Protecting the Vulnerable

June is Elder Abuse Awareness Month and June 15th is World Elder Abuse Awareness Day. It is estimated that five million, or one in ten older Americans are victims of elder abuse, neglect, or exploitation. It is widely believed that elder abuse is significantly underreported.  With the slashing of social service programs, cuts to Medicaid and SNAP benefits, it is likely the numbers will go up.

Too many Americans already have to choose between paying a utility bill and filling a prescription. Too many Americans are at risk for self-neglect because they are isolated and don’t have access to resources like Senior Centers and Adult Day Centers.

Elder abuse includes self-neglect. When older adults are no longer able to properly care for themselves, their physical surroundings may be in disarray. Spoiled food or lack of food also signals an inability to adequately care for themselves. Unpaid bills, prescriptions that are not up to date, wearing soiled clothes, wearing seasonally inappropriate clothing, and hoarding behavior are all signs of self-neglect.   

Elder abuse also includes financial abuse/scams. Using the money or property of adults with disabilities and adults over 65, for personal gain and without their informed consent is a crime. Informed consent means that the elder has the cognitive ability to consent to the use of their funds. Older adults with mild to moderate memory impairment are at increased risk for financial exploitation.

Elder abuse also includes, physical, emotional and sexual abuse.  Abuse can be perpetrated by family members, neighbors, and paid caregivers. There are a few physical signs to be aware of; unexplained bruises, reports of recent falls and sudden weight loss. Those at risk or being abused may be reluctant to disclose their abuse due to fear, embarrassment and feelings of powerlessness. Establishing a caring relationship through time can help elders feel safe being honest about their situations.

Elder abuse and self-neglect are reportable, just like child abuse. Each state has a hotline to report abuse and self-neglect, and you can report anonymously. Everyone is a mandated reporter. It is a legal as well as a moral obligation.

Jesus often spoke of the child and the widow in his teachings. This was code language for the most at risk and vulnerable populations. Not much has changed in two thousand years. Caring for the most vulnerable in our midst is an act of faith and a point toward justice. All people deserve to be treated with respect and dignity, and to be protected from abuse, exploitation and self-neglect.

If you suspect that an elder or disabled person is being exploited call your state hotline. In Connecticut the Elder Abuse Hotline number is 1-888-385-4425 from 8:00 am to 4:30 pm Monday through Friday. You can report anonymously. If you SUSPECT an elder is being exploited or abused call the hotline. You do not have to have proof; the suspicion is enough to make the call. If you believe the individual is in immediate danger, call 911.

Preventing elder abuse and self-neglect is everyone’s responsibility. If you suspect something, say something. Even if no immediate action is taken, a call to the Hotline puts the individual on their radar. If additional calls are made, it strengthens the suspicion of abuse or neglect.

Do for someone else what you hope someone will do for you if you are unable to care for yourself. It’s a Jesus thing. 

Our Dwindling Right to Free Speech

In yet another slide toward fascism the occupant’s cult (formerly known as the Republican Party), the House Ways and Means Committee have snuck a dangerous anti-dissent bill into their new tax package.

According to the American Civil Liberties Union, “This provision would grant the executive branch the power to effectively shut down any non-profit organization- -including news outlets, universities and civil liberties groups–by accusing them of “supporting terrorism” and using that accusation to suspend their tax-exempt status with any real due process.”

This is a dangerous and slippery slope. It continues the occupant’s other efforts to decrease free speech by conflating students protesting in support of Palestinian rights with Hamas, deporting immigrants to an El Salvadoran prison without due process and detaining students thousands of miles away from their loved ones for criticizing US foreign policy.

Free speech is a constitutionally guaranteed right. It appears, however, that the occupant has no regard for the Constitution. When asked if he has to uphold the constitution he said, “I don’t know. I have brilliant lawyers working for me.” He may claim not to know, but his actions clearly do not uphold the Constitution.

While the occupant is busy trying to take away our civil rights, as people of faith and good conscience we have a responsibility to call out the administration. In his immoral budget, the occupant makes deep cuts to Medicaid, gives trillion-dollar tax cuts for the wealthy and defunds agencies and organizations that do everything from research on current strains of communicable diseases to forecasting hurricanes and severe weather. These are moral issues that require people of faith to speak out. Exercising our right to free speech and the freedom to embody and practice our religion as we see fit is a rock in the foundation on which our country was built. The occupant is taking a sledgehammer to that rock.

Your representatives and senators need to hear from you today. This provision needs to be removed from the tax bill. It is an underhanded and dangerous ploy to silence any group with which the occupant disagrees. It further consolidates power in the Executive Branch and brings us closer to a dictatorship.

The truth is, if you don’t use your free speech to dissent, your right to do it will go away. Act today. Support the ACLU, write a letter to the editor of your local paper, post on Social Media. Spread the word that free speech is on the chopping block.

Unfit for Office

While one could reasonably argue that the entire administration of the occupant is unfit for office, the particular focus of this blog is the Secretary of Health and Human Services Robert F. Kennedy, Jr..

Historically this position has been held by a physician with a broad knowledge of public health. Kennedy is neither a physician nor does he have a grip on the complex issue of public health. Under his reign of error, we are seeing vaccine rates diminish. So far this has led to a measles outbreak in Texas. It is only a matter of time before we see other diseases previously eradicated make a comeback due to declining vaccination rates.

Currently there is a resolution in the Senate (S.Res.217) which expresses the sense of the Senate that Kennedy does not have the confidence of the Senate or the American people to faithfully carry out the duties of his office. In an interview with Vanity Fair, Kennedy said to Congress: “I don’t think people should be taking medical advice from me.” Well, no kidding.

Kennedy is overhauling the Department of Health and Human Services and slashing millions of dollars from its congressionally approved budget. This is part of the occupant’s war on science as key health agencies are being closed. The norms for scientific review of health data are being ignored, research agencies are being defunded and public health department funding is being slashed.

According to NPR, the US public health service started in the 1700’s when doctors cared for seamen who were sick or injured. Their work helped prevent the spread of yellow fever and smallpox in the 1800’s and led to research on sanitation as a way to prevent disease.

Around 1900 the federal government started making sure that the food and medicine Americans consume is safe. Both the public health corps and the food regulation organization operated independently until President Dwight Eisenhower created the Department of Health, Education and Welfare in 1953.

Today the Department of Health and Human Services is responsible for Medicare and Medicaid and the marketplace for health insurance created by the Affordable Care Act. Under Kennedy’s errant guidance, the HHS budget is being slashed by $880 billion over the next ten years, most of it affecting Medicaid.

Medicaid is jointly financed by states and the federal government but administered by states within broad federal rules. Cuts to Medicaid at the federal level leave states with difficult questions about how to fund the gap.

According to the Kaiser Family Foundation, a leading independent sources for health policy, research, polling and news, these cuts represent 29% of State Medicaid spending per resident, 6% of state taxes per resident and 19% of education spending per pupil. No matter how you do the math, the impact is profound.

What we can expect as Medicaid is slashed is poorer health outcomes for America’s most vulnerable populations, increased hospital admissions and increased mortality. The population hardest hit by Medicaid cuts will be the poor, who already have disproportionately higher mortality rates. Poverty is the fourth leading cause of death in the United States. Cuts to Medicaid and other social safety net programs assures that poverty will continue to claim more lives.

The mark of any civilized society is how well it cares for its most vulnerable members. With Kennedy at the helm, the poor are even more screwed than they already are.

Kennedy is unfit to lead the Department of Health and Human Services. Contact your Senators today to encourage their support for S.Res.217 calling for Kennedy’s ouster.