When did we …..

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Remembering the Queen of Soul

A four-day celebration of Aretha Franklin begins today in her hometown of Detroit. Her funeral will take place on Aug. 31. 

“R.E.S.P.E.C.T. As a Black girl in segregationist Virginia, I did not yet know “feminism” or “Black power” but I knew her song and how to spell its title. Like just about anyone under 60, I can’t remember a time when Aretha Franklin’s music was not woven into my life story, a familiar and often empowering thread.

It was “grown folks” music but also danceable and relatable to the youngest child. She was the “Queen of Soul” and one is hard pressed to not find those subjects in her music kingdom.

Born in Memphis “Home of the Blues”  — her father, Rev. C. L. Franklin was a charismatic, famous yet “complicated” preacher; her mother, the talented gospel-singing Barbara Siggers — Franklin’s family soon reached post-war Detroit and a neighborhood that included Smokey Robinson, Diana Ross and others who would soon anchor a start-up Motown Records. Though she was never a Motown artist, the Black church and her adopted home town were indelibly etched in every performance across a multi-genre 4-octave range.

Though many American artists start in the church, in some ways Aretha Franklin never left. Her soaring rendition of Simon & Garfunkel’s “Bridge Over Troubled Water” hinges on the pain, depth and redemption uniquely found in gospel music. The Queen’s singular gifts could express the randy and sacred in a single syllable. Her voice cut deep; no matter the genre, it was “soul” music.

Aretha Franklin was also a citizen-artist and perhaps that is where I connected with her most personally. The first-rate entertainer was also put on this Earth to keep us “woke.” Not only is her song catalog a roadmap to this country’s darkest past and most hopeful future, Franklin was a player in some of America’s most searing civil rights moments.

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Have you ever used a Canadian Pharmacy?

Have you ever thought of buying an expensive prescription drug from Canada? Actually it’s legal and not that difficult – and often there is free shipping. I have recently been able to purchase Prednisolone eye drops at 20% of the cost of the same medication if purchased through Humana or Costco. I did have to mail in the actual physician’s prescription and write a check so it was rather low tech. I fortunately wasn’t in a rush because it took nearly a month to receive the well packaged USA manufactured medication in the mail – along with pharmacy instructions, refill information, etc. (As you know Medicare is prohibited by law from bargaining over prescription drug prices. So we pay top dollar – often many times more expensive than the identical drug from Canada.) I use this as a backup to my Part D prescription drug coverage which isn’t that great beyond Tier I and II drugs.

Here’s the pharmacy I use in case anyone else would like to contact them – https://www.pharmstore.com/:

Toll-Free Phone: 1-800-281-8347
Toll-Free Fax: 1-866-454-2734
Email: info@PharmStore.com
PharmStore.com
PO Box 302 Station Main
Winnipeg MB  R3C 2H6
Canada

 

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Freeway Park – September activities

Click below to see the September activities at nearby Freeway Park.

 Freeway Park 8/25

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Worldwide smoke

That’s Seattle in the orange at upper left, Southern Africa at lower center.  Note how some of the Canadian smoke has traveled to mid-Atlantic south of Greenland and accumulated there.

 

 

 

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If lost

Lost

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Much is to be learned from baseball

Peanuts for March 23, 2010 Comic Strip

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Fact check on Bernie Sander’s claim that Medicare for All (M4A) will save 2 trillion dollars

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4 ways the Trump administration wants to change Medicare

By Tami Luhby – Senior writer for CNN

After unsuccessfully trying to overhaul Obamacare and Medicaid, the Trump administration is now trying to put its stamp on Medicare.

The Centers for Medicare and Medicaid Services has issued a slew of proposed rules in recent weeks. They would change how doctors and hospitals are paid for treating senior citizens and give insurers in the Medicare Advantage program more control over the medications doctors can prescribe.

The agency says its proposals would give patients more control over their health care, reduce doctors’ paperwork, cut Medicare’s cost to taxpayers and help insurers lower drug prices. Health policy experts say some of the changes could ease seniors’ costs, but could also make it harder for them to see their doctor of choice or get medicines their physician recommends.

Here’s what the administration wants to do:

Change how doctors are paid for office visits

This controversial proposal would radically overhaul how the agency compensates physicians for the most common medical service — a doctor’s appointment.

