Getting Real About Golden Years

Getting old isn’t for the faint of heart. Healthcare is expensive. Extra services are needed. There’s pressure on your adult children to take care of you. (And from their perspective, they’ve got to deal with the mental anguish of watching you try to cope!)
Yes, it’s joyous to lead a long, healthy life, but the operative word is “healthy.” If you’re lingering, not living, I don’t see an upside.
Making it to 100 — or beyond — only makes sense, to me, if you have a high quality of life. If you’re confined to a wheelchair, if someone has to clean you, bathe you and dress you, and if you’re not even aware of your surroundings, living to such a ripe old age doesn’t feel like much of a victory. To enjoy longevity, it’s crucial that we can still give back to others, feel well enough to participate in activities, and enjoy our family and friends.
When my father was 69, he had a stroke. A medevac helicopter rushed him to the hospital, where doctors told us there was a possibility that he’d recover. As a family, we decided to put in a feeding tube.
Had I understood the magnitude of my father’s stroke and been given more clear medical information, I would have made a different decision.
My father lived 14 more years, but he was confined to a wheelchair and had minimal speech capabilities. He suffered. Despite my parents’ long-term health insurance policy, his illness also ate away at their financial resources.
Three years ago, my father finally passed.

Afterward, I thought my mother would have a chance to be healthier and happier, as she was no longer a primary caregiver. Unfortunately, that didn’t happen. Last year, she fell and broke her hip. At the same time her physical health declined, so did her mental health. Now she, too, requires 24-7 care.
Today, my mother resides in a senior living facility. It’s clean and safe. She’s treated with kindness. A nurse visits her once a week and calls me with any problems. But since my mother’s finances were drained from my father’s illness and her long-term insurance doesn’t cover much, I support her. At first, I was optimistic that Medicare would help, but at the end of the day, when someone needs around-the-clock care, the cost is too considerable.
I’m not complaining; many others are in a similar situation. As people live longer, they need to be cared for. That’s the concern with an aging population, and it’s one that should be addressed more seriously.
I think the healthcare crisis we’re in is substantial. It’s a tragedy to see people lose their Medicare while drug prices rise, and to hear about terrible nursing home situations in the news. The longer people live, the more needs they have, and the greater the burden on our entire system.
I doubt that I’m alone in these thoughts. There’s a movement in our country toward hospice services. People want compassionate solutions, not 911 drama. As we have the opportunity to live longer, it will become critical for people in the medical field to come clean with families so that appropriate choices can be made. Hopefully, those decisions will be guided by love.
On the other hand, exactly when the “best” years are in your life depends on you, your career and your interests. Each individual’s journey is different. There’s no prescription for success or happiness.
If I were to live to 100 and still had a good quality of life, I’d continue to engage in enriching, cultural activities. I’d spend my days going to the theater, watching old movies and reading fiction. I’d surround myself with interesting stories, and would hopefully be reading them to my great-grandchildren.
Although I officially retired as president of the Brooklyn Academy of Music in 2015, I recently completed a two-year senior fellowship at The Andrew W. Mellon Foundation. Now, I’m serving as a senior advisor to the Onassis Foundation’s cultural centers in New York and Athens, Greece.
I love what I do, but it’s hard to know if I’ll still be working at the age of 100. Younger people will call the shots at that point, but hopefully I’ll be interesting enough to stick around and contribute to their shining moments.
If so, I’d try to illuminate and educate younger generations without always saying, “In my day…” I’d try not to hold on to the same level of professional intensity I had in my 40s, 50s and 60s.
In return, I’ll hopefully be seen as a visionary in my day — someone who worked hard, did well and added more vitality to the field.
As humans, we can’t go backward. We have to move forward. If it’s intimidating to think about that in big chunks, then we can break it down day by day. To me, that means if I can wake up and feel good, continue to work and be with the people I care about, then I’m lucky.


Karen Brooks Hopkins served as President of the Brooklyn Academy of Music from 1999 until her retirement in 2015 and was an employee of the institution since 1979. She has worked with the Cultural Institutions Group, the Mayor’s Cultural Affairs Advisory Commission and as the Brooklyn Regent for the New York State Education Department. In 2013, Crain’s named her one of the “50 Most Powerful Women in New York.” Karen currently serves on the boards of the Jerome L. Greene and Alexander Onassis Foundations, as Senior Fellow in Residence at the Andrew W. Mellon Foundation and Fellow of the National Center for Arts Research at Southern Methodist University.
This post is paid for by AARP.

