Mature Arkansas may, 2013
Leading Ladies
how and why successful women excel — in their own words . . . Pages 12-17
MATURE ARKANSAS
may, 2013
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guest EDITORIAL
Competition Saves Medicare $$ Dr. Renard L. Murray
W
hen was the last time your healthcare costs went down? That’s exactly what’s about to happen for Medicare beneficiaries in the Little Rock area who depend on walkers, wheelchairs and other kinds of medical equipment and supplies. For years, Medicare relied on an outdated fee schedule to buy or rent such items. The prices had nothing to do with the current market and often were much higher than other people paid for the same diabetic test strips, oxygen devices and power scooters. Medicare now requires medical equipment suppliers in the Little Rock area (Pulaski, Faulkner, Perry, Saline, Lonoke and Grant counties) to compete and bid for the government’s business. As a result, older and disabled residents enrolled in Original Medicare will see an average savings of 47% on the equipment purchased here, starting July 2013. For example, oxygen concentrators rented for $177 per month under the old fee schedule. Starting July 1, the average cost will drop 48% to $93 per month. On just this one item, the government will save $809 of taxpayer money and the older person will save $200 a year. Medicare is also launching a separate nationwide mail-order program for diabetic testing supplies on July 1. By 2016, competitive bidding for medical equipment and supplies will expand statewide and cover all areas of the country. It will save Medicare an estimated $25.7 billion, and older or disabled Americans $17.1 billion, during the next decade. The new bidding program will also prevent Medicare fraud by checking suppliers to make sure they’re accredited and meet stringent quality standards. Competition promises to lower costs and keep quality high. That’s not a bad prescription.
Competition
promises to
lower costs
and keep
quality high.
Dr. Murray is the southwest regional administrator for the Centers for Medicare and Medicaid Services.
We Want To Hear From YOU LETTERS OR EMAILS from readers on any subject of interest to older Arkansans are encouraged. Letters or questions to columnists are also welcome. Email to annewasson@ arktimes.com or mail to P.O. Box 34010, Little Rock, AR 72203 GUEST EDITORIALS, on issues of interest to Arkansans over age 50, are encouraged. MATURE ARKANSAS is a forum for readers’ opinions and comments. Views expressed are not necessarily those of the Publisher. Send 300-500 word editorials to annewasson@arktimes.com All editorials and letters subject to editing and space limitations. Call 501-375-2985 if you have questions. CALENDAR ITEMS should be of interest to Arkansans over age 50, in central Arkansas, and open to the public. Submit to address or email above. SUBSCRIPTIONS are $15 a year (12 issues), via US Postal Service. Send name, address and $15 check to: MATURE ARKANSAS, P.O. Box 34010, Little Rock, AR 72203-4010.
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Mature Arkansas Publisher Alan Leveritt Editor Anne Wasson Art Director Mike Spain Photographer Brian Chilson Graphic Artist Bryan Moats Production Manager Weldon Wilson ad Coordinators Roland Gladden Kelly S. Carr
DIRECTOR OF ADVERTISING Phyllis A. Britton ACCOUNT EXECUTIVES Katherine Daniels Tiffany Holland Sarah DeClerk Darielle D’Mello Circulation Director Anitra Hickman Office Manager Angie Fambrough Billing and Collections Linda Phillips
Mature Arkansas is published monthly by Arkansas Times Limited Partnership, 201 E. Markham St., P. O. Box 34010, Little Rock, Arkansas 72203, phone 501-375-2985. Reproduction or use, in whole or in part, of the contents without the written consent of the publisher is prohibited. Manuscripts and artwork will not be returned unless sufficient return postage and a self-addressed stamped envelope are included. The publisher assumes no responsibility for care or safe return of unsolicited materials. All letters will be treated as intended for publication and are subject to Mature Arkansas’ unrestricted right to edit or to comment editorially. All contents copyrighted 2013 Mature Arkansas. MATURE ARKANSAS
may, 2013
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lee hiller
LETTERS to the editor Dear Editor: Plant poaching is rampant in National and State parks in Arkansas and across the United States. Individuals and groups are stealing plants, blossoms and seeds for personal and commercial use. The impact on each fragile eco-system is devastating. Picking the blossoms steals food from wildlife and destroys eggs that will one day become caterpillars, then butterflies. The reduced insect populations have an impact on migrating and resident birds nesting in our parks. Poaching plants and seeds means the necessary ground cover for a healthy forest is diminished. When stripped bare, many plant species will not return. Plants and blossoms are poached for private gardens, salad garnishes, perfumes and herbal remedies. These wild plants are critical to a healthy environment and are not meant for personal or commercial harvest. Plant poaching from our parks is a crime and a threat to our fragile wild spaces. These criminal activities deprive others from viewing native plants in the wild and adversely affects the balance of life on the planet. —Lee Hiller Hot Springs
Assisted and Independent Living Options
Dear Editor: Medicare Part B covers outpatient medical services, including drugs and services that require injection or infusion under the direction of a physician and cannot be self-administered. These are drugs and services used to treat Arkansans suffering from some of the worst chronic illnesses. Medicare Part B drugs cannot be purchased in pharmacies, but are administered by physicians in their offices. Medicare reimburses physicians for the cost. When Congress passed the Medicare Modernization Act in 2003, it altered the reimbursement rates Medicare paid for drugs and services covered under Part B. Congress set reimbursement rates based on Average
