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Feb 9 2024 KFF Health News

The covid-19 pandemic would be a wake-up call for America, advocates for the elderly predicted: incontrovertible proof that the nation wasn't doing enough to care for vulnerable older adults.

The death toll was shocking, as were reports of chaos in nursing homes and seniors suffering from isolation, depression, untreated illness, and neglect. Around 900,000 older adults have died of covid-19 to date, accounting for 3 of every 4 Americans who have perished in the pandemic.

But decisive actions that advocates had hoped for haven't materialized. Today, most people — and government officials — appear to accept covid as a part of ordinary life. Many seniors at high risk aren't getting antiviral therapies for covid, and most older adults in nursing homes aren't getting updated vaccines. Efforts to strengthen care quality in nursing homes and assisted living centers have stalled amid debate over costs and the availability of staff. And only a small percentage of people are masking or taking other precautions in public despite a new wave of covid, flu, and respiratory syncytial virus infections hospitalizing and killing seniors.

In the last week of 2023 and the first two weeks of 2024 alone, 4,810 people 65 and older lost their lives to covid — a group that would fill more than 10 large airliners — according to data provided by the CDC. But the alarm that would attend plane crashes is notably absent. (During the same period, the flu killed an additional 1,201 seniors, and RSV killed 126.)

"It boggles my mind that there isn't more outrage," said Alice Bonner, 66, senior adviser for aging at the Institute for Healthcare Improvement. "I'm at the point where I want to say, 'What the heck? Why aren't people responding and doing more for older adults?'"

It’s a good question. Do we simply not care?

I put this big-picture question, which rarely gets asked amid debates over budgets and policies, to health care professionals, researchers, and policymakers who are older themselves and have spent many years working in the aging field. Here are some of their responses.

The pandemic made things worse. Prejudice against older adults is nothing new, but "it feels more intense, more hostile" now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University.

"I think the pandemic helped reinforce images of older people as sick, frail, and isolated — as people who aren't like the rest of us," he said. "And human nature being what it is, we tend to like people who are similar to us and be less well disposed to 'the others.'"

"A lot of us felt isolated and threatened during the pandemic. It made us sit there and think, 'What I really care about is protecting myself, my wife, my brother, my kids, and screw everybody else,'" said W. Andrew Achenbaum, 76, the author of nine books on aging and a professor emeritus at Texas Medical Center in Houston.

In an environment of "us against them," where everybody wants to blame somebody, Achenbaum continued, "who's expendable? Older people who aren't seen as productive, who consume resources believed to be in short supply. It's really hard to give old people their due when you're terrified about your own existence."

Although covid continues to circulate, disproportionately affecting older adults, "people now think the crisis is over, and we have a deep desire to return to normal," said Edwin Walker, 67, who leads the Administration on Aging at the Department of Health and Human Services. He spoke as an individual, not a government representative.

The upshot is "we didn't learn the lessons we should have," and the ageism that surfaced during the pandemic hasn't abated, he observed.

Ageism is pervasive. "Everyone loves their own parents. But as a society, we don't value older adults or the people who care for them," said Robert Kramer, 74, co-founder and strategic adviser at the National Investment Center for Seniors Housing & Care. Related StoriesNew research highlights regional variations in COPD prevalence according to diagnostic criteriaPaxlovid enhances treatment options for COVID-19 patientsIs there an association between vitamin D, immunocompetence, and aging?

Kramer thinks boomers are reaping what they have sown. "We have chased youth and glorified youth. When you spend billions of dollars trying to stay young, look young, act young, you build in an automatic fear and prejudice of the opposite."

Combine the fear of diminishment, decline, and death that can accompany growing older with the trauma and fear that arose during the pandemic, and "I think covid has pushed us back in whatever progress we were making in addressing the needs of our rapidly aging society. It has further stigmatized aging," said John Rowe, 79, professor of health policy and aging at Columbia University's Mailman School of Public Health.

"The message to older adults is: 'Your time has passed, give up your seat at the table, stop consuming resources, fall in line,'" said Anne Montgomery, 65, a health policy expert at the National Committee to Preserve Social Security and Medicare. She believes, however, that baby boomers can "rewrite and flip that script if we want to and if we work to change systems that embody the values of a deeply ageist society."

