On Jul 17, 6:50 am, Raymond <Bluerhy
...@aol.com> wrote:
> Guide to Long Term Care Planning
> About Medical Care for The Elderly
> by Thomas Day
> Featuring Dr. Rob Stall
> "What Should You Expect At Your Age? A Lot !"
> The American Perspective on Aging and Health
> Treating Medical Problems
> Medications and the Elderly
> Geriatric Physicians or Specialists in Aging Medicine
> eHealth Services For the Elderly
> Learn About Geriatric Medicine From Dr. Rob Stall
> The American Perspective on Aging and Health
> Americans' Attitudes on Aging
> American society in general glorifies youth and fears or even despises
> old age. This is not the case in many other societies where age is
> associated with wisdom, knowledge and special status.
> We see evidence of this bias towards older Americans especially in the
> media. In films and on TV old people are very often depicted as weak,
> indecisive, bumbling or even comic. We laugh at their misdeeds and
> forgive their mistakes knowing in the back of our minds that they are
> old and can't help themselves. We view them not as capable as younger
> people. It is rarely that we see older people depicted as decisive,
> strong or as leaders. We see this same attitude with large
> corporations and government employers. At a certain age, employees are
> encouraged or expected to "retire" to a new phase of their lives where
> they are not required to work for a living any longer. Retirement is
> presumably a reward for many years of dedication and hard work, but
> the underlying philosophy is more likely based on the idea that older
> workers are no longer productive or useful.
> As Americans age we fear the deterioration of our bodies and the
> possible lack of security due to low income -- a byproduct of old-age.
> Some people in our country fight old age through cosmetic surgery, use
> of supplements, aggressive weight-loss programs or through overzealous
> physical training programs. Other people accept old age gracefully and
> adapt as well as they can. Still others refuse to grow old and resist
> aging by adopting social strategies such as denial, refusal to
> participate in life or becoming belligerent. (The angry old codger
> image)
> Instead of taking the role as leaders in their families or in the
> community as is the case in some countries, the elderly in our
> country, even after successful careers in earlier years, simply become
> invisible. They waste their prodigious talents traveling,
> entertaining, socializing, watching TV or playing golf. They are
> rarely asked to assume responsible roles in the community. And unlike
> other cultures, older Americans often abandon themselves to control by
> other people, often their children and their health care providers.
> Instead of taking responsibility for their own decisions they will
> rely on children or others to make decisions for them. Many of them
> seem to enjoy the role of becoming dependent on others. And it is all
> too often the case that family and others pander to this submissive
> role of the elderly and we begin treating them like children.
> This generally accepted perception of aging in our country has
> resulted in the elderly themselves and in the community at large
> regarding older people as less valuable than younger people. The
> assumption is that the elderly have lost the ability to think clearly,
> to learn new things and they are generally incapable of any physical
> activity other than walking or sitting. This attitude also carries
> over into the health treatment that older Americans receive.
> The Older Person's Attitude towards His or Her Own Health
> Many elderly buy into the notion that they themselves are no longer
> useful and as a result make little attempt to keep themselves healthy
> and active. After all, they are getting closer to the end of their
> lives and have no desire to try new things or to challenge themselves
> or to eat or exercise properly.
> There is a great deal of anecdotal and research evidence that
> demonstrates older people can learn, can retain memory and can be
> actively involved in business and in the community. The lack of
> physical exercise, social involvement and mental stimulation in older
> Americans often leads to these people losing the ability to use their
> minds and their bodies. The older person's negative attitude towards
> aging becomes self-fulfilling.
> Many reason that they have missed their opportunities in life when
> they were younger and it's too late to start over. As a result, many
> older people are intimidated by new ideas or by technology such as
> computers, not because they are incapable but simply because of their
> attitude. The idea of not being able to "teach an old dog new tricks"
> is in most cases an excuse. Obviously this mindset of failure and
> inability to perform becomes self-fulfilling. Not surprisingly,
> depression and suicide are more common in the elderly than in the
> younger population.
> The negative attitude towards aging on the part of an older person has
> a direct impact on that person's health. Many studies show that people
> who are physically active have less joint pain, lower blood pressure,
> less depression, fewer heart attacks and a lower incidence of cancer.
> Proper nutrition also has the same affect on the aging process; it
> delays the onset of debilitating illness or disability.
