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If you or someone you know is in crisis, please call the National Suicide Prevention Lifeline at 988 or contact the Crisis Text Line by texting HOME to 741741.

The GoFundMe request jumped out at me as I was scrolling through posts on LinkedIn.

Nora Super, executive director of the 2015 White House Conference on Aging and former director of the Milken Institute’s Center for the Future of Aging, was seeking contributions after suffering a severe spinal cord injury.

This story also ran on The Washington Post. It can be republished for free. About ‘Navigating Aging’

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Right now, I have no feeling below the waist. I need lots of equipment to go home from the hospital and live safely and independently, she wrote in her appeal.

Since coping with disability and the cost of coping with disability is an enormously important issue for older adults, I wondered if Super would discuss her experiences and try to put them in perspective.

The Institute on Disability at the University of New Hampshire ran the numbers for me: About 19 million people 65 and older in the U.S. a third of that age group had some type of disability in 2021, the latest year for which data is available. This includes difficulty with hearing, vision, cognition, mobility, or activities such as bathing, dressing, or shopping.

Super agreed to talk to me, but her story was more complicated than I anticipated.

First, some context. Super, 59, has been open about her struggle with major depression, an issue shes written about. In mid-June, after being fired from the Milken Institute, she began slipping into another depression her fifth episode since 2005.

Supers psychiatric medications werent working, she said, and she sought electroconvulsive therapy (ECT), which had been effective for her in the past. But mental health services are difficult to get in a timely way, and Super couldnt get an ECT appointment until Aug. 7.

On July 30, convinced that her life had no value, she attempted to end it. This was the event that led to her injury.

After two weeks in intensive care and a recovery unit, Super was ready to leave the hospital. But no rehabilitation facility would take her because of her mental health crisis. Without psychiatrists on staff, they claimed they couldnt ensure her safety, said Len Nichols, her husband.

Nichols, 70, has held several high-level health policy positions during his career, among them senior adviser for health policy at the Office of Management and Budget during the Clinton administration and director of the Center for Health Policy Research and Ethics at George Mason University. 

Using every contact he could, Nichols searched for a facility in New Orleans where Super could get intensive rehab services. During the pandemic, the couple had moved there from their longtime home in Arlington, Virginia. New Orleans is where Super grew up and three of her sisters live.

It took six days to get Super admitted to rehab. And that was just one of the challenges Nichols faced. Email Sign-Up

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Over the next month, he prepared for Supers return home, at considerable expense. An elevator was installed in the couples three-story home (their bedroom is on the second floor) for $38,000. A metal ramp at the homes entry cost $4,000. A lift for their Jeep cost $6,500. A bathroom renovation came to $4,000. An electronic wheelchair-style device that can be used in the shower was another $4,000.

Supers privately purchased insurance policy covered a wheelchair, bedside commode, hospital bed, and a Hoyer lift (a device that helps people transfer in and out of bed) with a small monthly copayment.

Its been surprising how much stuff Ive needed and how much all of it costs, Super admitted when we spoke on the phone.

Even with all our education, resources, and connections, we have had a hard time making all the arrangements weve needed to make, Nichols said. I cannot imagine how people do this with none of those three things.

He showered praise on the physical and occupational therapists who worked with Super at the rehab facility and taught him essential skills, such as how to move her from bed to her wheelchair without straining his back or damaging her skin.

I dont think I ever appreciated how essential their work is before this, he told me. They explain what youll be able to do for yourself and then they help you do it. They show you a pathway back to dignity and independence.

Still, the transition home has been difficult. In the hospital, nothing was expected of me, everything was done for me. In rehab, youre very goal-oriented and there are still people to take care of you, Super told me. Then, you come home, and that structure is gone and things are harder than you thought.

Fortunately, Nichols is healthy and able to handle hands-on caregiving. But he soon needed a break and the couple hired home-care workers for four hours a day, five days a week. That costs $120 daily, and Supers long-term care insurance pays $100.

Theyre lucky they can afford it. Medicare typically doesnt pay for chronic help of this kind, and only about 7% of people 50 or older have long-term care insurance.