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Sales Price (ASP) plus 6%. It was a significant change that has proved to be a tremendous cost-savings for Medicare. The Medicare Payment Advisory Commission said the new rates have resulted in “substantial savings for Medicare on nearly all drugs.” As Congress tries to trim our nation’s deficit and increase revenue, I am concerned about proposals that would further reduce the ASP. Healthcare providers, particularly those in rural areas, are already struggling to keep practices open and continue providing certain drugs and services. Additional cuts will only exacerbate these problems, leaving our senior and disabled populations with even fewer options. While reducing our deficit is a noble goal, doing it on the backs of our most vulnerable is not. I would ask our elected representatives to please work hard to preserve Medicare Part B reimbursement rates and consider alternative paths to deficit reduction. —Martha Deaver Conway Dear Editor: Surely I wasn’t the only individual to observe the irony between the subjects of the two major articles in the February edition of MATURE ARKANSAS: The Vanishing Congregation and Mature Arkansans Divorcing in Record Numbers. Many years ago, a very wise person made the observation: “The family that prays together stays together.” I firmly believed it when I first heard it; I firmly believe it today. —Tom Shircliff Sherwood
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CA LEN DA R P ICKS
Marvelous May Events By A.H. Wasson
ART MAY 5—RECEPTION FOR MID-SOUTH WATERCOLORISTS exhibit; enjoy refreshments with featured artists; Cantrell Gallery, 8206 Cantrell Rd., Little Rock; 2:00-4:00 PM; FREE.; 224-1335. Exhibit open through June 22. NOW to MAY 12—SYMPHONY DESIGNER HOUSE; 9 Bella Rosa Court, off Hwy. 10, Little Rock; created by 20 interior and landscape designers; 10:00 AM-4:00 PM Tues-Sat.; 1:004:00 PM Sun.; Tickets at arkansassymphony. org/designer-house or call 666-1761, ext. 110. MAY 24-SEP. 22—ARK. ARTS CENTER EXHIBITS: “Bauhaus twenty-21: An Ongoing Legacy,” features 77 modern architecture photographs by Gordon Watkinson. “Jewelry Instructors Exhibition,” (through June 2). 9th & Commerce streets, Little Rock; FREE, call 372-4000 or visit arkarts.com
MAY 10 & MAY 16—CLINTON SCHOOL LECTURES: May 10:“Becoming Right: How Campuses Shape Young Conservatives,” with author Amy Binder; noon; Sturgis Hall on Clinton Library Campus, Little Rock. May 16: “Ditch the Keys: Better Air, Better Bicycling,” a public forum; noon; Sturgis Hall. Includes expert tips on adapting to a bike-friendly lifestyle; both lectures FREE; reserve a seat at publicprograms@ clintonschool.uasys.edu or call 683-5239. MAY 17—IKEBANA, THE ART OF FLOWER ARRANGEMENT; Museum of Contemporary Art, 425 Central Ave., Hot Springs; 1:00-3:00 PM. Classes are limited, call 501-609-9966 to reserve.
MAY 17—ARGENTA ARTWALK, galleries’ open house; 300-700 blocks of Main St., North Little Rock; 5:00-8:00 PM; FREE; 993-1234.
CLASSES & LECTURES MAY 2-23—HOW CAN I AFFORD RETIREMENT? Workshop series every Thursday in May at Oley Rooker Library, 11 Otter Creek Court, Little Rock; 6:30 PM. Objective, noncommercial and FREE; registration required. Includes written materials, library resources review, small group discussions, Q&A and refreshments. Sponsored by CALS and U. of AR’s Garrison Financial Institute. Register at http://gfi.uark.edu/ MAY 8—ADULT GOLF CLINIC, for adult beginners and those working on their game; Hot Springs Village; 1:00 PM; $35 and all fees tax-deductible, all proceeds go to Junior Golf Association Scholarship Fund; pre-registration required by May 6; more information call 501-922-1166, 501-922-202, or 501-922-3478. Weather date May 15.
6 may, 2013 MATURE ARKANSAS
MAY—FITNESS CLASSES, FREE and open to the public; North Little Rock Community Center, 2700 Willow St. (791-8541); Sherman Park Rec. Center, 624 Beech St. (340-5373); Glenview Rec. Center, 4800 E. 19th St. (945-2921) and North Heights Rec. Center, 4801 Allen St. (791-8576). Call for class schedules; no registration or center membership required. MAY—YOGA CLASSES; Quapaw Community Center, 500 Quapaw Ave., Hot Springs; 5:30-6:30 PM on Wed. & 10:00-11:30 AM on Sat.; FREE for members, $5 non-members; 501-623-9922. MAY—CONVERSATIONAL SPANISH lessons; Oley Rooker Library, 11 Otter Creek Ct., Little Rock; meets every Mon. 6:00-7:00 PM. For beginners; join class at any time—there’s a lot of review. FREE; 907-5991.
MAY 10—SECOND FRIDAY ART NIGHT, open houses at downtown Little Rock art galleries and museums for art and entertainment; 5:008:00 PM; FREE.
MAY 11-AUG.12—CRYSTAL BRIDGES EXHIBITS include “American Encounters,” and “American Experience”—both portraying everyday American life; Bentonville; FREE; visit crystalbridges.org/ exhibitions or call 479-418-5751.
$5 ages 6-12, and free under 5. 550 Arkridge Rd, Hot Springs; 800-366-4664.
NEW EXHIBIT AT GARVAN GARDENS, 225 pieces of custom art glass by James Hayes; 550 Arkridge Rd, Hot Springs; 800-3664664; on display throughout summer.
MAY 21—“FIT 2 LIVE,” monthly topics to keep you healthy will feature “Little Rock Cross Fit,” free lesson demonstrates the many benefits of crosstraining for better fitness. Laman Library, 2801 Orange St., North Little Rock; 6:30 PM; FREE; call 758-1720. NOWto MAY 25—DOCENTTOURS OF GARVAN GARDENS, every Sat. 10:00-11:00 AM, specially trained volunteers will lead groups (limited to 20) through the Gardens’ most beautiful landscapes. No reservation required; tours are FREE with regular admission: adults $10, seniors $9, children
MAY—ZUMBA GOLD CLASSES, sponsored by CareLink; call the location for class schedule. In Little Rock: • UAMS Institute on Aging Ottenheimer Fitness Center, call 526-5779, includes Zumba Gold and Aqua Zumba • Bess Chisum Stephens Community Center, call 664-4268. • Pulaski Heights United Methodist Church, call 664-3600. • LifeQuest of Arkansas, 2nd Presbyterian Church, call 225-6073 •Tai Chi class: Quapaw Quarter United Methodist Church, Little Rock, call 529-2140. In North Little Rock: • Indian Hills Church, call 835-2838. • Lakewood United Methodist Church, call 753-6186. MAY—UAMS THERAPY & FITNESS CLASSES include: evening pool classes like Aqua Cardio and Aqua Zumba; evening gym classes such as line dancing, Zumba Gold, strength and cardio fitness. UAMS Reynolds Institute, 629 Stephens Dr., Little Rock; 4:30-5:30 PM. Call Kellie Coleman at 501-526-5779. MAY 1-28—SENIORNET CLASSES in Little Rock includes Fundamentals for Beginners, Intro. to Computers, Microsoft Word, Microsoft Excel; Reynolds Institute on Aging, Room 2156, UAMS campus, Little Rock. $45 per class ($75 for couples), manuals are $15. Call 603-1262 or visit
littlerockseniornet.com
COMEDY & GAMES MAY 13—PAUL DUNN GOLF CLASSIC, benefits ALS research at UAMS; Maumelle Country Club; $500 per team or $125 per person, includes light breakfast, lunch and awards ceremony; register at pauldunnclassic.com or call 501-526-5323. MAY 20—BILL OGDEN GOLF SCRAMBLE, to benefit National Park Community College scholarships; Belvedere Golf Resort, Hot Springs; 1:00 PM; $300 per team or $75 per person; prizes for top 4 teams and $10,000 for hole-in-one. Call Ron Chesser at 501-760-4230.
