By Liza Horvath
Question: You recently responded to a senior who
said she had always managed the family finances but felt that she might
be slipping. That letter could have been written by my mother except she
is too stubborn to admit that she needs help! Mom has always managed
her finances well but lately, she has begun receiving a ton of online
shopping orders and she also seems to be spending more than usual. She
has not asked for help and I am not sure how to approach her about it.
What can I do to find out if my mom has lost her ability to control her
finances? Is it even my business?
Answer: If you are a caring child, which it sounds
like you are, it is absolutely your business to make sure your mom is
staying safe – both physically and financially. If you noticed rain
pouring in through a hole in the roof, would you help her find a roofer?
Of course you would! Finances are the same; we have a duty to protect
our loved ones, or at least try.
Like all of us, your mom receives solicitations every day by mail,
phone, email, text or enticing ads on television. Also like all of us,
she probably enjoys having packages, “presents,” delivered to her
doorstep. These elements, combined with the fact that many seniors feel
isolated and lonely, can be contributing factors to frivolous purchases
and susceptibility to fraud or undue influence.
Researchers Dr. Mark Lachs of Weill Cornell Medical College and Duke
Han of Rush University Medical Center have proposed clinical recognition
of “Age-Associated Financial Vulnerability” (AAFV). Lachs and Rush
found that while it is widely known that early signs of dementia can
include the loss of ability to manage one’s finances or to make sound
financial decisions, natural changes in the brain may cause difficulties
in money management – absent any disease or cognitive decline.
Your question states that your mom seems to be “spending more than
usual.” One of the key criteria of AAFV is that new financial behavior
is inconsistent with how the senior has dealt with money in the past.
However, before jumping to a conclusion of AAFV or worse, try to rule
out other possible reasons for increased spending. Does your mom have
new expenses related to a health issue? Has she undertaken a new hobby
or acquired a new interest that could explain additional expenditures?
Find out if there is a legitimate reason for the increased spending.
Additional warning signs that an elderly parent may need help
managing finances can include unopened bills or mail piling up,
creditors calling (check caller ID logs) and unusual or increased
donations to charities. Junk-mail in the form of solicitations for
investment schemes or “winning” sweepstakes notifications are both big
red flags. If your mom is doing anything with these solicitations other
than immediately tossing them out, you must investigate her finances.
According to the Senate Special Committee on Aging, seniors lose an
estimated $2.9 billion annually from financial exploitation.
Seniors are continuously subjected to sophisticated and aggressive
scams; it is our duty to try to help. In a respectful and non-judgmental
manner, open a dialogue with your mother about the spending; you may
find her welcoming of your help.
Full Article & Source:
Liza Horvath, Senior Advocate: Age-associated financial vulnerability
Showing posts with label financial vulnerability. Show all posts
Showing posts with label financial vulnerability. Show all posts
Monday, November 4, 2019
Sunday, February 7, 2016
Too poor to retire and too young to die
At the wise age of 79, Dolores Westfall knows food shopping on an empty stomach is a fool’s errand.
On her way to the grocery store last May, she pulled into the Town & Country Family Restaurant to take the edge off her appetite.
After much consideration, she ordered the prime rib special and an iced tea — expensive at $21.36, but the leftovers, wrapped carefully to go, would provide two more lunches.
The problem, she later realized, was that a big insurance bill was coming due. How was she going to pay it? Was she going to tip into insolvency over a plate of prime rib?
“I thought I could handle eating and shopping,” she said, “but lunch put me over the top.”
Westfall — 5 feet 1 tall, with a graceful dancer’s body she honed as a tap-dancing teenager — is as stubborn as she is high-spirited. But she finds herself these days in a precarious place: Her savings long gone, and having never done much long-term financial planning, Westfall left her home in California to live in an aging RV she calls Big Foot, driving from one temporary job to the next.
She endures what is for many aging Americans an unforgiving economy. Nearly one-third of U.S. heads of households ages 55 and older have no pension or retirement savings and a median annual income of about $19,000.
A growing proportion of the nation’s elderly are like Westfall: too poor to retire and too young to die.
Many rely on Social Security and minimal pensions, in part because half of all workers have no employer-backed retirement plans. Eight in 10 Americans say they will work well into their 60s or skip retirement entirely.