What does Supers future look like? She isnt sure. Physicians have said it could take a year to know whether she can recover function below her waist.

Im happy to be alive and to see how I can take where Ive ended up and do something positive with it, she said. I still have a voice, and I can help people understand what it is to live with physical limitations in a way that Ive never really understood before.

Hopefully, this sense of purpose will sustain her. But it wont be easy. After we spoke, Super became discouraged with her prospects for recovery and her mood turned dark again, her husband said.

Knowing her, I believe that she will make it her mission to help others better understand the enormous and multiple challenges associated with the onset of a disability, and she will press for changes in our health system to improve the lives of families who have to deal with disabilities, said Stuart Butler, a senior fellow at the Brookings Institution who has worked with Super in the past.

Persistent accessibility problems for people with disabilities are part of what Super wants to speak out about. I live in an old city with sidewalks that are very uneven, and just getting down the street in my chair is a big hassle, she said. Finding parking where we can open the door fully and get me out is a challenge. 

Nichols has been surprised by how many medical offices have no way of lifting Super from her wheelchair to the exam table. The default is, they ask me, Can you pick her up? Its stunning how poorly prepared they are to help someone like Nora.

Then, there are reactions Super encounters when she leaves the house. Going down the street, people look at me and then they look away. It definitely feels different than when I was able-bodied. It makes me feel diminished, Super said.

Nichols finds himself thinking back to something a neurosurgeon said on the day Super was injured and had her first operation. He told me, Look, theres more damage than we thought, and she wont be what she was. Youre not going to know for six to 12 months whats possible. But I can tell you to do as much as you can as soon as you can to move on to a new normal. Millions of people have done it, and you can too.

Were eager to hear from readers about questions youd like answered, problems youve been having with your care, and advice you need in dealing with the health care system. Visitkffhealthnews.org/columniststo submit your requests or tips.

Judith Graham: khn.navigatingaging@gmail.com, @judith_graham Related Topics Aging Health Care Costs Mental Health Navigating Aging Disabilities Louisiana Virginia Contact Us Submit a Story Tip

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Nats seek ‘fresh approach,’ fire Martinez, Rizzo

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Nats seek 'fresh approach,' fire Martinez, Rizzo

The last-place Washington Nationals fired president of baseball operations Mike Rizzo and manager Davey Martinez, the team announced Sunday.

Rizzo, 64, and Martinez, 60, won a World Series with the Nationals in 2019, but the team has floundered in recent years. This season, the Nationals are 37-53 and stuck at the bottom of the National League East after getting swept by the Boston Red Sox this weekend at home. Washington hasn’t finished higher than fourth in the division since winning the World Series.

“On behalf of our family and the Washington Nationals organization, I first and foremost want to thank Mike and Davey for their contributions to our franchise and our city,” principal owner Mark Lerner said in a statement. “Our family is eternally grateful for their years of dedication to the organization, including their roles in bringing a World Series trophy to Washington, D.C.

“While we are appreciative of their past successes, the on-field performance has not been where we or our fans expect it to be. This is a pivotal time for our club, and we believe a fresh approach and new energy is the best course of action for our team moving forward.”

Mike DeBartolo, the club’s senior vice president and assistant general manager, was named interim GM on Sunday night. DeBartolo will oversee all aspects of baseball operations, including the MLB draft. An announcement will be made on the interim manager Monday, a day before the club begins a series against the St. Louis Cardinals.

Rizzo has been the top decision-maker in Washington since 2013, and Martinez has been on board since 2018. Under Rizzo’s leadership, the team made the postseason four times: in 2014, 2016, 2017 and 2019. The latter season was Martinez’s lone playoff appearance.

“When our family assumed control of the team, nearly 20 years ago, Mike was the first hire we made,” Lerner said. “Over two decades, he was with us as we went from a fledging team in a new city to World Series champion. Mike helped make us who we are as an organization, and we’re so thankful to him for his hard work and dedication — not just on the field and in the front office, but in the community as well.”