FREE; call 501-624-4083. SAT.—ARGENTA FARMERS MARKET, 7:00 AM-noon, 6th & Main Streets, North Little Rock; FREE and free parking, or take the River Rail Trolley; 517-3127. TUES, THURS, SAT.—HOT SPRINGS FARMERS MARKET, 121 Orange St, Hot Springs; Sat. & Thurs. from 7:00 AM-noon, Tues. 5:00-8:00 PM.
MUSEUMS NOW to JUNE 15—“PORTRAITS IN GRAY,” Civil War Photography Exhibit from David Wynn Vaughan collection; exhibit hall, Laman Public Library, 2801 Orange St., North Little Rock; FREE; lamanlibrary.org or call 758-1720. MAY—MACARTHUR MUSEUM OF AR. MILITARY HISTORY, exhibits
MAY 18—ARCHERY ON THE LAWN, Witt Stephens Central Ark. Nature Center, 602 Clinton Ave., Little Rock; noon-2:00 PM; FREE; shooting compound bows at square targets; no experience needed; 907-0636. MAY 10 to JULY 20—“WEINER DAYS AT THE ROLLERCADE,” all-ages, original live comedy at The Joint; 301 Main St., North Little Rock; Fri. & Sat. nights at 8:00 PM; reservations at 372-0205. Cabaret-style theatre with beer, wine, coffee and desserts at your table. NOW TO MAY 13—“SEE HOW THEY RUN,” a comedy; Murray’s Dinner Playhouse, 6323 Col. Glenn Rd,. Little Rock. Dinner 6:00 PM, curtain 7:45; 562-3131 for reservations. MAY 21-JUNE 15—“STEEL MAGNOLIAS.” MAY—BINGO; Quapaw Community Center, 500 Quapaw Ave., Hot Springs; Tues. & Thurs. 12:30-3:30 PM. 501-623-9922.
HOBBIES MAY 1-JULY 31—HOT SPRINGS FISHING CHALLENGE, chance to win $250-$10,000 by catching one of over 50 tagged fish; fish must be presented with tag intact to win cash; Lakes Hamilton & Catherine; open to anyone with Ark. fishing license; 501-321-2277.
Can’t hear on the phone? Just read the captions!
MAY 3-5—ARKANSAS AUDUBON SOCIETY’S SPRING CONVENTION, will include field trips, speakers, silent auction, and networking; Hilton Garden Inn in Conway; registration 4:00-6:00 PM on Friday; $20 registration; contact Karen at ladyhawke1@att.net for convention questions.
Rick London
www.ltcartoons.com ©2012 londons times cartoons
MAY 17—ANTIQUE/BOUTIQUE WALK, historic district of Hot Springs;
For more information: 800-981-4463 www.arkansasrelay.com MATURE ARKANSAS
may, 2013
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C ALEN DAR PICKS depict AR. military history; 503 E. Ninth St, Little Rock; 501-376-4602.
for music and beer garden only; visit arktimes. com/heritagehogroast
NOW to JULY 12—“TREASURES OF ARK. FREEMASONS,” at the Historic Arkansas Museum, 200 E. Third St., Little Rock; Fri. 5:00-8:00 PM & Sat. 9:00 AM-5:00 PM; call 324-9351.
MAY 3-5—TOAD SUCK DAZE, family fun festival benefits scholarships for Faulkner Co. students, downtown Conway; FREE; 501-327-7788 or toadsuck.org
NOW to AUG. 31—CAPTAIN’S CABIN EXHIBIT, AR Inland Maritime Museum, 120 Riverfront Park Dr., North Little Rock; includes photos, sea stories from the crew, personal artifacts and tour of Razorback submarine; 5:30--8:00 PM. Visit AIMM.museum or call 371-8320.
MAY 12—RINGERS OF HOPE HANDBELL CHOIR, Mother’s Day Concert in Anthony Chapel, Garvan Gardens, 550 Arkridge Rd, Hot Springs; FREE; 800-366-4664.
MAY—OLD STATE HOUSE MUSEUM offers multiple exhibits about AR history and people, 300 W. Markham St., Little Rock; FREE; Mon-Sat, 9:00 AM- 5:00 PM; Sun. 1:00-5:00 PM.
1st THURS.—BLUEGRASS JAM; Garland Co. Library, 1427 Malvern Ave., Hot Springs; 5:30-7:30 PM; all acoustic, all ages; FREE. Call 501-623-4161.
3rd FRI.—ARK. RIVER BLUES SOCIETY; Cornerstone Pub & Grill, 314 Main St., North Little Rock; 8:00 PM; $3 members, $5 nonmembers. Call 870-833-3498. SAT.— “PICKIN’ PORCH;” Faulkner County Library, 1900 Tyler St., Conway, Sat. 9:30 AM, FREE. Call 501-327-7482. 2nd SAT.—ARK. DULCIMER SOCIETY; Pulaski Heights Baptist Church, 2200 Kavanaugh Blvd., Little Rock; hammered and mountain dulcimers welcome; 2:00-4:00 PM; FREE. Call 661-1129. 1st & 3rd SUN. & 2nd & 4th MON.— TRADITIONAL IRISH MUSIC; Hibernia Irish Tavern, 9700 Rodney Parham Rd., Little Rock; Sun., 2:30- 5:00 PM; Mondays at 7:00-9:00 PM. FREE. Call 246-4340. 1st & 3rdWED.—ARK. CELTIC MUSIC SOCIETY session; Something Brewing, 1156 Front St., Conway; 7:00-9:00 PM; FREE. Call 501-602-5508. Everyone welcome to sit in and jam.
MAY to SEPT.—THE ART OF ABANDONMENT, Walter Arnold’s photos of artful abandoned places; Museum of Contemporary Art, 425 Central Ave., Hot Springs. 501-609-9966.