Westfall hadn’t planned to keep working. But in 2008, as the U.S. economy spasmed, she lost her home and tumbled out of the middle class.
Today, Westfall is one of America’s graying nomads. Although many middle-class retirees ply the interstates in Winnebagos as a lifestyle choice, for Westfall and many others, life on the move is not as much a choice as a necessity.
Her seven-year journey has taken Westfall to 33 states and counting. She’s worked as a cavern tour guide, resort receptionist, crowd control officer, hustling clerk at an Amazon warehouse. Others like her have cleaned toilets, picked beets, plucked chickens.
Her monthly income consists of $1,200 in Social Security and a $190 pension, plus pay from her seasonal jobs. She owes $50,000 on her credit cards. There’s also a $268 monthly loan payment for her aging rig.
There have been times when she has survived on brown rice and milk — and worried the milk would run out.
Westfall spent the Christmas season of 2014 working at a Fort Lauderdale, Fla., mall for $10 an hour, then hit Virginia for a stint selling photos door-to-door on commission. By May 2015, she brought her roadshow into the Darien Lake Theme Park in upstate New York for a job as a kiddie ride operator. The pay: $9 an hour. The job would carry her only through September.
She untethered from Big Foot the tiny white Smart car she calls Little Tow and set up camp in a field among two dozen other seasonal workers, nearly all of them retirement age. Wearing an electric orange work shirt, she’d soon become known among youngsters there as “the Ride Lady.”
Nearing 80, she suffers daily aches and pains — leg cramps and arthritis and weakness from low blood sugar. Big Foot has its own problems: The roof leaks, so do the pipes beneath the sink. The water pump feeding the shower and sink is failing. “One of us is going to give out first,” Westfall said with a laugh. “It’s either me or Big Foot.”
She avoided disaster after the prime rib dinner by persuading the insurance company to space out her payment in installments. But then that same month, she was caught driving 43 mph in a 35-mph zone. The ticket: $300.
“I could just cry,” she wrote in her journal. “I won’t have earned $300 in all of May. If I can get it lowered to $150, it will still be more than my entire grocery budget. Don’t know how I’m going to manage it.”
For weeks in the spring of 2008, Westfall lingered alone inside Big Foot, parked outside her double-wide trailer in a mobile home park in Kelseyville, a rural town in Northern California.
The furniture was sold, the mobile home up for sale, and Westfall was living in the driveway. She thought about killing herself.
“I had a serious out-loud talk with myself,” she recalled, about how to get out of her financial fix — an unforeseen downturn in a long and independent life.
The New York City native had put herself through business school and had spent time as a bank executive secretary and a museum curator. She’d later started her own interior design consulting firm. That’s when she bought Big Foot, using it as a mobile office to meet clients across California.
Westfall didn’t know it, but she was perched on the fault line of an economic temblor: In a few months, U.S. housing prices would record their largest drop in history.
The Great Recession would hit older Americans hard. Of the 4.7 million home foreclosures from 2007 to 2011, one-third, or 1.5 million, involved people ages 50 and older. Studies show that older single women are the most vulnerable: They make less than male workers, and those that take time off to have children often miss chances for seniority and pay raises.
Westfall married twice decades ago but never had children, deciding she was at her loneliest with a man in her life. After her retirement in 2007, she had planned on selling the double-wide to finance a lifelong dream: touring the nation from behind the wheel of Big Foot.
She knew the move would be a stretch. The financial fallout had rendered her modest stock portfolio worthless, and she’d never put away much in savings.
The mobile home was worth $40,000, but there was a catch: The trailer park’s new owner had tripled the rent, making it impossible to sell her unit. She reached out to the local senior law center, even her county supervisor, scrambling for a solution.
It was around this time in 2008 that Sheila Faulds died; she’d been a friend of Westfall’s for half a century and she left her $20,000. “Promise me you won’t pay bills with the money,” Faulds had told her. “I want you to buy a car.”
Westfall’s journal oozed despair: Her best friend was gone. And she was stuck: How could she hit the road without selling her double-wide? Her skin flushed with hives. She couldn’t sleep.
“I burst into tears and had a big long whopping cry,” she wrote in her journal. Then she pounded her fists on the sofa until she fell asleep.
She awoke to this thought: There was another option.
