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Saturday, May 12, 2018

5 reasons Americans are lonely

A new study by health insurer Cigna found that people feel disconnected from everyday life

Are you lonely? If so, you are not alone.
survey released earlier this month of 20,000 U.S. adults found that nearly half of people suffer from feelings of loneliness. The evaluation of loneliness was measured by an often-used score of 43 or higher on the University of California, Los Angeles “Loneliness Scale,” a 20-item questionnaire developed to measure feelings of loneliness and social isolation.
Loneliness is both a health issue and a social issue and, often times, subjective. “We view a person’s physical, mental and social health as being entirely connected,” David Cordani, president and chief executive officer of Cigna, said in a statement. “We’re seeing a lack of human connection, which ultimately leads to a lack of vitality,” he said, “or a disconnect between mind and body.”
The findings build on previous research that showed loneliness is on the rise among younger people, and is not just a critical issue for older people. Regardless of the age of the person affected, loneliness is just as much of a health risk as being obese. An American Psychological Association study released in August concluded that lonely people are at a greater risk for premature death.
Here’s what else the Cigna report found:
• Only around half of Americans (53%) say they have meaningful, daily face-to-face social interactions, including an extended conversation with a friend or spending quality time with family.
• Members of Generation Z (adults aged 18-22 for the purposes of this study) say they are the loneliest generation and claim to be in worse health than older generations.
• Social media use alone is not a predictor of loneliness, as heavy users have a loneliness score (43.5) that is only slightly higher than people who say they never use social media (41.7).
So what’s behind this loneliness in America? Here are some theories:
1. Retired and overworked people face lonely days and nights
Of course, as people age and lose family members and friends, and cut down on work, they are susceptible to loneliness. A 2012 University of California, San Franciscostudy found that people aged 60 years old and older who said they felt lonely were 45% more at risk of dying earlier than those who did not feel lonely, and were also more prone to mental and physical decline.
More surprising: That study found 43% of older adults felt lonely, even though only 18% actually lived alone. For older people, this raises questions about the quality of institutional and community care. Loneliness, the researchers said, is more a feeling of isolation and desolation, while depression is a mental health issue where people may feel hopeless and suffer from an extreme lack of energy.
“Mandatory overtime and involuntary long hours are a growing problem particularly for some segments of the labor force,” according to “Overworked America,” a 2016 report from the Washington Center for Equitable Growth, a left-leaning research center. Workers who are not paid overtime are more than twice as likely to report working more than 40 hours a week, it said.
2. People attempt to feel good through consumerism
But why do so many younger people say they suffer from loneliness? Sri Sri Ravi Shankar, founder of the Art of Living spiritual movement and who lives in Bangalore, India, told MarketWatch, “Our consumer culture doesn’t help. When people are fed up with their routine, and life seems to have no aim and meaning, then people do get depressed, despite having so many physical comforts.”
Spending money on experiences rather than stuff may also help stave off isolation, other research suggests. Materialism can lead to loneliness, which can lead to more materialism, according to a 2013 study published in the Journal of Consumer Research by Rik Pieters, a professor of marketing at Tilburg University in the Netherlands. Researchers call this theory the “loneliness loop.”
After studying 2,500 consumers over six years, Pieters found that people who valued possessions as a sign of material success felt more lonely, while those who sought possessions for sheer joy actually felt less lonely. What’s more, people who are lonely are less likely to conform and favor movies on Netflix NFLX, -0.95%  with fewer stars than those who say they’re not lonely.
3. Generation X-ers are struggling to regain their wealth
Generation X-ers are struggling to keep up with a loss of wealth and income since the Great Recession, and have less time to spend with family. As wages play catchup with inflation, many people work overtime or two jobs to make ends meet. The U.S. is one of the few countries in the industrialized world that does not require employers to offer paid parental leave.
More people live (and eat) alone. More than half of all meals (57%) are eaten alone, a 2014 study by market researcher NPD Group concluded. And 34% of Americans spend dinner time alone. Nearly 30% of households in the U.S. are comprised of one person. It’s the second most common household type after married couples without children.
There are, however, many actions people can take to combat loneliness, including getting adequate sleep and physical activity, Cigna CI, +1.56% found. Respondents who said they worked just the right amount are least likely to be lonely: Those who work more than desired had a 3-point rise in their loneliness score, while those who work less than desired showed a 6-point increase.
4. Social isolation and social media go hand-in-hand
People who spent the most time on social media had twice the odds of having greater perceived social isolation, according to a 2017 study of more than 1,700 people published in the “American Journal of Preventive Medicine.” Social isolation, a state in which an individual lacks a sense of social belonging and fulfilling relationships, is associated with increased morbidity and mortality.
Over-dependence on social networks as a social outlet can also lead to what some doctors call “Facebook Depression,” according to a 2010 report, “The Impact of Social Media on Children, Adolescents and Family,” by the American Academy of Pediatrics. Another report released last year found that the more you use Facebook, the less satisfied you feel about life.
Excessive browsing can also be a problem. A 2015 study in the journal Cyberpsychology, Behavior and Social Networking suggested young people who are heavy users of social media—spending more than two hours a day—are more likely to report poor mental health and psychological distress, symptoms of which include anxiety and depression.
5. More Americans are turning to prescription drugs
People are being overprescribed drugs to deal with both physical and emotional problems. In a survey released last year of 1,947 American adults, more than 50% said they regularly take prescription medications, according to Consumer Reports. The total number of prescriptions filled for adults and children in the U.S. increased by 85% from 1997 to 2016, while the U.S. population only increased by 21% in the same period, the study found.
What’s more, over 70% of U.S. employers are dealing with the direct impact of prescription drug misuse in their workplaces, according to a survey of more than 500 companies with 50 or more employees released by the National Safety Council last year. The survey, billed as the first of its kind in the U.S., found that although a similar percentage of employers say prescription drug use is a disease that requires treatment.
The percentage of workers testing positive for illicit drugs such as cocaine, amphetamines and methamphetamines among the U.S. workforce increased to the largest percentage in a decade in 2015, according to a workplace urine drug test of more than 9.5 million tests of urine samples, among other tests, by Quest Diagnostics, a company that provides national clinical laboratory tests on potential and/or current employees.