> According to James S. Marks, M.D., M.P.H., Director of the National
> Center for Chronic Disease Prevention and Health Promotion
> ".... Research has shown that poor health does not have to be an
> inevitable consequence of growing older. Death is inevitable, but, for
> many people, it need not be preceded by a slow, painful, and
> disability- ridden decline. Our nation will continue to age -- that we
> cannot change -- but we can delay and in many cases prevent illness
> and disability."
> CONT'Dhttp://www.longtermcarelink.net/eldercare/medical_care_issues.htm
Insurance Agents Trained to Take Advantage of Seniors who spend their
entire lives trying to figure out how to take advantage of us.
COMMON FRAUD SCHEMES
FBI-SENIORS
Fraudsters have found yet another way to take advantage of the
elderly
Fraud Target: Senior Citizens
Our Common Fraud Schemes webpage provides tips on how you can protect
you and your family from fraud. Senior Citizens especially should be
aware of fraud schemes for the following reasons:
■Senior citizens are most likely to have a “nest egg,” to own their
home, and/or to have excellent credit—all of which make them
attractive to con artists.
■People who grew up in the 1930s, 1940s, and 1950s were generally
raised to be polite and trusting. Con artists exploit these traits,
knowing that it is difficult or impossible for these individuals to
say “no” or just hang up the telephone.
■Older Americans are less likely to report a fraud because they don’t
know who to report it to, are too ashamed at having been scammed, or
don’t know they have been scammed. Elderly victims may not report
crimes, for example, because they are concerned that relatives may
think the victims no longer have the mental capacity to take care of
their own financial affairs.
■When an elderly victim does report the crime, they often make poor
witnesses. Con artists know the effects of age on memory, and they are
counting on elderly victims not being able to supply enough detailed
information to investigators. In addition, the victims’ realization
that they have been swindled may take weeks—or more likely, months—
after contact with the fraudster. This extended time frame makes it
even more difficult to remember details from the events.
■Senior citizens are more interested in and susceptible to products
promising increased cognitive function, virility, physical
conditioning, anti-cancer properties, and so on. In a country where
new cures and vaccinations for old diseases have given every American
hope for a long and fruitful life, it is not so unbelievable that the
con artists’ products can do what they claim.
What to Look For and How to Protect Yourself and Your Family
Health Care Fraud or Health Insurance Fraud
Medical Equipment Fraud:
Equipment manufacturers offer “free” products to individuals. Insurers
are then charged for products that were not needed and/or may not have
been delivered.
“Rolling Lab” Schemes:
Unnecessary and sometimes fake tests are given to individuals at
health clubs, retirement homes, or shopping malls and billed to
insurance companies or Medicare.
Services Not Performed:
Customers or providers bill insurers for services never rendered by
changing bills or submitting fake ones.
Medicare Fraud:
Medicare fraud can take the form of any of the health insurance frauds
described above. Senior citizens are frequent targets of Medicare
schemes, especially by medical equipment manufacturers who offer
seniors free medical products in exchange for their Medicare numbers.
Because a physician has to sign a form certifying that equipment or
testing is needed before Medicare pays for it, con artists fake
signatures or bribe corrupt doctors to sign the forms. Once a
signature is in place, the manufacturers bill Medicare for merchandise
or service that was not needed or was not ordered.
Tips for Avoiding Health Care Fraud or Health Insurance Fraud:
Beware of Reverse mortgage scams Read our intelligence bulletin on
reverse mortgages.
■Never sign blank insurance claim forms.
■Never give blanket authorization to a medical provider to bill for
services rendered.
■Ask your medical providers what they will charge and what you will be
expected to pay out-of-pocket.
■Carefully review your insurer’s explanation of the benefits
statement. Call your insurer and provider if you have questions.
■Do not do business with door-to-door or telephone salespeople who
tell you that services of medical equipment are free.
■Give your insurance/Medicare identification only to those who have
provided you with medical services.
■Keep accurate records of all health care appointments.
■Know if your physician ordered equipment for you.
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Counterfeit Prescription Drugs
Tips for Avoiding Counterfeit Prescription Drugs:
■Be mindful of appearance. Closely examine the packaging and lot
numbers of prescription drugs and be alert to any changes from one
prescription to the next.