MAY 18—RUNNING OF THE TUBS, famously funny bathtub races on Bathhouse Row, Central Ave., Hot Springs; 9:00 AM. FREE; or details and famously arbitrary team rules, visit hotspring.org or call Chrissy Egleston 501-321-2027. MAY 25—BUS TRIP TO CIVIL WAR HELENA REENACTMENT, sponsored by The Arkansas Times; $99 includes bus transport (leaving at 8 AM), reenactment of Battle of Helena with 300 living history participants, 2 meals, Civil War sites tour, lectures, dance, concert, and drill and artillery demonstrations. Call 501-375-2985 to reserve a seat.
PARTIES & EVENTS
MAY 24-26—RIVERFEST, family entertainment and lots of live music, Little Rock’s River Market and Riverfront Park and North Little Rock Riverwalk; $17.50 advance, $35 at the gate; riverfestarkansas. com or 255-3378.
MAY 4—ARK.TIMES HERITAGE HOG ROAST; 11 great chefs work their magic on 11 whole roasted hogs; includes roast hog and side dishes, live music, craft beer & wine garden. Argenta Farmers Market Plaza, 6th & Main, North Little Rock; noon-10:00 PM; $25 advance/$30 at the door, $10 after 7PM
JUNE 1 (Deadline to register MAY 25)— TOUR DE ROCK, bike rides for all ages, all lengths and other fun activities benefit CARTI cancer programs; Burns Park Soccer Complex, North Little Rock; 6:00 AM-4:00 PM. Fun ride 10 miles, all ages, over paved trails. Advanced ride (30, 50, 68,
8 may, 2013 MATURE ARKANSAS
TAKE THE GRANDKIDS MAY 4—CINCO DE MAYO FIESTA celebrates the Mexican culture, food, music and dances; lots of kids’ activities; Clinton Presidential Center Park, Little Rock; noon to 8:00 PM; FREE (rain date is May 5); 551-4456. MAY 11—INTERNATIONAL MIGRATORY BIRD DAY, family-friendly activities to learn about birds; FREE lunch at noon. Holland Bottoms Wildlife Management Area at Lake Pickthorne, Jacksonville; 7:00 AM-4:00 PM; contact Uta Meyer 501-244-2229 or umeyer@audubon.org MAY 11—LIL’ WILD ONES, Nature stories and hands-on activities for 4 to 8-year-olds.; Witt Stephens Central Ark. Nature Center, 602 Clinton Ave., Little Rock; 2:00 PM; FREE; 907-0636.
MUSIC
2nd THURS.—ARK. ACCORDION ASSOC.; Community Room, Whole Foods Market, I-430 & Rodney Parham Rd., Little Rock; warm-up starts at 6:30 PM. FREE, call 228-7166.
or 100 miles) leaves from Burns Park at 7:00 AM; $35 registration, $40 after May 25. Visit CARTI.com/ events/tour-de-rock
MAY 17—CHILDREN’S NIGHT HIKE, learn about night sounds, nocturnal animals and more; must be accompanied by adult (free admission for adult chaperones); Garvan Gardens, 550 Arkridge Rd, Hot Springs; registration is required and spaces are limited; 800-366-4664. MAY—WILDWOOD PARK FOR THE ARTS is open FREE to visitors for a stroll or picnic (except during special ticketed events), 20919 Denny Rd., Little Rock; weekdays 9:00 AM-5:00 PM, Sat. 10:00 AM-5:00 PM, Sun. noon-5:00 PM. 821-7275. MAY—CHILDREN’S LIBRARY & LEARNING CENTER; 4800 W. 10th St., Little Rock; FREE. Includes computer lab, teaching kitchen, greenhouse, garden, study rooms, theater, community room and walking paths. MAY—MID-AMERICA SCIENCE MUSEUM, 500 Mid-America Blvd., Hot Springs; features over 100 hands-on exhibits; Tues.-Sat. 10:00 AM-5:00 PM, Sun. 11:00 AM-5:00 PM; 501-767-3461. NOW to MAY 26—“SCIENCE OF THE HUMAN BODY,” Museum of Discovery; 500 Pres. Clinton Ave., Little Rock; 9:00 AM-5:00 PM Tues.-Sat. &1:005:00 PM Sun.; 396-7050.
MARK YOUR CALENDAR MAY 18—SKIN CANCER SCREENINGS; 6th floor, Rockefeller Cancer Institute at UAMS, Little Rock; 8:00 AM-2:00 PM; FREE screenings and FREE parking at UAMS Parking 3, corner of Cedar and Capitol; for more information call 686-7546.
R ITA AND TH E F AS HIO NI S T A S
family caregiving tips
Spring Into a Color Constellation
Bath-time Tip
A
W
By Amber Holland
fter a long blast of blahs during storm and Spring seasons, our fashion world spangles a sky-full of kaleidoscope colors that beckons us to play, just as nature would…. boldly and wildly. This season is flirting shamelessly with every color in the BIG crayon box, so we need to “drop the dulls” and flaunt an array of beautiful, flattering brights. The East Indian cultural event called Holi recklessly spatters the very diverse and delicious hues we all crave. Our star-power palette begins with bright colors against black, stripes or untraditional and even geometric color-blocking. Within this trend, create a unique-for-you expression. Invite yourself to play and try: Aqua with yellow or lime Fuchsia with navy or purple Coral with chocolate or olive Royal with orange or any shade of green Light-wash metallics with everything, especially demi-florals and mini-graphics.
laces, gauzy-gorgeous scarves, wonderful wedges or snappy flats. Voila! Your inner urban gypsy is born. Even guys can go bold, with color-pop broadcloth and polo-style shirts, crisp khakis and web-work belts. Show off summer straw fedoras and fashion-fab socks that complement sherbetstriped ties. Enjoy your classy, chaotic color blitz as you sail your personal style boldly through Summer 2013.
In other words, Mix It Up! Punctuate your color splash with bangles and hoops, big gem-stone neck-
Rita Mitchell Harvey, former owner of Elle’s, keeps an eye on all things fashionable.
URE If you are interested in MKAATN Slearning more about A S AR APRIL, 2013
Mature Arkansas and how you could promote your business or services, please contact katherine@arktimes.com AMS PALMER WILLIor ARTIST LINDA ER GIANTSKatherine Daniels call PRES VES RARE at 501-375-2985.
