Friday, July 28, 2017

The Grey Panthers and Memphis History

Exploring Memphis with MCIL’s Grey Panthers



Bobbie Fields
By Bobbie Fields
The Grey Panthers spent a fun filled afternoon at the Benjamin Hooks library on Poplar getting to know all about how politics, race and the press played a major role in some of our cities major events.

The Grey Panthers are a group organized with the Memphis Center for Independent Living to facilitate peer relationships and social interaction for people 55 and older. The Grey Panthers confront issues of dealing with disability, health, finances and civic life.

The keynote speaker for the event was former newspaper man, channel 3 commentator and Author Otis Sanford (Boss Crump and King Willie). His book gives a detailed account of how these men influenced our communities, city and even our way of thinking today.

Racism was a major concern during the turn of the last century in Memphis and Mr. Sanford told the group about many issues 100 years ago. Some of the key players in our city political history were Mayor Henry Loeb, Mayor Wyatt Chandler, and Mayor Robert “Dick” Hackett, Mayor Willie “king” Harrington, The Crumps and The Fords.



Grey Panthers gather at the event

Events like this one is only a small sample of what The Grey Panthers are all about. We try to keep our seniors informed about health issues, our city and community while having fun. If you are age 55 and up we encourage you to come see and listen for yourself. We meet every 2nd Friday of the month from 10:30 am to 12:00 pm at The Memphis Center for Independent Living, 1633 Madison Ave. For more information please contact Jerry Gamble at (901) 726-6404 ext.122 or jerry@mcil.org and Bobbie Fields (901) 726-6404 ext. 112 or bobbie@mcil.org

Wednesday, July 26, 2017

Elder Abuse

People with disabilities need to know the signs of abuse


Timothy Redd
By Timothy Redd
Today I listened the Senior Zone podcast and learned quite a about elder abuse and justice. The guest on the show was Edwin Walker.  As the Deputy Assistant Secretary for Aging of the Administration on Aging (AoA) within the Administration for Community Living, Edwin L. Walker serves as the chief career official for the federal agency responsible for advocating on behalf of older Americans.

In this capacity, he guides and promotes the development of home and community-based long-term care programs, policies, and services designed to afford older people and their caregivers the ability to age with dignity and independence and to have a broad array of options available for an enhanced quality of life.

Elder abuse is occurs more frequently than you may think and many think it’s a personal problem and don’t want to give involved. This is a humanity issue and one the best thing you do is say something if you see something. Elder abuse is any form of mistreatment that results in harm or loss to an older person. It is generally divided into the following categories:

  • Physical abuse is physical force that results in bodily injury, pain, or impairment. It includes assault, battery, and inappropriate restraint.
  • Sexual abuse is non-consensual sexual contact of any kind with an older person.
  • Domestic violence is an escalating pattern of violence by an intimate partner where the violence is used to exercise power and control.
  • Psychological abuse is the willful infliction of mental or emotional anguish by threat, humiliation, or other verbal or nonverbal conduct.
  • Financial abuse is the illegal or improper use of an older person's funds, property, or resources.
  • Neglect is the failure of a caregiver to fulfill his or her care giving responsibilities. Self-neglect is failure to provide for one's own essential needs.
Sen. Tom Harkin and Bob Kafka

Did you know that Approximately 1 in 10 Americans aged 60 and over have experienced some form of elder abuse? Some estimates range as high as 5 million elders who are abused each year. One study estimated that only 1 in 14 cases of abuse are reported to authorities Recent studies show that almost half of those with dementia experienced abuse or neglect. Interpersonal violence additionally occurs at disproportionately higher rates among adults with disabilities.

When it comes victims of elderly abuse, their attacker is typically someone who has established a trust relationship with. It is common to find that abused elder feel shamed or may make excuses for their abusers. Here are a few key indicators of abuse and some common forms of abuse:

  • Physical: bruises, broken bones, abrasion, and burns
  • Emotional: Change in alertness, loss of interest in thing once enjoyed, and depression
  • Exploitation: Change in  financial abuse
  • Sexual: bruises in genital region
  • Neglect: Poor hygiene, bedsore, unusual weight loss, unattended medical needs

If you are elderly make sure you have a plan or develop a plan so that your support system will know how you wish to live so that they will recognize if anything is out of the ordinary.

If you observe or suspect elderly abuse call Adult Protective Services. TN Adult Protective service number is 1-888-APS-TENN (1-888-277-8366). If you suspect immediate danger call 911. To find resources and to learn more you may access www.eldercare.gov.
Mouth asks, What's happened to our rights?
Steve SAYS: “The federal government has totally abdicated its responsibility for enforcement.
an interview with Steve Gold by Josie Byzek
Editor’s Note: This interview first appeared in Mouth magazine in March 1998. It is amazing to hear the issues that faced the ADA seven years after it was signed. Now, twenty-seven years after the ADA, we are still concerned about the civil rights of people with disabilities.

