PHOENIX, Ariz - Arizona seniors want policymakers to reform what they see as the state's outdated long-term care system - to provide safe, high-quality nursing home care, with more options for home-based treatment.

A new poll from AARP found nine in 10 Arizona voters age 50 and older want to be able to - when possible - choose to receive long-term care services at home.

AARP Arizona State Director Dana Kennedy said the state's current system tends to favor subpar nursing homes over home-based care. She said the survey helps AARP determine which issues are important to its members.

"It gives us a good idea of the mindset of our members," said Kennedy. "Our members are very diverse. They're Republicans, they're Democrats and they're Independents. And so, this is a really good idea of what they think and what we should be advocating for."

She added that AARP is urging Arizona lawmakers to provide more options for seniors to age in place in their own homes. That includes funding more inspectors, an ombudsman and more Adult Protective Services workers.

State officials disbanded the Board of Examiners that regulated management of nursing homes and assisted-living facilities, after it licensed a felon accused of mismanaging a Prescott facility during the pandemic.

Kennedy said the survey shows near-unanimous support for moving away from institutional care.

"I think voters saw what was really happening in our skilled nursing facilities," said Kennedy. "And they want to make sure that people are protected and cared for properly."

Kennedy said the polling also indicated state and federal policymakers need to improve working conditions for caregivers.

"They would like to have more dollars for caregivers and direct-care workers," said Kennedy. "We realize that we have a shortage of workforce and we need to do a better job recruiting, training and supporting those direct-care workers."

Arizonans surveyed also want officials to require nursing homes and other long-term care facilities to put most of the taxpayer funding they receive toward adequate staffing and safety protocols. The survey results are online at 'aarp.org/AZ.'

Changes coming to Medicare in 2025 could be beneficial for Oregon residents who are eligible for the program.

Oregonians who qualify for Medicare are now in the open enrollment period through Dec. 7, which allows them to search for health coverage plans to best suit their needs.

Ryan Kibby, Oregon Senior Health Insurance Benefits Assistance project director for the Oregon Department of Human Services, said there will be expanded care options for dementia patients with the Guiding and Improved Dementia Experience or GUIDE program.

"Some of the resources available through GUIDE would include a 24-hour support line, caregiver training and up to $2,500 a year for respite services," Kibby outlined. "That's really just going to help benefit the people who are providing these family caregiver services."

There will also be expanded mental health benefits for people with Medicare in 2025. In 2023, nearly 920,000 Oregonians were enrolled in Medicare. People can get free help to find coverage through Oregon's SHIBA program, either on its website or at 800-722-4134.

Kibby pointed out another major improvement in 2025 is prescription drug costs will be capped.

"There will be a lower maximum to pay for covered drugs, under both Medicare Part D policies and Medicare Advantage drug coverage," Kibby explained. "The maximum amount that people will pay in 2025 is $2,000, and they won't have to pay anything for covered drugs once they reach that amount."

Prescription payment plans will be an option for people who cannot pay in full up-front. The out-of-pocket cost cap also eliminates a gap in coverage, known as the "donut hole," which some have experienced in the past. While Medicare cannot cover prescriptions specifically for weight loss, people can access these drugs for treatment of conditions like Type 2 diabetes.


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November is National Family Caregivers Month and AARP Wyoming is working to meet rising demand for caregiver resources.

About 58,000 Wyomingites provide needed care for sick or elderly family members or loved ones, estimated to be more than 54 million hours of unpaid labor per year, according to AARP Wyoming.

The group launched a "Care for Caregivers" series last year to help people navigate common issues like financial planning, safety and mobility, end-of-life decisions and more.

Stella Montano, volunteer president of AARP Wyoming, who helped develop the series and is a caregiver herself, said many people who take on such duties do not consider themselves caregivers but they should acknowledge the real workload the role can be.

"Have you noticed that maybe your parents are aging and you're assuming more responsibilities? Or has someone been diagnosed with something that you might have to have oversight of their medical needs?" Montano asked. "People don't believe they're caregivers. But they still have a lot of responsibilities."

The series was first offered in Sheridan and expanded this year to Casper, Newcastle and Cheyenne. AARP also offers resources on its website.

The structure of the workshops recognizes caregivers' needs. There are free meals for attendees and respite care offered on-site for loved ones brought along to a session. Montano noted they are designed to be as accessible as possible.

"I really stress to caregivers, to not do it alone," Montano urged. "There is help out there."

She added Sheridan's VA Medical Center has also tapped into the programming and began recording videos of the sessions this year, which will be available online soon.

For many, the holiday season is a time of joy and celebration - but it can often bring loneliness and isolation for older adults.

Steve Morrison, a volunteer with AARP Virginia, described the holidays as the worst time for isolation - a challenge he knows well after years of caregiving for his wife.

He highlighted mobility as a significant issue for seniors with limited ability to walk, access transportation, and manage health challenges.

Drawing from his own experiences, Morrison has been addressing isolation through community-building efforts, a mission he began well before the COVID-19 pandemic intensified the problem.

"You have to get out there some way, either online, by phone, or in conversation with neighbors - and let people know that you're in isolation and you just need someone to talk to," said Morrison. "At least in my neighborhood, that has worked for me and for others. The neighbors have really stepped up. "

Morrison launched a monthly luncheon in McLean, Virginia, to help people connect over a meal.

The initiative has been a success, with up to 50 attendees per event, though he now caps it at 40 after an earlier turnout of 75 overwhelmed the venue.

He recommended resources like the National Institute on Aging, and AARP's Connect2Affect program - which offer tools to assess isolation, find volunteer opportunities, and access local support.

While Morrison's program is one of the few remaining events in his area since COVID, he said he hopes to inspire others to create similar opportunities.

He said he was deeply moved by how his neighbors rallied to provide meals when surgeries left him and his wife homebound.

"You just gotta be proactive. Even though you may be limited to transportation or your mobility. You just got to let people know, you have neighbors close by that are more than willing to help," said Morrison. "So that would be the first place that I would start. But these other websites if you have technology options, all have really good suggestions. "

Such as the Fairfax County Virginia website.

According to AARP, there is a 26% increased risk of early death due to feeling lonely.

Some other tips to combat isolation include adopting a pet if you can care for one, signing up for classes at your local library, restarting an old hobby, or scheduling set times to interact with family and friends - in person, by email, social media, voice call, or text.

However, Morrison cautioned against too much dependence on social media.