Intermountain, Lifesprk partner on new senior care model

Intermountain announced a partnership this week with home care management and senior living services provider Lifesprk to create a new care model for seniors.
The program, titled Homespire, intends to keep seniors healthy while reducing unnecessary emergency room and hospital visits. It will include private-pay home care options such as non-medical services. Homespire will be initially available in the Salt Lake Valley with plans to expand throughout Utah over the next year.
The move comes as Intermountain, like many health systems in the country, has been restructuring to reflect the evolving landscape of care delivery business. Operating expenses rise while patients are moving more toward outpatient settings for their initial entry point into healthcare.
“We’re already oriented toward population health and that is a real gift [in] this environment,” Intermountain CEO Marc Harrison told the audience at HLTH 2018 on Wednesday. “The question then becomes how to operationalize that.”
Harrison said the Salt Lake City-based integrated system has recognized it’s in “two fundamental different businesses” when it comes to care delivery. “We’re in the keeping people well business … and the taking care of people when they’re sick business,” he said. “Creating a healthy tension between those two parts of the organization [is] key.”
Currently, the system is focusing its energy on turning what keeps people well into a largely standalone enterprise. Harrison said he believes Intermountain will make that change, and once it does, it can move into the next generation of care delivery.
So far, 2018 has been a busy year for the company.
In January, Intermountain, alongside Ascension, SSM Health and Trinity Health, announced it would start a generic drug company. In March, the system launched ​Alluceo, an independent company offering technology to help integrate mental health services as a routine part of primary care.
The Homespire program assigns clients a care manager — who are registered nurses — to act as a concierge-like touch point in the patient’s home. The manager, who offers 24/7 on-call coverage, works with the client, family and Intermountain to develop care plans that consist of the seven elements of well-being:
  • Health and wellness;
  • Social supports;
  • Purpose and passion;
  • Thinking and memory;
  • Home and safety;
  • Finances; and
  • Identity.
It’s an example of how health systems are thinking about the country’s aging population — and the business opportunities that come with it.
More than 10,000 Americans are aging into Medicare each day, and while Utah is the country’s “youngest state,” its 65 and older population is growing rapidly. A recent CMS final rule gave Medicare Advantage plans additional flexibility to offer supplemental benefits to certain beneficiaries, including for non-medical benefits like meal delivery and transportation.
Homespire is drawing on both of those trends to tap into the burgeoning market.
The companies said Lifsprk has helped reduce emergency room visits by 47.8% and hospital visits by 56.8%, which can help providers and patients save money.
Harrison told the HLTH audience that one-third of the volume Intermountain assists is fully capitated. “We get to do things that don’t make economic sense on a case-by-case basis but make sense for a population,” he said.
To that end, Harrison shared his view on the care delivery landscape as companies like CVS Health and Walmart have started more public healthcare efforts.
While he’s optimistic on the future of healthcare in the U.S., Harrison said he’s not necessarily betting on legacy health systems. “They are designed to preserve the status quo. They are addicted to fee-for-service revenue and it’s going to be the death knell,” he said.
Real risk-sharing is required to make things better for patients, Harrison added. “Healthcare is going to be higher quality and more affordable care for Americans going forward. The question is who gets to deliver that,” he said. “Retailers are going to be part of that, but they are not the answer alone.”