With a pad and pencil, she produced a pro-and-con ledger to assess her predicament. On one side of the page, under “Bad,” she wrote, “No money. No job. Insufficient income. Big debt. No place to go. No plans.”
Under “Good”: “Motor home to live in (though part of the debt). Ability to make plans.”
Then she made another two-sided list. One column read, “What have I always wanted to do in retirement?” The other: “How close can I get to it.”
She could hit the road, but she would have to keep working. And just maybe, there might be money for a few nice things. It was all so scary but also a little exciting.
Westfall sold off most of what was left of her belongings and put the rest in storage. Her friend’s gift would launch her life as a road gypsy, and she would leave the double-wide behind without getting a dime for it.
She started Big Foot’s engine, drove down the blacktop driveway and turned right, heading south onto Soda Bay Road and a life as a tumbleweed on wheels.
“I’m not sure if I even closed the gate behind me,” she recalled. “I just drove away.”
Westfall has long been used to being on her own. In her youth she took solitary road trips into the desert and mountains and once took flying lessons. But life on the road taught her to be more resourceful, bolder.
She once raced north out of Texas to escape a hurricane and rode out the remnants of the storm at a truck stop in Little Rock, Ark. One Christmas in Florida, she scared off a would-be armed robber who accosted her at an ATM, yelling, “I haven’t got any more money, fool.”
Last summer, a few weeks after getting the speeding ticket, Westfall stood in traffic court to fight the $300 fine. She persuaded the judge to reduce it to $75 — but missed a day’s pay to plead her case.
Two months later, in August, she still didn’t know where she’d be working after Darien Lake, and faced yet another nasty choice between need and want.
Should she go to the dentist, or take a guided tour of buildings designed by her favorite architect, Frank Lloyd Wright? Each cost $100.
She picked Frank Lloyd Wright. Her teeth could wait.
“I believe doing something fun, no matter how frivolous it might seem, is food for the soul,” she said. “You need to feed yourself some pleasure once in a while to keep feeling alive. Otherwise, it’s just drudgery.”
But there is little money to see the sights. She earns too much to receive food stamps, and a lot of it goes to groceries. She tries to eat organic food, with her low blood sugar. That rules out cheap but filling Big Macs — as well as the food kitchens whose mass-produced meals, she decided, are unhealthful.
She can’t buy in bulk because Big Foot has little storage space. Often, she’s forced to purchase smaller-sized products — at convenience store prices — that fit a smallish RV refrigerator. At laundromats, she tries to keep wash day under $10, always scouting the hotter money-saving dryers.
Her key ring is crowded with plastic discount tags for supermarkets and places like Staples and Books-A-Million.
But Westfall finds that she is now more in debt than when she hit the road. She hasn’t been able to visit her younger sister, Mary Ann, in California since she set out; she can afford to take only the shortest route to the next job, and the jobs haven’t taken her that way. The biggest blow came in 2013 when she faced $8,000 in charges for emergency dental work and rig repairs. It was a gut punch from which she has yet to recover.
She tries to do the repairs herself when she can. One day at Darien Lake, she climbed a ladder to lean over the RV’s roof, looking for the source of a leak that was dripping water onto her laptop. Time was, she’d climb all the way up on the roof to take care of things. But not anymore.
“I’m beginning to feel ineffectual,” she said. “And I’ve never felt that before. I don’t feel desperate, but I’m getting close.”
Westfall was working her last shift at the theme park on a warm Sunday afternoon in late September. While some co-workers slouched glumly at the controls, she was a blur of activity. Using a stick, she measured each tyke to make sure they were tall enough to ride; she strapped the youngest ones in tightly.
Wearing the leopard-spotted glasses she’d bought at a truck stop, she stooped face-to-face with little ones for conversations that never condescended. Some wrapped her in a spontaneous hug.
They’d ask, “Did you get your glasses at Target?” or “Are you nice.”
Her favorite: “How did you get so old.”
She responded, “By hanging around a really long time.”
Her feet hurt constantly from standing 12 hours at a stretch, six days a week, racking up overtime. On her last day, an hour before the park would begin to shut down for the year, Westfall gently corrected a mother who’d barged into the ride area to check on her child after the security gate was closed. That was her job, Westfall explained.
