The health coverage expansions under the Affordable Care Act (ACA) will affect you, your loved ones and your communities. The Diverse Elders Coalition represents millions of diverse older people age 50+ who are among those affected: they include the Health Insurance Marketplace, the Medicaid expansion, new benefits for elders 65+ on Medicare, and a range of protections that make health care more accessible for lesbian, gay, bisexual and transgender (LGBT) older people and older people of color. The number of uninsured older adults age 50-64 continues to rise—from 3.7 million in 2000 to 8.9 million in 2010. In addition, people of color make up more than half of uninsured people in the U.S.— and research shows that people of color, across the age span, face significant disparities in physical and mental health. Additionally, many people of color delay care because of potential medical costs and out of fear of discrimination or cultural incompetence from medical providers. This webinar highlights both national and state-specific examples on what is being done to ensure that older people know about the changes that are taking place under the ACA and how it affects them.
Speakers: Yanira Cruz, President and CEO, National Hispanic Council on Aging; Michael Adams, Executive Director, Services and Advocacy for GLBT Elders (SAGE). Special thanks to our co-sponsors, The John A. Hartford Foundation and The California Wellness Foundation.
Original Webinar date: Wednesday, November 6, 2013.
MY IMMIGRANT MOTHER sits silently in a room the size of a small kitchen. Earlier this year, she survived multiple failures of the heart, kidneys, and limbs over the course of six weeks. She is seventy-three, uses a wheelchair, and for the first time in her life is surrounded by white people who do not speak Spanish, in the only nearby nursing home my parents can afford. In turn, my father drives through the days confronted by three omnipresent realities: hour-long daily visits with my mother, a night shift to keep him mentally and financially afloat, and a mailbox flooded with health care bills, insurance disputes and the complexity of navigating Medicare, Medicaid, and private insurers. When I speak of health reform, queer rights, or racial and economic justice, he gazes at me solemnly. He survived a lifetime of racial discrimination, fought in two wars and lived through the ensuing decades with a cacophony in his psyche. At seventy-eight, nearly blind and deaf, he will hear nothing of systems and reform. More often than not, these days we sit in silence.
This silence haunts me as an advocate who works at the intersection of aging and lesbian, gay, bisexual, transgender, and queer (LGBTQ) rights. The aging and LGBTQ advocacy fields often propose policy solutions that are too narrow to address the complexity of how all marginalized people — including heterosexual people of color such as my parents, members of the LGBTQ community, and more — experience the process of aging. We need social transformations that address the intersecting forms of oppression that older people face — and that can make sense of the chaos and silence that shroud my parents. This has become especially clear to me through my work as the director of a national policy program devoted to improving the health and well-being of LGBTQ older people.
A closer look at the lives of aging LGBTQ people reveals how deeply identity politics and class politics are entangled. Here, an older protester rallies for marriage equality in Pasadena, California.
For the full essay, which originally appeared in Tikkun Magazine click here
When: Wednesday, November 6, 2013 2-3pm EST Register Now:http://bit.ly/1c0l5zd Speakers: Dr. Yanira Cruz, President and CEO, National Hispanic Council on Aging (NHCOA)
Michael Adams, Executive Director, Services and Advocacy for GLBT Elders (SAGE) Who can attend? Advocates. Policy makers. Older Adults. Funders. Anyone interested in learning more about Obamacare and how it affects diverse older people. *There will also be additional information for funders on how they can support both national and state-specific work.
First 30 Minutes: Conversation with Dr. Cruz and Michael Adams about why Obamacare/the Affordable Care Act Matters to diverse older people. Learn about the opportunities, challenges and lessons learned. Second Half of the Conversation: Dr. Cruz and Michael Adams will take your questions.
The health coverage expansions under the Affordable Care Act (ACA) will affect you, your loved ones and your communities. The Diverse Elders Coalition represents millions of diverse older people age 50+ who are among those affected by these expansions. They include the Health Insurance Marketplace, the Medicaid expansion, new benefits for elders 65+ on Medicare, and a range of protections that make health care more accessible for lesbian, gay, bisexual and transgender (LGBT) older people and older people of color. The number of uninsured older adults age 50-64 continues to rise—from 3.7 million in 2000 to 8.9 million in 2010. In addition, people of color make up more than half of the uninsured people in the U.S.— and research shows that people of color, across the age span, face significant disparities in physical and mental health. Additionally, many people of color delay care because of potential medical costs and out of fear of discrimination or cultural incompetence from medical providers. These issues are especially true for LGBT people of color who face challenges on multiple aspects of their identities. The ACA has the ability to create a path to better health by offering more affordable health insurance options, improving services and eliminating the usual obstacles. This webinar will highlight both national and state-specific examples of what is being done to ensure that older people know about the changes that are taking place under the ACA and how it affects them.
This webinar is in collaboration with Grantmakers in Aging (GIA) as part of their “Conversation with GIA” series.
Special thanks to our co-sponsors, The John A. Hartford Foundation and The California Wellness Foundation.
