Rosalynn Carter, former US first lady and mental health activist, dies at 96

Former US first lady Rosalynn Carter, who President Jimmy Carter called “an extension of myself” owing to his wife’s prominent role in his administration even as she tirelessly promoted the cause of mental health, died on Sunday at age 96, the Carter Center said.

Rosalynn Carter, who in recent days had entered hospice care at home in Plains, Georgia, died with her family by her side, according to a statement released by the Carter Center, a nonprofit organization founded by the couple.

Jimmy Carter, a Democrat, served as president from 1977 to 1981. He and his wife were the longest-married US presidential couple, having wed in 1946 when he was 21 and she was 18.

After his single term as president ended, he also enjoyed more post-White House years than any president before him, and she played an instrumental role during those years, including as part of the Carter Center and the Habitat for Humanity charity.

Her family in May disclosed that she had dementia but was continuing to live at home. Jimmy Carter, 99, himself is in hospice care after deciding in February to decline additional medical intervention. 

“Rosalynn was my equal partner in everything I ever accomplished,” the former president said in the statement. “She gave me wise guidance and encouragement when I needed it. As long as Rosalynn was in the world, I always knew somebody loved and supported me.”

She was seen as unassuming and quiet before coming to Washington in 1977 but developed into an eloquent speaker, campaigner and activist. Her abiding passion, which carried far beyond her White House years, was for the mentally ill, not because of any personal connection but because of a strong feeling that advocacy was needed.

“The best thing I ever did was marry Rosalynn,” Carter told the C-SPAN cable TV channel in 2015. “That’s the pinnacle of my life.”

Before her husband was elected president in 1976, Rosalynn was largely unknown outside of Georgia, where he had been a peanut farmer-turned-governor. He lost his 1980 re-election bid to Ronald Reagan, a Republican former California governor and Hollywood actor.

In Washington, the Carters were a team, with the president calling her “an extension of myself” and “my closest adviser.” She was often invited to sit in as an observer at cabinet meetings and political strategy discussions. In a 1978 interview with magazine editors, Carter said he shared almost everything with his wife except top-secret material.

“I think she understands the consciousness of the American people and their attitudes perhaps better than do I,” he said.

She also was sent on important official missions to Latin America and was part of the unsuccessful campaign for ratification of the Equal Rights Amendment to the U.S. Constitution to ensure equal treatment of women under the law.

The Iranian hostage crisis – in which American diplomats and others were held captive in Tehran after the Islamic revolution – occurred when Carter was seeking re-election. The crisis contributed to the downfall of his presidency as he refrained from campaigning while trying to resolve the standoff.

During that time, Rosalynn Carter sought to support her husband by speaking in 112 cities in 34 states during a 44-day tour. Her speeches and forays into crowds were credited with helping Carter defeat Democratic challenger Ted Kennedy in the 1980 primaries, although he went on to lose overwhelmingly to Reagan.

First lady Jill Biden on Sunday paid tribute to Carter during an event in Virginia. Former President George W. Bush and his wife, Laura Bush, in a statement called Carter “a woman of dignity and strength.” Former President Donald Trump in a social media post called her “a great humanitarian.”

Mental health interest 

Eleanor Rosalynn Smith was born Aug. 18, 1927, in Plains to Edgar and Alice Smith, and married Carter on July 7, 1946. They went on to have four children.

Her interest in mental health issues stemmed from the early 1970s when she began to realize, while helping her husband campaign for governor, the depth of the problem in her home state of Georgia and the reluctance of people to talk about it.

As first lady of Georgia, she was a member of a governor’s commission to improve services for the mentally ill.

In the White House, she became honorary chair of the President’s Commission on Mental Health, key to passage of a 1980 act that helped fund local mental health centers.

After leaving Washington she pursued her work through the Carter Center, which the Carters founded in Atlanta in 1982. She continued to advocate for mental health, early childhood immunization, human rights, conflict resolution and the empowerment of urban communities.

“I hope our legacy continues, more than just as first lady, because the Carter Center has been an integral part of our lives. And our motto is waging peace, fighting disease and building hope. And I hope that I have contributed something to mental health issues and help improve a little bit the lives of people living with mental illnesses,” she told C-SPAN in a 2013 interview.

Speaking about her 1998 book “Helping Someone With Mental Illness,” Carter said she longed for the day when the mentally ill would be free from discrimination.

In their post-Washington years the Carters were also key figures in the Habitat for Humanity charity, helping build homes for needy families. Their humanitarian efforts were crowned in 2002 when Jimmy Carter was awarded the Nobel Peace Prize.

“I am especially grateful to Rosalynn, who has been a part of everything I’ve done,” a teary-eyed Jimmy Carter said in a speech in Plains after learning he had won the award.

Both Carters were active members of the Plains community, including at the Maranatha Baptist Church where Rosalynn served as a deacon and the former president as a deacon and long-time Sunday school teacher.

The Carter Center said she also is survived by her four children, 11 grandchildren and 14 great-grandchildren.