Currently, Medicare has five levels of payments, ranging from a quick visit with a nurse to an in-depth evaluation of patients with cancer, heart failure or other serious illnesses.

The agency is proposing to reimburse doctors the same amount regardless of the person’s condition and the length of the visit. Some physicians would see their payments go up, but others — particularly specialists who treat complex medical issues — could get less.

The change aims to let providers spend more time with their patients and less on documentation, said Seema Verma, administrator for the Centers for Medicare and Medicaid Services. It would also allow doctors to reduce their office costs, potentially offsetting their reduced compensation from Medicare.

But it could also prompt doctors to cut back on the number of Medicare patients they see or limit the time they spend with seniors, requiring them to come back for additional evaluations, experts say.

“This would create incentives for many more short visits,” said Robert Berenson, an institute fellow at the Urban Institute who was in charge of Medicare payment policy at the agency during the Clinton administration.

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Choosing your reading

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“You can breathe as long as you don’t inhale”

Ed note: Remember Tom Lehrer’s song called Pollution? Coming true? Seattle is now in the “unhealthy” range in terms of air quality – at least through tomorrow. Cliff Mass gives us some perspective (Beijing better than Seattle!) as reported in this article from Crosscut.

The air quality is bad in Seattle and, at least at times, worse in the suburbs. Weather expert Cliff Mass reported that Monday afternoon air readings at a Duwamish site contained the highest levels of smoke recorded for a one hour period since the Puget Sound Clean Air Agency began its monitoring there about two decades ago. Last Wednesday, he found that Duwamish and Tacoma both experienced the worst 24 hours of air quality on record for either spot; the 24-hour data for Monday was still being analyzed, the agency said. As Beijing enjoyed “moderate” breathing conditions Monday, some areas around Puget Sound saw the air downgraded to “unhealthy” for everyone.

And with that rating has come a minor panic, with the region bending its routines and discussions around the hazards of the smoke as it might for a blizzard in the winter.

At Pacific Supply Hardware in Capitol Hill, they were sold out of breathing masks Monday morning. At Stoneway Hardware in Wallingford, they still had some left, but likely only for a few more hours. At Lowe’s off Rainier Avenue, they stocked more masks than usual after they sold quickly over the weekend.

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What’s under the ground?

street smart

To decipher all those color marks we walk by as the construction goes on – here’s the cheat-sheet from Gordon Gray.

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75 Must-Know Statistics About Long-Term Care: 2018 Edition

Christine Benz from Morningstar gives some data on Long-Term Care – it doesn’t discuss Life Care CCRC’s like ours, but it points out how important Medicaid is for so many elderly.

 

If there’s a single unsolved problem in the retirement plans for many middle- and upper-middle-income adults, it’s what to do about long-term care costs later in life.

Very high-income, high-net-worth people can plan to self-fund long-term care costs, though I’d advise them to do the math on long-term care cost inflation before getting too comfy with the idea that they’ll have enough to do so. Meanwhile, people without significant financial assets will need to rely on Medicaid-provided long-term care. That’s most people: Medicaid and other government programs cover the majority of the long-term care costs in the U.S.

Sandwiched in the middle are people with some, even significant, financial assets–just not necessarily enough to comfortably fund a $300,000 (or more) long-term care outlay at the end of their lives. For them, the choices are stark and rather unappealing. They could purchase traditional long-term care insurance and risk premium hikes. Alternatively, they could purchase one of the increasingly popular hybrid life/long-term care products and face an opportunity cost, as discussed here. Or they could forego insurance altogether, planning to self-fund care or use nonportfolio assets, such as a home sale, to cover any long-term care costs.

If you’re among the people who are still on the fence about what to do, the best way to make smart decisions is to go into the process armed with the facts. How likely are you to need long-term care and for how long? What does long-term care cost, and what does it cost to insure against it?

In the latest installment of my now-annual compendium of long-term care statistics, I’ve pulled together current data to help you answer these questions and more. Each statistic includes a link through to the original source of the information; I’ve aimed to use statistics provided by objective parties, wherever possible. (The wealth of information on long-term care–as well as the often-heroic caregivers who provide it–are bright spots in an often dismal story.)