The Nationals are in the midst of a rebuild that has moved slower than expected, though the team didn’t augment its young core much during the winter. Led by All-Stars James Wood and MacKenzie Gore, Washington has the second-youngest group of hitters in MLB and the sixth-youngest pitching staff.

The team lost 11 straight games in a forgettable stretch last month. And during a 2-10 run in June, Washington averaged just 2.5 runs. Since June 1, the Nationals have scored one run or been shut out seven times. In Sunday’s 6-4 loss to Boston, they left 15 runners on base.

There was industry speculation over the winter that the Nationals would spend money on free agents for the first time in several years, but that never materialized. Instead, the team made minor moves, signing free agents Josh Bell and Michael Soroka, trading for first baseman Nathaniel Lowe and re-signing closer Kyle Finnegan. Now, the hope is a new management team, both on and off the field, can help change the franchise’s fortunes.

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Kershaw gets special ASG invite; no Soto, Betts

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Kershaw gets special ASG invite; no Soto, Betts

The rosters for the 2025 MLB All-Star Game will feature 19 first-timers — and one legend — as the pitchers and reserves were announced Sunday for the July 15 contest at Truist Park in Atlanta.

Los Angeles Dodgers left-hander Clayton Kershaw, a three-time Cy Young Award winner who made his first All-Star team in 2011, was named to his 11th National League roster as a special commissioner’s selection.

Kershaw, who became only the fourth left-hander to amass 3,000 career strikeouts, is 4-0 with a 3.43 ERA in nine starts after beginning the season on the injured list. He joins Albert Pujols and Miguel Cabrera as a legend choice, after the pair of sluggers were selected in 2022.

Kershaw said he didn’t want to discuss the selection Sunday.

Among the first-time All-Stars announced Sunday: Dodgers teammate Yoshinobu Yamamoto; Washington Nationals outfielder James Wood and left-hander MacKenzie Gore; Houston Astros ace Hunter Brown and shortstop Jeremy Pena; and Chicago Cubs 34-year-old left-hander Matthew Boyd.

“It’ll just be cool being around some of the best players in the game,” Wood said.

First-time All-Stars previously elected to start by the fans include Seattle Mariners catcher Cal Raleigh, Athletics shortstop Jacob Wilson, Baltimore Orioles designated hitter Ryan O’Hearn and Cubs center fielder Pete Crow-Armstrong.

Overall, the 19 first-time All-Stars is a drop from the 32 first-time selections on the initial rosters in 2024.

Kershaw would be the sentimental choice to start for the National League, although Pittsburgh Pirates ace Paul Skenes, who leads NL pitchers in ERA and WAR, might be in line to start his second straight contest. Philadelphia Phillies right-hander Zack Wheeler, a three-time All-Star, is 9-3 with a 2.17 ERA after Sunday’s complete-game victory and also would be a strong candidate to start.

“I think it would be stupid to say no to that. It’s a pretty cool opportunity,” Skenes said about the possibility of being asked to start by Dodgers manager Dave Roberts. “I didn’t make plans over the All-Star break or anything. So, yeah, I’m super stoked.”

Kershaw has made one All-Star start in his career, in 2022 at Dodger Stadium.

Among standout players not selected were New York Mets outfielder Juan Soto, who signed a $765 million contract as a free agent in the offseason, and Dodgers shortstop Mookie Betts, who had made eight consecutive All-Star rosters since 2016.

Soto got off to a slow start but was the National League Player of the Month in June and entered Sunday ranked sixth in the NL in WAR among position players while ranking second in OBP, eighth in OPS and third in runs scored.

The players vote for the reserves at each position and selected Wood, Corbin Carroll of the Arizona Diamondbacks and Fernando Tatis Jr. of the San Diego Padres as the backup outfielders. Kyle Stowers also made it as a backup outfielder as the representative for the Miami Marlins.

Unless Soto later is added as an injury replacement, he’ll miss his first All-Star Game since his first full season in 2019.

The Dodgers lead all teams with five representatives: Kershaw, Yamamoto and starters Shohei Ohtani, Freddie Freeman and Will Smith. The AL-leading Detroit Tigers (57-34) and Mariners have four each.