What was and wasn’t said at HLTH 2018

CEOs from 23andMe, Allscripts, athenahealth and Fitbit shared their views on the future of healthcare at HLTH’s inaugural conference.

As lab-grown meat advances, U.S. lawmakers call for regulation

Lab-grown chicken, beef, and duck products are edging toward the U.S. market—despite enduring confusion about how they’ll be regulated. But language buried in a draft spending bill released by a U.S. House of Representatives appropriations panel this week suggests some lawmakers are eager to get rules in place. A one-sentence proposal in the bill would put the U.S. Department of Agriculture (USDA) in charge of regulating products made from the cells of livestock or poultry, and instructs the agency to issue rules about how it will oversee their manufacture and labeling.
Unlike plant-based meat imitations already on the market, lab-grown meat—sometimes called clean meat—starts with an animal. Though production methods vary by company, these futuristic foods start with cells extracted from an animal and cultured to develop into strands of muscle tissue fit for frying in a nugget or pressing into a burger patty.
Since the theatrical unveiling of the first lab-grown beef patty in 2013, several companies have waded into the field of “cellular agriculture,” crafting their own meaty prototypes. San Francisco, California–based Memphis Meats has beef, duck, and chicken under development—with investment from (conventional) meat giant Tyson Foods. JUST, also based in San Francisco, has a chicken product based on cells originally isolated from the feather of a chicken (named Ian). Its CEO has announced hopes of having some of its meat products restaurant-ready later this year.
Aside from sparing animals from slaughter, advocates say, cultured meat would require less energy, take up less land, and release less methane and other greenhouse gases than conventional meat production. But its impending arrival raises questions for regulators—including what actually counts as meat. In February, the U.S. Cattlemen’s Association in Washington, D.C., petitioned USDA to limit the use of the terms “beef” and “meat” on labels to products taken from animals that “have been born, raised, and harvested in the traditional manner.”
But just what USDA’s responsibilities are when it comes to lab-grown meat aren’t clear. The agency’s Food Safety and Inspection Service ensures the quality of meat, poultry, and egg products.The U.S. Food and Drug Administration (FDA), which reviews the safety of therapies made from human cells and tissues, has jurisdiction over genetically engineered animals such as the fast-growing AquaBounty salmon, which it approved in 2015.
A dish full of animal muscle cells, some argue, looks a lot more like the cell-based products FDA regulators examine than the slaughter lines familiar to USDA inspectors. “The kind of inspection that would take place at a slaughterhouse today is not the type of expertise that would be required in the inspection of a cultured meat facility,” says Isha Datar, executive director of the nonprofit research institute New Harvest in New York City. The group funds research on growing and harvesting animal cells in culture—a field that Datar says still receives relatively little attention from academia. “We’re finding there aren’t even real standards about what makes a chicken muscle cell a chicken muscle cell,” she says. “There’s actually an enormous amount of things that we would have to clarify in order to say that [lab-grown meat] is equivalent to the animal products that we are familiar with.”
The proposal to have USDA regulate cellular agriculture doesn’t have unanimous support, even in the agriculture subcommittee that yesterday advanced the bill to the full Appropriations Committee. Representative Rosa DeLauro (D–CT) argued that the decision is premature. “Presently, I don’t believe we know enough about the strengths and weaknesses of this type of food production,” she says. “We should allow experts to weigh in before taking on this major policy implication.” In March, DeLauro wrote to the U.S. Government Accountability Office to request a review of the regulatory framework for cellular agriculture.
The Good Food Institute, a Washington, D.C.–based nonprofit that promotes plant-based and cultured meat and dairy alternatives, also hopes the language will be struck from the bill. “It is wrong for Congress to use a spending bill to mandate that agencies create unnecessary new regulations and, even worse, to do so without any input from the small businesses that are being regulated,” Jessica Almy, the institute’s policy director, said in a statement.
The regulatory conundrum facing lab-grown meat—like debates about oversight of genetic engineering—are signs of a regulatory system that hasn’t kept pace with technological advances, says Todd Kuiken, an environmental scientist who studies biotech regulation at North Carolina State University in Raleigh. “We’re in crazy land now. … There’s so much coming at us, that it’s really hard to keep track of all the new products and changing technologies,” he says. “And now we’re getting actual products ready to go and no one’s quite sure what to do with them.”