(REUTERS)

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Former U.S. first lady Rosalynn Carter dies at 96

Former U.S. first lady Rosalynn Carter, who President Jimmy Carter called “an extension of myself” owing to her prominent role in his administration even as she tirelessly promoted the cause of mental health, died on Sunday at age 96, the Carter Center said.

She did peacefully with her family by her side, a statement said.

In May 2023, the Carter family had said she had dementia but was continuing to live happily at the couple’s home in Plains, Georgia. Jimmy Carter, 99, himself is in hospice care after deciding in February to decline additional medical intervention.

“Rosalynn was my equal partner in everything I ever accomplished,” the former president said in the statement. “She gave me wise guidance and encouragement when I needed it. As long as Rosalynn was in the world, I always knew somebody loved and supported me.”

Jimmy and Rosalynn Carter were the longest-married presidential couple, having wed in 1946 when he was 21 and she was 18. After his solo term ended in 1981, he also enjoyed more post-White House years than any president before him, and she played an instrumental role during those years, including as part of the nonprofit Carter Center and the Habitat for Humanity charity.

“The best thing I ever did was marry Rosalynn,” Carter told the C-SPAN cable TV channel in 2015. “That’s the pinnacle of my life.”

She was seen as unassuming and quiet before coming to Washington in 1977 but developed into an eloquent speaker, campaigner and activist.

File picture of Jimmy Carter and his wife, Rosalynn Carter, at the National Convention in Madison Square Garden, in 1976, in New York.
| Photo Credit:
AP

Her abiding passion, which carried far beyond her White House years, was for the mentally ill, not because of any personal connection but because of a strong feeling that advocacy was needed.

Before Jimmy Carter was elected president in 1976, Roslynn was largely unknown outside of Georgia, where her husband had been a peanut farmer-turned-governor. A Democrat, he served one four-year term, losing his 1980 re-election bid to Ronald Reagan, a Republican former California governor and Hollywood actor.

In Washington, the Carters were a team, with the president calling her “an extension of myself” and “my closest adviser.” She was often invited to sit in as an observer at Cabinet meetings and political strategy discussions. In a 1978 interview with magazine editors, Carter said he shared almost everything with his wife except top-secret material.

“I think she understands the consciousness of the American people and their attitudes perhaps better than do I,” he said.

The first lady also was sent on important official missions to Latin America and was part of the unsuccessful campaign for ratification of the Equal Rights Amendment to the U.S. Constitution to ensure equal treatment of women under the law.

The Iranian hostage crisis – in which American diplomats and others were held captive in Tehran after the Islamic revolution – occurred when Carter was seeking re-election. The crisis contributed to the downfall of his presidency as he refrained from campaigning while trying to resolve the standoff.

During that time, Rosalynn Carter sought to support her husband by speaking in 112 cities in 34 states during a 44-day tour. Her speeches and forays into crowds were credited with helping Carter defeat Democratic challenger Ted Kennedy in the 1980 primaries, although he went on to lose overwhelmingly to Reagan in the general election.

Mental health interest

Eleanor Rosalynn Smith was born August 18, 1927, in Plains to Edgar and Alice Smith, and married Carter on July 7, 1946. They went on to have four children.

Her interest in mental health issues stemmed from the early 1970s when she began to realize, while helping her husband campaign for governor, the depth of the problem in her home state of Georgia and the reluctance of people to talk about it.

As first lady of Georgia, she was a member of a governor’s commission to improve services for the mentally ill.

In the White House, she became honorary chair of the President’s Commission on Mental Health, key to passage of a 1980 act that helped fund local mental health centers.

After leaving Washington she pursued her work through the Carter Center, a private, nonprofit institution the Carters founded in Atlanta in 1982. She continued to advocate for mental health, early childhood immunization, human rights, conflict resolution and the empowerment of urban communities.

“I hope our legacy continues, more than just as first lady, because the Carter Center has been an integral part of our lives. And our motto is waging peace, fighting disease and building hope. And I hope that I have contributed something to mental health issues and help improve a little bit the lives of people living with mental illnesses,” she told C-SPAN in a 2013 interview.

Speaking about her 1998 book “Helping Someone With Mental Illness,” Carter said she longed for the day when the mentally ill would be free from discrimination.

In their post-Washington years the Carters were also key figures in the Habitat For Humanity charity, helping build homes for needy families. Their humanitarian efforts were crowned in 2002 when Jimmy Carter was awarded the Nobel Peace Prize.

“I am especially grateful to Rosalynn, who has been a part of everything I’ve done,” a teary-eyed Jimmy Carter said in a speech in Plains on the day he learned that he had won the award.

Both Carters were active members of the Plains community, including at the Maranatha Baptist Church where Rosalynn served as a deacon and the former president as a deacon and long-time Sunday school teacher.

Rosalynn Carter was elected to the Gannett Co board of directors in 1983. She published her autobiography, “First Lady From Plains,” in 1984 and wrote three other books. In 2001, she was inducted into the National Women’s Hall of Fame.



