Confronting aging: How LGBTQ+ seniors can tackle their special caregiving challenges

Margaret Roesch, 67, and her wife, Pat McAulay, 68, wanted to have a supportive community around them as they grew older. So they helped to create a cohousing development for LGBTQ+ seniors and allies, making it easier to offer support to one another. 

“We said we don’t want to have to go back in the closet when we get older,” Roesch said from the front porch of her home in Durham, North Carolina. 

Opened in 2020, the Village Hearth is a neighborhood of 28 one-story accessible homes for residents ages 55 and up — and one of the few housing developments in the country specifically designed with LGBTQ+ people and allies in mind.  

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“We decided that we were going to be better in community, after having spent eight lonely years in Florida,” McAulay said. “It’s so rewarding to know there’s 30-some people here who have our backs.” 

“I find it very refreshing,” Roesch added.

“We’re all … going to die. People will get sick,” she said. “These things are going to happen, but we also find that we are really good at taking care of each other.”

How to avoid ‘the closet’ while ensuring good care

Older adults in the LGBTQ+ community are twice as likely to be single and four times less likely to have children as their non-LGBTQ+ peers, according to SAGE, a national advocacy organization for LGBTQ+ elders. They may also be estranged from members of their family who don’t accept their sexual orientation and/or gender identity.

“A lot of people in their 70s and 80s who have been closeted, they don’t feel safe and they remain closeted while going through care — that’s a stress,” said certified financial planner Stephanie Lee, founder of East Rock Financial in San Francisco. “You’re trying to get a caregiver, and you’re hiding who you are or hiding your relationship.”

The Village Hearth is a 55-plus cohousing community for LGBTQ+ adults, friends and allies located in Durham, North Carolina.

CNBC

Experts say that makes it especially important to have an aging plan early. 

“As with any stage of life, planning is unique and personal to the individual,” said CFP Kyle Young, a senior vice president at Morgan Stanley Wealth Management in New York. “The key is to start a conversation, educate yourself and finalize plans to assure your wishes are made clear.”

Get legal documents to ensure wishes are followed

At Village Hearth, residents have taken steps to prepare their finances, arrange for care and consider end-of-life planning. They have held workshops on choosing financial and health-care powers of attorney, having an advance directive for medical decisions and finding an attorney to help draft those key legal documents. 

When you’re in the hospital or a care facility, “if you’re heterosexual, the spouse automatically gets visiting rights,” Lee said.

That’s not always the case for same-sex couples, even if they’re legally married. In a hospital or care facility, “if a couple has kept their relationship private from others, advance health-care directives and visitation authorization forms are critical to having the patient’s wishes upheld,” Lee said.

“It’s really critical to get the legal papers to get those visiting rights,” she said, “so you can make those decisions.” 

Develop a caregiving plan early

The earlier you start planning, the easier it is to take steps to follow your plan and meet your goals.

“Having the benefit of time on your side will allow you and your loved ones to make sound, clearheaded decisions while considering cost, tax and broader estate implications of your plans,” said Young, who works with many LGBTQ+ clients.

Having the benefit of time on your side will allow you and your loved ones to make sound, clearheaded decisions.

Kyle Young

senior vice president at Morgan Stanley Wealth Management

Use the time between retirement and needing services to identify your support network, consider your financial situation, and educate yourself about care options that are available, recommends Allison O’Shea, founder of Openly Aging, an advisory firm in Durham.

“A lot of people don’t think about that in-between time,” said O’Shea, who works with clients as a so-called aging advisor after running senior living centers for many years. “There’s a really big piece missing when it comes to what you could be doing to prepare.” 

Create a network of support

Build a support group — neighbors, family, friends, loved ones and professionals whom you know you can lean on. 

If you’re single or not sure if you have people around you who are willing and able to step in, O’Shea recommends hiring a geriatric care manager. These professionals, who may also be social workers, nurses, psychologists or gerontologists, deal with elder-care issues regularly. They can be your advocate, make sure you’re able to access resources, and organize the support you’ll need. 

Consider the range of care options available

It is critical to understand what options you can afford and where to find assistance. “Don’t let your finances scare you,” O’Shea said. “You can create a plan that fits around your finances.”

Getting a handle on your monthly income and assets in retirement can help you determine where and how you’ll receive care later on — whether aging in place in your home or downsizing, or moving into some type of senior living arrangement. 

Local senior centers can be a valuable resource for older adults to find community and information, and many are working to serve a more diverse population. FiftyForward, which has seven community centers in central Tennessee to support older Americans, is working to build more inclusive community, conducting research and hosting cultural competency training. 

“Our country is unprepared for the burgeoning older adult group,” said Gretchen Funk, FiftyForward’s chief program officer. Issues of service access and isolation affect seniors overall, but discrimination can exacerbate those challenges for the LGBTQ+ community. 

“As a society, we need to look at this for all of us, because we will all be facing that,” said Funk. “And there should be power in advocating together.”

Some care services may be free based on your income but have long waiting lists. Knowing where to apply and when could help you mitigate costs. 

“If you have a plan or if you’re educated in what the options are, you’re not stressed over these big life decisions when you’re in a … crisis,” O’Shea said. “You have a step-by-step plan already laid out which will only save you time and money.”