The harms inflicted by discrimination reveal themselves in our bodies as we age — as people of color, as poor and low-income people, and as lesbian, gay, bisexual and transgender (LGBT) people. The symptoms manifest as higher rates of high blood pressure, cholesterol, diabetes, heart disease, HIV/AIDS, depression, social isolation and more. In medical charts throughout the country, our bodies record what it means to survive a life shaped by perpetual poverty, higher concentrations in low-wage jobs with no health insurance, thin retirement options and inadequate protections in the workplace. They depict our fractured relationships to health care — from cultural and linguistic barriers to overt bias and discrimination from health and aging providers, to a long-held, hard-earned distrust of medical staff internalized through years of differential treatment.
Oct. 1 aims to begin reversing these conditions. The health insurance marketplace established through the Affordable Care Act (ACA) offers opportunities to shop for state health insurance plans and begins improving coverage for the 47 million uninsured people in this country. Millions of people work in jobs with no health coverage, cannot afford insurance on their own and fall through gaps in public support that leave them uninsured or underinsured. Without insurance, people accrue unmanageable debt, delay health care and in turn watch their health worsen over time — a trajectory most often experienced by people of color, LGBT people and low-income people. These hardships intensify for older people who must also contend with age-related bias in the workplace and the challenges of paying for out-of-pocket expenses with meager incomes. An all-inclusive vision of health reform must incorporate the realities of aging as early as age 50. Read More
September 18 marks the annual National HIV/AIDS and Aging Awareness Day, a day to shine a spotlight on HIV/AIDS and its impact on the aging body. The Diverse Elders Coalition and our member organizations know well that this disease greatly affects our nation’s older people. In fact, adults 50 years of age and older make up the fastest growing population with HIV, and by 2015, more than half of Americans living with HIV/AIDS will be over 50.
While individuals with HIV/AIDS are living longer lives, older adults have more than three other (usually chronic) health conditions in addition to HIV versus their age peers without HIV. As a result, they have a host of health and services needs that neither HIV nor aging services providers are fully prepared to meet. Yet older adults have rarely been targeted in HIV/AIDS prevention and awareness campaigns. As a result, many do not realize that their behaviors can put them at risk for HIV infection. Additionally, health care providers may mistakenly assume that older patients are no longer engaged in high risk behaviors, and therefore do no initiate conversation about the importance of using protection and getting tested regularly.
This is why representatives from our member organizations SAGE (Services & Advocacy for GLBT Elders) and NHCOA (National Hispanic Council on Aging) are at Capitol Hill today for a briefing, reception and hearing to highlight the needs and challenges of older adults with and at risk for HIV. You can follow what happened and get live updates by following @nhcoa and @sageusa on Twitter. Read More
According to a news release from the U.S. Department of Health and Human Services (HHS), Secretary Kathleen Sebelius today announced $67 million in grant awards to 105 Navigator grant applicants in Federally-facilitated and State Partnership Marketplaces. These Navigator grantees and their staff will serve as an in-person resource for Americans who want additional assistance in shopping for and enrolling in plans in the Health Insurance Marketplace beginning this fall. Also today, HHS recognized more than 100 national organizations and businesses who have volunteered to help Americans learn about the health care coverage available in the Marketplace. Read the full release here.
The Diverse Elders Coalition (DEC) is pleased to announce that its member organizations, the National Hispanic Council on Aging (NHCOA), Services & Advocacy for GLBT Elders (SAGE), and the National Asian Pacific Center on Aging (NAPCA) were among those organizations recognized as a Champion for Coverage. These champions pitch in to help consumers understand the coming options for quality, affordable coverage. The DEC will officially be recognized as a Champion for Coverage in the coming weeks. Click here to learn more about organizations participating in Champions for Coverage.
The coalition also congratulates NHCOA who were among the 106 Navigator awardees. NHCOA will deploy Navigators in Dade County, Florida, and Dallas County, Texas, to enroll the uninsured Hispanic population in these two counties with a focus on members of this population that are socially isolated due to cultural and linguistic differences. Click here for a list of Navigator awardees or more information about Navigators and other in-person assisters.
Be sure to continue coming back to diverseelders.org to stay updated on the health insurance marketplaces and their impact on diverse elders.
Today’s post is from Robert Espinoza, Senior Director for Public Policy and Communications at SAGE. Follow him on Twitter.
In December 2010, I took part in a first-time meeting of national aging organizations working with older people of color and lesbian, gay, bisexual and transgender (LGBT) elders.
Over time, this group would form a coalition focused on federal policy reform—the Diverse Elders Coalition (DEC)—but what resonated in those initial meetings was a belief that we needed to sort through our individual interests, find multiple points of commonality, and employ a joint advocacy agenda that would profoundly change older people for generations to come.
We knew that a coalition approach was tactically smart; it leveraged our organizational resources and challenged the single-issue orthodoxy that too often shapes the dominant policy rhetoric. This approach also acknowledged our overlapping missions, growing demographics (and societal burdens), and multiple identities. We recognized that our communities shared many of the same political opponents and allies. And our aspirations for joy throughout the lifespan were in many ways similar. We believed that we could both unify and transcend our identity-based politics. Read More
Who doesn’t have a smart phone these days? Mobile technology is one of the fastest growing of the new technologies out there. And for many young and middle aged adults, it seems like the laptop is the technology of “yesteryear.” Yet many older adults, especially those over 65, may not own or know how to operate a computer. There’s a large divide between who is “plugged” in and who is not.