Integration, not separation, is needed. The best way to overcome stigma is "to get to know the people you are stigmatizing," said G. Allen Power, 70, a geriatrician and the chair in aging and dementia innovation at the Schlegel-University of Waterloo Research Institute for Aging in Canada. "But we separate ourselves from older people so we don't have to think about our own aging and our own mortality."

The solution: "We have to find ways to better integrate older adults in the community as opposed to moving them to campuses where they are apart from the rest of us," Power said. "We need to stop seeing older people only through the lens of what services they might need and think instead of all they have to offer society."

That point is a core precept of the National Academy of Medicine's 2022 report Global Roadmap for Healthy Longevity. Older people are a "natural resource" who "make substantial contributions to their families and communities," the report's authors write in introducing their findings.

Those contributions include financial support to families, caregiving assistance, volunteering, and ongoing participation in the workforce, among other things.

"When older people thrive, all people thrive," the report concludes.

Future generations will get their turn. That's a message Kramer conveys in classes he teaches at the University of Southern California, Cornell, and other institutions. "You have far more at stake in changing the way we approach aging than I do," he tells his students. "You are far more likely, statistically, to live past 100 than I am. If you don't change society's attitudes about aging, you will be condemned to lead the last third of your life in social, economic, and cultural irrelevance."

As for himself and the baby boom generation, Kramer thinks it's "too late" to effect the meaningful changes he hopes the future will bring.

"I suspect things for people in my generation could get a lot worse in the years ahead," Pillemer said. "People are greatly underestimating what the cost of caring for the older population is going to be over the next 10 to 20 years, and I think that's going to cause increased conflict."

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism. Source:

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Entertainment

Urdd Eisteddfod: Why Strictly star Amy Dowden is supporting Welsh festival that is ‘like Britain’s Got Talent’

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Urdd Eisteddfod: Why Strictly star Amy Dowden is supporting Welsh festival that is 'like Britain's Got Talent'

Thousands of people are expected to attend Port Talbot this weekend as the town gears up to welcome an annual Welsh festival.

The Urdd Eisteddfod is a celebration of Welsh culture when children and young people up to the age of 25 take part in a variety of competitions.

There are 400 of them in total, including singing, reciting poetry and dancing.

The Urdd organisation itself was established more than a century ago in 1922, with the aim of giving children and young people in Wales the opportunity to learn and socialise in the Welsh language.

Its six-day Eisteddfod is held during May half-term and in a different part of Wales each year.

The Urdd Eisteddfod broke its own records last year, with more than 100,000 registrations to compete.

A choir competes at the 2024 Eisteddfod yr Urdd in Meifod, Powys.  The annual youth festival is Europe's largest touring youth festival. Pic: Urdd Gobaith Cymru
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A choir competes at the 2024 Eisteddfod yr Urdd. Pic: Urdd Gobaith Cymru

Margam Park is home to this year’s event – the first time since 2003 that it’s played host.

Among the main prizes up for grabs this year are the chair (awarded to the main poetry competition winner) and the crown (awarded to the main prose competition winner).

This year’s crown and chair have been made using some of the final pieces of steel produced at Port Talbot steelworks before the closure of the blast furnaces last year.

The chair at the 2025 Eisteddfod yr Urdd was created using some of the last pieces of steel produced at the Port Talbot steelworks. Pic: Urdd Gobaith Cymru
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The chair at the 2025 Eisteddfod yr Urdd was created using some of the last pieces of steel produced at the Port Talbot steelworks. Pic: Urdd Gobaith Cymru

The 2024 Eisteddfod yr Urdd "Maes" in Meifod, Powys.  The annual youth festival is Europe's largest touring youth festival. Pic: Urdd Gobaith Cymru
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Pic: Urdd Gobaith Cymru

There are some new additions to this year’s Eisteddfod, including awards for singing, musical theatre and acting, named in honour of Sir Bryn Terfel, Callum Scott Howells and Matthew Rhys.

Another new award – the Amy Dowden award for dance – will also be awarded for the first time this week.

Speaking to Sky News, Strictly Come Dancing star Dowden said it was a “real honour” to be supporting the next generation of dancers.

