vaccine when it is your turn.

I know this is good information for those of us who have already decided to get vaccinated. For those of you, especially minorities, who are still undecided I offer a few items of advice.

  • Do your own research – Get your information from trusted sources. There are two videos that might help you understand more about the vaccine or give you links to obtain more information. Those videos are here and here.
  • Talk to someone you trust – Ask them why they got vaccinated and what their experience was, both during and after they were vaccinated.
  • Talk to your doctor or healthcare provider – They are the ones that will know what is best for you.
  • As shown below, minorities were included in the clinical trials.
  • Consider the success so far – over 51 million Americans, about 15%, have been vaccinated with minimal side effects.
  • Consider your loved ones and your community – The more people who get vaccinated the quicker your community and loved ones will reach herd immunity and will be able to return to normal.

We are making great strides toward reaching our goal of vaccinating 70% of our population. We have increased the daily vaccinations to over 3 million and it looks like every state will open vaccinations to all age groups before May 1. I am looking forward to returning to some sense of normalcy by July.

The National Minority Health Month this year is concentrating on helping America’s minorities get vaccinated. It is critical that all Americans have the opportunity to be protected from this virus and to return to normal.

Register now for our next Medicare Virtual Town Hall on April 14 at 2PM ET. And take the poll on issues of importance to you. We will be reviewing the results at the Town Hall.

Best, Thair



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American Diabetes Alert Day

I’ve talked about kidney disease in an earlier blog and discussed its close relationship with diabetes. This week I’ll concentrate more directly on diabetes and ways we can identify our risk in getting diabetes and healthy steps we can take to prevent the onset of type 2 diabetes or ways we can minimize its affect.

First, a few facts. Diabetes impacts over 30 million Americans or about 10% of our population. Surprisingly, about 7 million of us don’t even know we have it. The older we get the more likely we are to get diabetes, but our ethnic background may also increase our chances of getting the disease. Consider the following percent of people with diabetes depending on ethnic group:

  • non-Hispanic whites: 7.4 percent
  • Asian Americans: 8.0 percent
  • Hispanics: 12.1 percent
  • non-Hispanic blacks: 12.7 percent
  • American Indians and Alaska Natives: 15.1 percent

As you can see, your ethnic group has a big impact on your chances of getting diabetes.

Diabetes is a killer! Almost 80,000 Americans die of diabetes; it is the 7th leading cause of death in the U.S. and has a huge impact on the overall health of those living with diabetes.

  • Adults with diabetes are significantly more likely to die from a heart attack or stroke.
  • More than a quarter of all Americans with diabetes have diabetic retinopathy, which can cause vision loss and blindness.
  • Each year, nearly 50,000 Americans begin treatment for kidney failure due to diabetes. Diabetes accounts for 44 percent of all new cases of kidney failure.
  • Each year, diabetes causes about 73,000 lower limb amputations, which accounts for 60 percent of all lower limb amputations (not including amputations due to trauma).

This month I lost a long-time friend and fellow scouter to the ravages of diabetes. Most of us know someone who has died of diabetes or is living with it.

So, the question is, can we do anything about this deadly disease? There are two types of diabetes, type 1 and type 2. Type 1 diabetes usually occurs in children and young adults, and there are ways to live with type 1 diabetes but there is no cure. Type 2 diabetes is preventable and there are steps you can take to lesson or eliminate its effects on your health. The first step is to see if you have the disease or are at risk to contract it.

March 23rd is American Diabetes Association Alert Day. This one-day “wake-up call” informs the American public about the seriousness of diabetes and encourages all to take the diabetes risk test and learn about your family’s history of diabetes. You can take the test here. I took the test and, because of my age and especially because of a history of diabetes in my family, I have some risk of contracting diabetes.

There are steps we can take right now that will lower our risk of contracting diabetes. By

  • Eliminate sugar and refined carbs
  • Work out regularly and avoiding a sedentary lifestyle
  • Make water the primary beverage
  • Maintain a healthy weight
  • Quit smoking
  • Eat a high fiber diet
  • Optimize Vitamin D levels
  • Take natural herbs, such as curcumin and berberine, that increase insulin sensitivity

Now I know this sounds like the same advice we get from our doctor no matter what is ailing us. The important thing here is that rather than just making us feel better these steps could prevent the onset of diabetes. It is especially important to maintain a healthy weight. Obesity and diabetes have a strong correlation . . . losing weight when you’re overweight can have a huge impact on preventing or controlling diabetes.