The mother exploded. She shouted inches from Westfall’s face, spittle flying.
“Just because you’re a miserable old lady with your effing $7-an-hour job,” she hissed. “You don’t have a life.”
As the irate woman was finally escorted away by security, a bystander sent her daughter over with a $10 bill. She said Westfall deserved a nice dinner.
An hour later, Westfall walked to her car, exhausted and preoccupied: She still had not lined up her next job. Suddenly, a small crowd rushed the vehicle, and Westfall tensed: the irate mother again?
It was six teenagers she’d worked with that summer. They rocked her car back and forth, chanting, “We love Dolores! We love Dolores.”
The youngsters pulled Westfall out for a group hug and invited her to Denny’s for a going-away dinner. Her face flushed at this gift of grace. At the restaurant, she laughed along with high schoolers that in another life could have been her grandchildren.
After a waitress dropped off the check, a manager approached and put a hand on Westfall’s shoulder. “So, you’re going to pay for the whole crew.”
The group ignored him and divvied up the bill. Westfall’s portion came to $10; Her AARP card cut the damage to $8 and change.
She walked into the night feeling less alone. Later, she sat at the picnic table next to her rig, one she’d cozied up with a red-and-white plastic tablecloth.
::
Most of the RVs belonging to other seasonal workers had already departed. On a gray October morning, a flock of geese flew in formation overhead, and Westfall knew she’d have to flee too. Big Foot could never keep her warm in winter, but she couldn’t travel too far south; she knew from experience that south Florida was too expensive.
But where to go? Despite hours of phone work, Westfall still didn’t know whether she was heading to Maryland for a door-to-door sales gig or to Georgia for a mall kiosk job.
Big Foot was another problem. The roof still leaked, and the plumbing was acting up. Thanks to a surprise $1,000 limit increase on one credit card, she had a bit of headroom, but $400 of that was already spent.
The deadline for leaving Darien Lake was the next day. She turned on the kitchen faucet. Water collected in the sink.
A flash of weariness crossed her face. “I don’t like this,” she said.
Westfall, in a brown house robe, began once again storing her life for the next move. The driver and passenger seats and floor were stacked with boxes marked “writing,” “receipts,” “credit cards” and “insurance.”
She emerged from the bathroom looking glum: The foot pedal toilet flusher had just broken.
Soon a security guard knocked.
“Hi,” he said. “I just wanted to know when you plan on leaving.”
“Oh, in about a year,” Westfall said with a laugh. “You know, packing one of these is like putting your house on wheels.”
As the afternoon waned, she finished organizing and moved outside. Winding up several hoses, her fingers ached in the cold. Then a brace on the rig’s stairwell snapped. In frustration and despair, she banged on Big Foot’s side.
“You’re getting damned uninhabitable,” she scolded.
With the sun sinking, Westfall drove to a repair shop.
The mechanics confirmed the busted water pump. Without it, she couldn’t save money by parking at truck stops and would have to pay to stay at campgrounds with water hookups.
But the mechanics wanted thousands for the repair. So Westfall did without it, scouting half-price campgrounds while hopscotching south to the Carolinas, where she found a mechanic to fix the pump for $200.
By late October, she was parked at a campsite in Savannah, Ga., her Christmas season working grounds. She was entering her eighth year on the road, ready to start the entire process all over again.
Dinner was back to brown rice and milk. Big Foot’s kitchen sink still drained slowly.
Full Article & Source:
Too poor to retire and too young to die
Saturday, November 7, 2015
Filling seniors financial prescription
by Brian Kieran - Saanich News
Two grumpy old men meet at their favourite pub …
Felix says to Oscar: “Geez Oscar, you look like a train wreck.”
Oscar: “With good reason Felix. The doc just told me I got that AAFV thing.”
Felix: “D... Oscar, that’s a tough way to go. Look, drinks are on me today.”
Yes, dear readers, the medical profession has come up with a new designer disease specifically minted for those of us who pace in front of the group mail box on the 27th of every month.
This affliction is called “age-associated financial vulnerability” or AAFV which gives it a medical gravitas that rivals other afflictions that have been branded as acronyms. It also reminds us that our ages and the thickness of our wallets are two of life’s measurements that tend to go in opposite directions.