Stephen F. Gold is the foremost attorney in the disability rights movement. He is co-author, with Diane Coleman, of the Not Dead Yet amicus brief quoted in 1997's Supreme Court decision. As attorney for Idell S. and Helen L., he sued and won against the state of Pennsylvania on grounds of the ADA for segregating people in nursing homes rather than providing them with attendant services in their own homes. He was the attorney in the ADAPT v. Skinner public transportation case as well. Gold is in private practice in Philadelphia, Pennsylvania.

What's the primary problem with the Americans with Disabilities Act?

People don't know their rights.

I am amazed at the number of people with disabilities who do not know what the ADA says, or what the regulations say. I frequently get phone calls from people with disabilities from all over the country who do not understand what the ADA says, or how to use it.

We're talking now about seven years plus since its enactment. That's frightening. The first thing that's got to be done is massive education and advocacy training.

Second, we have to help people enforce [disability rights law] in every conceivable way -- from pro se complaints to street demonstrations. You name it, we ought to be doing it.

People with disabilities have to be perceived as a powerful political entity. With very few exceptions, that is not the case.

I would change the mentality of the disability community to begin to say, 'We're going to get out there and enforce this law.'

Like any other law, if you don't enforce it, it's not worth the price of a pretzel in Philadelphia.

Why is the enforcement of the ADA different from the enforcement of any other civil rights law?

The ADA came about not after a vocal, visible, angry struggle for civil rights. It came about because an elite group thought it should be passed -- paternalistically, in other words. Consequently, there was not equal power in the passage.

The Chambers of Commerce were able to get what they wanted into it, and insurance companies got what they wanted. The movie industry got what it wanted into the ADA, so that you don't have open captioning in movies, or any alternate format. The local government entities got their three cents' worth in.

All the powers that be in our society which clearly have been discriminating in the past and are still discriminating, they all got their ten cents' worth in, or more, during the passage of the ADA, and people with disabilities just didn't have the power to counter that.

The ADA won't even pay for monetary damages for the injury done when civil rights are violated. That's a humongously big compromise on the ADA. I don't know another civil rights statute where a minority whose civil rights are violated cannot get damages for that injury. But the other thing which is really critical is that the only entity that can get damages awarded under the ADA is the U.S. Department of Justice. And Congress even set very specific amounts that they can get.

So two things -- first, it's very paternalistic to set things up that way. Second, and much more critical, is that the DOJ can bring only a very limited number of suits.

We know how backlogged they are, and they just cannot do what needs to be done. If people with disabilities could get compensatory damages when they sue under the ADA, even if those amounts were minimal, that would make it worthwhile to bring the suit.

Then too, if the defendants knew they would have to pay not just to make their store or restaurant accessible, but also to pay damages, they would, on their own, make their businesses accessible.

It's as if the ADA is saying, “If you break this law, the penalty is that you'll have to obey it.”

That's not a big penalty.

What's the best part of the ADA itself?

Just starting right at the top [in the findings of the ADA] Congress says, 'Historically, society has tended to isolate and segregate individuals with disabilities, and despite some improvements, such forms of discrimination against individuals with disabilities continue to be a serious and pervasive social problem.'

Those findings should be used by people as a trumpet, as a clarion.

Disability rights are trivialized by most people. They are not considered civil rights. The fact that a person using a wheelchair cannot get up two steps into a store is not looked at as a violation of that person's civil rights. Or the fact that people can't get on the bus. Or that movies aren't captioned or that elevators are not braille -- those are not looked on as violations of civil rights. Those are perceived by the public as inconveniences or technological difficulties.

But they are barriers to access and they are, by Congress's definition, civil rights violations. Depending on which label you put on them, a different consequence in our society will follow.

The congressional finding at the opening of the ADA, if used by advocates, by people with disabilities, applies to so many circumstances people face. What that congressional finding does is make access a civil rights issue.

Congress says, 'Individuals with disabilities are a discrete and insular minority faced with restrictions and limitations, subjected to a history of purposeful unequal treatment, relegated to the position of political powerlessness in our society.'

But violators always say it wasn't intentional...

What Congress found is discrimination in such critical areas as access to services and access to public accommodations. That made those two steps, that curb without a curb cut, violations of civil rights.

Pre-1990 it might have been unintentional. But when Congress passed the law, it became the law. Period.

Can you imagine what this country would have been like seven years after 1964 if we still had bathrooms marked whites only and colored only? I mean, that's segregation, and that's separation, the bathrooms and the water fountains. It's historic. Back in the Fifties, they'd say they weren't discriminating, that's just the way things were!

