MAGAZINE | DEC 2010

Dr. Rio Banner, MD:

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Major Complete Distribution Distribution List on Partners: Page 4 I couldn’t ask my mom to remember everything...so I asked The Plaza. Free Senior Living Options TAKE Turn off Brush Seminars YOUR your teeth MEDICINE the Stove Get answers to some of your most asked questions from experts in the fi eld of senior living options. ❒✓ How do I support a loved one’s Senior Lifestyle? ❒✓ What are the options if I choose to remain at home? Do not ❒✓ What are my choices in Senior Living Communities? Shut off Jenny is ❒✓ What is the average cost of services if I live at home or choose to move to a retirement leave the community? house at the lights coming this night Saturday You’ll also fi nd out about: ❒✓ How to plan for future and expanded needs which may arise as you age. ❒✓ Understanding the differences in monthly rental and “buy-in” community. ❒✓ Effi cient ways to downsize your life and your personal belongings ❒✓ Effective ways to minimize the stress inherent when downsizing. Let the nurse Do not ❒✓ How to sell your home at the highest price and within your time frame all while Feed minimizing your stress level. in the house, use the the Dog her name Our next seminar dates are: January 22, 2011, 9:30 a.m. - 12:30 p.m. microwave February 19, 2011, 9:30 a.m. - 12:30 p.m. is Rose Seating is limited. To reserve your seat, call 754-2225 today. Lunch will be served following the presentation. Seminar will be held at Prudential Advantage Realty; Kahala Mall, Upper level. Reservations are required. The Plaza Assisted Living specializes in providing care for individuals with Alzheimer’s Disease and Dementia.  A ordable monthly rental  O ering apartments in a secure environment  24 hour licensed nursing sta Dan & Julie Ihara, Realtor Associates  Assistance with bathing, dressing, incontinence management, and Prudential Advantage Realty • (808) 256-7873 medication management [email protected] • [email protected] www.OahuHomes.biz Call us today and learn more about our Memory Care program. THE PLAZA AT PUNCHBOWL THE PLAZA AT MILILANI 918 Lunalilo Street Honolulu, HI 96822 95-1050 Ukuwai Street Mililani, HI 96789 Tel (808) 792-8800 Fax (808) 538-9616 Tel (808) 626-8807 Fax (808) 626-8817 An independently owned and operated member of the Prudential Real Estate Affi liates. Prudential Advantage Realty reserves the right to refuse entry.

Dan and Julie Ihara; File name: Generations Ad 11-10_rev1; For Generations Magazine Nov.10 Insertion; 8.125” X 10.875” + .125” bleed, CMYK, Editor's Note :: CONTENTS | December 2010

Happy holidays to all of Hawai‘i’s kuˉpuna and their families! www.Generations808.com Coming from a large family myself, with 31 members, I can’t help but to Percy Ihara MAGAZINE feel my family’s support in my life but Publisher/Editor I am especially thankful for them dur- 808-368-6747 ing the holidays. With all the hours I [email protected] HAWAI‘I’S work, it’s great to spend quality time Sherry goya with them during the Christmas break. Distribution Manager RESOURCE As you know, Hawai‘i has the 808-722-8487 FOR LIFE highest concentration of seniors in [email protected] the country. There is no place where Wilson Angel this is more evident than during the holiday season at the mall, Art Director where many of us escort our parents or grandparents. [email protected] It is for this special group—you, and your parents—that Lisa McVay Generations Magazine exists. Editorial Contributor / Photographer As we enter the new year, we will continue to provide monthly Aimee Harris articles from respected resources such as the State of Hawai‘i’s Editorial Consultant Dr. Rio Banner, MD and Executive Office on Aging, the City and County of Honolulu’s BRIAN SUDA Elderly Affairs Division, AARP Hawai‘i, Social Security, Better Photographer John E. McComas, Business Bureau and our legal and financial experts and much, 808-722-9479 Chief Executive Officer much more. We will also provide a monthly resource guide, an [email protected] —AlohaCare events calendar and ongoing articles about active aging. We truly believe in giving back to our marketplace and there is no better COVER STORY | Dr. Banner, MD way for us to do that than to provide trusted information to our seniors and their families. Board of Directors The recent Health Care Reform is said to be based on I want to take this opportunity to thank our supportive adver- Al Hamai the philosophy of prevention. tisers who continue to make commitments to our mature com- Hawai‘i Alliance munity. We cannot move forward without you, so thank you. of Retired Americans Lastly, to all of our readers and listeners of Generations Jane Burigsay Perspective Resource Guide Magazine radio program, thank you for all your calls and emails Social Security 07 :: Elderhood Project with Kirk Matthews 22 :: Senior Centers of encouragement. We always welcome interaction, so please Pamela Cunningham Talk Story with Lisa send us your stories, events, pictures and comments. Sage Plus/Executive Office Programs & services Mele Kalimimaka and Hau‘oli Makahiki Hou! on Aging Financial & Legal Wisdom 20 :: Social Security: When to Retire Bruce Bottorff 08 :: Financial: The Secrets to Happy Holidays 21 :: Caregiving Foundation: First Steps AARP Hawai‘i 09 :: Better Business Bureau: Holiday Scams 24 :: City: Hoarding Habits Distribution List: Ruth Limtiaco 11 :: Legal: It’s the Return of the Estate Tax 26 :: State: New Law Equals Medicare Savings Arcadia ■ Big City Diners ■ Borders ■ Child & Family Services ■ Gold Coast Real Estate ■ Kaiser Permanente ■ Kapahulu Community Center ■ Kuakini Health System ■ Lanakila The Limtiaco Company Cover Story: Lifestyle Senior Center ■ Leahi Hospital ■ Longs: Pali, Hawaii Kai ■ Love’s Bakery ■ Love’s Lei Shimizu Bakery Thrift Stores ■ Makua Alii Senior Center ■ Maluhia Hospital ■ Times: Kaimuki, 12 :: 27 :: Ward Off the Flu Kaneohe, Aiea ■ Safeway: Manoa, Enchanted Lake, Kaneohe ■ Waikiki Community City and County of Honolulu’s Dr. Banner: health visionary Center ■ Waikiki Real Estate ■ Windward Mall theatres & food court ■ YMCA ■ YWCA ■ Elderly Affairs Division 28 :: The Hawai‘i Alliance for Retired Americans Public Libraries: Aiea, Ewa Beach, Hawaii Kai, Hawaii State, Kahuku, Kailua, Kaimuki, Special Feature: 29 :: AARP: Vounteers Wanted Kalihi-Palama , Kaneohe, Kapolei, Liliha, Manoa, McCully-Moiliili, Mililani, Pearl City, Salt Jan Kaeo 16 :: Come zumba with us Lake, Wahiawa, Waialua, Waianae, Waikiki-Kapahulu, Waimanalo, Waipahu ■ District Arcadia Foundation/15 Craigside Parks: Aiea, Halawa, Kailua, Kilauea, Makiki, Manoa, Pupukea Beach, Salt Lake, Waiau, 19 :: work after work: returnment Waimanalo, Waipahu ■ Community Parks: Aina Haina, Ala Puumalu, Ala Wai, Asing, Crestview, Ewa Beach, Kahala, Kaimuki, Kaneohe, Kuapa Isles, Makakilo, Mililani, * For a complete list of distribution points Moanalua, Pearl City, Pililaau, Wahiawa, Whitmore go to Generations808.com p 4 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 5 Perspective :: Radio show Perspective :: with Elderhood Project Kirk Matthews Generations Magazine Airs Thursdays 5:30am & 5pm