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Sunday Shows: Post-State Of The Union Rundown

We’ve had a lot of fun since liveblogging President Joe Biden’s State of the Union address. We’ve mocked the official unhinged Republican response,the public ritualistic humiliation of Rick Scott and Mike Lee, as well as the crazy lengths that Tucker Carlson has gone to save the GOP’s face.

The Republicans who appeared on the Sunday shows continued flailing and set themselves up for more mockery. Let’s watch!

Damned If You Do, Damned If You Don’t

On CNN’s “State Of The Union” with Jake Tapper, Chairman of the Intelligence Committee Rep. Mike Turner of Ohio was all to eager to prove us correct when we pointed out Republicans’ bad-faith criticism of the “Chinese Balloon Crisis” last week.

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When Tapper asked about the two flying objects shot down this week over Canada and Alaska, Turner made it clear Republicans have no issue with political inconsistency.

TURNER: Yes, well, I certainly don’t know, as the administration is saying they don’t know. They do appear somewhat trigger-happy, although this is certainly preferable to the permissive environment that they showed when the Chinese spy balloon was coming over some of our most sensitive sites.

“Trigger-happy”?! After all their whining and posturing about shooting at the sky, they have the gall to now act like the Biden Administration is paranoid or “trigger-happy”? Turner, when asked about the discovery of further classified documents on a laptop and thumb drive belonging to a Trump aide, topped his hypocrisy with an extra helping of good ole’ whataboutism.

TURNER: […] They are not to be taken lightly. And we’re just amazed as people keep finding them stuffed in the strangest places like behind Biden’s Corvette. This is —this is clearly a failure of an understanding of how to handle the importance of these documents.

This lack of unseriousness and blatant partisanship is what we have to expect for the next two years.

We Aren’t Cutting Social Security, Just Taking It To A Nice Farm Upstate

Rep. Turner was followed on “State Of The Union” by Sen. Mike Rounds of South Dakota, who wanted to make sure that Biden was wrong about Republicans’ intentions regarding Social Security.

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ROUNDS: […] I think that’s misleading in terms of what he really intended to do. But, look, the bottom line is, is, Republicans want to see Social Security be successful and be improved. […]

Well, you know what, maybe Biden was wrong and Republicans’ intentions are noble, regardless of Rick Scott or Mike Lee. So, what is the senator’s great plan to improve Social Security and make it more successful?

ROUNDS: […] I kind of look at security the way I would at the Department of Defense and our defense spending. We’re never going to not fund defense. But, at the same time, we — every single year, we look at how we can make it better. […]

So Republicans want to fund Social Security on a year-by-year basis?! I’m sure a lot of the seniors reliant on those benefits will be happy to know they’d be dependent on the Republican Party’s political games and whims every year.

I guess a cut by any other name would still make Scott’s shriveled heart flutter.

Influence Peddling Is Bad … Unless It’s Jared Kushner

Over on ABC’s “This Week” with George Stephanopoulos, Chairman of the Oversight Committee Rep. James Comer assured everyone that his committee will take the buying of influence very seriously.

COMER: Now I don’t disagree with the Democrats and their criticism of the previous administration. We have a problem here that needs a legislative solution. That’s why this Biden investigation is so important. There’s a legislative solution to this, and it can be bipartisan. The Democrats complained about Kushner’s foreign dealings. Republicans are certainly complaining about the entire Biden family’s foreign business dealings.

But when Stephanopoulos pushed Comer on why it seems that they’re taking no actions on Kushner or the Trumps (other than lip service), Comer made it clear that his committee is just weaponizing the government for partisanship. Again.

COMER: […] The difference between Jared Kushner and Hunter Biden is that Jared Kushner actually sat down [and] was interviewed. He was interviewed by investigators. So he’s already been investigated. […]

Thankfully, Stephanopoulos did a final fact-check before Comer slimed out the door.

STEPHANOPOULOS: […] I think we only learned of the $2 billion Saudi investment from the Washington Post this morning, at least the details of it.

Unless James Comer’s committee is full of Minority Report pre-crime investigators, it is pretty clear that the congressman’s full of shit.

The Real Meaning of “Woke”

We end with New Hampshire Gov. Chris Sununu on CBS’s “Face The Nation” with Margaret Brennan.

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When asked about Florida Gov. Ron DeSantis’s ongoing culture war against Disney, Sununu tried to describe his opposition to “woke cancel culture.” Brennan asked for a simple explanation of whatever Sununu meant by “woke,” and he quickly descended into gobbledygook.

SUNUNU: It’s the … it’s the divisiveness … divisiveness […] Where it is me versus you. Whereas if you are not adhering to my ideals, then I’m going to cancel you out. It is us versus them. It is this binary, where everything’s a war. […]

Oh! Guess by that logic we can start counting Marjorie Taylor Greene, Tucker Carlson, January 6th insurrectionists, and Ron DeSantis as “woke.”

However, Sununu successfully demonstrated that “woke” and “cancel culture” are right-wing dog whistles that, like “critical race theory,” they can’t coherently describe. Despite his efforts at distancing himself from other Republicans, he also proved our theory that “good Republicans” are not a thing. It is the media’s attempt at “fetch.”

Have a week.

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