Senior Care Demand Edges Ahead Of Construction

Viamonte at Walnut Creek
Viamonte will be the first continuing care retirement community in Contra Costa County.
With housing demands at the breaking point in the Bay Area for both affordable and empty nesters, one project is nearly sold out before construction begins. Some 80% of the units at Viamonte at Walnut Creek are already sold. And nearly 80% of the future homeowners are 680 Corridor residents, demonstrating the acute demand for this type of quality senior community in the East Bay.
Construction will finally begin this month at the corner of Shadelands and North Via Monte, along the northwestern edge of The Orchards mixed-use development. The development will include 174 one-, two- and two-plus den units.
“The 80% pre-sale is due to pent-up demand for high-quality modern senior living in the East Bay Area, coupled with a desire for a life care option,” Marcus Young of Viamonte of Walnut Creek, tells GlobeSt.com.
When it opens in 2020, Viamonte will be the first continuing care retirement community in Contra Costa County. The new community will offer all the amenities and conveniences of a resort with the comfort of a contemporary home and the availability of higher levels of care to ensure residents can age in place.
The grounds will include a bocce court, pool and spa, outdoor fireside lounge, art studio, restaurant and bistro bar with alfresco dining. Transportation will be made easy with EV charging stations for residents with electric vehicles, along with shuttle services to doctors’ appointments and other destinations in the area.
If Viamonte residents require higher levels of care in the future, including assisted living and/or memory care, those services can be provided within each apartment home or within a portion of the community designed specifically with those needs in mind. Most of the future Viamonte residents are locals who have selected Viamonte partly because they want to remain in the area without the stress and upkeep of maintaining current residences.
Viamonte is a project by the Bay Area nonprofit senior housing and services operator Northern California Presbyterian Homes and Services. The groundbreaking ceremony will be held next week at the Walnut Creek Historical Society, Shadelands Ranch Museum, located at 2660 Ygnacio Valley Rd.

