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SPECIAL REPORT:
Ojai's aging ahead of pace
by Cheryl Gilman

People over 85 years of age are the fastest growing segment of the American population, with more than four million in this age group and counting.
In Ventura County, there are 8,300 people over the age of 85, or 1.2 percent of the population. In Ojai, the number jumps to 309 or 3.9 percent of the residents - three times the county rate.
The 2000 U.S. Census reports that the median age in the U.S. is 35.9 years old; in California that median age is 33.3; in Ventura County, 34.2.
In the city of Ojai, it is 42 years, with 1,405 people (17.9 per cent of the population) in this community 65 years old or older. That contrasts with 76,804 (10.2 percent) in Ventura County, 3.6 million (10.6 percent) in California, and 35 million (7.9 percent) in the U.S.
The life expectancy reported in 1997 from the National Vital Statistics System states that women's expectance from birth is 79.4 years, and 73.5 for men. If men should live to 65, they can expect another 15.9 years (80.9), and for women that figure rises to 19.2 years (84.2). For those who make it to 85, men can look forward to being around at 90 and women to at least 91.
With age, of course, comes infirmity, and with infirmity, come mounting medical expenses.
The U.S. Bureau of Census reports that half of those more than 85 will need some help with personal care. A Met Life Study calculated that "American businesses lose between $11 billion and $29 billion each year due to employees' needs to care for loved ones 50 years of age and older."
In 1998, the percentage of older adults with moderate or severe memory impairment ranged from about 4 percent among persons ages 65 to 69 to about 36 percent among persons age 85 or older.
Chronic diseases are rarely cured and can cause significant financial and health burdens, not only to the patient, but also to their families and the nation's health care system. In 1995, about 58 percent of persons age 70 or older reported having arthritis, 45 percent reported having hypertension, and 21 percent reported having heart disease. Other chronic diseases included cancer (19 percent), diabetes (12 percent), and stroke (9 percent). About 64 percent of older women reported having arthritis, 48 percent reported having hypertension, and 19 percent reported having heart disease. Older men were less likely to report having arthritis (50 percent) and hypertension (41 percent), but were more likely to report having heart disease (25 percent). Men were also more like to have had cancer (23 percent), compared with women (17 percent).
A Panel Study of Income Dynamics said, "The median household net worth for those 65 or older in the U.S. was reported to be $157,600. Net worth includes real estate and vehicles, farm or business ownership, stocks, mutual funds, investment trusts, and stocks held in IRAs; checking and savings accounts, CDs, treasury bills, savings bonds, and liquid assets in IRAs; bonds, trusts, life insurance and other assets. This figure excludes the present value of future private pensions and rights to future Social Security payments."
Married people older than 65 in the U.S. reported a net worth of $234,000 contrasted to $84,000 for those unmarried.
The Consumer Expenditure Study states that people 65 or older can expect to spend between 9 to 14 percent of their income on out-of-pocket health care expenditures. This study's 1996 data states "the average health care expenditures among Medicare beneficiaries increases from age 65-69 of $5,900 to $16,500 at 85 or older."

Nursing home or assisted living?

Nursing homes are often a safer and more practical choice than in-home care for those who have trouble:
Taking medications
Preparing meals
Dressing
Bathing or showering
Toileting
Eating
And/or have varying degrees of memory loss and decreased ability to drive or walk.
(Medicare and Medicaid can cover costs of nursing home care provided certain requirements are met. Medicare covers the cost of care for part of but not all of the first 100 days in a nursing home. It is meant to address the rehabilitative portion of one's stay, typically occurring after a hospital stay of three days or longer. Medicaid covers long-term nursing home care, but only after one's personal finances have diminished. Specific asset eligibility requirements are different in every state.)

Consider assisted living or an independent living facility if your elderly parent and/or loved one:
Walks (with or without the use of a walker)
Can manage his or her finances
Is a capable driver
Needs only minimal help with daily living activities

© 2002 The Ojai Valley News

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