“The arts and the industry is tough, and I just hope that [the young people] can see that I’ve managed to push myself through it,” she said.

“I’ve worked hard, I’ve had a few challenges along the way. Hopefully I can help inspire them as well.”

Amy Dowden. File pic: PA
Image:
Amy Dowden. File pic: PA

‘It’s like Britain’s Got Talent’

As a former competitor herself in what is one of Europe’s largest touring youth festivals, Dowden says she “couldn’t imagine [her] childhood without it”.

“I’ve loved Eisteddfods since I can remember. Every year at school I took part in everything, from the baking to the reciting poems, to the folk dancing, to the creative dancing,” she said.

“The Urdd Eisteddfod is literally like one big talent competition, it’s like Britain’s Got Talent.”

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Prince William meets Urdd Eisteddfod winner
Wales: The land of song – but for how much longer?

The winner of the Amy Dowden award will get one-to-one sessions with her as part of the prize, as well as masterclasses at the Royal Welsh College of Music and Drama.

They will have the opportunity to perform on an international stage and also win a cash prize.

“I know from my dance training and everything, each of those is so beneficial to getting yourself to that professional level,” Dowden added.

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UK

Living beside the UK’s first drug consumption room

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Living beside the UK's first drug consumption room

It’s 8.34am on a Tuesday and Vanessa Paton is taking me on a tour of Glasgow’s east end, where she has lived for almost 50 years.

Half a mile away sits the newly opened taxpayer-funded facility, named The Thistle, where drug addicts can bring their heroin and cocaine, are handed clean needles and invited to inject under NHS medical supervision.

The concept, a UK first, is controversial and costs £2.3m a year.

Authorities believe it provides a safer, cleaner area for users to do their business, away from the dirty, HIV-ridden back alleys of Glasgow city centre.

It opened in January, and around 250 people have used it so far.

But there is a growing feeling among some that a by-product of this bold project is the alleged “war zone” being created in the community around the new building.

Vanessa Paton
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Vanessa Paton

Former council worker Ms Paton is one of an ad-hoc group of furious locals who pick up needles as part of desperate efforts to clear their streets.

She says: “It is getting worse. The new room has appeared, and the problems have escalated with it. It’s a no-go war zone every day and night.

“The area’s becoming a toilet. That is the harsh reality of it.”

A drug den
Image:
A drug den

‘It is disgusting’

Sky News spends the morning being shown areas where it is claimed the issues are getting out of control.

Ms Paton pulls a bloodied, faeces-covered hospital gown out of a bush as we walk along a path behind a row of houses.

We turn the corner to a street where children play and are greeted with syringes filled with blood at our feet, discarded needle packaging and dirty underwear.

Angela Scott
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Angela Scott

Local resident Angela Scott says: “It’s become a lot worse. It’s heightened. I’m scared that if I am picking up my dog dirt am I going to prick a needle.

“Am I going to end up with an infection that a lot of drug addicts tend to have because they are sharing needles? I don’t want to pick up something infectious.”

Adverts installed in known drug dens

Officials have installed a new needle bin in one hotspot in recent days, with posters erected advertising the nearby consumption room.

A needle bin
An advert for The Thistle in a drug den
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A new needle bin and poster for the nearby consumption room

Ms Paton alleges safety steps are being taken at a nearby nursery.

“There is a nursery that actually uses a metal detector in the morning to scan the sandpits before the children go out because of the concern of the needles being in it,” she claims.

This area is known as Calton and has had its troubles with drug taking and crime for many years.

Ms Paton takes us to a tucked-away, overgrown area opposite social housing and a few metres from where a new school is being built. It is a makeshift drug den.

There are hundreds of freshly used needles. It is like a minefield.

A drug den

One needle is stabbed into a large tree, there is even a wooden seat which is covered in drug-taking equipment.

Once again, there is a laminated A4 piece of paper pointing users in the direction of The Thistle.

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A needle stuck into a tree

Ms Paton says: “We picked up 50 needles in one minute last week. If we were to pick up every needle that is here today, we’d be talking hundreds.

“We are struggling to find somewhere safe to stand. There are needles between my legs, you’ve got needles behind your head.