is on the ne of our guests on the Elderhood Project We are into the Oreminded me that at some point in time holiday season, everyone will be either a caregiver or a caregetter. Thanksgiving just I am learning the truth of that statement. past. Care receiv- Last week, Mrs. Matthews—Linda Coble— ers are grateful for had back surgery. The doctor was pleased with their caregivers, but the results and four days later, she came home caregivers in turn are Airwaves from the hospital. The doctor said to me, “This grateful for the KNDI AM 1270 will be tougher on you than it is on her.” In some opportunity to look ways, he was right. I watch her like a hawk so after their loved Every Thursday night at 6:30pm–7:30pm she won’t do anything she’s not supposed to ones. I leave you do during recovery. I bring home the groceries, with this quote: Generations Magazine is taking its commitment to provide the mature community with vacuum, do the dishes, laundry. But in another To speak gratitude is courteous and pleasant, valuable information and resources one step further—on the airwaves. way, the doctor was wrong. It has been a mean- to enact gratitude is generous and noble, ingful experience. Percy Ihara, publisher and editor, has launched but to live gratitude is to touch Heaven. Be assured. Be updated — every month. Generations Magazine’s Radio Show, now airing There is a kind of intimacy Linda and I haven’t ~Johannes A. Gaertner every Thursday night on radio channel KNDI had before. We always trusted each other, but Hawai‘i's Resource for Life ■ AM 1270 at 6:30 p.m.–7:30 p.m. The weekly radio there is a different kind of trust happening now. Peace and Aloha — Kirk Matthews broadcast will be a “live” call-in show. Ihara will She will be fine. The doctors and nurses who Elderhood Project airs on KHON2 every Thursday have guests from around Hawai‘i talking about took care of her did a wonderful job and I learned morning on the morning news and Thursday programs and services that are important to our SUBSCRIPTION FORM a lot. And there will come a time when the shoe afternoon at the 5 p.m. segment — topics from aging community. [which I have to put on for her because she can’t medical to senior life care and tips.Visit us at Name ______The show will cover a wide range of topics, bend over yet] will be on the other foot. www.khon2.com/content/elderhood/default.aspx Address ______including aging in place options, long-term care, independence, care giving tips, healthy aging ______resources, city and state senior programs, volun- Lisa McVay is our on-the-road reporter — talking story Phone ______teering opportunities and financial information for with friends and neighbors, and sharing her many seniors and much, much more. encounters. Mahalo to all that “Talk Story” with Lisa. Email ______“The explosive growth of Hawai‘i’s senior popu- As we all are lining up for the holiday season, our question to everyone, Signature ______lation means that our seniors, and their families, and to ourselves, is this: What are you grateful for? will need more information to embrace the chal- NOVEMBER SPECIAL! lenge of living longer,” Ihara says. Today, more Roy Yonashiro, Hawai‘i Bone Marrow Donor Registry Coordinator, Musician than ever, Hawai‘i’s retirees are recognizing the 1 issue per month) 12 issues for $12 ( importance of finding reliable resources to help I feel fortunate to be working for an organization like the Hawai‘i Bone Marrow Donor Registry. It’s great to have a job that I’m passionate about. Please send this form and a check payable to them understand and navigate through the Being a witness to a match is so moving, I get to Generations Magazine. process of aging. see first hand how the kindness of strangers helps Mail to 1414 Dillingham Blvd., Ste. 201, For more information, call 368-6747 or email so many to have a second chance at life. Honolulu, Hawaii 96817. G DOTTED LI N E CUT ALO N G DOTTED [email protected]. ■ Dorothy Hayden, Patient Advocate, Caregiver I am happy and healthy, raised a lovely daughter, have great friends, mean- ingful work and on top of that I am blessed to live here in beautiful Hawai‘i. I enjoy going to the many interesting events around town and also keep busy by volunteering at Family Promise and at The Hawai‘i Theatre for Youth.

Get more online at www.Generations808.com | p 7 Financial wisdom :: Holiday Spending Financial wisdom :: Holiday Scams

TheSecret of Tis’ the Season Spendingwith for Holiday Scams Happy Holidays: By Bonnie Horibata By Michael Yee Discretion s we enter the third holiday season after the Shop on a cash-only basis. When possible, pay he holiday season is a happy time celebrated Charitable Giving Scams Aonset of the “Great Recession,” American with cash rather than checks, debit cards or credit Twith food, family and friends. Unfortunately, Beware of tear-jerking appeals that tell you consumers may be battling penny-pinching cards. The tangible aspect of spending cash allows it’s also a time for fraud at the hands of identity little about what the charity or its cause. Ask fatigue. We’ve scrimped. We’ve saved. When you to see how quickly money goes and can help thieves, computer hackers and deceptive sellers. questions about how your donation will be used. do we get to reward ourselves? you stick to your budget. Hawai‘i’s Better Business Bureau (BBB) offers For example, if a charity claims to help the home- Sure, it would be fun to celebrate the holidays Think outside the store. Save money by giving advice on how to recognize and avoid common less, ask how and where this is taking place. Also, with a big spending binge, but if there’s one homemade gifts rather than store-bought items. holiday scams. don’t succumb to pressure to give money on the lesson to be learned from the recession, it’s the Encourage your kids to skip the malls and give of Online Shopping Scams spot. A charity that needs your money today will importance of fiscal prudence. Don’t let the im- themselves. Grandparents are likely to appreciate welcome it just as much tomorrow … after you’ve pulse to buy your way to happy holidays overrule a child’s artwork or helping hands far more than Some Web sites use tantalizingly low prices to confirmed that it is legitimate. lure in victims. If the price seems too good to be your good judgment. Here are some tips for keep- a scented candle. ■ true, it probably is. Also, scammers often request Have a happy, scam-free holiday! ing your holiday spending within reason and the Rethink excess. Does everyone in your fam- limits of your wallet. wire payment through Western Union or Money- ily really need a dozen presents under the tree? Gram because the money cannot be easily tracked Step back from the hype. Retailers want you Some large families and groups of friends choose or retrieved. Never wire money to strangers and to get caught up in the holiday spirit and spend to limit overall spending by drawing names so always use a credit card to pay for items online. If Bonnie Horibata is vice-president of Hawai‘i’s Better Business Bureau. BBB provides objective advice, with abandon. Instead, take a more mindful that each person receives one nice gift rather than the site or seller is fraudulent, you can dispute the approach to holiday shopping and consciously buying for the entire gang. business and charity reports, and information about charge with your credit card company. topics affecting marketplace trust at bbb.org. commit to responsible spending. Reinforce your Put people first. Our consumer society encour- conviction by imagining how good it will feel to ages us to get carried away with material things. Identity Theft at the Mall enter January with money in the bank rather Yet the most meaningful part of the holidays is Don’t let yourself be bogged down with pack- than paying off credit card bills. spending time with the people we love and shar- ages or so rushed that you lose track of your wal- Make a firm budget. Think realistically about ing our abundance with those who are less fortu- let. Know where your credit and debit cards are at how much you have available to spend. If you’re nate. It doesn’t cost a thing to step back from the all times, and only carry the ones you’re going to tempted to spend lavishly, force yourself to imag- shopping rat race and savor the moments. ■ use. Also, cover the keypad when entering your ine the painful consequences of overextending personal identification number while purchasing yourself. Keep track of your purchases and moni- items or when getting money from the automated tor your progress to avoid getting carried away. teller machine (ATM).