You can even find a certified diabetes educator who can help you find practical solutions that fit your personal needs. Click here to find a Diabetes Education Program near you.

In reading about diabetes and being involved with different diabetes groups over my years in public policy, I have been struck with the lack of focus and resources we allocate to the prevention and treatment of diabetes. We have greatly reduced the deaths attributed to AIDs and we have many, many fund raisers and money spent on research for breast cancer, but diabetes kills more people in the U.S. than AIDs and breast cancer combined. It’s an area that would benefit from more government funds. The National Institutes of Health (NIH) should evaluate its allocation of resources to ensure these resources are focused where they could have the most impact on our country’s health. I’m sure this reevaluation would result in more resources devoted to the study of the prevention of and possible cures for diabetes.

I encourage all of you to take some time and evaluate your risk for diabetes and become smarter about things you can do to lower your risk. I know that’s what I’m going to do.

Best, Thair



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COVID-19 – What We Know, When is Normal Coming, What Risks Remain?

A year’s worth of pandemic has changed all of our lives in one way or another. Each day we’ve had to wade through a mountain of information, filtering it the best we could so we could decide what we should do that day to protect ourselves from the virus. There have been many advisements, directives, guides, even mandates, but in the end, each of us had to decide for ourselves what the true risks were and how much risk we were willing to take. It was so difficult to ascertain what the true risks were. I remember in the beginning that masks were deemed not too important and wiping off your Amazon delivery boxes was. It’s evident now that wearing a mask is far more important than sterilizing surfaces. Many were wary of even the CDC’s advisements, fearing they might be politically motivated. We had conflicting information on vaccine development, some thought scientists were cutting corners and vaccine hesitancy was high, some, including me, trusted the process and the FDA. It was a confusing time.

So, here we are, a year into the pandemic and things are certainly not back to normal or even the “new” normal. What do we know, when is normal coming and what risks remain?

Here’s what we know:

  • The fact remains that a vaccinated person will not go to the hospital and, more importantly, will not die from COVID-19. That has been proven in the tests and in the real world.
  • So far, the virus has killed 531,855 people in the United States. I remember when there were dire predictions of 200,000 deaths. Who would have thought we would have over double that number and still counting?
  • The numbers have dropped precipitously since the highs in the first part of January, but the drop has moderated in the last few weeks.
  • Vaccinations have accelerated, going from a goal of 1 million per day to almost 3 million a day.
  • President Biden set a goal of everyone over 16 having the chance to get vaccinated by May 1st. Many states will begin vaccinating everyone over 16 in the next few weeks. It seems the May 1st goal will be easily met.

When is normal coming?

  • Some have predicted that this July 4th holiday will be much more “normal” than the last July 4th.
  • Some states have begun talking about loosening mask wearing mandates.
  • My prediction is that by June 1st we’ll feel safe to meet and greet without masks (remember, I’m not an expert, I didn’t even spend a night in a Holiday Inn, it’s just my personal prediction.)

There’s the facts and some predictions. The big question now is,

What risks remain?

There are two reasons that would delay our return to normal – people choosing not to get vaccinated and one of the variants being resistant to one or more of the vaccines.

The biggest threat is people choosing not to get vaccinated. This problem slows down our progress toward herd immunity (the state where enough people have developed immunity through either contracting the virus or having been vaccinated so that the virus doesn’t have enough new people to infect to spread.) The quicker we reach this state the less time the virus has to mutate and develop a resistant variant. It is critical that people understand that refusing to get vaccinated not only threatens their well-being, but also threatens the well being of all of us (the herd). There are studies and polls that indicate that politics has played some part in this vaccine resistance. Getting vaccinated should not be a political decision; it should be like obeying traffic laws – something we do so we all can be safe. Scientists are already working toward ways to combat virus variants, but it won’t do any good if people choose not to not vaccinated.

I am a big fan of choice, but the consequences of that choice should be borne by the chooser. Choosing not to get vaccinated affects the health of all of us. People are still dying everyday; they should not continue to die as a consequence of our choice. We all need to study the facts and make the choice to speed up America’s march toward normalcy by getting vaccinated.

Some final notes. Seniors Speak Out is conducting a poll. We want to know how the pandemic has affected you and how you feel our government and healthcare providers have performed. We’d love for you to take the poll. Click here to give us your valuable opinions. Also, we will be holding a virtual Town Hall on April 14th from 2:00 pm to 3:00 pm ET to discuss the results of the poll. You can register for that town hall here.

Spring always promises a rebirth, I hope this spring includes a chance to once again be physically close to those we love.

Best, Thair