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President Carter is on hospice care, but what is it? Our medical analyst explains | CNN



CNN
 — 

On Saturday, the Carter Center announced that former US President Jimmy Carter will be receiving hospice care at his home in Georgia.

“After a series of short hospital stays, former US President Jimmy Carter today decided to spend his remaining time at home with his family and receive hospice care instead of additional medical intervention,” according to the statement. “He has the full support of his family and his medical team.”

The 98-year-old Carter is the oldest living US president in history. He has survived metastatic brain cancer and faced a number of health scares, including brain surgery following a fall in 2019.

As Carter opted for hospice care, CNN Medical Analyst Dr. Leana Wen and I thought that many people might be unfamiliar with hospice care beyond a vague understanding that some people receive it toward the end of life. There can be benefits and blessings for the person receiving the care and their loved ones, but there are also some common misconceptions about what it involves.

I asked Dr. Wen, an emergency physician and professor of health policy and management at the George Washington University Milken Institute School of Public Health, to guide us through some questions.

CNN: What is hospice care and who qualifies for it?

Dr. Leana Wen: Hospice care is a type of specialty medical care for people near the end of their lives that focuses on maximizing comfort for the patient and support for the patient and their family. That includes reducing physical pain and tending to the psychological, emotional and spiritual needs of the patient and the family.

Generally, to qualify for hospice care, the patient must have an incurable medical condition with an anticipated life expectancy of less than six months. The types of medical conditions that patients have include end-stage cancer, advanced dementia, heart failure and chronic obstructive pulmonary disease.

CNN: Where do patients receive hospice care and who provides it?

Wen: Hospice care is an approach to medical care, not a specific place, so it can be provided in a number of different settings. The choice of settings is up to the patient and family. Providers are an interdisciplinary team of physicians, nurses, home health aides, pharmacists and others who will tend to the patient no matter what setting they choose.

Many patients opt to receive hospice care in their homes, where they can be in familiar surroundings. The hospice team helps to provide equipment, supplies and staff to assist the family to care for their loved one. They provide regular home visits and are generally available around the clock for concerns as they come up.

Hospice can also be delivered in a nursing home or at the hospital. In addition, there are specialized hospice centers.

CNN: What are some common misconceptions of hospice care?

Wen: There is a misconception that hospice care is “giving up” on medical care. Actually, hospice care is a specific type of compassionate medical care for patients in the last stages of incurable disease to live as fully and comfortably as they can. A primary aim of hospice care is to manage the patient’s symptoms so that the patient’s last days can be spent with their loved ones, with dignity and the highest quality possible.

A second misconception is that once a patient enters hospice care, they can no longer receive any medical treatment. This is not true. Patients receive medicines to help their symptoms and alleviate their pain. They and their families can also choose to leave hospice at any point and resume, say, active treatment for their cancer.

I’ve also heard people say that hospice care is only for people with a few days to live. This is also not the case. Often, patients don’t begin hospice care soon enough to take full advantage of the help it offers. Beginning it earlier may help provide months — rather than days — of quality time with loved ones.

CNN: What are the benefits and blessings of this type of care?

Wen: In modern medicine, the tendency is to approach diseases as something to be cured. Unfortunately, this is not always possible. The patient may choose not to continue certain treatments that cause severe pain when there is slim chance for a cure. When there is limited time left to live, that patient may wish to minimize suffering and to prioritize spending the remaining time with their loved ones.

I know the benefits and blessings of hospice care firsthand. My mother was diagnosed with metastatic breast cancer in her 40s. She fought her cancer valiantly, undergoing multiple rounds of surgery, radiation and chemotherapy for eight years. Unfortunately, she had multiple recurrences.

During the final recurrence, it became clear that a cure was not possible and that she had limited time — as it turns out, weeks — to live. She opted to enter hospice care, with the aim to spend her final days at home, rather than in the hospital, and with the aim of alleviating her pain and suffering rather going through yet another round of chemotherapy. I understood and supported her decision, and it was important to me and my family to give her what she wanted, which was the highest quality of life with the least amount of suffering.

CNN: Does insurance cover hospice care?

Wen: Most hospice patients are eligible for Medicare, which provides for hospice care through Medicare Hospital Benefit. Medicaid also pays for hospice care in many states, and many private insurers will cover it. For patients who don’t have insurance, there are some community programs that offer sliding scale coverage or free care.

CNN: What’s the difference between hospice and palliative care?

Wen: There are physicians, nurses and other medical professionals who specialize in hospice and palliative medicine; these are very much complementary and related fields of medicine that share a similar philosophy.

Palliative care, like hospice care, also prioritizes easing suffering, improving the quality for the patient, and delivering that care in a way that centers the patient and family. But differently from hospice care, the patient doesn’t have to forgo curative treatment – palliative care can be provided together with curative treatment. Over time, if it becomes apparent that the patient is likely to die within six months, palliative care can transition over to hospice care.

Both hospice and palliative care are important specialty medical services that are underutilized, and can offer much support and comfort to many more patients and families.

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