The Innovative Blood-Drawing Technique That’s Pain-Free and Saves Money

Most 19 year olds spend their days hanging out with friends, not revolutionizing American healthcare. But that’s not the case with Elizabeth Holmes who dropped out of Stanford to start the company, Theranos.
During her freshman year in college, Holmes took chemical engineering professor Channing Robertson’s seminar on advanced drug-delivery devices (aka, things like patches and pills). After completing a summer internship at the Genome Institute in Singapore, she hit upon her first idea: a patch that simultaneously delivered medication and collected data about the patient to inform their doctors with.
Holmes dropped out of school to work on a patent for that product and to launch her company using the rest of her college savings.
That invention was the first of many that the now 30-year-old CEO would develop. According to Fortune, Holmes is listed as a co-inventor on 82 U.S. and 189 foreign patent applications. Eighteen in the U.S. have been granted.
When Holmes first told Robertson about her plan to drop out, Robertson told Fortune, “I said, ‘Why do you want to do this?’ And she said, ‘Because systems like this could completely revolutionize how effective health care is delivered. And this is what I want to do. I don’t want to make an incremental change in some technology in my life. I want to create a whole new technology, and one that is aimed at helping humanity at all levels regardless of geography or ethnicity or age or gender.'”
As Holmes set to work on her company, she shifted from her initial idea to one about developing a revolutionary way to run diagnostic tests on very small amounts of blood — just a drop — instead of the full vials most labs need.
She came up with a technique that not only minimizes the discomfort, but also enables doctors to run dozens of tests on just one sample — and it delivers the results efficiently and inexpensively. They’re so affordable, in fact, that no test costs more than half of the allowed Medicare reimbursement for it. Fortune writer Roger Parloff says, “with widespread adoption [this] could save the nation billions.”
And that’s just part of Holmes’s next plan for Theranos. The company is partnering with Walgreens, whose stores currently host 21 patented Theranos blood-drawing facilities. They’re all in Phoenix and Palo Alto for now, but the drug-store chain plans to gradually add them nationwide. Holmes’s eventual goal? For just about every American to have a Theranos facility within five miles.
In addition to the cost savings and the minimized discomfort, Holmes’ technique allows for more frequent blood draws in people with conditions that require it, so that doctors can better monitor the fluctuations in their health.
Holmes said, “Anywhere from 40 percent to 60 percent of people, when they’re given a requisition by a doctor to go get tested, don’t, because they’re scared of needles or the locations are inconvenient or the cost is too high. And if you’re not even getting tested, how is it possible that we’re going to move toward an era of preventive medicine?”
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Could a National Sales Tax Ease American Inequality?

The U.S. has one of the highest levels of income inequality among the world’s industrialized nations. The imbalance between rich and the poor is a popular political topic — President Barack Obama even focused his State of the Union address on the issue. Michigan State University law professor Reuven S. Avi-Yonah has an idea that he can help: he wants to implement a national sales tax.
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Sure, this idea is probably at the very top of the list for politically unpopular topics, but don’t write Avi-Yonah off just yet. By using the Gini Coefficient, a measure of statistical dispersion that represents income distribution, Avi-Yonah discovered that income inequality in the U.S. is on the rise while social mobility is on the decline, making it one of the most unequal developed economies, while countries like Germany and Japan are more balanced. By comparing the U.S. to these countries, he found a clear difference: the presence of a national sales tax — or, more specifically, a value added tax (VAT). While states levy a sales tax on consumers who purchase goods and services, funds from a national sales tax could go even further.  “One key to reducing inequality in the U.S. is to bolster the social safety net,” Avi-Yonah writes in his report.
But why a national sales tax over other forms of funding? For one, these types of taxes are used in more than 150 countries and have a demonstrated ability to raise revenues. VATs are not income taxes, which are easy for some Americans to avoid and can discourage work. Sales taxes are also paid by all members of society — the old and young, rich and poor. Plus, a sales tax is cheaper to administer than income taxes. Sound like a no-brainer? Well, try getting any new tax past congress.
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