Seniors confront an unwanted late-life pest: Bullies

The unwanted were turned away from cafeteria tables. Fistfights broke out at karaoke. Dances became breeding grounds for gossip and cruelty.
It became clear this place had a bullying problem on its hands. What many found surprising was that the perpetrators and victims alike were all senior citizens.
Nursing homes, senior centers and housing complexes for the elderly have introduced programs, training and policies aimed at curbing spates of bullying, an issue once thought the exclusive domain of the young.
“There’s the clique system just like everywhere else,” said Betsy Gran, who until recently was assistant director at San Francisco’s 30th Street Senior Center. “It’s like ‘Mean Girls,’ but everyone is 80.”
After the cafeteria exiles and karaoke brouhahas, the 30th Street Center teamed up with a local nonprofit, the Institute on Aging, to develop an anti-bullying program. All staff members received 18 hours of training that included lessons on what constitutes bullying, causes of the problem and how to manage such conflicts. Seniors were then invited to similar classes, held in English and Spanish, teaching them to alert staff or intervene themselves if they witness bullying. Signs and even place mats around the center now declare it a “Bully Free Zone.”
“I think in the past I would have just stayed out of it,” said Mary Murphy, 86, a retired real estate agent who took the classes. “Now I might be inclined to help.”
Robin Bonifas, a social work professor at Arizona State University and author of the book “Bullying Among Older Adults: How to Recognize and Address an Unseen Epidemic,” said existing studies suggest about 1 in 5 seniors encounters bullying. She sees it as an outgrowth of frustrations characteristic in communal settings, as well a reflection of issues unique to getting older. Many elderly see their independence and sense of control disappear and, for some, becoming a bully can feel like regaining some of that lost power.
“It makes them feel very out of control,” Bonifas said, “and the way they sort of get on top of things and make their name in this new world is intimidating, picking on people, gossiping.”
There is far less recognition of bullying as a problem among seniors compared with young people. Even among those who have been called bullies, many are unaware how problematic their behavior is until it’s labeled. Campaigns around the country have sought to spread the word, including a booklet circulated last year by the National Center for Assisted Living.
“In the life cycle, it doesn’t go away,” said Katherine Arnold, a member of the city Human Rights Commission in St. Louis Park, Minnesota, which created a public service announcement on its community-access station that included a portrayal of a man who was excluded from a card game and became the subject of gossip by other seniors. “There’s really not a lot of escape.”
Most senior bullying isn’t physical but rather involves name-calling, rumors and exclusion, said Pamela Countouris, a longtime schoolteacher who now runs a Pittsburgh-based consultancy that offers training on bullying. Women constitute the bulk of the bullies Countouris encounters among seniors, a reflection of lifespan disparities and the gender makeup of those who live at or participate in programs at senior facilities.
Countouris’ business began with a focus on school bullying but now centers exclusively on seniors. In the next month alone, she has more than a dozen training sessions planned.
After four years immersed in the wrath of older bullies, Countouris has heard all manner of stories. At a senior high-rise, a woman who saw herself as the queen of the parking garage would key the cars of those who crossed her. Elsewhere, laundry rooms became vicious places where the bullied had their detergent stolen and their clothes thrown on the floor. Bingo rooms so often devolved into battlefields — with lucky newcomers badgered and accused of cheating by veteran players — she came to call it “the devil’s game.”
“I didn’t realize it was an underground society where people could be mean to each other,” Countouris said.
In the worst cases, bullying goes far beyond bingo squabbles. Marsha Wetzel moved into a senior apartment complex in Niles, Illinois, after her partner of 30 years died and her partner’s family evicted her from the home the couple shared. At Glen St. Andrew Living Community, she said she was met with relentless bullying by residents mostly focused on her being a lesbian.
One man hit Wetzel’s scooter with his walker and unleashed a barrage of homophobic slurs. A woman rammed her wheelchair into Wetzel’s table in the dining room and knocked it over, warning “homosexuals will burn in hell.” In the mailroom, someone knocked her in the head, and in an elevator, she was spit on.
“I’d just go in my room and barricade my door and just pray,” said Wetzel, now 70 and living at a senior complex in Chicago. “I just felt like a slug, like I was nothing, like I wasn’t even human.”
Lambda Legal, which defends LGBTQ rights, took on Wetzel’s case and sued Glen St. Andrew, claiming Fair Housing Act violations. A federal judge dismissed the suit last year. An appeals court decision is pending.
Wetzel had seen such bullying throughout her life. She dropped out of high school when she became a punching bag for the girls who learned she was a lesbian. As a senior, she said, it felt even more traumatic — and the bullies even more vicious. She had a view of a cemetery from her window and would stare at it, thinking maybe only when she arrived there would she find peace.
“I felt like a person in a pool of piranhas,” she said.

Iconic Genzyme building faces uncertain future after Shire-Takeda deal

Takeda’s agreement this week to acquire Shire plc for $62 billion promises to reshape, literally and figuratively, the biotech landscape in Kendall Square, where both companies have a sizable presence.
For one iconic property in particular, Tuesday’s deal has major implications: the Genzyme Center, which Shire (Nasdaq: SHPG) had been set to occupy starting next year.
The 350,000-square-foot building at 500 Kendall St. is the current headquarters of rare disease drugmaker Sanofi Genzyme. The company announced a few years ago that it planned to move to a new headquarters at nearby 50 Binney St. this year. A spokesperson for Sanofi Genzyme said Thursday that the moving process is now underway and will be completed this month.
Shire signed a lease for the building in late 2016, and had been planning to move in early next year. But following Tuesday’s buyout announcement, both Shire and Takeda have declined to say whether that is still the plan.