Narrow your list. If you’ve fallen into a trap Phishing E-mails of “gift-sprawl,” make this the year to pull in the Michael W. Yee is a senior financial advisor with reins. Prioritize your list and give according to Michael W. Yee, a financial advisory practice of Phishing e-mails fraudulently represent a your ability. Ameriprise Financial Services, Inc. As a financial advi- trustworthy source. It is a way for ID thieves to sor, Yee provides customized financial advice that is get your personal information, or for hackers to Start early. Last-minute shoppers tend to anchored in a solid understanding of client needs and install malicious software on your computer. Be- spend more on impulsive purchases. Spreading expectations, and provided in a one-on-one relationship ware of unsolicited e-mail from unfamiliar people your holiday shopping across 12 months is easier with his clients. For more information, please contact and companies. Don’t click on any links or open on your monthly budget. It’s also easier to find Michael W.Yee at (808) 952-1240. any attachments the e-mail contains. Always be deals in the off season when retailers are anxious Advisor is licensed/registered to do business with U.S. residents only in the states of Hawaii. Brokerage, invest- sure your computer has current antivirus software to move last year’s merchandise and make way ment and financial advisory services are made available through Ameriprise Financial Services, Inc. Member FINRA and SIPC. Some products and services may not be available in all jurisdictions or to all clients. and security patches installed. for the new. © 2010 Ameriprise Financial, Inc. All rights reserved. p 8 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 9 legal wisdom :: Estate Tax

Beware:It’s the Return of the Estate Tax By Scott Makuakane

he good news is that the federal estate tax of property that can be “stepped-up” in value at Ttook a vacation in 2010. The bad news is that the time of death. Property that does not receive it spent the whole year lifting weights and taking this step-up value will be subject to tax on the steroids. The estate tax is coming back in 2011, increase in value from the date you first acquired as big and bad as it has been in a long time. Now the property. This means that the property could is the time to review your estate plan and make be exposed to huge capital gain tax liability if it changes that could drastically affect how much is sold by your heirs! of your estate goes to your loved ones, and how Now is the time to look into how your estate much goes to the IRS. will be affected by the return of the estate tax. Between 2001 and 2009, Congress gradually Contact your trusted advisors to find out what reduced the maximum rate of the federal estate changes should be made to your “rule book” tax from 55% to 45%. It also gradually increased —the set of documents that will say what hap- the “coupon” (the amount of property that you pens to your stuff after you are gone. You may could pass tax-free) from $675,000 per person have some prime opportunities to make a huge in 2001 to $3.5 million per person in 2009. That difference in the amount of your estate that goes means that with basic estate planning, a married to your loved ones. You may even be able to couple could pass up to $7 million free of federal “disinherit” the IRS entirely. ■ estate tax, if they both died in 2009. Then, in 2010 only, the estate tax was repealed. But like a horror film character who just won’t die, the estate tax returns again on January 1, 2011—only with a $1 million coupon and a 55% tax rate! SCOTT MAKUAKANE is a To pay for the 2010 estate tax vacation, Con- lawyer whose practice has emphasized estate planning gress replaced the estate tax with an increased and trust law since 1983. capital gain tax. Before 2010, any assets that He hosts Est8Planning passed to someone when you died would be Essentials, a weekly TV talk valued at fair market value at the date of death. show which airs on KWHE If your surviving spouse or heirs sold any assets (Oceanic channel 11) at that had increased in value during your lifetime, 8:30 p.m. on Sunday evenings. they would not have to pay capital gain tax on For more information about any of that growth. This is called a “step-up Scott and his law firm, Est- in basis.” 8Planning Counsel LLLC, check out www.est8planning.com. But in 2010, property that passes at death does not automatically receive this step-up in basis. Instead, each individual has a limited amount