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hile conducting workshops, I always encourage participants to share tips they have found helpful in difficult situations when caring for a dementia patient. One lady, who cared for her mother with Alzheimer’s disease, said bathing was often a difficult task. She had heard that colored bath salts would help distinguish the water from the bathtub, since depth perception is a common vision problem associated with Alzheimer’s. She didn’t have any bath salts but thought food coloring would be a good substitute. She put it in the bath water; her mom cooperated and bathing was not a struggle that day. However, when she pulled her mom up out of the bath, her skin was blue from the food coloring. The class roared with laughter. So, it is okay to color the water to make bathing easier, but stick with colored bath salts or use children’s bath salts or bubble-bath. Ms. Holland works for the Alzheimer’s Association Central AR Region.
Diabetes? PAIN? Blood Pressure? Heart Problems? Let us help you get the Social Security Disability benefits you deserve. Call today for your free consultation.
Kevin Odum, Attorney Little Rock
501.376.3564
whetstoneandodum.com MATURE ARKANSAS
may, 2013
9
new lease on life
Keeping Up Appearances More boomers are late bloomers thanks to cosmetic procedures By Dwain Hebda
I
n six years at the helm of Arkansas Laser Dynamics, co-owner Denise Johnson has about as many anecdotes as she does potions and processes to help keep Father Time at bay. One of her favorites involves a Little Rock minister, in recently for a Botox treatment. “She said, 'Go easy on me, I can't have a frozen forehead up there when I'm trying to look excited about Jesus,'” laughed the 48-year-old entrepreneur. Cosmetic procedures may not be quite as ubiquitous as teeth cleaning, but as Johnson's story suggests, we're getting there. People are
surgical and non-surgical cosmetic procedures in 2012, more than 10 million enhancements in all. Surgical procedures represented only 17% of the total cosmetic work done last year, but a robust 61% of total dollars spent. Among 51 to 64-year olds, blepharoplasty (eyelid surgery) was the most-requested procedure. Patients over 65 had more facelifts than any other enhancement. While 35 to 50-year-olds accounted for 43% of procedures last year, patients age 51 to 64 were a solid runner up, accounting for 29%. That's more than three times the patients
“Today, I have patients come in whose kids are gone and they are free to do what they've always wanted. A lot of them may have no significant other and they see it as taking care of themselves and doing what they want to do,” Yee said. Contributing to the new level of acceptance among women is safety in numbers. Of the total procedures reported in the ASAPS statistics, 90% were performed on women. And, as both Yee and Johnson attest, they're talking it up. “Most of my new customers got my name from someone else,” Johnson said.
James and Linda Jumpers’ had their cosmetic work done together “for moral support,” James says. increasingly not content to, literally, stare their deficiencies in the face every morning. From temporary fixes and “touch ups” like Botox or laser treatments, to something more invasive like liposuction, breast reduction and facelifts, older patients are turning a once-taboo subject on its delicately-sculpted ear. “It used to be, 'Oh, my husband would kill me if he knew I was in here doing this,'” said Johnson. “Now, women come in to treat themselves or for their anniversary. They ask their husbands what they like and then come in and get it done.” Buoyed by popular media such as the “Housewives of...” television shows and an almost endless stream of celebrity enhancements, the industry is enjoying a boom period. According to statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS), Americans spent almost $11 billion on
65-plus, although the latter group also showed year-over-year growth. Little Rock cosmetic surgeon Dr. Suzanne Yee said her practice mirrors these statistics. As people live longer, couples earn their own money and divorce rates continue to climb among the 55 and over set, more people are investing in their appearance. “It's much more accepted than when I started 20 years ago,” she said. “Back then, plastic surgery wasn't as popular and if someone had some work done, they didn't want their friends to know about it.
Men suffer more of a split personality on the subject. Although industry publications boast about men as a growing segment, they are far less likely to chat about their new nose as their wives. “Men are much more reserved about letting people know they’ve had work done,” Yee said. “I've had a lot of men who’ve had liposuction, for instance, but they would much rather have everyone think they just worked it off in the gym.” James Jumpers of Benton is not one of those people. Six years ago, at 62, he and his wife Linda, now 55, decided to have a suite of cosmetic procedures done. Both had their eyes and necks worked on as well as facelifts and other procedures. Yee did their operations a week apart, to assist in the others' recovery. “We'd been talking about it for a while and we just decided that if one
Americans spent almost $11 billion on surgical
and non-surgical cosmetic procedures in 2012, more
than 10 million enhancements in all.
10 may, 2013 MATURE ARKANSAS
Top Plastic Surgeries
C
osmetic surgical procedures increased 2% from 2011 to 2012. The top five most performed procedures were: Breast implants, nose reshaping, liposuction, eyelid reshaping and facelift. Increasingly popular minimally invasive procedures increased 6%, with more than 13 million in 2012. The top five were: Botox injections, soft tissue fillers, chemical peels, laser hair removal and microdermabrasion. Reconstructive plastic surgery remained stable with a 1% increase, and included tumor removal, laceration repair, maxillofacial (lower half of the face) surgery, scar revision and hand surgery. Breast reduction increased 8% overall with a 5% increase for men. --American Society of Plastic Surgeons
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was going to do it, we'd both do it for moral support,” he said. “We're really happy with the end result and satisfied with the entire experience.” The Jumpers are so comfortable in their cosmetically-articulated skin, that any fuss over plastic surgery is something of an amusement. James said it was no big deal to take the plunge, “We could afford to have it done and so, we had it done,” nor is it a big deal talking about it now. “We haven’t hidden the fact that we've had some work done and our friends have accepted it well,” he said. Although it’s still not a common conversation among their peer group, he says, “I think in general it's more socially acceptable now than it once was.” Choosing the right professional requires due diligence. Those going under the knife should apply the same criteria to their plastic surgeon as any other medical professional, such as time in the business, education, facilities and referrals. For non-surgical services such as Johnson’s (ranging from forehead injections to treatment of toenail fungus) Photos courtesy Dr. suzanne yee it’s just as important to check credentials. Surprisingly, few consumers do. “People are just too trusting. I rarely have a new customer who asks any questions at all, like, 'How long have you been doing this?'” she said. “Yet, if someone doesn't understand how melatonin reacts to light and how different skin has different levels of melatonin, there's a huge potential for scarring.” Johnson, who started her career in the nursing field and is married to a physician, voluntarily maintains an on-premises medical director and attends continuing education on laser protocols. But, there’s no law that requires it. “The way it is now you could go on eBay, buy the very same laser I have in my office, set it up in downtown Little Rock and start treating people,” Johnson said. Yee said another critical component to choosing a professional is getting someone with whom you can establish a level of trust. You want someone you can easily talk to about what you are looking for, as well as from whom you can hear some hard truths about the limits of turning back the clock. “If I have someone in their 70s come in who expects to get the results of a 20-year-old, that's not going to happen,” Yee said. “The most important thing for any patient is finding someone they are comfortable with, someone who can relate to them, answer their questions and make sure they are realistic in what they want to accomplish.”
