Friday, January 10, 2020

A time for every purpose

When I was growing up my mom had the following hung up on the wall in the kitchen and I read it every morning as I sat down for breakfast.

To everything there is a season, A time for every purpose under heaven:
A time to be born, And a time to die; A time to plant, And a time to pluck what is planted;
A time to kill, And a time to heal; A time to break down, And a time to build up;
A time to weep, And a time to laugh; A time to mourn, And a time to dance;
A time to cast away stones, And a time to gather stones; A time to embrace, And a time to refrain from embracing.


This poem comes from the book of Ecclesiastes in the Bible. The book of Ecclesiastes, which for those who don't know, are the musings of a King of Jerusalem as he relates his experiences and draws lessons from them, often self-critical. 

My mom like many others believed that there was a purpose in life and that these few words summarized the seasons and the up's and downs of life that we all face.

We all face times to weep and times to mourn. These events are part of human existence but for every setback, disappointment and heartbreak perhaps you should ask yourself, "What does this create the opportunity for?" As the poem above states, there is also a time to dance, a time to embrace and a time to build up, which means for every disappointment, and heartache there is also an opportunity.

And this is the gift of life, everything has a reason and opportunity is always just around the corner.

Thursday, January 9, 2020

Help for Caregivers using Technology

One of the biggest concerns, I suspect of caregivers who are looking after chronically ill loved ones are the sense of isolation and feeling alone. This is not true, a story written by Megan-Thielking in an online post on STAT points out that there are many support groups on Facebook out there. If you do a search on Facebook for "dementia caregivers support group" you will be amazed at the number of groups that come up. Not only do groups come up, but videos and links to other resources. This is a screenshot of the first few groups found when using this search.


The interesting point is that if you are a caregiver and feel isolated and alone, there is a support group with people who can help you. Technology can connect you with new friends and support that you did not know was available. Facebook is one place to start, but if you do other online searches for example select then right-click on the following text dementia caregivers support group and select search google, within a second you will have over ten million hits. Help can be only a click away, please use it

There is always someone online when you need to connect with a person, and often, there’s someone who is familiar with the very same problems you’ve come to ask about. You don’t have to drive to a support group or find someone to care for your loved one while you’re there. They’re a place to ask for advice, to vent, to be brutally honest. And because most groups are private, they’re a place to share things with strangers that you’d never want your own family to know, things a caregiver might be embarrassed or ashamed to ask anyone but another caregiver.


The groups are a particularly powerful platform for dementia caregivers, who are tasked with a singularly cruel and lonely job. They shoulder hefty responsibilities like all kinds of caregivers do — coordinating medical care, helping with bathing and eating, and figuring out finances. But they do so while watching their loved ones — often, a parent or partner — lose their memories and their sense of self.

Wednesday, January 8, 2020

East coast Canadian Humour


NEWFIE MEDICAL DICTIONARY
Artery                                 The study of painting’s
Bacteria                              Back door to the cafeteria
Barium                               What doctors do when patients die
Benign                                What you be after you be eight
Caesarean Section              A neighbourhood in Rome
Catscan                               Searching for Kitty
Cauterize                            Made eye contact with her
Colic                                   A sheepdog
Coma                                  A punctuation mark
Dilate                                  To live long
Enema                                Not a friend
Fester                                  Quicker than someone else
Fibula                                 A small lie
Impotent                              Distinguished; well known
Labour Pain                         Getting hurt at work
Medical Staff                       A Doctor’s cane
Morbid                                 A higher offer
Nitrates                                Cheaper than day rates
Outpatient.                           A patient who fainted
Pelvis                                   Second cousin to Elvis
Post Operative                     A letter carrier
Recovery Room                   A place to do upholstery
Rectum                                 Nearly killed him
Secretion                              Hiding something
Seizure                                 Roman emperor
Tablet                                   Small Table
Terminal Illness                  Getting sick at the airport
Tumour                               One plus one more
Urine                                   Opposite of your out

Tuesday, January 7, 2020

Pension issues and Poverty among seniors

 A report out in 2016 by Richard Shillington shows that many Canadians, particularly those without an employer pension plan, have wholly inadequate retirement savings.

