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LIVING LONGER LIVING BETTER

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... public administrators, secretaries, janitors ... that in-migration of affluent mature adults present for economic growth to improve our tax base ... – PowerPoint PPT presentation

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Title: LIVING LONGER LIVING BETTER


1
LIVING LONGER LIVING BETTER
AGING IN SOUTH CAROLINA
2
STATE UNIT ON AGING OFFICE OF LIEUTENANT GOVERNOR
TWO ROLES ADMINISTER OLDER AMERICANS ACT
PROGRAMS ADVOCATE FOR AND REPRESENT ALL
SENIORS IN SOUTH CAROLINA
3
OLDER AMERICANS ACT
  • Six Core OAA Services
  • Supportive Services
  • Nutrition Services
  • Preventive Health Services
  • National Family Caregiver Support Program
  • Services that protect the rights of vulnerable
    adults
  • Services to Native Americans

4
Older Americans Act Organizational Structure
  • The Administration on Aging
  • State Units on Aging (LGOA)
  • Area Agencies on Aging
  • Local Providers
  •  

5
STATE MANDATED PROGRAMS
  • OMNIBUS ADULT PROTECTION ACT
  • ALZHEIMERS RESOURCE COORDINATION
  • CENTER
  • PERMANENT IMPROVEMENT PROGRAM
  • ELDER CARE TRUST FUND

6
Selected Statistics
7
  Population Growth
  • Persons 60 in 2000
  • Increased 128 since1970
  • Will increase 108 by 2025
  • Persons 75 in 2000
  • Increased 227 since 1970
  • Will increase by 81 in 2025
  •  

8
Alzheimer's Disease
  • Incidence will triple in next 20 years
  • Lifetime cost to treat is 174 million in 2000
  • Cost to society all sources expect to
    increase to 7.7 Billion in 2025

9
Increase in Medicaid Expenses
  • Five-fold increase for persons over 65 from 1981
    to 2002
  • Increased from 115M to 622M
  • Medicaid nursing home cost per year is
    421,068,611 (2004)

 
10
Caregivers
  • Adult family caregivers provide 339.6 million
    hours of caregiving per year - estimated value of
    2.77 billion.
  • Many caregivers suffer serious stress and burnout
    and are forced to retire early or quit working.
  • 56 retire early or quit working.
  • Without caregivers, 50 of the recipients being
    cared for would go to a Medicaid nursing home.

11
Caregivers
  • The state cost for 750 persons to provide
    Medicaid nursing home care would be 7.4 million
    in state funds for one year.
  • When 1500 caregivers stop working, 22 million in
    expenditures are lost to the SC economy.
  • Nationally, businesses experienced a 26 billion
    loss in one year due to retraining, absenteeism,
    productivity loss, and other related costs.

12
IN-MIGRATION
  • South Carolina is one of the fastest growing
    states for seniors in the nation. SC is the
    fastest growing state in the southeast.
  • From 1990 until 2000, SC had the highest
    percentage growth rate of all southeastern states
    for persons 65 at 22.3.
  • From 1997 to 2002 there were 50,997 net
    in-migrants to SC aged 50.

13
Top Destinations 1990-2000
  • Horry
  • Beaufort
  • Lexington
  • Charleston
  • Aiken

14
In-Migration
  • July 2002 Kiplingers Report ranked South
    Carolina 4th most tax friendly state for persons
    65 and older considering state income tax, sales
    tax, and property taxes.
  • Tax Foundation in 2004 ranked South Carolina 47th
    in tax burden when considering federal, state and
    local taxes.
  • Center for Carolina Living studies show the
    median income for persons relocating to SC is
    110,000 for a household with net worth of
    1,000,000.
  •  

15
Work Force Finance
  • Percent of labor force between 25 44 to
    decrease from 51 in 1998 to 44 by 2008
  • Percent of labor force over 45 to increase from
    33 in 1998 to 40 by 2008
  • Impact on labor intensive jobs RNs, teachers,
    physicians, public administrators, secretaries,
    janitors

16
Where Do We Go From Here?
17
In-migration
  • Growth of senior population
  • Economic development tool
  • Adequate Infrastructure

18
Senior Friendly Communities
  • Transportation
  • One-stop-shops
  • Senior Center Configuration
  • Integrate elderly and non-elderly communities
  • Change attitudes towards aging
  •  

19
Workforce Issues
  • Opportunities for Older Workers
  • Coming shortage of trained workers
  • Shortage of workers for senior services
  • Need for geriatric healthcare workforce

20
Work Force Tax Revenue
  • Downward pressure on income sales tax revenues
  • Upward pressure on government service provision

21
Health Care
  • Access to affordable services
  • Lifestyle and disease prevention
  • Insurance and Rx Costs
  • Tort Reform

22
Health Is….. What happens when everything else
works
23
Determinants of Health
  • Access 10
  • Genetics 20
  • Environment 20
  • Risk Behaviors 50

24
Long Term Care
  • Redress balance of institutional care home
    community based care
  • Fund cost beneficial services with public funds
  • Home and community care following hospital stays

25
Alzheimers Impact
  • Families
  • Business
  • Government


 
26
Caregiving
  • Support caregivers
  • Incentives for families to provide care
  • Caregiver support


27
Housing
  • Affordability
  • Availability
  • Residential Design


28
Research
  • Connect evidence based research to delivery of
    health care services
  • Align payment with continuum of care necessary
    for aging
  • Medical research with focus on healthy aging,
    lifestyles and public health
  • Prevention and mental health issues that impact
    seniors

29
Personal Responsibility
  • Save for retirement
  • Long term care insurance
  • Employer based pensions
  • Limited government resources
  • Smaller workforce to pay into government systems
    to support seniors

30
REALITY
  • SC senior population is growing
  • Seniors will die slower. End of life is chronic
    illness
  • SC health outcomes are among worst in the nation
    (obesity, diabetes, the stroke belt)
  • Alzheimers, related dementia and mental illness
    is a growing concern

31
More Reality
  • America loves choices. Seniors are demanding
    choices.
  • Seniors want to age in place and to choose that
    place.
  • New senior consumers will shift what happens.

32
Federal Battlegrounds Issues for the Next Decade
  • Pension Reform
  • Decline in Retiree Health Insurance
  • Social Security
  • Medicare/Access to Health Care Prescription
    Drugs
  • Tort Reform
  • Long Term Care

33
Critical Issues
  • Maximize the opportunities that in-migration of
    affluent mature adults present for economic
    growth to improve our tax base
  • Encourage the private sector to create the
    services our aging population is willing to
    purchase

34
Critical Issues
  • Manage the workforce issues presented by
    caregivers torn between careers and family
    responsibility
  • Develop creative alternatives to maintain a
    sufficient work force

35
Critical Issues
  • Plan to meet our aging populations health needs
    and support a sustainable quality of life
  • Encourage personal responsibility so certain
    inevitable services like long term care are
    purchased by individuals rather than funded as
    entitlements

36
Lieutenant Governors Priorities for 05
  • CARE COMMISSION
  • PLANNING LEADERSHIP
  • WHITE HOUSE CONFERENCE
  • MD LOAN FORGIVENESS
  • TAX CREDIT LTC INSURANCE
  • BINGO TAX LOOP HOLE
  • OMBUDSMAN PROGRAM

37
We all want to age in place.
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