“It’s totally soul-destroying. Nobody living here expected it to be this bad.”

Officials deny it is a new problem

Glasgow City Council told Sky News there had not been an increase in reports despite the community alleging the opposite.

Councillor Allan Casey, who is responsible for drug policy in the city, said: “This has been a long-standing issue and that is one of the main reasons why The Thistle has been placed where it is because there has been decades-long discarded needles in public places.

Responding to claims of increasing problems around the new facility, Mr Casey said: “Those reports don’t back that up.

“The council has not seen a rise in reports of injecting equipment and there has not been an increase in crime reports.”

Scotland is ravaged by drugs. The country has the worst drug death rate in Europe.

Scotland’s first minister John Swinney told Sky News the new drug room required time to “see the impact”.

He said: “The Thistle is a safe consumption facility which is designed to encourage people to come off the use of drugs – that’s its purpose. We’ve got to give that venture time to see the impact.

“We need to engage with the local community… and address any concerns.”

It is understood police have logged no calls about the facility since it opened in January, despite some residents suggesting they have contacted officers with concerns.

Inspector Max Shaw from Police Scotland said: “We are aware of long-standing issues in the area and continue to work closely in partnership to address these concerns.”

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Sports

Edmonton takes control over Stars: Game 3 grades, takeaways

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Edmonton takes control over Stars: Game 3 grades, takeaways

While fans in Edmonton and Dallas are always singing about how they have friends in low places, only one of them has the high ground in the Western Conference finals. And that’s the Oilers after their 6-1 win Sunday in Game 3 to take a 2-1 series lead.

With the series tied heading into Sunday, the objective for Game 3 was to gain a firm grasp of the conference finals, and the Oilers did just that by having five players with multipoint performances. As for the Stars, losing Game 3 left them trailing a series for the second time this postseason, with the only other such occurrence coming after Game 1 against the Colorado Avalanche in the first round.

Now that the Oilers are in control of the series, what does it mean for them going forward? What must the Stars do differently ahead of Game 4 for them to return home tied rather than a game away from elimination? Ryan S. Clark and Greg Wyshynski examine those questions while delving into what lies ahead for two teams that not only faced each other in the conference finals last season but between them have been involved in every conference final since 2020.

Edmonton Oilers
Grade: A

Much could change between now and whenever the playoffs end. But for now, the argument could be made that this was the most important playoff game the Oilers have had this postseason.

The Oilers have had numerous strong performances, such as Game 3 against the Los Angeles Kings in the first round or their final two games against the Vegas Golden Knights in the conference semifinals. But what made the Oilers’ performance in Game 3 against Dallas arguably their most important was that they found a balance between being difficult in the defensive zone while not relying on a shutout to accomplish that objective.

The Stars finished with 37 shots, 13 high-danger chances in 5-on-5 play and scored only once. Connor McDavid has repeatedly stressed that the Oilers can play defense, and that has been made clear over their past five games. But Sunday proved they didn’t need Stuart Skinner or their defensive structure to blank an opponent to win. — Ryan S. Clark

Dallas Stars
Grade: C+

The final score doesn’t reflect the majority of this game, which Dallas coach Pete DeBoer can mine for positives among the many (many) negatives and some mitigating circumstances. Having Roope Hintz warm up but not be able to go because of the foot injury he suffered from a Darnell Nurse slash in Game 2? That’s deflating. Having the on-ice officials miss a delay of game call on Brett Kulak in the first period only to have Evan Bouchard open the scoring 10 seconds later? Also deflating.

So it’s to the Stars’ credit that they got to their game at 5-on-5 in Game 3 better than they have in any game of the series, at least before Edmonton ran up the score in the third. The results weren’t there and a loss is a loss — and a loss by this margin is difficult to stomach — but their second period and the performances from some of their slumbering depth players give the Stars at least a glimmer.

However, there’s no question Edmonton has this thing in well in-hand and the Stars have to find a way to solve Skinner, which is not something I thought I’d be writing at this stage of the postseason. — Greg Wyshynski


Three Stars of Game 3

Two goals and an assist for his seventh career multigoal playoff game. Hyman’s second goal was the Oilers’ fourth off the rush, the most in one game by any team this postseason. Hyman also was plus-5 Sunday.