Poverty trends over the recent past show that senior poverty has increased from a low of 3.9 percent in 1995 to 11.1 percent, or one in nine, in 2013. The poverty rates for single seniors, particularly women (at nearly 30 percent), are very high. The Key findings of the report show some, I would say alarming information that hopefully those groups that speak for retired people will bring to and hold our politicians to account.
Key findings:
·       The Old Age Security (OAS) and Guaranteed Income Supplement (GIS) guarantee levels are falling behind: For single seniors, they have fallen from 76 percent of median incomes in 1984 to about 60 percent now. For senior couples, the OAS/GIS maximum benefits have declined from 53 percent to 40 percent of median incomes.
·       Trends in income sources for seniors suggest that poverty rates will increase rather than decline into the future because OAS and GIS benefits are indexed to the Consumer Price Index (CPI), while average earnings rise faster than the CPI over extended periods.
·       The spread between the OAS/GIS guarantee levels and the LIM for 2015the spread that seniors need to fill using the Canada Pension Plan/Quebec Pension Plan (CPP/QPP), private pensions and private savingsis about $5,600 for single seniors and $4,700 for couples.
·       The proportion of the population receiving the GIS is higher for single seniors than couples and higher for single women (between 44 percent and 48 percent) than for single men (between 31 percent and 37 percent).
·       Roughly half (47 percent) of those aged 5564 have no accrued employer pension benefits. The vast majority of these Canadians retiring without an employer pension plan have totally inadequate retirement savings. For example, roughly half have savings that represent less than one years worth of the resources they need to supplement OAS/GIS and CPP/QPP. Fewer than 20 percent have enough savings to support the supplemented resources required for at least five years.
·       The overall median value of retirement assets of those aged 5564 with no accrued employer pension benefits is just over $3,000. For those with annual incomes in the range of $25,000$50,000, the median value is near just $250. For those with incomes in the $50,000$100,000 range, the median value is only $21,000.
·       Only a small minority (roughly 1520 percent) of middle-income Canadians retiring without an employer pension plan have saved anywhere near enough for retirement. The vast majority of these families with annual incomes of $50,000 and more will be hard-pressed to save enough in their remaining period to retirement (less than 10 years) to avoid a significant fall in income.
·       The senior’s poverty gap is $2.5 billion in aggregate annually, due to the 719,000 poor seniors (469,000 singles and 250,000 living in an economic family). The average gap per year is $2,400 for single seniors and $5,500 for seniors in a family. A 10 percent benefit increase in the GIS to address this gap would cost $1,628 million and would reduce the number of poor seniors by about 149,000.

In the 2015 elections, the Liberal Party promised to increase the GIS by 10 percent for single seniors. What they did was to give with the left hand and take away with the right. A Globe and Mail article from 2017 said that “The federal government's plans to enhance the Canada Pension Plan will ultimately bump 243,000 low-income Canadians from qualifying for the Guaranteed Income Supplement, according to the latest report from Canada's chief actuary.”

The GIS benefits are based on income and are fully phased out for single seniors who earn more than $17,688 a year.

Many Canadians do not have a pension plan so there is a necessity to have policies that address the needs of these Canadians who have no pension or savings for retirement. Policies that address the adequacy of benefits from Old Age Security, the Guaranteed Income Supplement, and the Quebec and Canada pension plans. The findings also give the federal government a roadmap as it moves forward to craft policy to address the economic security of Canada’s growing population of seniors.

While the situation for many Canadian seniors are much improved compared to the late 1970s, there is no justification for complacency as trends of the last several years and projections into the future point to a deteriorating situation for their economic security.

Poverty rates for seniors have been trending up since 1995. Rates remain unacceptably high for single seniors—especially women—and the worsening trends in pension coverage point to further increases in poverty in the future. The GIS is the most effective federal mechanism in the short term for reducing the poverty rate and the impact of poverty on seniors, and it can be targeted at senior individuals who need it most.

The data on the retirement savings of Canadians currently nearing retirement age is unequivocal. A substantial proportion of middle-income Canadians without an employer pension plan will face a dramatic drop in living standards during their retirement years.

The panoply of public policies offering “voluntary” options for saving—such as RRSPs, TFSAs, group RPPs, and the more recent Pooled Registered Pension Plans—have demonstrated their inadequacy to address the shortcomings in declining workplace pensions and a Canada Pension Plan with limited benefits. There may be an important role for incentives to expand workplace pensions (particularly of the defined-benefit variety), and to enhance benefits of the Canada Pension Plan.