Tigers ace Tarik Skubal will join AL starters Riley Greene, Gleyber Torres and Javier Baez, while Raleigh, the AL’s starting catcher, will be joined by Seattle teammates Bryan Woo, Andres Munoz and Julio Rodriguez.

Earning his fifth career selection but first since 2021 is Texas Rangers righty Jacob deGrom, who is finally healthy after making only nine starts in his first two seasons with the Rangers and is 9-2 with a 2.13 ERA. He has never started an All-Star Game, although Skubal or Brown would be the favorite to start for the AL.

The hometown Braves will have three All-Stars in Acuna, pitcher Chris Sale (his ninth selection, tied with Freeman for the second most behind Kershaw) and first baseman Matt Olson. The San Francisco Giants had three pitchers selected: Logan Webb, Robbie Ray and reliever Randy Rodriguez.

The slumping New York Yankees ended up with three All-Stars: Aaron Judge, Jazz Chisholm Jr. and Max Fried. The Mets also earned three All-Star selections: Francisco Lindor, Pete Alonso and Edwin Diaz.

“Red carpet, that’s my thing,” Chisholm said. “I do have a ‘fit in mind.”

Rosters are expanded from 26 to 32 for the All-Star Game. They include starters elected by fans, 17 players (five starting pitchers, three relievers and a backup for each position) chosen in a player vote and six players (four pitchers and two position players) selected by league officials. Every club must be represented.

Acuna, Wood and Raleigh are the three All-Stars who have so far committed to participating in the Home Run Derby.

The Associated Press contributed to this report.

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Bellinger rescues Yankees to avoid Subway sweep

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Bellinger rescues Yankees to avoid Subway sweep

NEW YORK — The New York Yankees were seemingly in deep trouble Sunday when Juan Soto cracked a pitch to left field in the seventh inning.

The New York Mets, down two runs, were cooking up a rally with no outs. Francisco Lindor stood at first base, Pete Alonso loomed on deck, and Brandon Nimmo was in the hole. This was the heart of the Mets’ potent lineup. Given the Yankees’ recent woes, fumbling their two-run lead and suffering a Subway Series sweep at the hands of their neighbors — and a seventh straight loss — seemed almost fated.

Then Cody Bellinger charged Soto’s sinking 105 mph line drive, made a shoestring catch and fired a strike to first base for an improbable double play to secure a skid-snapping 6-4 win — and perhaps rescue the Yankees from another dreadful outcome.

“Considering the context of this week and everything,” Yankees manager Aaron Boone said, “that’s probably our play of the year so far.”

Soto’s line drive off Mark Leiter Jr. had a 10% catch probability, according to Statcast, but Bellinger, a plus defender at multiple positions who started at first base Saturday, was just able to snatch it before it touched the grass. Certain that he caught it clean, he made an 89.9 mph toss that reached first baseman Paul Goldschmidt on a line, over Lindor, who didn’t slide into the bag.

“I saw it in the air and had a really good beat on it,” said Bellinger, who went 2-for-3 with a double and a walk at the plate.

The Mets challenged the catch, but the call stood.

“That was incredible,” said Yankees right fielder Aaron Judge, who swatted his 33rd home run of the season in the fifth inning. “I’ve never seen something like that on the field.”

For the past week, a stretch Boone described as “terrible” for his ballclub, poor defense has been an issue for the Yankees. Physical errors. Mental lapses. Near disasters. The sloppiness helped sink a depleted pitching staff, more than offsetting the offense’s strong production.

That combination produced the team’s second six-game losing streak in three weeks and a three-game deficit in the American League East standings behind the first-place Toronto Blue Jays.

The surging Blue Jays won again Sunday to extend their winning streak to seven games and keep their division lead at three games, but Bellinger’s glove and arm ensured it didn’t grow to four.

“That was an unbelievable play,” Goldschmidt said. “Amazing catch and absolute cannon to me at first. To make that play was a game-changing play and potentially game-winning play for us today. And we needed it.”

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