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W
Why Wom
They work harder, earn
Women excel for many reasons:
my first management jobs was to run Acxiom’s data center. I supervised an all-male staff and a manager who was 20 years older than I They’re smart, talented, they work hard and most have been was. They thought they could run me off, but I didn’t let them intimidate me. If you treat mentored. For women over 50, who work in traditionally people fairly and with respect, clearly explain expectations and give them regular feedback, male-dominated professions and businesses, there have been you can work out most relationships – both professionally and personally.” You should challenges and opportunities. never have a ‘victim’ mentality,” she advises. Phyllis Glaze is a 38-year veteran in central Arkansas commercial real estate, director of “Women have to work just a little harder and smarter,” property management, and a principal (the firm’s first female) says Charlotte Gadberry, a development/organizational with Colliers International, formerly Barnes, Quinn, Flake and management consultant in central Arkansas. “Those who Anderson. “Commercial real estate and property management are willing to do that overcome any initial discrimination. was dominated by men when I entered the field. But it has Everyone wants a winner on their team regardless of gender.” evolved into being primarily female,” she explains. Acxiom executive Jennifer Barrett Glasgow says she “I begged my boss to let me get involved with real estate ignored the ‘glass ceiling’—the gender bias many women development but he turned me down, several times,” Glaze face in the workplace. “I was fortunate enough to have skills recalls. “Finally he let me attend the meetings but I was that were highly sought after regardless not to say anything.” Glaze says she didn’t perceive this as of gender. I tried to fit in and be ‘one of gender bias because, “I was so thankful for the opportunity the boys’. It actually worked pretty well,” to learn and my boss was so well respected.” Glasgow recalls. “My first commercial development job was assigned to “I moved up the corporate ladder me over a man who ranked higher. He was upset he didn’t pretty fast and kept pace as the company get the work, but that’s just not an issue now,” she says. “I grew,” Glasgow says. “I stayed in managerealized I was going to have to work much harder and be ment, expanding my responsibilities and willing to take on any task to establish a presence with our skills. As chief privacy officer, Glasgow clients, much less wield any authority. Once they decided is responsible for Acxiom’s global public I could do this work, they supported me and took chances policy. “I love a challenge and solving big with me. The principals of this firm have always supported problems for our clients. I am quick to me,” Glaze says. volunteer for new things. This is a recipe One of central Arkansas’ consistently top-selling real estate for success in most any job.” agents, Lolly Honea of Keller Williams Realty, takes a different In her late 20s, Glasgow says, “One of view of gender discrimination. “I think it has a lot to do with attitude and choices. Women can choose to be “The most important mentoring a successful woman can give smart and not be treated is to build confidence in others.” Jennifer Barrett Glasgow in an inferior way,” she says. “It’s very subtle
12 may, 2013 MATURE ARKANSAS
E
men Excel
n respect and pass it on
By Anne Howard Wasson
when it happens but we just have to push on through,” she advises. “I think I’ve been accepted by men in the business world because I’m real and don’t try to impress people. If people don’t like me, that’s okay,” Honea says. There are many good agents out there and lots of business to go around.” Honea believes her positive attitude comes from selfconfidence and because she grew up with an extended family where the men accepted her as an equal. “They surrounded me with confidence and strength after my mother died. Mentoring, to me, means knowing I had a back-up; that I was loved unconditionally.” Gadberry says she didn’t face any glass ceilings. “I was fortunate to begin my professional career after the age of 40. Maturity and life experiences are appreciated by the workplace.” But Gadberry does recall subtle differences. “There were minor things such as I wasn’t included in executive golf games where a lot of business is transacted. On calls when the men on my staff accompanied me, they tended to talk to the men rather than me. There were the occasional whispers in my ear of inappropriate comments that were always troublesome. But, these were minor and I ignored them,” Gadberry says. Jane Wayland, first female dean of the business school at the University of Arkansas at Little Rock (UALR), agrees with Gadberry. “I really did not experience a glass ceiling. Opportunities opened up for me when I was ready to seek them. I do feel that women are treated differently in some ways but it is difficult to articulate exactly what that is,” she says. “Sometimes there was a feeling of a ‘boys club’ and information did not flow my way,” Wayland recalls. After receiving her MBA, Wayland earned a doctorate in marketing and is a marketing professor at UALR. “I had to seek information. Women must be assertive in their careers. I made friends and tried to understand the information that would impact my ability to do my work,” she says. Wayland adds, “I thought that if you did a good job, you would have no issues. But doing a good job is not enough. The political landscape in most places is too large to ignore. Political issues can have a significant impact on how you
cover photo by brian chilson
“Women have to work just a little harder and smarter.” Charlotte Gadberry
perform your job or how others perceive you.” Carolyn Witherspoon, an attorney with Cross, Gunter, Witherspoon & Galchus in Little Rock, has been in private practice since 1985, after working as a Little Rock city attorney after law school. She says she’s never experienced a glass ceiling or discrimination at the firms where she’s worked. “As a young lawyer, I did experience limited sexism in some courts. These comments were intended to embarrass me or take my focus away from the task at hand. They never hindered my ability to perform my job.” If anything, the first female president of the Arkansas Bar Association says, “they toughened me.”