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Air quality worsening through at least Wednesday

UPDATED: JOINT PRESS RELEASE – FOR IMMEDIATE RELEASE August 19, 2018 AIR QUALITY ALERT FOR PUGET SOUND REGION DUE TO WILDFIRE SMOKE This is an updated air quality alert for August 19, 2018, from the Puget Sound Clean Air Agency and the local health jurisdictions of King, Kitsap, Pierce, and Snohomish counties. Air pollution is increasing due to wildfire smoke and may cause health problems. Air quality levels are going up more quickly than expected in the Puget Sound Region and we are reaching levels UNHEALTHY for everyone in some areas. We recommend everyone stay indoors when possible. With winds pushing smoke from British Columbia and the fires in the Cascades in our direction, we expect poor air quality to continue through Wednesday. Current air quality levels in Darrington are UNHEALTHY for everyone. We could see levels become UNHEALTHY in other parts of our region over the next few days. Check the Puget Sound Clean Air Agency’s website for the most recent conditions. Wildfire smoke can cause a range of health problems: • Trouble breathing • Coughing • Stinging eyes • Irritated sinuses • Headaches • Asthma attack • Chest pain • Fast heartbeat Everyone should take precautions, especially children, older adults, and people that are pregnant, have heart or lung issues (asthma, chronic obstructive pulmonary disease COPD), or that have had a stroke: • Stay indoors when possible. • Limit your physical activity outdoors, such as running, bicycling, physical labor, and sports. • Close windows in your home, if possible, and keep the indoor air clean. If you have an air conditioner, use the “recirculation” switch. Use an indoor air filter if available. • If you do not have an air conditioner, consider finding a public place with clean, airconditioned indoor air like a public library or a community center. • Avoid driving when possible. If you must drive, keep the windows closed. If you use the car’s fan or air conditioning, make sure the system recirculates air from inside the car; don’t pull air from outside. • Schools, camps, sports teams, and daycare providers should consider postponing outdoor activities or moving them indoors. • N95 or N100 rated masks can help protect some people from air pollution. These masks are usually available at hardware and home repair stores. Please check with your doctor to see if this appropriate for you. More information here. • For more information on ways to reduce your exposure, see the Washington Department of Health’s Smoke From Fire tips. As always, check with your health care provider for more specific questions and concerns. To learn more about wildfire smoke, and to subscribe to updates, visit the Puget Sound Clean Air Agency’s website

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Thoughts about everyday words

Are you looking for quiet essays with thoughts about every day words. If so, keep this one at your bedside. Here’s one example from a essay about giving from Whyte.

Giving is a difficult and almost contemplative art form that has to be practiced to be done well; to learn to give is almost always the simple, sometimes heartbreaking act of just giving again. To stop giving in any situation is to call in an end to relationship. Giving is an essence of existence, and a test of our character; it asks deep questions about our relationship to others, to ourselves and strangely, to time itself: all gifts change with the maturation of their recipients. To give well, appropriately and often is to establish a beautiful seasonal symmetry between the urgency within us that wishes to be generous, and the part of the world that is suddenly surprised and happy to receive…..Clichés are clichés often because they are so stubbornly true; it is the thought that counts, but even more it is the imagination behind the thought that counts, made tangible through gifts that find their definition through being twice blessed.

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Motivational literature

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Stumps with a different fate than our neighbors

From Gordon Gray

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leaving the next

Today the last baby left the nest!! – from Carole Shankland.

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Getting old is a state of mind according to Flossie Lewis

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Construction surrounds us

First, here is the south-of-the-Frye assisted  living building that will reach 24 stories within a few months.

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Below is the west-of-the Frye lot clearing for the twin towers that will be a few stories higher than Skyline.  They dug out an old diesel storage tank today (foreground) and hauled it away.

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And today is when we lost those trees to the 800 Columbia across the sidestreet to the NW.  It will be even taller than Skyline.

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Social Security is 83!