When Congress in 1964 passed a law saying access must be equal, if the restaurants and bus stations had continued to keep separate bathrooms and separate water fountains, there would have been a bloodbath in this country.

Same thing with women's rights. Can you imagine passing Title IX and seven years later a college says to you or to your daughter, "Well, we have the football team for the boys, and the basketball team for the boys and the baseball team for the boys. We'll get around to giving the girls a swim team sometime."

Women would have gone crazy.

It seems like the ADA works best in employment cases.

Employment? Employment is a losing battle.

Let me tell you an entity that has been cowardly and impotent. Under Section 503 of the Rehab Act, since 1973, every single business that gets a contract with the federal government was supposed to have an affirmative program for hiring persons with disabilities. The U.S. Department of Labor has never, ever, enforced that.

I'm not talking quotas -- who cares quotas! Go and find out when Boeing gets a federal contract for billions of dollars how many people with disabilities have they hired, how many will they hire, what are they doing. It's not quotas. They have to have an affirmative plan and they have to implement it.

If you go in and Boeing has 60,000 employees and 20 are disabled, that's not an affirmative plan. We're not dickering over the numbers. We're saying that the Department of Labor has not done its job.

The federal government has totally abdicated responsibility for the civil rights of people with disabilities. We see it with the Department of Labor under Sect. 503, we see it with the Department of Transportation in regulating Over-the-Road buses, and with paratransit. The DOT does nothing to enforce the ADA.

We see it with HUD. Each recipient of HUD funds is supposed to have 5% of its houses, the new dwellings, accessible for people with disabilities. We know that doesn't happen. The only agency with the money to go out and look at them and make sure they do it is HUD. HUD doesn't do it in housing, DOT doesn't do it in transportation, DOL doesn't do it in employment.

When historians look at the disability movement from 1973 to 2003, the most shocking thing will be how the federal government totally abdicated its responsibility. Under Title III, people weren't given any teeth to do it. Congress passed the law. The federal agencies are supposed to be enforcing it and they don't.

People can bring a lawsuit. We have that pro se complaint, so people can file their own lawsuit. That was done solely because there are no lawyers who want to do these cases.

But the ADA doesn't call for equal access in all cases. It's program access, right?

That's not what the ADA says. That's a misinterpretation. Let's look at the law.

First, when you use the word 'program' you're in Title II, which applies to government. That term is not involved at all in Title III.

Congress wrote, 'Subject to the division of this Title, no qualified individual with a disability shall, by reason of such disability, be excluded from participation or be denied the benefits of services, programs or activities of a public entity, or be subject to discrimination by such an entity.' DOJ, in its regulations under program accessibility, said basically the same thing that Congress said.

In 1992, you were to look at a government program, service or activity and then, when viewed in its entirety, determine whether it was readily accessible to individuals with disabilities. With any program back then, that concept applies.

But eventually the entire program is supposed to be accessible. No one's ever defined 'eventually' except in the following way: If new construction is done, they have to make the entity accessible. If alterations are done, they have to make the entity accessible.

Let me put it in concrete terms: the lottery. Let's assume that in 1990 there were 1000 lottery outlets in Pennsylvania. When the regulations were promulgated, you had to look at the lottery and say, when viewed in its entirety, is it readily accessible? So you have to say, of that 1000, how many were accessible, and where were they located. You'd have to do a geographical distribution. Let's assume for the moment that 333 were accessible and they were distributed geographically equally, so people could agree that when viewed in its entirety, the lottery was accessible.

Let's assume that in 1993 there were another 100 lottery outlets, so it's up to 1,100. Well, those new 100 all have to be accessible. It's not a case of 'You would think.' They have to be, because you are no longer looking at an existing program; these are not existing outlets, these are new. The 1,000 on January 26, 1992, were existing. But the new ones in 1993, they weren't existing in 1992.

The government has to make sure that when they get new programs on board, those programs are accessible. Not just when they're newly constructed.

Very few people understand Title II program access. If you did a survey, most people would say that if the new 100 lottery outlets in my example were all inaccessible, that would be okay because the program may still be accessible when viewed in its entirety.

Well, if that's the case, then we're never going to get 100 percent accessibility. And Congress intended for us to get to 100 percent accessibility.

Take a homeless shelter that existed in 1992. How do they make the shelter program accessible? One way may be to build a ramp or a lift, another way may be to give vouchers to a hotel. Let's assume they start a shelter in 1995. Well, they just can't start an inaccessible shelter. That's a new program, it was not an existing program in 1992. 'When viewed in its entirety' is limited to existing programs as of January 26, 1992.