Bouchard scored his sixth goal of the postseason and these two were on the ice for the first two Edmonton goals. At 5-on-5 this postseason, the Oilers are outscoring their opponents 7-1, and 5-0 in this series, when Bouchard and Kulak are on the ice.

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0:48

Connor McDavid restores Oilers’ 2-goal lead

Connor McDavid finds the back of the net to restore the Oilers’ two-goal lead vs. the Stars.

3. Connor McDavid
C, Oilers

For all the talk about the lack of goals from the best hockey player in the world (which was odd because he had 20 points in 13 games and was a plus-7 entering Game 3 despite having only three goals), McDavid punched out a pair of tucks for his sixth career multigoal playoff game. Also, seeing McDavid with the puck barreling toward the net on a 3-on-1 is nightmare fuel for opponents. — Arda Öcal


Players to watch in Game 4

Zach Hyman
LW, Oilers

To go from 16 goals last postseason to just three goals entering Game 3 of the conference finals is one way to assess Hyman. Another is to realize that he’s been the most physical player on a team that is among the tallest and heaviest in the NHL.

Hyman came into Game 3 leading the NHL with 99 hits. He remained physical Sunday by leading the way with six hits in a game that saw the Oilers continue their punishing style with 47. But to then see Hyman score two goals and finish with three points in addition to that physicality? It once again adds to the narrative that the Oilers might not only have more dimensions than last year’s team, they could be better than the team that finished Stanley Cup runner-up in 2024. — Clark

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0:53

Zach Hyman’s 2nd goal puts Oilers up 4

Zach Hyman taps home his second goal of the game to put the Oilers up 5-1 vs. the Stars.

This is the first two-game losing streak for the Dallas goaltender in the playoffs. A lot of what happened in Game 3 wasn’t necessarily on him — a Connor McDavid beauty and a Zach Hyman breakaway were among the Edmonton tallies — but outside of the third period of Game 1, he’s not been a difference-maker in this series. Oettinger came into the game leading the playoffs with 5.58 goals saved above expected, according to Stathletes. The Stars have been able to depend on him as a slump-breaker. But this is his third game with a save percentage south of .900 in the series. As the Stars try to build on some positives from this game, they need Otter to provide the foundation for it — and in the process, silence those “U.S. backup!” chants from the Oilers fans. — Wyshynski


Big questions for Game 4

Are the Oilers about to do to the Stars what they did to the Golden Knights?

Simply put, the Oilers are where hope goes to die. Teams in a championship window that have yet to win a title are always being judged on their evolution. What the Oilers did to the Stars a year ago in the conference finals by winning the last three games showed that they could close out a series after trailing. This postseason Edmonton has shown a calculated and methodical coldness when it comes to putting away opponents.

The Golden Knights won Game 3 on a last-second goal to create the belief they may have found an opening. They didn’t score again for the rest of the playoffs after being in the top five of goals per game throughout the regular season. Breaking out for six goals to open the series seemed to be a sign the Stars may have found an opening. Since then? They’ve scored only once in the last six periods while facing questions about what’s happened to another team that went from being in the top five in goals per game in the regular season. — Clark

Can Dallas make Edmonton uncomfortable at all?

Our colleague Mark Messier made this point between periods of Game 3: The Stars have yet to do anything to get McDavid or Leon Draisaitl off their games. That extends to the rest of the Oilers. Outside of an anomalous run of three power-play goals in the third period of Game 1, there have been precious few instances of the Stars carrying play for long stretches or putting a scare into Edmonton at 5-on-5.

They had that for a bit in Game 3 with a dominant second period: plus-14 in shot attempts, plus-11 in scoring chances and a 10-1 advantage in high-danger shot attempts. But they were digging out of a 2-0 hole, only managed to get one goal of their own on the board and then McDavid stuck a dagger in them with 19 seconds left in the second.

The Stars need a lead. They need zone time. They need to get their rush game going: Skinner had a .897 save percentage on shots off the rush entering the game. Edmonton is playing with a champion’s confidence. Dallas has to find a way to inject a little doubt into its opponent or this series is going to end quickly. — Wyshynski

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