We all know that financial pressures mount as we age. Well, a report just published in the Annals of Internal Medicine, the scribblings of the American College of Physicians, states that doctors have been overlooking the medical implications. The report claims that one of the most devastating problems of aging is the decline in a patient’s ability to manage his or her financial affairs.
The authors of the report – wealthy middle-aged doctors no doubt – say it is their hope that by assigning a medical name to this sad state of financial affairs physicians will start thinking about this in all older people. This would place AAFV diagnosis in the same class of social geriatric medicine as the current testing of seniors on their cognitive ability to drive safely.
AAFV is described as “a pattern of risky behavior related to money that places an older adult at substantial risk for a considerable loss of resources that might result in dramatic changes in their quality of life and is inconsistent with choices the person made when they were younger.”
Financial exploitation is the most common form of elder abuse and it can lead to depression, nursing home placement and increased mortality, the report’s authors say.
Factors that can contribute to financial vulnerability among the elderly include cognitive or emotional decline; impairments in vision, hearing and mobility; serious progressive illness; and social isolation.
Meanwhile, as if to reinforce the grim news above, the credit firm Equifax reports that Canadians 65 and older increased their debt loads by almost five per cent in the second quarter of 2015, a much faster pace than the general population.
The average senior owed about $15,000 at the end of June. That represents debt on top of home mortgages.
“We have been observing that this segment has been increasing debt for a while now,” says Regina Malina, a senior director of insights at Equifax. She suspects a lot of that consumer debt stems from having to help adult children or other family members with their own financial hardships.
Seniors are having trouble paying off that new debt. The credit firm says seniors who are 90 days or more behind on their bills are deemed to be severely delinquent. By that measure, the delinquency rate for seniors rose this year for the first time since 2010. That rate increased by 2.4 per cent during the second quarter. It went down for all other demographic groups.
What’s this all mean for vulnerable, cash-strapped seniors? We better start lobbying the new federal government for increased pensions. And, don’t be surprised if your doctor starts checking your financial pulse. Managing life’s daily challenges in our Golden Years has, officially, become a health risk.
Full Article & Source:
Filling seniors financial prescription
Age-Associated Financial Vulnerability: It's Risky Business, Growing Old
Managing money can be difficult at any age but for older adults, changes in physical condition and life circumstances can lead to changes for the worse in financial behavior, putting their well-being in danger.
Now those changes have been given a name: age-associated financial vulnerability.
The authors define the condition as "a pattern of financial behavior that places an older adult at substantial risk for a considerable loss of resources such that dramatic changes in quality of life would result." To be considered AAFV, this behavior also must be a marked change from the kind of financial decisions a person made in younger years.
"For example, if an older adult gives his or her neighbor $10,000, this many be a sign of AAFV. However, if the older adult has given large sums of money to those in need throughout his or her adult lifetime, then the $10,000 gift in old age may not represent a change in behavior, and thus may not represent AAFV," explains Duke Han, PhD, co-author of the study and associate professor of behavioral sciences at Rush University Medical Center.
Not the same old problem
The authors note that AAFV is a condition different from age-related cognitive impairment, including dementia, which already is recognized as putting older adults at risk of causing themselves financial harm. Since recent studies have indicated that "cognitively intact older adults" may become financially vulnerable, they write, "cognitive impairment is not necessary for AAFV."
Instead, the trouble can lie in the many ordinary changes brought about by aging. "Functional changes such as impaired mobility, vision and hearing loss, and the cost of multiple medications can directly influence vulnerability in older adults," Han says.
Other potential contributing factors may include cognitive changes, such as a lessened ability to discern a person's trustworthiness, and psychosocial problems, including loneliness or depression. In addition, the finance industry has identified older adults as an untapped market, which can lead to them being overwhelmed by the "dizzying array of financial products and services," according to Han and co-author Mark Lachs, MD, MPH, professor of medicine and co-chief of geriatrics and gerontology at Weill Medical College in New York.
"In my discussions with Dr. Lachs about our experiences with the heart-breaking effects of financial vulnerability among our older patients, we decided that naming the problem may be a useful first step to addressing the issue," Han says.