From AgingKingCounty:

“On August 14, 1935, President Franklin Roosevelt signed the Social Security Act, creating an essential program that made real our country’s belief that we have a responsibility to ensure that older adults in our communities should not be left to age in poverty. The addition of Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) as part of the Social Security program has ensured that even more people are protected from the risks of destitution and homelessness if they experience a disability before they reach retirement age, or are not otherwise eligible for significant benefits. It is unlikely that anyone reading this does not know someone collecting Social Security benefits, be it their parents, grandparents, neighbors, or themselves.

Social Security Prevents Poverty

“Today, millions of older adults depend on Social Security to pay for housing, food, health care, and many other important basics they need to live. And as an anti-poverty program, Social Security has been extremely successful. According to analysis of 2016 Census data from the Center on Budget and Policy Priorities, Social Security lifted 17 million seniors out of poverty. While these benefits are relatively modest (the average monthly benefit for retired or disabled workers and widowed spouses over 65 is approximately $1,340 a month), Social Security still makes up a majority of most beneficiaries’ income. And more than one third of seniors receiving Social Security depend on their benefits for almost all of their income. Furthermore, seniors of color—who have lower lifetime earnings and are disproportionately more likely to lack pensions or other major sources of wealth—especially depend on Social Security as they age. And women, who often outlive their male counterparts, benefit from having guaranteed income over the course of their longer lifespans.

Don’t be Fooled by Stealth Cuts to Social Security

“However, senior poverty is still a serious problem, with ever-rising housing and health care costs squeezing those who rely on Social Security to make ends meet. Unfortunately, rather than shoring up a program that is a an inadequate yet vital lifeline for millions of seniors and their families, some conservatives are engaged in deceptive efforts to cut, cripple, or dismantle the system. Some of these cuts masquerade as necessary “solutions” to ensure Social Security’s long-term solvency, and include ideas like raising the retirement age, lowering benefits, or limiting cost-of-living adjustments so that benefits do not rise sufficiently to cover inflation. Recently, cuts to Social Security have been put forward as a way to solve other related problems—for example, Senator Rubio’s unworkable proposal to have new parents use their Social Security benefits to pay for family leave. While family leave is something all caregivers in our country desperately need, it must not come at the expense of our retirement security.

“Poverty, disability, and caring for our families are not individual problems, but issues that affect all of us. As a society, we can and should choose to invest in the well-being of the older people in our communities.”

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Love

LOVE

by Czesław Miłosz

Love means to learn to look at yourself
The way one looks at distant things
For you are only one thing among many.
And whoever sees that way heals his heart,
Without knowing it, from various ills.
A bird and a tree say to him: Friend.

Then he wants to use himself and things
So that they stand in the glow of ripeness.
It doesn’t matter whether he knows what he serves:
Who serves best doesn’t always understand.

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Tweeting the golden rule

Thanks to Gordon Gray for this timely message!

tweet

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Intransigence

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The Black National Anthem

Ed note: In November I’m attending a caregivers conference that opens with the Black National Anthem. “Lift Every Voice” was unknown to me and it’s taken a bit of research to bring it to life for me. Hope you like this a cappella version and the poignant beauty of the lyrics. Many notables have recorded it. For more click here.

Lift Every Voice and Sing
The Black National Anthem (1900)

Words: James Weldon Johnson
Music: John Rosamond Johnson

Lift every voice and sing, till earth and heaven ring,
Ring with the harmonies of liberty;
Let our rejoicing rise, high as the listening skies,
Let it resound loud as the rolling sea.
Sing a song full of faith that the dark past has taught us,
Sing a song full of hope that the present has brought us;
Facing the rising sun of our new day begun,
Let us march on till victory is won.

Stony the road we trod, bitter the chastening rod,
Felt in the days when hope unborn had died;
Yet with a steady beat, have not our weary feet,
Come to the place for which our fathers sighed?
We have come over a way that with tears has been watered,
We have come, treading our path through the blood of the slaughtered;
Out from the gloomy past, till now we stand at last
Where the white gleam of our bright star is cast.

God of our weary years, God of our silent tears,
Thou who has brought us thus far on the way;
Thou who hast by Thy might, led us into the light,
Keep us forever in the path, we pray.
Lest our feet stray from the places, our God, where we met Thee,
Lest our hearts, drunk with the wine of the world, we forget Thee.
Shadowed beneath Thy hand, may we forever stand,
True to our God, true to our native land.

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