Get more online at www.Generations808.com | p 10 Get more online at www.Generations808.com | p 11 Hawai‘i’s Medicaid care for low-income families. At WCCHC, which serves a majority of QUEST Dr. Rio Banner, MD: recipients, we were concerned that our patients’ It’s never too late to care would be diminished, depending on who won the bid. So, we decided to partner with improve your health. several Hawai‘i community health centers and individual health care providers to create a self- governed, island-wide, non-profit, managed n Hawaii, we live an average of 81 years— health care plan called AlohaCare that would Ilonger than almost anywhere else in the world. serve this population best. I left WCCHC at that But when it comes to successful aging, the key point to be medical director of AlohaCare and is to not only live longer, but to live longer as a have been here ever since. I’m also an internal healthy individual. The way to better health is medicine consultant at Kahi Mohala Behavioral taking care of ourselves as we age, which helps Health Psychiatric Hospital. prevent the decline of our physical and mental Health abilities. And although any doctor would agree GM: Can you explain to us what’s happening with that, the health care industry has tradition- in health care today? Seems preventive care is a ally emphasized treatment over prevention. major component of the paradigm shift. But things are changing. A new model of health RB: That’s right—it is. You know, we take pre- VISIONARY care is emerging—the Medical Home. It focuses ventive measures in other aspects of our lives all By Stacy Pope on preventive, patient-centered care and has been the time without thinking about it. For example, gradually taking shape nationwide. Dr. Rio Ban- most of us understand that changing our car oil ner, medical director at AlohaCare, tells us about periodically will help our car run better and lon- this fundamental shift in our health care system ger. And, it can cost less than fixing the problems and how it may contribute to a healthier you. that could otherwise develop. Same with people! As a preventive health specialist, he also gives So this is the direction health care is heading. The us a rundown of ways to stay healthier, including recent Health Care Reform is said to be based on cutting-edge therapies that some believe may help the philosophy of prevention. to restore a more youthful health. GM: Can you outline the foundations of this new GM: Can you begin by telling us a little bit about health care model? your background in the medical field? RB: It’s called the Medical Home model, and it’s RB: Of course. I received my medical degree in been developing since 1970 and have a master’s degree in public health, at least the 1960s—in which I earned from the University of Hawai‘i at fact, Hawai‘i’s com- Maˉnoa. My interest in medicine was inspired by munity health centers my cousin, who was a medical missionary in In- have been using core dia while I was in high school. After my training, aspects of it for years. I chose to study public health in Hawai‘i because In a nutshell, it’s a of its cultural diversity. My 16 years at Wai‘anae fully interactive, team- Coast Comprehensive Health Center (WCCHC)— based approach to care. first as a staff physician, then additionally as Who’s on the team? medical director—were so exciting because I To begin with, you are. was helping everyone from Native Hawaiians You are the center of to immigrant Southeast Asian families. What a the team. You know great experience. yourself best, and you are the only person GM: Now you’re the medical director at who can make healthy AlohaCare. How did that come about? lifestyle choices for RB: Back in 1994, the state decided to take yourself. Supporting bids for the managed care of QUEST, which is you are health care Photography by Brian Suda at my best for as many years as possible. As AlohaCare’s medical director, one of my roles is to research innovative solutions for better health care. And I’ve become very excited about two emerging preventive care opportunities that may soon revo- lutionize not only the way we think about aging, but literally how we age. The first is the explosion of knowledge about our genes—the “information” packets found within the center of each cell in our body. Since the chem- providers, such as a primary care provider, nurses, the health care system and track prescriptions, ical structures of the human chromosome were specialists and insurers; other experts, such as follow-up appointments, test results, etc. But the discovered about 60 years ago, scientists are find- behavioral health specialists, dieticians and out- new system keeps dots connected and you at the ing not only the molecular causes of disease, but reach workers; and, if you choose, your family center of the action. The result? Better care and also the specific treatments for them. Because each members. Your team works together, creating a ultimately better health. person’s genetic code is unique, we’re on the verge web of health care knowledge about you and of understanding a specific personal prevention, supporting your optimal health, both when GM: Intuitively speaking, this sounds really great. prescription or treatment for each of us to best face you’re well and when you’re not. But what’s it going to cost us? age-old challenges such as diabetes, arthritis or RB: What’s expensive is fixing a car after it cancer. This will be truly personalized care. Dr. Banner appears on the Hawaii News GM: What do you mean when you say “your breaks down, instead of taking better care of it in A second opportunity is optional hormone replace- Now network’s Monthly Check-up with team works together”? the first place. That’s what the U.S. is doing now, ment therapy. I’m not referring to certain contro- AlohaCare to discuss a variety of health RB: First of all, a major component to teamwork and costs are through the roof. Of course, that’s a versial name-brand hormones currently prescribed related issues important to everyone. is sharing information. Organizations are going simple answer to a complex question. Sometimes for menopause. Rather, they are natural hormones To view past segments, visit www.Hawaii electronic with health records, enabling providers this kind of care may cost a bit more, depend- that are exact matches to our body’s hormones, NewsNow.com. to pull up a patient’s medical history, including ing on a patient’s situation. Other times it may not synthetic molecules. As men and women age, pharmaceuticals, on the spot. That means your cost far less, especially when preventive care is the levels of our natural hormones, such as estro- About AlohaCare entire Medical Home team—including you—will embraced. Numerous studies and pilot programs gen, progesterone, testosterone, melatonin, thyroid AlohaCare was founded in 1994 by local be able to easily review your complete medical have been done on the Mainland, even by private and Vitamin D, gradually decrease. The more they community health centers to provide man- records and make better health care decisions employers such as Boeing, with overall results drop, the more they result in bodily deterioration, aged health care for Hawaii’s most needy because of it. showing a huge cost savings. which includes anything from fatigue and loss of and underserved individuals. The non-profit Second, the way we interact with our doctors is skin tone to depression, osteoporosis and cancer. organization has since grown to Hawai‘i’s going to change. You’ll still have a “home” doctor, GM: In the meantime, what can we “older folks” By boosting our hormone levels to our younger third largest health care insurer, providing or primary care provider. But instead of just see- start doing to improve healthy longevity? levels, we can actually improve our immunity and Medicaid (QUEST) and Medicare coverage ing one doctor at a time, as we typically do today, RB: I want to say this loud and clear: It’s never nervous system, and slow deterioration, thereby for more than 75,000 members across the you may sometimes see several providers—say, too late to improve your health. I hope your read- helping prevent injury and illness. state. AlohaCare contributes to the health of for example, your primary care provider, a nurse ers take this to heart and really start living these Hawai‘i’s communities by improving access practitioner and a specialist—all together in the suggestions today. Eat nutritious, diverse foods. GM: Wow. As you continue your research on these to health care; promoting quality care and same room during your appointment to talk about Exercise every day and maintain a healthy weight. subjects, we hope you’ll drop by Generations disease prevention; and supporting health your care. Control your cholesterol level. Take calcium. Magazine again and tell us more. partnerships, projects and education. Drink plenty of water. Always use sunscreen. Get RB: I certainly will! ■ GM: For those of us in our older years, how’s this medical screenings on time, such as for prostate new model of care going to be a benefit? cancer, colorectal cancer and glaucoma. Wear RB: Seniors will find this team-oriented health your seatbelt. Set up your household to be free care approach helpful for many reasons. Accord- of things you can trip over, slip on or fall from. Inspiring our Kūpuna ing to the U.S. Census, about 80 percent of older Americans have at least one chronic health condi- GM: Will do. And you promised you’d have tion, and 50 percent have two or more. Naturally, something “revolutionary” in the area of anti- aging. What is that? to live healthier lives. then, they tend to spend more time at the doctor Diane Ako and take more medications than younger folks. RB: That’s right. I’m the father of 13-year-old for AlohaCare It becomes increasingly difficult to navigate twin girls, so I have good reason to want to be p 14 | for Pedestrians—It’s the Law! Special Feature :: Zumba Debbie Azama-Park, Moana Instructor Meyer Genie Brown from Mililani has been teaching Zumba party locations: Come since early 2009. As a long-time fitness instructor, Azama-Park: 24-hour Fitness (Downtown) she confesses that she did not care for Zumba Monday, 6:30 p.m. at first. She was not a dancer and sometimes she felt a little awkward. “Shaking around at Punahou Spa Wednesday 6:15 p.m., Saturday 10:30 a.m. Zumba Noreen an older age was not easy at first,” she says, Shimizu “but I wanted to teach Zumba because I felt that Island Oasis at Aloha Tower with us! teaching a fun class would be more inspiring. Saturday, 2 p.m. Participants just let loose and put their own Definition Studio he greatest party has arrived here in Hawai‘i. In only a few short years, Zumba has spread attitude into their moves.” Friday, 5 p.m. The Zumba® Fitness craze is exploding in like wildfire, positioning itself as the single most T Genie’s students benefit from class in a variety popularity across the Islands. The Zumba pro- influential movement in the fitness industry. Washington Intermediate ways. For example, student Stephanie of Mililani gram fuses hypnotic Latin rhythms with easy-to- Tuesday, 6 p.m. Debbie Azama-Park and Genie Brown are lost 6 pounds in only a couple of months, and Jan follow moves for all ages, shapes and sizes. This just two of the approximately 300 instructors in found out that her blood pressure went down. Genie Brown: one-of-a-kind fitness program aims to get you Hawai‘i. You can find Zumba classes just about Phil of Wahiawaˉ lost eight pounds, but the bigger There are a number of kinds of Zumba classes, hooked and make you want to workout. anywhere, including most fitness clubs. benefit is that he can now fit into his pants again. including Zumba Tonic (kids), Zumba Toning Zumba fanatics achieve long-term benefits (with small hand weights for endurance As a long time fitness member, Debbie contin- According to Genie, everyone should walk a from this one-hour, calorie-burning, body-ener- training), Zumba Gold (introductory class for ues to exercise in her adult life. She has practiced minimum of 10,000 steps per day. In a normal gizing workout and conditioning. beginners) and Aoa (active older adults). yoga for 18 years, yet she wanted to add a cardio 45-minute Zumba class, students take more than The routines feature interval training sessions, portion to her physical regimen. Then Zumba 5,000 steps. This is half of the daily recommended YMCA - Mililani with movements designed to engage your body came into her life. “The music is key to working steps in just 45 minutes. Zumba also helps with Wednesday, 8:45 a.m.–9:30 a.m. (Gold class) and mind. Fast and slow rhythms are combined out with Zumba,” she says. “You cannot sit still flexibility, strength and back pain … not to men- Friday, 7:15 a.m.–8 a.m. (Gold toning, with resistance training when the music is going. The Cumbia music is tion it almost guarantees a good night’s sleep! 10-OAM-0868Awith weights) Gen.indd 10/6/10 2:14 PM - 1 - (Cyan)(Magenta)(Yellow)(BlacK) to burn fat and tone and my favorite of the Latin rhythms.” So if you want to enjoy a longer, healthier life, sculpt your body. Add Debbie knows that trying something new is call Debbie Azama-Park at 625-1040 or Genie some Latin flavor and always a little challenging, but she always says Brown at 531-3558 for a class. Active aging is international zest into to never give up. She encourages, “If you love here to stay and so are the Zumba parties. ■ the mix and you’ve got a music, it will get easier and the music will keep Zumba class! you going.”

We’ll take care of your every need, including catering, party decorations and entertainment. Your guests are going to have a great time, shouldn’t you?