Mentoring has many faces “The principals of this firm were my most enduring mentors,” Glaze says. “They poured a lot into me but they knew they could trust me.” Glaze now mentors younger workers at Colliers. “As a grandmother I provide a comfort level. They can talk to me confidentially, about work or personal matters,” she smiles. “They bounce ideas off me and I offer my judgment about the ‘big picture.’” Honea values the mentoring she received as a nursing student and later, the guidance of an older real estate agent. Honea met her future mother-in-law when she entered the Baptist School of Nursing at 18. She had recently lost her mother and her clinical nursing instructor, Margaret Honea, would fill a pivotal mentoring role for the young student. “She introduced me to her son Ross so I believe in arranged marriages,” Honea smiles. After graduating, Honea worked as a surgical nurse for two doctors. “They made MATURE ARKANSAS
may, 2013
13
“There are many women who still face barriers of inequality and discrimination.” Carolyn Witherspoon me part of their team and always respected my work. They taught me so much and mentored me through their respect,” she recalls. Honea wasn’t looking for a career when she agreed to help her friend, real estate agent Cotsy
Chenault. “I was just going to work two days a week because my daughters were still in high school, but I got obsessed with real estate. I guess it’s because I love helping people. I always tell young agents if they don’t have a servant attitude, they will not succeed in real estate.” “I have difficulty understanding
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how anyone can be successful without those who support us and go ahead of us to ‘open doors,’” Gadberry says. “Jim Butler at Easter Seals and Sister Margaret Bradford and Jack Reynolds at St. Vincent were mentors as well as ‘bosses.’” Gadberry also worked as executive director of the St. Vincent Infirmary Foundation and development director with the Arkansas Easter Seal Society. “They gave me the freedom to take risks and move forward. Jim Butler taught me compassion and appreciation for people with disabilities, for the beauty of their lives. Sister Margaret was my model for consistent hard work and integrity. And, Jack Reynolds challenged me regularly to carry out my responsibilities at a higher level,” Gadberry recalls. “My first mentor was a woman who was a public relations specialist for a large school district in Texas,” Wayland says. “I worked with her on community projects. She influenced my understanding of the importance to be involved in the community. Another mentor was the director of a foundation in a nonprofit hospital in Illinois. From her,” Wayland says, “I learned that women who pooled their resources can make a major difference in the community better than one person alone. My dissertation chair was one of the first women in marketing and broke down the gender barriers for those of us who followed her in our own academic careers.” Witherspoon says her mother was her first and most important mentor. “She instilled in me a strong work ethic. Another important mentor was Dr. Sarah Murphy who involved me in work on the status of women when I was in law school.” She says brothers and Judges Richard and Morris Arnold were most helpful in her legal career. “These two brilliant scholars have been a real blessing in my life and their personal support and friendships have been invaluable,” she says. “My mother taught me I could be or do anything I wanted,” Glasgow says. “The most impor-
tant mentoring a successful woman can give is to help build confidence in others—women and men. The advice that sticks out the most in my mind was my college advisor suggesting I try a computer course.” That led Glasgow to a degree in mathematics and computer science from the University of Texas in Austin in 1974. “That degree led to my job with the State of Arkansas and ultimately with Acxiom. Sometimes, things just go right for you.”
“I was so thankful for the has the aptitude to pursue those fields,” she says. opportunity to learn.” Glasgow advises paying Phyllis Glaze attention to salaries. “I make sure to know what the market are still facing those will bring for comparable skills. barriers of inequality I’m not afraid to ask for fair pay. I and discrimination. It think women often are hesitant to is extremely difficult to ask for a raise when it is deserved, balance family and work but they shouldn’t be.” and succeed in both. To “While I am fortunate to have do that, all workplaces achieved equality in pay and must recognize the benefits,” Witherspoon says, importance of allowing “there are many women who women and men to
Progress toward equal pay The women agreed that progress has been made for equal pay and benefits in the workplace. “It has been slow in Arkansas,” Gadberry says, “but gradually the workplace has realized that women have important qualities that increase the value and accomplishments of the entire workforce.” “Women should be given equal pay for equal work,” Wayland says. “Research shows that women in Arkansas make less than men for similar positions. However, we also know that women drop out of the workforce to raise families, which has a negative long-term impact on their salary. I support women who choose to stay at home and raise their families. I also support programs that make it easier for them to return to the workforce when they choose.” Wayland notes, “Women are obtaining more college degrees than males, but women do not hold equivalent decision and policy-making positions. At least in Arkansas, there is more work to do.” “While companies try harder to be gender diverse, in the end it boils down to ‘can you do the job’ and ‘are you willing to make the sacrifices necessary to be successful,’” according to Glasgow. She says it also helps to be in a profession where skilled talent is scarce. “In 2020, there will be twice as many jobs for math and science degrees than we will have qualified individuals to fill them. I would encourage any woman who wants to succeed and MATURE ARKANSAS
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have viable families and simultaneously fulfill important roles in their workplaces. There should not be a separate “mommy track.” It ultimately hinders the potential of women by making them feel they must sacrifice professional goals in order to maintain a healthy family life,” Witherspoon says. Glaze noted how her firm networks with each gender. “Networking is an important part
of what we do. This is a relationship business. Many of our clients are male and it is often easier for men to work with other men in a more natural way.” She says the firm is exploring ways that female employees can develop better working relationships with clients because women are controlling more and more commercial real estate. “I don’t play golf or hunt and those are ways that male employees can build relationships with male clients. I don’t think it’s necessary for women to develop male hobbies.” Glaze cited a recent outing that Colliers female employees hosted for the firm’s female clients at P. Allen Smith’s Garden Home farm.
What younger women should know… Gadberry says the biggest mistake younger career women make is, “tending not to aim high enough.” Witherspoon agrees, and urges younger women not to “underestimate themselves and their abilities. Sometimes the ability to ‘have it all’ seems rather daunting. Women are able to
“If women do not speak up, we will lose the gains we have made.” Jane Wayland
succeed in their law practices, with their families, and in community work that is important to them. It’s often a matter of scheduling and having a supportive network, including your workplace,” she says. Her law firm has won state and national awards for policies that foster workplace effectiveness, flexibility and health. “They aren’t as hungry or as ambitious as their male counterparts,” says Glasgow. “I find too many women don’t stand up for themselves. I see women placing more limits on themselves than the limits from society or the business community.” She advises understanding your strengths and playing to them. “When you are passionate about something and have the skills to do the job, you usually succeed.” Honea’s advice for young women mirrors what she modeled for her daughters. “My daughters are good mothers, very responsible and hard working. They don’t blame others when things don’t go right; they push on through.” When she was a full-time mother, Honea says, “I didn’t see the big picture. I was focused on my family, showing horses, and my little part of the world. I am so grateful I went to work because I’ve learned so much. It’s made me a better mother and grandmother. Working makes you get up, get dressed, it gives you self-respect. It provides the opportunity to help people.” Honea also advises young agents she
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mentors to become involved in community volunteering. “I find out what they’re interested in, connect them to those organizations and help them fit into the group and give back.” “We live in a casual society and women tend to forget that the decision makers in many organizations tend to be more formal. Younger women need to dress and behave in a professional manner if they want respect from their colleagues and supervisors,” Wayland advises. Glaze agrees, “Maybe it’s an age thing with me but younger women have a much more casual attitude about clothing and how they speak to authority figures. That is true of younger men as well.” Glaze is not a fan of ‘casual Fridays. “If you want to be taken seriously, you have two chances: Your initial appearance must be professional, and you have to have the knowledge to do the job and be able to take questions professionally.” Glaze also hints at how the work ethic varies between generations. “When I grew up in this business, it never occurred to me to leave at 5:00 PM or take an hour for lunch. I still don’t,” she says. Wayland adds, “I think younger women and perhaps women my age, have forgotten that women had to work very hard for equal opportunities. My path was easier than the genera-
“Working gives you self-respect. It provides the opportunity to help people.” Lolly Honea tion before me, but if women do not speak up, we will lose the gains we have made.”