■Consult your pharmacist or physician if your prescription drug looks
suspicious.
■Alert your pharmacist and physician immediately if your medication
causes adverse side effects or if your condition does not improve.
■Use caution when purchasing drugs on the Internet. Do not purchase
medications from unlicensed online distributors or those who sell
medications without a prescription. Reputable online pharmacies will
have a seal of approval called the Verified Internet Pharmacy Practice
Site (VIPPS), provided by the Association of Boards of Pharmacy in the
United States.
■Be aware that product promotions or cost reductions and other
“special deals” may be associated with counterfeit product promotion.
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Funeral and Cemetery Fraud
Tips for Avoiding Funeral and Cemetery Fraud:
■Be an informed consumer. Take time to call and shop around before
making a purchase. Take a friend with you who may offer some
perspective to help make difficult decisions. Funeral homes are
required to provide detailed general price lists over the telephone or
in writing.
■Educate yourself fully about caskets before you buy one, and
understand that caskets are not required for direct cremations.
■Understand the difference between funeral home basic fees for
professional services and any fees for additional services.
■Know that embalming rules are governed by state law and that
embalming is not legally required for direct cremations.
■Carefully read all contracts and purchasing agreements before signing
and make certain that all of your requirements have been put in
writing.
■Make sure you understand all contract cancellation and refund terms,
as well as your portability options for transferring your contract to
other funeral homes.
■Before you consider prepaying, make sure you are well informed. When
you do make a plan for yourself, share your specific wishes with those
close to you.
■As a general rule governing all of your interactions as a consumer,
do not allow yourself to be pressured into making purchases, signing
contracts, or committing funds. These decisions are yours and yours
alone.
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Fraudulent “Anti-Aging” Products
Tips for Avoiding Fraudulent “Anti-Aging” Products:
■If it sounds too good to be true, it probably is. Watch out for
“Secret Formulas” or “Breakthroughs.”
■Don’t be afraid to ask questions about the product. Find out exactly
what it should and should not do for you.
■Research a product thoroughly before buying it. Call the Better
Business Bureau to find out if other people have complained about the
product.
■Be wary of products that claim to cure a wide variety of illnesses—
particularly serious ones—that don’t appear to be related.
■Be aware that testimonials and/or celebrity endorsements are often
misleading.
■Be very careful of products that are marketed as having no side
effects.
■Question products that are advertised as making visits to a physician
unnecessary.
■Always consult your doctor before taking any dietary or nutritional
supplement.
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Telemarketing Fraud
If you are age 60 or older—and especially if you are an older woman
living alone—you may be a special target of people who sell bogus
products and services by telephone. Telemarketing scams often involve
offers of free prizes, low-cost vitamins and health care products, and
inexpensive vacations.
There are warning signs to these scams. If you hear these—or similar
—“lines” from a telephone salesperson, just say “no thank you,” and
hang up the telephone:
■“You must act now, or the offer won’t be good.”
■“You’ve won a free gift, vacation, or prize.” But you have to pay for
“postage and handling” or other charges.
■“You must send money, give a credit card or bank account number, or
have a check picked up by courier.” You may hear this before you have
had a chance to consider the offer carefully.
■“You don’t need to check out the company with anyone.” The callers
say you do not need to speak to anyone, including your family, lawyer,
accountant, local Better Business Bureau, or consumer protection
agency.
■“You don’t need any written information about the company or its
references.”
■“You can’t afford to miss this high-profit, no-risk offer.”
Tips for Avoiding Telemarketing Fraud:
It’s very difficult to get your money back if you’ve been cheated over
the telephone. Before you buy anything by telephone, remember:
■Don’t buy from an unfamiliar company. Legitimate businesses
understand that you want more information about their company and are
happy to comply.
■Always ask for and wait until you receive written material about any
offer or charity. If you get brochures about costly investments, ask
someone whose financial advice you trust to review them. But,
unfortunately, beware—not everything written down is true.
■Always check out unfamiliar companies with your local consumer
protection agency, Better Business Bureau, state attorney general, the
National Fraud Information Center, or other watchdog groups.
Unfortunately, not all bad businesses can be identified through these
organizations.
■Obtain a salesperson’s name, business identity, telephone number,
street address, mailing address, and business license number before
you transact business. Some con artists give out false names,
telephone numbers, addresses, and business license numbers. Verify the
accuracy of these items.