High energy club. Private parties for up to 400 guests. Hibiscus Ballroom Dinner parties for up to 500 guests. Smaller rooms also available.

Call 808-955-4811 and ask for our Catering Department www.alamoanahotel.com 410 Atkinson Drive • Honolulu, Hawaii 96814

Matsumoto & Clapperton Advertising Date: 9/20/10 p 16 | for Pedestrians—It’s the Law! Genie Brown, Instructor Get moreClient: online ALA MOANA atHOTEL www.Generations808.com Job# 10-OAM-0868A | p 17 Head: “Party!” Pub: Generations Run date: November Size: 1/4 pg., 3.4375” x 4.9375”, 4/color Mtls: PDF-X/1a Special Feature :: Returnment Work After Work: Our new age of life and the moral necessity for “returnment.” By Jay C. Bloom

Returnment – n. I believe there is a great spiritual need and moral necessity for redefining “retirement” with 1) The act of giving back, or returning in some “returnment.” I define “returnment” as “the act small way, what the world has given you. of giving back, or returning in some small way, 2) Especially as an alternative to retirement. what the world has given to you.” Other words could be used such as stewardship, trusteeship or even aloha. I like this new word because it t the turn of the 20th century, the average captures not only our new age of life, but also Alife expectancy was only 47. Today, it is the psychological and spiritual needs of this time rapidly approaching 80. Our fastest growing age of life as well. group is folks over the age of 85, with someone The pursuit of the traditional retirement life of in this country turning 50 every eight seconds. primarily leisure and consumption will lead to More importantly, older adults are healthier than not only a tremendous loss of talent, experience previous generations and this has created an and resources, but intensified inter-generational unprecedented average lifespan. An average economic and resource conflicts, and ultimately 60-year-old person today is closer to a 40 or for most individuals, regret and despair. It is not 50 years old health-wise when compared to a enough to honor our kuˉpuna, we need to engage 60-year-old 20 or 30 years ago. them as a renewable resource. Our old model of retirement suggested that To live the rest of our lives uninvolved and un- people work until the ages of 60 to 65, and then engaged will be unrewarding and unacceptable. a person felt fortunate if there were a few years If you are not engaged in your later years, you of leisure before their physical health deteriorated are just dying longer not living longer. and/or death ensued. Today, that is all changing. President Obama has called for a new commit- Many older adults have to work, or want to work, ment to volunteerism by all age groups. We need With “living with purpose” being one of the “This time, like all times, is a very good one, in their later years. to challenge the 80 million strong boomers to step primary drivers of people over age 50, community if we but know what to do with it.” Our seniors have already expressing that they up, get involved and set the example. This grow- service through non-profit organizations (NPOs) ■ will not approach retirement in a traditional ing age group will have more time than any other is a real win/win opportunity. We cannot afford ~Ralph Waldo Emerson fashion. For example, many boomers are already age group and they have energy and experience for boomers in their aging lives to be perceived having great difficulty relating to the terms senior, that we need and can use. as socially useless and only living a life of con- elderly, old and mature. Most of them will also The good news is that surveys indicate that up sumerism. There is a great need, opportunity and Jay C. Bloom, President of Bloom Anew 808-753-4331 | www.BloomAnew.com resist the term “retirement.” to 80% of all boomers expect to work or volunteer moral necessity for tapping into their wisdom, As one recent retired teacher said, “I have part time in their later years, and 70% said that experience, wealth, finances and time. retired from teaching, but I am not retired. I they would work even if they had enough money Just imagine if only a portion of the people tell you I am going to find another word that is to live comfortably, according to a survey by the here in Hawai‘i retiring each year now were to different from the word retirement. Retirement Rutgers Community Center for Workforce Devel- pursue a life of “returnment.” What problems lends itself for people to say, ‘Well, he is tired, opment. The care giving professions of teaching, could be addressed? How many children’s lives that’s the end of it.’ There has to be another childcare, nursing and human services are in would be different? What new kind of energy word other than retirement.” great need of replenishment and expansion. would be created? What level of hope? p 18 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 19 Programs & services :: Social Security Programs & services :: Caregiving The Caregiver Foundation Tools to Help You Decide Your First Steps on the When to Retire Care Giving Journey By Jane Yamamoto-Burigsay

hese days, everyone is taking a new look at If you choose to start receiving benefits early, he first few steps on a Moving your loved one to Ttheir finances—and no one is looking more the monthly payments will be reduced based on Tcare giving journey can a nursing home is difficult. closely than the millions of baby boomers who the number of months you receive benefits before seem fairly simple but with- He or she may feel aban- are nearing retirement age. While some boomers you reach your full retirement age. The rate of in just a few days the path doned, unloved, rejected. expected to retire at one of the traditional mile- reduction will depend on the year you were born. turns rocky and is full of There may be angry accusa- stones, such as age 62, the current economy is The maximum reduction at age 62 will be: turns and twists that confuse tions and emotional pleas. forcing many of them to re-evaluate their plans. • 25 percent for people born between even the most experienced You may even feel guilty Many are wondering if they should work longer, 1943 and 1954 caregiver or capable family for making the decision. or how their Social Security benefit—or their member. • 30 percent for people born after 1959 But GUILT is an emotion spouse’s benefit—would be affected if they con- The Caregiver Foundation that results from having tinued working. If you wait until your full retirement age, your is a Hawai‘i-based, not-for- done something wrong and To help them find answers, Social Security has benefits will not be reduced. And, if you should profit organization that supports the practical identifies actions that should be changed. It is published a fact sheet called When To Start Re- choose to delay retirement, your benefit will in- and emotional needs of caregivers and those they often misused in care giving. If we took Mom to ceiving Retirement Benefits. You can read it online crease up to 8% a year from your full retirement love. Its Caregiver Support Groups are comple- the side of the forest and left her there, then we at www.socialsecurity.gov/pubs/10147.html. age until age 70. However, there is no additional mented by extensive on-line support at www. would have done something wrong, and could benefit increase after you reach age 70, even if you thecaregiverfoundation.com. The support groups feel appropriately guilty. As most workers know, your choice of a retire- continue to delay taking benefits. ment age—from 62 to 70—can dramatically af- meet once a month at various locations, where Choosing a nursing home is not deciding fect your monthly Social Security benefit amount. Social Security also has created several retire- caregivers learn about issues from experienced to give up caring for your loved one. It is recog- ment planners to help you make an informed professionals. More importantly, the groups nizing your own limitations and understanding decision. Social Security has an online calcula- provide caregivers an opportunity to share their that sometimes the best care is not always your tor that provides immediate retirement benefit experiences, frustrations and successes. The care. And the best place of care may not be in estimates. The online Retirement Estimator uses popular four-session Caregiver Boot Camp is your home. Lift Chairs information from your own earnings record, and held, free, wherever requested. Choosing to move someone to a home has to lets you create “what if” scenarios. You can, for The foundation also provides direct services, example, change your “stop work” date or expect- be done after taking into account the broader situ- ranging from professional money management to ation. Remember—there are no right choices— ed future earnings to create and compare different comprehensive care coordination services. Some As low as retirement options. every decision you make is wrong for somebody. $695 services are provided at no cost and others have So caregivers often deal with feelings of regret, *To use the Retirement Estimator, visit fees at substantially lower rates than found com- anger, failure, disappointment and grieving. www.socialsecurity.gov/estimator. mercially. Community speakers, family consulta- These emotions require that you have patience The Gift of *Read When To Start Receiving Retirement Benefits tions, resource articles, and an on-going infor- with yourself. Try to understand your loved one’s at www.socialsecurity.gov/pubs/10147.html. mation and referral service are just some of the feelings, and have a clear understanding of how Independence foundation’s services. *And for general information about Social Security, the facility operates. visit www.socialsecurity.gov. Along the way of care giving, you might The Caregiver Foundation of America—Hawai‘i discover that love is not enough. What do you Retirement decisions are unique to everyone. Chapter helps caregivers, and those they love, “Your Source for Home Care Products” do when taking care of loved one at home with practical and emotional assistance. Visit 591-8860 Make sure you are up to date with the important doesn’t work? 1350 S. King St., Suite 101 • Honolulu www.thecaregiverfoundation.com or call Showroom Hours: Mon - Fri 9am - 6pm information you will need to make the choice Sat 10am - 4pm Telling Mom she was moving to a nursing home (808) 625-3782. ■ dautermanmedical.com that’s right for you. ■ was the hardest thing I have ever done …

p 20 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 21 For more detailed and complete list of resources Resource Guide :: go to Generations808.com