Across racial and ethnic groups, young people are more likely to use new technologies than older adults. For example, even though Hispanic households with middle- and high incomes have high rates of internet usages, older Hispanics are far less likely to use the internet. Overall, just 35% of Hispanics aged 65 and over own a computer, compared to over 70% of Hispanics overall.
We know diverse older adults endure economic insecurity, hunger, health inequities, and isolation. We also know that any one of these issues can make life difficult in general. Is the digital divide not something to be as concerned about? It is. The internet is a tool that can also offer solutions. The details of issues like economic insecurity and hunger are not frequently discussed and not well known among those that have not experienced it for themselves. However, the internet (specifically social media) is one way for older adults to expose their shared experiences to a larger audience. It also allows older adults to escape isolation by finding community online and staying connected to friends and family, even if many miles away. Read More
Two Older LGBT Hispanic men at a SAGE 2011 health fair
With the rapid growth of our diverse population, our country is becoming more beautiful than ever. But unfortunately, there are still some groups that are not well understood by the nation’s service providers, or by local, state and federal governments. One of those groups is lesbian, gay, bisexual, transgender (LGBT) older adults. And in order to better understand the reality of this diverse community, the National Hispanic Council on Aging (NHCOA) conducted an analysis through a literature review, focus groups (one was held at The SAGE Center; SAGE is fellow member organization of the Diverse Elders Coalition) and in-depth interviews with LGBT Hispanic older adults, including the service providers who work with them. Read More
At 81, George Stewart has been a longtime advocate for lesbian, gay, bisexual and transgender (LGBT) older people in New York City. He’s a former Army clerk and U.S. Air Force court reporter, and last summer he was selected by the White House as one of six Champions of Change nationwide for LGBT Pride Month. Yet behind his active civic life and national profile lies another reality: George Stewart is low income, and as with millions of older people, he relies on federal assistance to supplement his income and on local services for community support. For many low-income LGBT older people, public assistance and support networks interlock as lifelines — ameliorating poverty, reducing isolation and helping to manage the slew of challenges that come with getting older. Unfortunately, despite the prevalence of poverty among elders in this country, including LGBT elders, these realities are rarely brought to light. Read More
And I work for the country’s largest and oldest organization dedicated to improving the lives of lesbian, gay, bisexual and transgender (LGBT) older adults.
So, what does this mean?
Well, for me, it made me really think: What are the stories being told about older LGBT AAPI people? Are they even being told? Outside of the amazing George Takei, I can’t think of another prominent openly gay Asian American older person. Can you?
I am Puerto Rican, gay and not yet 30 years old, so the stories of older LGBT AAPI people are not my personal story. Therefore, it was important that I find individuals who could tell and share these stories… And that was difficult. Read More
Americans who are people of color, older adults and LGBT identified (referred to in this blog post as LGBT elders of color) often have unique needs because of the intersections of identities. LGBT elders of color are historically marginalized on multiple fronts and their needs are often under addressed in the mainstream aging field and in the popular LGBT rights movement. Read More
Alexis Martinez (left) worried that coming out to daughter Lesley as transgender would mean giving up any relationship with her grandchildren. But she needn’t have worried.
Alexis Martinez grew up in a rough neighborhood on Chicago’s South Side in the early 1960s. She knew she was transgender from an early age.Alexis (whose birth name is Arthur) struggled with her identity, as did her family. At 13, she came out as transgender to her mother. Alexis’ mother called the police, who laughed and told her, “You’ve got a fag for a son, and there’s nothing we can do about it.”
As a result, Alexis joined a gang and “went as macho as [she] could be, to mask what [she] really was underneath.”
Alexis has a daughter, who accepts her for who she is. Says her daughter Lesley: “You don’t have to apologize. You don’t have to tiptoe. We’re not going to cut you off. And that is something that I’ve always wanted you to, you know, just know—that you’re loved.” Read More
There was a time in my life, around 11 years old, when I often skipped school because I was being bullied and harassed. It was obvious to my classmates that I was “different” and they targeted me because of it. At lunch, there was a boys table and a girls table, but I was relegated to the “other” table.
I hated waking up for school. Sometimes I would put my head over the toaster to create a “fever” and ask my mother if I could stay home. Sometimes it worked. Sometimes it didn’t. Those days that it didn’t, I would put on my uniform, grab my lunch and deliberately slam the front door to our apartment. The loud noise signified to my parents that I was on my way to school.
What I really did was tip toe back to my bedroom and hide in the closet. Inside, I would carefully listen for my family to leave for the day. Once they were gone, I would breathe a huge sigh of relief as it meant I could turn on the TV and relax—I was free from my bullies!
One Monday, the school administration called my mother to inquire why I hadn’t been attending. It just so happened my father was home that day and my mother demanded that he check to see if I was there. As he called my name, my heart was pounding and I put my hand over my mouth to hide my breath as I hid in the closet. Read More
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