■Before you give money to a charity or make an investment, find out
what percentage of the money is paid in commissions and what
percentage actually goes to the charity or investment.
■Before you send money, ask yourself a simple question. “What
guarantee do I really have that this solicitor will use my money in
the manner we agreed upon?”
■Don’t pay in advance for services. Pay services only after they are
delivered.
■Be wary of companies that want to send a messenger to your home to
pick up money, claiming it is part of their service to you. In
reality, they are taking your money without leaving any trace of who
they are or where they can be reached.
■Always take your time making a decision. Legitimate companies won’t
pressure you to make a snap decision.
■Don’t pay for a “free prize.” If a caller tells you the payment is
for taxes, he or she is violating federal law.
■Before you receive your next sales pitch, decide what your limits are—
the kinds of financial information you will and won’t give out on the
telephone.
■Be sure to talk over big investments offered by telephone salespeople
with a trusted friend, family member, or financial advisor. It’s never
rude to wait and think about an offer.
■Never respond to an offer you don’t understand thoroughly.
■Never send money or give out personal information such as credit card
numbers and expiration dates, bank account numbers, dates of birth, or
social security numbers to unfamiliar companies or unknown persons.
■Be aware that your personal information is often brokered to
telemarketers through third parties.
■If you have been victimized once, be wary of persons who call
offering to help you recover your losses for a fee paid in advance.
■If you have information about a fraud, report it to state, local, or
federal law enforcement agencies.
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Internet Fraud
As web use among senior citizens increases, so does their chances to
fall victim to Internet fraud. Internet Fraud includes non-delivery of
items ordered online and credit and debit card scams. Please visit the
FBI’s Internet Fraud webpage for details about these crimes and tips
for protecting yourself from them.
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Investment Schemes
As they plan for retirement, senior citizens may fall victim to
investment schemes. These may include advance fee schemes, prime bank
note schemes, pyramid schemes, and Nigerian letter fraud schemes.
Please visit the Common Fraud Schemes webpage for more information
about these crimes and tips for protecting yourself from them.
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Reverse Mortgage Scams
The FBI and the U.S. Department of Housing and Urban Development
Office of Inspector General (HUD-OIG) urge consumers, especially
senior citizens, to be vigilant when seeking reverse mortgage
products. Reverse mortgages, also known as home equity conversion
mortgages (HECM), have increased more than 1,300 percent between 1999
and 2008, creating significant opportunities for fraud perpetrators.
Reverse mortgage scams are engineered by unscrupulous professionals in
a multitude of real estate, financial services, and related companies
to steal the equity from the property of unsuspecting senior citizens
or to use these seniors to unwittingly aid the fraudsters in stealing
equity from a flipped property.
In many of the reported scams, victim seniors are offered free homes,
investment opportunities, and foreclosure or refinance assistance.
They are also used as straw buyers in property flipping scams. Seniors
are frequently targeted through local churches and investment
seminars, as well as television, radio, billboard, and mailer
advertisements.
A legitimate HECM loan product is insured by the Federal Housing
Authority. It enables eligible homeowners to access the equity in
their homes by providing funds without incurring a monthly payment.
Eligible borrowers must be 62 years or older who occupy their property
as their primary residence and who own their property or have a small
mortgage balance. See the FBI/HUD Intelligence Bulletin for specific
details on HECMs as well as other foreclosure rescue and investment
schemes.
Tips for Avoiding Reverse Mortgage Scams:
■Do not respond to unsolicited advertisements.
■Be suspicious of anyone claiming that you can own a home with no down
payment.
■Do not sign anything that you do not fully understand.
■Do not accept payment from individuals for a home you did not
purchase.
■Seek out your own reverse mortgage counselor.
If you are a victim of this type of fraud and want to file a
complaint, please submit information through our electronic tip line
or through your local FBI office. You may also file a complaint with
HUD-OIG at www.hud.gov/complaints/fraud_waste.cfm or by calling HUD’s
hotline at 1-800-347-3735.
Read our intelligence bulletin on reverse mortgages.
Additional Resources on Frauds Impacting Seniors:
- USA.gov Resources for Seniors
- Resources from the United States Senate Special Committee on Aging
http://www.fbi.gov/scams-safety/fraud/seniors/.