Senior CENTERS Phone (808) Email / Website

Oahu

CCH Lanakila Multi-Purpose Senior Center 847-1322 www.catholiccharitieshawaii.org 1640 Lanakila Avenue, Honolulu 96817 SIMPLE GUIDE Kaneohe Community & Senior Center 233-7317 45-613 Puohala Street, Kaneohe 96744 HOW TO GET Kapahulu Center 737-1748 3410 Campbell Avenue, Honolulu 96815 MOVING?

Makua Alii Senior Center 973-7258 www.honolulu.gov/parks 1541 Kalakaua Avenue, Box 3, Honolulu 96826 15 CRAIGSIDE IS OPENING SOON! Moiliili Senior Center 955-1555 www.moiliilicc.org With our moving in date fast approaching there are a number of things to 2535 S. King Street, Honolulu 96826 think about and prepare for. Planning is the key! ORI Anuenue Hale Inc. 622-3929 With so many decisions to make − call for your free and simple to use 64-1510 Kamehameha Hwy., Wahiawa 96786 “How to Get Moving Guide” to help you get and stay organized Waikiki Community Center 923-1802 www.waikikicommunitycenter.org throughout your move. Choice apartments still available, call today. 310 Paoakalani Avenue, Honolulu 96815 Tel 808 285-5178 1741 Nuuanu Avenue Honolulu, Hawaii 96817 Maui Mon-Fri: 10-3pm www.15craigside.org Sat-Sun: By appt. only Kaunoa Senior Services – Paia 270-7308 401 Alakapa Place, Paia, HI 96779

Kaunoa Senior Services – Lahaina 661-9432 ARCADIA COMMUNITY SERVICES 788 Pauoa Street, Lahaina, Maui, HI Supporting Hawaii Seniors Staying at Home Hale Mahaolu 872-4100 / TDD: 1 (800) 545-1833 ext 432 200 Hina Avenue, Kahalui, Maui Hi 96732

CENTRAL UNION CHURCH Kilohana Senior Enrichment Center Hawaii Home Health Services Providing Adult Day Care Services Adult Day Program Kamana Senior Center 961-8710 Reliable | Quality | Care to Older Adults in a Caring, Located at Kilohana United 127 Kamana Street, Hilo, HI 96720 Safe and Secure Environment. A combination of residential Methodist Church in Niu Valley home care solutions, Holualoa Senior Center 322-5032 1660 S. Beretania Street personalized support services 5829 Mahimahi Street 82-6156 Mamalahoa Hwy., Kailua-Kona, HI 96704 Honolulu, Hawaii 96826 and healthcare. Honolulu, Hawaii 96821

Mon-Fri 7:30 - 5:30PM For Information Call Mon-Fri 7:30 - 5:30PM Statewide Hawaii Senior Centers (808) 440-3020 (808) 440-3041 (808) 373-2700 For more information on Senior related issues you may call from any island 643-ADRC

Let us help you today! *This resource guide is simply a short list of facilities on Oahu only. It is always a good idea to do your own research on every facility before making your decision. You may want to also contact the Executive Office on www.arcadia-hi.org Aging’s Long-term Care Ombudsmen at 586-0100 or go to www.hawaiiadrc.org for more informatiion. p 22 | for Pedestrians—It’s the Law! Programs & services :: Elderly Affairs Division (EAD) By Lei Shimizu

White says that hoarding and obsessive-com- If you know someone who struggles with pulsive behavior are partly genetic and partly hoarding, document all your concerns, observa- learned. Hoarders tend to mimic the lifestyle tions and complaints. Keep note of your actions Hoarding Habits their parents with obsessive-compulsive disorder, and calls. Establishing a track record is essential ho are hoarders and clutterers? Television On the other hand, hoarders usually collect large have some degree of dementia, past experiences from any perspective; legal, social or medical. Wshows like Mission Organization and Hoard- quantities of the same item, of no evident value, of deprivation, sentimental attachment to items, Call the following organizations for help: ers on A&E TV have brought to the forefront this or too much of an item that eventually gets ru- or a strong need to keep in control. The individual behavior that is often observed but rarely ad- ined, such as 100 rolls of wet toilet paper or writ- is unable to move on, perpetually living in the Hawai‘i Department of dressed. On a more sobering note, it has opened ten materials (newspapers, magazines). Hoarders past. Hoarders are usually more competent than Elderly Affairs Division: our eyes to thousands who may find themselves also often express the “my neighbor is trying to not, often extremely intelligent and witty. 768-7700 living with fear, isolation, shame and self-neglect. poison me” syndrome. The individual is usually It’s important that hoarders are protected Honolulu Gerontology Program: The elderly are particularly at risk due to debilitat- single, delusional, paranoid, isolated, suspicious against discrimination and violation of their 543-8468 ing mental or physical decline, or a transmission and litigious. Many also suffer from some kind of rights to self-determination. In order for agen- Catholic Charities Hawai‘i: of a pre-existing, underlying mental condition, impairment such as hearing or vision loss. They cies such as the Adult Protective Services (APS) 521-4357 such as obsessive-compulsive behavior manifest- face eviction by being a nuisance, making false to intervene, a written psychiatric evaluation that Adult Protective Services: ing itself into old age. Is this a problem? For many, complaints of fumes or radio static, or mistaking supports a protective order and a judge’s decision 832-5115 ■ their hoarding habits boarder on eccentricity, entries and theft; yet, there is rarely evidence to must occur first. Further, social workers and uniqueness or a Bohemian lifestyle. For others, it warrant official action. other health and welfare professionals must de- is facing eviction notices, visits by social workers, Lei Shimizu, MSW, LSW The prevalence of hoarding is unknown because termine that the least restrictive alternatives have Coordinator Information & Assistance Services, the police, and definitely the resident manager. it is a very BIG secret. Doctors, lawyers, anyone been tried, and the individual lacks capacity to Elderly Affairs Division Dr. Harry Moody of the Institute for Human can be a hoarder. Between 18 to 42 percent of the point of endangering him/herself or others Department of Community Service City & County Values in Aging, International Longevity Center in hoarders are diagnosed with obsessive-compulsive because of the hoarding behavior. of Honolulu New York, says, “Hoarders are refusing to let go of behavior. Twenty percent have dementia, mostly the past.” He posited that our capitalist society of female and single. “more is best” contributes to our “collecting our way into immortality.” Hanging onto our past creates a dead sea— water pours in, but no water flows out. We need to understand the process of holding on, and A Gift That Gives Back... letting go early. Referring to Erik Erikson’s last two stages of life, Generativity vs. Stagnation, and Lock In a Secure Income Today! Integrity vs. Despair, we equate Generativity to In today’s economic environment, consider the benefits of a charitable gift generosity, or the giving of ones self (and one’s annuity with The Salvation Army. Lock in a secure stream of income with stuff), and Integrity to the feeling of peace within one of America’s most trusted charities. one’s self after having accomplished what was meaningful in life. Contrarily, we face Stagnation ■ Fixed income for life and Despair when, as a result of hoarding, we Name(s) ■ Relief from taxes experience feelings of being “stuck,” resentment, Address a sense of not having reached our goals in life; at ■ Income now or later worst, time has run out, as we face mortality in City the last life stage. To attain the stage of Generativ- ■ Support your community State, Zip ity and Integrity successfully, we need to be giving Birth Date(s) and receiving many “thanks” instead. ONE-LIFE RATES Phone ( ) Interestingly, there is a difference between Age Rate Age Rate Age Rate Age Rate E-mail hoarding and cluttering and collecting. Accord- 65 5.7% 72 6.3% 79 7.4% 86 9.2% ing to Dr. Monika White, President and CEO for 66 5.8% 73 6.5% 80 7.6% 87 9.5% The Salvation Army Healthy Living, clutter has a disorganized environ- 67 5.9% 74 6.6% 81 7.8% 88 9.8% Ellen Kazama, Director of Legacy Gifts ment. Collections are usually interesting, inherited 68 6.0% 75 6.7% 82 8.0% 89 10.1% 2950 Manoa Road 69 6.0% 76 6.9% 83 8.3% 90+ 10.5% Honolulu, HI 96822 or things that have order and value. 70 6.1% 77 7.0% 84 8.6% Call: (808) 440-1862 Two-life rates available. E-mail: [email protected] 71 6.2% 78 7.2% 85 8.9% Rates subject to change. Visit: www.giftlegacyhawaii.org p 24 | for Pedestrians—It’s the Law! GH ACGA9 For information call 808-440-1862 or return coupon. ©2010 The Salvation Army Since 1865

