LITTLE ROCK, Ark. - Despite popular misconception, family caregivers provide most of the long-term care in Arkansas and the country. Some state Medicaid rules make providing that care difficult.

A recent study shows 93 percent of Arkansas citizens age 50 and up say if they needed long-term care, they'd rather get it in the home or community instead of in a care center. And according to AARP Arkansas interim state director Herb Sanderson, there are a large number of family caregivers tending to the needs of their loved ones today.

"In Arkansas, there are more than 450,000 caregivers," says Sanderson. "In fact, they provide the overwhelming majority of long-term care in this country. People often think that nursing homes or the state Medicaid program provide most of the long-term care in this country, but it is actually family caregivers that do that."

Sanderson says it's natural for a person to want to be near loved ones and familiar surroundings.

Despite the cost of family caregivers being far cheaper, state Medicaid rules actually get in the way of providing family-based care.

"Home care is anywhere from half to one third less costly than institutional care," says Sanderson. "The problem is the Medicaid program is geared toward institutional care in our state. It's cheaper, and other states have demonstrated that, but we have a ways to go in Arkansas to get to that point."

The Arkansas Legislature has hired an independent consultant to provide advice on changes in the state Medicaid program. Sanderson says their findings support changes to provide more help for family caregivers.

And there is cause for optimism that the Legislature will make those changes.

"I think the demographics are going to force a change, eventually," says Sanderson. "The largest providers of family care are baby boomers, and baby boomers are themselves aging; 10,000 a day turn 65 and ultimately those providing the care now are going to need it. We cannot rely just upon institutional care to meet that demand."

November is Family Caregivers Month, designed to draw attention to family support systems.


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New research released by AARP Iowa shows how important Social Security benefits are to people who receive them - and the numbers reveal women are far more likely to list those benefits as critical.

About 700,000 Iowans receive Social Security benefits, and 55% are women.

AARP Iowa State Director Brad Anderson said he dug into the data, to find out why women see this as an important issue in their lives - in far greater numbers than men.

He said it's because women tend to have far smaller Social Security checks - due to factors like receiving lower wages than men, and taking on unpaid family care-giving responsibilities during their lives.

"In addition to that, women have fewer resources of retirement income than men," said Anderson. "And so, what that means is, men can rely more on stocks and bonds and pensions - whereas women really rely more heavily on Social Security."

Anderson and other advocates are calling on Congress to address the dwindling Social Security Trust Fund, which could be forced to cut benefits by 2035 unless Congress acts to address the funding shortfall.

In addition to earning less and qualifying for fewer benefits, women also typically live longer than men - which, Anderson says, means they have to stretch their Social Security income even further.

"When you put it all together," said Anderson, "it makes a lot of sense that women find Social Security and the strength of Social Security an extremely important issue, when it comes to the polls that we've seen."

AARP Iowa released its findings on the heels of a national report on the financial health of Medicare and Social Security.

Twenty percent of older adults in central Ohio either were not prepared or did not know if they were prepared for extreme weather, according to a recent study by Ohio State University researchers.

The analysis relied on data from the 2021 Central Ohio Regional Assessment on Aging Survey, which included more than 1,400 adults over age 65 in eight central Ohio counties.

OSU Assistant Professor in the College of Social Work Smitha Rao said the research is meant to be a conversation starter about how older adults are faring, and a launching point for area agencies on aging to help determine who is most vulnerable.

"To get a sense of where the emphasis of service delivery needs to be and who's missed out," said Rao, "because on the face of it you can say that almost 80% of the older adults are prepared, but it is those 20% who are unsure or who are not prepared that we should be focused on."

In counties where greater proportions of older adults had a lower income, lived in subsidized housing, and reported having a disability, higher percentages of respondents also reported not being prepared.

Nearly one fifth of older residents in Fayette County reported missing health appointments or not being able to get medicine, reach their job or place of volunteering, or get to family and friends because of severe weather conditions.

Rao added that the data also show that in some counties, older adults face daily barriers meeting basic needs - not just during extreme weather.

"Those were interesting results that showed up for us, in terms of how many people said that there were everyday disruptions," said Rao, "especially when we looked at the different counties and the differences within that."

Climate projections suggest that Ohioan can expect more heavy rainfall, extreme heat and air pollution days in the coming decades.

Rao said she and her colleagues have started a new project to talk directly to older adults and learn from their experiences, hoping to develop tools that can help them better prepare for emergencies.

A new national survey says one in five Americans 50 and older has nothing in savings for retirement.

Wisconsin workers young and old are being urged to take action now, to avoid added financial stress in their later years.

The survey results were issued by AARP this month.

Just affording basic expenses right now is a concern for many. But AARP Wisconsin's Communications Director Jim Flaherty said you don't want to be caught off guard when retirement nears.

He acknowledged that it can be hard for younger adults to plan that far ahead, when they're juggling expenses like student loan debt - or for older individuals managing costly medications, and higher grocery bills.

"A lot of times, because they're just trying to get by and they do have to live paycheck-to-paycheck," said Flaherty. "But this is one way to say, 'Hey, if you can live with a little less from your paycheck every week, that will sure grow.'"

Researchers note that 57 million Americans don't have access to a retirement plan through their work.

Wisconsin has not yet joined the list of states that have created state-operated retirement accounts, where employers and their workers can contribute money each pay period.

Supporters hope the issue is revisited next legislative session.

Flaherty said a combination of individuals being proactive and policymakers easing household budget pressure can hopefully put more people on a path toward a healthy retirement.

He said making progress can deter them from looking elsewhere to spend their golden years.

"Let's have an infrastructure that makes drugs affordable, that makes healthcare affordable, that makes retirement savings something that's part of their plan," said Flaherty. "And that'll keep Wisconsinites here."

And groups like AARP have encouraged Congress to address long-term stability concerns for Social Security, so that younger workers can anticipate full benefits.

Some Republican lawmakers have floated cuts, but senior advocates contend any solutions to make the program stronger should not be tied to deficit talks.