Protecting the vulnerable from the villainous
Han and Lachs believe it's important to understand AAFV as a condition in order to protect older adults who exhibit signs of it, distinct from behavior brought on by cognitive impairment or problems with financial judgement that preceded older age. In particular, AAFV can put a person at risk for financial exploitation: Han notes that financial abuse is one of the most common forms of elder abuse, and is the most frequent form of perpetrator-related elder abuse in Illinois.
"This is a growing problem since we have a large aging population with no ways to determine who is at risk and why," Han warns. "We need more screening, and more interventional programs and strategies to address this issue. We also need to determine what the role and responsibility is of physicians in protecting their patients."
Published in the Annals of Internal Medicine.
Source: Rush University Medical Center
Source: Rush University Medical Center
Full Article & Source:
Age-Associated Financial Vulnerability: It's Risky Business, Growing Old
Thursday, October 15, 2015
Editorial: Age-Associated Financial Vulnerability a Public Health Crisis
The 80–year-old retiree had been swindled. In a videotaped court deposition, he tearfully recounted how he had entrusted a financial advisor whom he had just met to invest his retirement checks. The retiree wasn't cognitively impaired. He didn't have dementia. So what compelled him to hand over his nest egg to a complete stranger who then deposited it into her personal bank account?
![]() |
| Dr. Mark Lachs Photo credit: A. Kinloch |
"AAFV is a public health crisis for patients and families," Dr. Lachs said, because it can increase seniors' susceptibility to financial exploitation — the most common form of elder abuse and a risk factor for adverse health outcomes like depression and mortality. The National Center on Elder Abuse estimates that one in 10 Americans ages 60 and older experience some form of elder abuse during the course of a year. Self-reported financial exploitation occurred at a rate of 42.1 per 1,000 people in a 2011 survey of more than 4,000 older New Yorkers and their proxies. "Everyone I speak to has an elderly parent or friend who's had money taken from them."
A lifetime of ill-considered spending does not predict AAFV, he said. Rather, the overlap of aging-related changes in the brain, exploiters' easy access to life savings or other sources of wealth, and the onslaught of marketing schemes and financial products and services targeting older adults contribute to the condition's late onset.
Although mild cognitive impairment is a risk factor, AAFV can occur without any measurable cognitive impairment, dementing illness or other neurodegenerative diagnosis.
"We've all encountered patients who seem to be cognitively normal and have normal neuropsychological testing but continue to make very poor and unsound financial decisions," said Dr. Lachs, a geriatrician who co-directs the Division of Geriatric and Palliative Medicine at Weill Cornell Medicine, and heads Weill Cornell Medicine's Center for Aging Research and Clinical Care, as well as geriatrics for the NewYork-Presbyterian Health System.
Social isolation and medical illness are risk factors, since they feed the loneliness and desperation that can predispose older adults to financial exploitation. But Dr. Lachs and his co-author, Dr. S. Duke Han of Rush University Medical Center in Chicago, draw an important distinction between AAFV and financial exploitation: The former is a potential condition; the latter is the potential outcome.
Although there is no direct way to measure the prevalence of AAFV, Dr. Lachs found that he could indirectly quantify it by measuring the prevalence of financial exploitation, "keeping in mind that not all people with AAFV are financially exploited." In a recent telephone survey that he conducted with Cornell University in Ithaca, The New York City Department for the Aging and Lifespan of Greater Rochester, 4.7 percent of more than 4,000 New York State adults who represent a cross-section of the state's population reported having experienced some type of financial exploitation since turning 60. This result may actually underestimate the prevalence of AAFV, Dr. Lachs said, since adults with significant cognitive or other impairments did not participate in the survey. Moreover, those who may lack insight into their vulnerability for financial exploitation may be unlikely to self-report, he noted.
Establishing AAFV as a clinical syndrome will require more research to determine who is at risk and why. Research may also support the development of evidence-based tools for screening and intervention. Moreover, giving AAFV a formal clinical designation may advance policies that protect seniors from financial exploitation. In the meantime, physicians' recognition of the condition could help them prevent their older patients from making life-destroying financial decisions.
"Given the public health and policy implications of AAFV," Dr. Lachs said, "a rigorous debate must begin on how to balance protection of older adults with the autonomy afforded to all citizens."
Full Article & Source:
Editorial: Age-Associated Financial Vulnerability a Public Health Crisis
Subscribe to:
Posts (Atom)