Job No: SA-5783-A1 Publication: GENERATIONS HAWAII Product: 4-color ad Ad Code: ACGA9 Size: 7" x 4.9375" Insertion Date: December 2010 11/05/10@5:00PM Art Director: SJ NEW MATERIAL - CHANGES OR REVISIONS NOT AUTHORIZED!

(310) 322-2210 Fax (310) 322-0617 [email protected] Programs & services :: Medicare Lifestyles :: Health Ward Off New Law Equals NO HAWAII TheFlu REAL ESTATE LICENSEE t’s the holiday season, meaning most of us will SHOULD PLACE THEIR Medicare Savings Ibe out and about more often than usual. Shop- ping malls, restaurants, parties, church services— LICENSE INACTIVE! he “Extra Help” and the “Medicare Savings People Qualify and Don’t Even Know It wherever we are, it’s a good idea to remember that Join us and receive commissions TPrograms” now allow more people with The new law will allow more people to qualify crowds provide the perfect environment for influ- Medicare to pay $2.50 for generics drugs, $6.30 for “Extra Help” and the “Medicare Savings Pro- enza viruses (the flu) to spread by coughs from being a Referral Specialist, for brand name drugs, never experience the grams.” Even if you were turned down for “Extra and sneezes. whether you reside on Oahu or any “donut hole” and to get help from the State of Help” or for the “Medicare Savings Programs” in Symptoms appear one to four days after Hawaiian island. Referrals can be made Hawai‘i in paying for their Medicare Part A and/ the past, you should reapply. If you qualify, you’ll the virus enters the body. These include fever, anywhere in Hawaii or on the Mainland. or B Premiums. get help paying for Medicare prescription drug fatigue, cough, sore throat, runny or stuffy nose There are no Board dues. Making ends meet shouldn’t mean going with- coverage premiums, copayments and deductibles and muscle or body aches. Adults may pass the out your medications. If you have limited income and Medicare premiums. virus beginning a day before and up to a week Real Estate and resources, Medicare’s “Extra Help” program To qualify, you must make less than $16,821 after they develop symptoms. Children may infect Referral Center, Inc. sets it up so that you pay no more than $2.50 for a year (or $22,626 for married couples). Even others for longer than a week. 1806 S. King Street, Suite 31 each generic drug and $6.30 for each brand name if your annual income is higher, you still may The 2009 H1N1 influenza virus and various Honolulu, HI 96826 drug. The Centers for Medicare and Medicaid be able to get some extra help with your drug seasonal flu viruses are still circulating through- For an information packet, contact: Services estimates that “Extra Help” can save coverage. Your resources must also be limited out the world. While there’s no reason to panic, Medicare members as much as $3,900 per year. Sherry A. Goya (S), President to $12,510 (or $25,010 for married couples). you should be aware that outbreaks due to any of 808-722-8487 | [email protected] Resources include bank accounts, stocks and these strains remain a threat. bonds, but not your house or car. (Medicare Now it’s even easier to qualify for “The best protection against influenza is immu- Savings Programs asset levels are $6,600 for “Extra Help” from Medicare and get nization,” says Dr. Phil Bruno, infectious disease a single person and $9,910 for a couple) help from the State of Hawai‘i in pay- physician specialist and chairman of the infectious ing for Medicare premiums. A new law There’s No Cost or Obligation to Apply disease control committee for Kaiser Permanente’s changed how your income and assets Hawai‘i Region. “The good news is adults and are counted in 2010: It’s easy and free to apply for “Extra Help” and children over the age of 8 will need only one the “Medicare Savings Programs.” You, a family • Life insurance policies don’t count vaccine this season. The 2010-2011 trivalent influ- member, trusted counselor or caregiver can apply enza vaccine will provide protection against the as resources (for prescription drug as- online at www.socialsecurity.gov or call Social sistance). 2009-H1N1 influenza virus, the seasonal H3N2 Security at 1-800-772-1213 (TTY users should call influenza virus and the influenza B virus.” • Household expenses—like food, 1-800-325-0778) and ask for the Application for mortgage, rent, heating fuel or gas, elec- Help with Medicare Prescription Drug Plan Costs. According to Dr. Bruno, children who are 6 months tricity, water, and property taxes—paid to 8 years old may need two doses of the vaccine You can also call Sage PLUS, the Hawai‘i State administered at least four weeks apart this year by relatives, friends and others do not Health Insurance Assistance Program (SHIP), at count as income. if they have never received seasonal or 2009-H1N1 586-7299 or 1-888-875-9229 to reach a certified influenza vaccines before, or if they have received • Asset amounts are now higher to counselor in your area. only one dose of seasonal influenza vaccine in receive assistance from the State of For an application for the Medicare Savings the past. Hawai‘i in paying for the Medicare Part Programs you can call your local Med-QUEST A/B Premiums, also known as the Medi- “The CDC recommends influenza immunizations Office at 808-524-3370 or 1-800-316-8005. All for everyone who’s 6 months and older,” Dr. Bruno care Savings Programs (MSP). ■ the information you give is confidential. says. Influenza immunization protects you, your • If you apply for the “Extra Help” family and your community. It’s important for you through Social Security, your application and your loved ones to be immunized.” will automatically be sent to the State of Hawai‘i for consideration unless you For more information on the flu, visit choose not to have it sent. kp.org/flu. ■

p 26 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 27 Lifestyles :: HARA Lifestyles :: AARP The Hawai‘i Alliance for Volunteers Wanted! Retired Americans (HARA) AARP Hawai‘i is Looking for By Percy Ihara and Al Hamai Advocates and Educators