Even then, all services must be provided. That point is incredibly widely misunderstood.

You talk a lot about segregation.

The Helen L. lawsuit was intended -- besides getting some people out of nursing homes -- to get people to begin to talk about segregation. Even though Congress talked about segregation, it's rare to hear people with disabilities talk about it.

People who cannot get into that restaurant and eat with me, they're discriminated against, as am I when I can't have lunch with them. When people can't sit next to other people in the movies, or they get put in the back row, that's segregation.

People with disabilities are still segregated, in nursing homes. And I don't do much education law, but I am shocked that we still have schools in this country segregating kids based on disabilities.

People have a right to be segregated if they choose. If people want to go to a school where only deaf people are, or where people only use ASL, they have that right. They cannot be made to do that. Under Title II, the state cannot make them do that. In Title III, it's the private business; the restaurants and stores cannot make themselves inaccessible.

It has to be truly a choice. Sheltered workshops are a great example. If you don't have supported employment, and job coaches, then to say someone wants to choose sheltered workshops -- if that's the only thing that exists, it's not a choice.

Same thing on nursing homes. There's so many people living in nursing homes right now solely because there are no accessible houses, no accessible services such as attendant services. To say that people have chosen segregation -- they may not have any choice. They want to live. They want to just stay alive.

Say you want to go to an art show with other people, who are blind, and the museum says, 'Look, we would be glad to have a special program oriented specifically towards blind folks.' They can do that, but a blind person cannot be made to only go to that. The blind person has a right to go to any other show. And the museum must have reasonable accommodation to that other show so there is equal access.

You say that assisted suicide is against the Americans with Disabilities Act?

Surveys show it. When people with disabilities go to their doctors, doctors cringe; they can't believe someone lives like that.

People with disabilities are not going to be given the same suicide prevention interventions as non-disabled people. That's the more critical point.

If a 30-year-old non-disabled person goes to their doctor and says, 'I just can't go on anymore. I've lost my loved one. My life isn't worth anything. I want assistance in committing suicide,' the doctor would do everything possible to talk him out of it. There would be therapy, counseling, medication. The unstated thing from the doctor's point of view is that the AB's life is valuable.

If a 30-year-old person with a disability comes in, says exactly the same thing, doctors don't provide the same suicide prevention. That's discrimination under the ADA because it's based solely on disability.

If physician-assisted suicide were permitted, the discrimination against people with disabilities would be much worse. Doctors are going to go, subtly or not so subtly, out of their way to urge people with disabilities to off themselves.

Friday, July 21, 2017

Renewal Season is Here

Please do not forget to renew


By Timothy Redd
If you are a recipient of Medicare Part B you may have received a renewal packet in the mail. Do not throw it away or ignore the renewal. You are eligible to time limited equitable relief if you are enrolled in a QHP and you are enrolled in premium Par A and you have an initial enrollment period that began April 1. 2013 or later or you were notified of retroactive premium free Part A on October 1, 2013 or later.
 

The Equitable Relief for Part B allows beneficiaries enroll in Medicare Part B with no penalty, eliminates part B late enrollment penalty in part B if the enrollment was delayed. 
In order to qualify for equitable relief for Part B:

  1. You must gather the appropriate documentation. Proof of your QHP enrollment is required which can be a letter showing that you are enrolled in both Medicare and a Marketplace plan. Proofs of premium payments and bills, IRS form 1095—A that shows months of coverage and subsidy amount.
  2. Call the SSA at 1800-772-1213 or www.ssa.gov to find a local Social Security office that you can visit in person.
  3. Once on the phone or in the office with a representative request to use limited equitable relief to enroll in part b and or eliminate Part B.
The deadline for the equitable relief for Part B is September 30, 2017. Because of the Affordable Care Act, the Bureau of TennCare handled the application  process for Medicare Savings Program effective January 1, 2014.  Enrollment was postponed because a computer system was not in place the verify eligibility. 

When the renewal packet comes in the mail you will have a letter informing you your due date in bold. It is recommended that you fax it back to prove Tennessee Health Connection received it. The fax number is 1-877-430-0843.
You can also call the TennCare Renewal Packet Number at 1-844-337-3348. You should wait at least 10 days before calling to verify the packet was received.


The Bureau of TennCare has 35 business days to process a pocket once it’s been received. If additional documentation is needed another 35 days can be added onto the processing time.


If you need further assistance contact State Health Insurance Assistance Program (SHIP) for Medicare participants at 1-877-801-0044. SHIP staff can verify the packet was received.


If you miss the deadline your premium will be deducted from SSA check and may be multiple months.  You will have 90 days to submit you packet in order to make your benefits retroactive. Premiums will be deducted until determination.