Current 2010 Officers of Hawai‘i Alliance for Retired Americans (from left to right): Al Hamai, President; Justin Wong, Vice Presi- The dent; Phyllis Hiramatsu, Treasurer; Jackie Foil, Secretary Caregiver

Founded in 2001, HARA consists of 10 organi- Foundation zations with shared goals. HARA ensures that our state is a good place to retire and age. It supports the aspirations of seniors to remain healthy and We Can lead a full and productive life, while aging in place at home. Help You Our Mission: HARA strives to better the health, economic security and quality of ith the 2011 legislative provided. The first state legis- 808-625-3782 life for Hawai‘i’s seniors and retirees. Wsession poised to begin lative advocacy training is on January 19, AARP is looking scheduled for January 11–12. thecaregiverfoundation Our Vision: That Hawai‘i’s seniors and @yahoo.com 011 will be a year of change for most of us, retirees enjoy “choices,” which result for enthusiastic volunteers to It will include visits to legisla- 2especially if you’re a senior. Some things are in an improved standard of living and a advocate for issues important to tive offices on January 12. out of our control, such as changes in Medicare better, higher quality of life. older adults and their families. Space is limited. Our advocates participate in enrollment, health care reform, the country’s Our Legislative Agenda: Some issues Call AARP Hawai‘i Associate (and our family’s) financial stability. That is community outreach and educa- State Director Jackie Boland at that ARA/HARA are now engaged in tion. This is a chance to learn why it’s important for us to affect change when include: Expand the Kupuna Care Pro- 545-6003 to find out how you can and where we can. new skills or put the skills volunteer and receive training. gram; protect and expand Social Secu- you already have to good use Are you at a place in your life where you rity, Medicare and Medicaid; urge people Training will be provided. Wondering what you’d be want to do something to affect change? Are you to take advantage of the benefits under working on? AARP works on a a retired union member? If so, we have just the the new health reform act; safeguard Volunteers involved in leg- range of issues, including fight- place for you to volunteer and start to affect pensions and other retirement benefits; islative advocacy with AARP ing to preserve and strengthen change in our state. provide adequate, accessible and afford- Hawai‘i fulfill a range of func- Social Security, creating safe and able housing and transportation ser- tions, from attending hearings, healthy communities and ensur- The Hawai‘i Alliance for Retired Americans contacting legislators, coordi- Have you Fallen? (HARA) is the state affiliate of the Alliance for vices; and educate members about issues ing access to quality health and affecting its members and families. nating rallies and public events long-term care. For example, 1 out of 3 Seniors Retired Americans (ARA), a national advocate to writing letters and making on senior and aging issues with more than 3 mil- we’re fighting to secure support fall every year! phone calls. Participation can be for vital programs like Kupuna lion members. ARA ensures social and economic as little as two hours a month to justice and full civil rights for all citizens so we HARA is a strong voice for Hawai‘i’s retirees Care that help family caregivers as much as 30 hours a month. and keep our elderly residents 30% of falls are may enjoy lives of dignity, security and personal and seniors; a diverse community-based organiza- preventable. and family fulfillment. The alliance believes that tion with national roots; a grassroots organizer, Volunteers involved in edu- at home for as long as possible. educator, and communicator; and a trusted source cation and outreach speak to all older and retired persons have a responsibility So why volunteer? This is a Call Project Dana for a to create a society that incorporates these goals of information for decision-makers. groups, coordinate and staff great opportunity to get your and rights. The alliance encourages seniors to To learn more about HARA or to join, please educational events and arrange voice heard on important is- FREE take advantage of their retirement and use it as email Al Hamai, HARA president, he will get you AARP tables at events where sues and to make an impact as Home Safety/Fall an opportunity to pursue new and expanded involved in advocacy work here in the Islands; information is distributed. part of AARP’s advocacy efforts. Prevention Assessment! activities with their unions, civic organizations [email protected]. For more informa- Basic orientation to AARP Plus, you’ll meet some interest- and communities. tion, please visit www.retiredamericans.org. ■ and advocacy training will be ing people along the way! ■ 808-945-3736 p 28 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 29 Six out of 10 people with Alzheimer’s disease...... or related dementia, will wander during the When an incident of wandering occurs, course of their illness. Wandering can be dan- member information and a photo are faxed gerous, even life threatening and the stress can to local police to aid in the search. Support is weigh heavily on the caregivers and family provided by MedicAlert®+ Safe Return® and the members. There is an estimated 28,000 Hawai‘i Alzheimer’s Association–Hawai‘i Chapter staff. residents with Alzheimer’s disease or related Chapter staff will provide support and guidance dementia, and the risk of developing the disease to help the family stay calm and focused, and doubles every five years after the age of 65. will provide counseling on how to avoid another Medicaid for Nursing Home Costs MedicAlert®+ Safe Return® member ID incident in the future. jewelry comes with personal information and For more information about the MedicAlert®+ MedicAlert®+Safe Return’s® 24-hour, toll-free Safe Return® program or if you wish to enroll, emergency phone number. All members also please call 1-800-272-3900, or 808-591-2771. MYTHS and CONCERNS about Medicaid eligibility: receive a personalized emergency wallet card, 24-hour emergency response service, a personal “I don’t qualify because I have too much money” health record and the Six Steps to a Safe Return magnet. Optional ID jewelry is available for care- “I heard they will put a lien on the house” givers in case of emergency. There is a one-time enrollment fee of $49.95, with a $4.95 shipping “I heard it takes 3-4 months to qualify” and handling fee for the ID jewelry. Tired of asking around? We have the answers! Scott Gardner & Co. has been navigating Hawai‘i’s Medicaid beneficiaries, as well as their families who live abroad, through the complex Medicaid application process since 2004. www.est8planning.com One of our specialties is getting Medicaid to cover the cost of nursing/foster home care. We also help clients prepare for a family member’s future long-term healthcare plans. Being prepared now can help you make better financial decisions in the best interest of your family. HONOLULU OFFICE Alakea Corporate Tower Scott Gardner & Co. immediately brings comfort and relief by providing a handholding 1100 Alakea Street, Suite 2424 service, from application to approval. We plan out an eligibility plan, complete the application Honolulu, Hawai`i 96813-2840 for you and accompany you to the face-to-face interview. (808) 587-8227 For more information, please visit our website at www.scottgardnerco.com, or call Scott Imua, Gardner at 226-9231. Generations MAUI OFFICE KAUAI OFFICE 411 Huku Li`i Place, Suite 201 2-2494 Kaumuali`i Hwy., Unit C Magazine! Kihei, Hawai`i 96753-7062 Kalaheo, Hawai`i 96741-8350 (808) 891-8881 (808) 332-8833

Gentry Pacific Design Center, 560 N. Nimitz Hwy., Suite 217F, Honolulu, Hawaii 96817 T: (808) 585-0029 • F: (808) 585-0039 • [email protected] • www.scottgardnerco.com p 30 | for Pedestrians—It’s the Law! Get more online at www.Generations808.com | p 31 To learn about the choices you have in Medicare call your local licensed Humana agent.

For Oahu: 808-545-5757 For Neigboring Islands: 1-877-833-4486 (TTY: 711) Monday – Friday, 8 a.m. to 5 p.m. Seven Waterfront Plaza 500 Ala Moana Blvd., Suite 400 Honolulu, HI 96813

Medicare-approved HMO, PPO and PFFS plans are available to anyone enrolled in both Part A and Part B of Medicare through age or disability. Enrollment period restrictions apply; call Humana for details.

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