Finding balance “The majority of the challenges I have faced in my career,” Witherspoon says, “are related to the difficult task of finding balance. How would I successfully balance my family life, my volunteering, and build my legal career with only 24 hours in a day? I was extremely fortunate that my husband was very supportive and went the extra mile to help me juggle all the balls I had in the air.” “The ticket to moving up in a career, against the objections of discrimination, was, for me, being willing to do more and spend more hours and learn everything I could,” Glaze says. Life’s circumstances forced her to reevaluate her work schedule when she added caregiving for her husband and mother. “I was forced into not letting my career be number one for the years I was also a caregiver.” Both parents and her husband Justice Tom Glaze died within 17 months. It is her children, grandchildren and newest great-grandchild Emma Grace that take up more and more of her time. “I’m lonely
without Tom but I plan to do more traveling with my children and their children.” Honea has had to make choices too, “between clients and family; between business and pleasure. But I’m happy with the choices I’ve made. I’m glad I went to work because it set an example for my girls that women are contributors; that we can work and provide good role models for family life. I can hardly wait to get to work every day,” Honea says of her still full-time work schedule. “I try to learn something new every day and that keeps you young, doesn’t it?”
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MATURE ARKANSAS
may, 2013
17
nurs i n g h o me ser i es #4
Why You Can’t Open a Nursing Home Free-market competition ignored
L
et’s say you are dissatisfied with the nursing home in town. Maybe you have a relative there who is not receiving proper care. If you had the financial backing and business acumen, you could open a competing facility that would care for residents in a more professional, compassionate manner. The American free-market way of doing business would reward the nursing home that provided the best service for the best price. Right? Maybe, but where nursing homes are concerned, it is highly unlikely that you would be allowed to turn the first spade of free enterprise dirt. “These nursing homes are continually given approval to add onto their facilities and to build new facilites without any regard to the care they are giving,” according to Martha Deaver, president of the Arkansas Advocates for Nursing Home Residents, a non-profit advocacy group for nursing home residents. “These are for-profit businesses but they are reimbursed with tax dollars,” Deaver continued. “For the past 25 years many of these for-profit businesses have been cited by state and federal investigators for repeated horrible abuses and neglect. But they are repeatedly given approval through the POA process.” In Arkansas, you cannot get a license to run a nursing home unless there is a demonstrated need for more beds in the area. However, it’s
By Jack Whitsett
unlikely you could demonstrate a need for more beds in an area that already has a nursing home. The Arkansas Health Services Permit Agency, the agency responsible for issuing Permits of Approval (POA—also called certificates of need) for nursing homes, hospitals, assisted living facilities, home health and hospice agencies and facilities for the mentally retarded, is directed by a commission made up mainly of people who run nursing homes and other healthcare facilities. A review of POA applications for additional or renovated nursing home beds shows the overwhelming majority were from existing owners. “Outsiders” rarely bother to apply. The only applications from “outsiders” were for other types of long-term care facilities, such as assisted living facilities. James C. Luker is director of the Arkansas Health Services Permit Agency, which oversees the needs certification process. Gov. Mike Beebe appointed Luker, a former state senator, in January. Luker defends requiring applicants for a nursing home construction license to demonstrate a need for more beds before a license is granted.
When you have a poorly
performing
nursing home,
there’s no way
the marketplace
can deal with that.
“It’s to prevent the overbuilding of facilities and the capital costs associated with new beds,” Luker said. “You will end up increasing costs (without needs certification). It will have a major impact on Medicaid costs.” Luker said the state would have to contribute more Medicaid payments if unused beds are created.“The utilization rate is not that high,” he said. The rate of filled beds hovers around 80%. Luker said POA certification helps ensure that services are available in small towns and rural areas. “The fear is, there would never be much interest in serving rural areas if everybody was permitted to rush to the big urban areas,” he said. Little Rock Attorney David Couch, an advocate for nursing home residents, disagrees with much of the reasoning behind the certification process. He says it makes for “a bad nursing home, but you don’t go out of business.” Letting the free market determine the success or failure of nursing homes would give residents and their families leverage, Couch argued, allowing them to choose based on quality of care, costs and other competitive factors. In addition, Couch said the system strongly favors established owners. “You can’t get a new permit unless you can prove there’s a need,” Couch said. “You can’t compete against an existing home. The problem then becomes, when you have a poorly performing home, there is no way the market-
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place can deal with that.” Michael Morton of Fort Smith is both a nursing home owner and a member of the Health Services Permit Commission. He defended the system as good for the industry, the patients and the state. “When financially stressed, such as when the need for beds is far less than those available, many nursing home owners look at the bottom line first. The first thing people do is cut costs,” Morton said. “When they cut costs they hurt the residents.” Financing would be a problem without the current system, Morton said. “It’s been my experience that unless I have a certificate of need … the bank’s not going to loan money.” Deaver said the system doesn’t operate in the best interests of residents. “When new beds are needed, existing owners add them or get to build a new home,” she said. “For-profit businesses have a monopoly. Where’s the incentive to improve their care?” Deaver sees part of the solution as more freemarket forces in the nursing home industry. “Until these for-profit businesses are a part of the free enterprise process, as most for-profit businesses are, then citizens will not have a choice in placing their loved ones in a facility with a repeated history of poor care. Public choice and competition can only equate to better care,” she said. Morton said that serving on the Commission that regulates his industry does not constitute a conflict of interest. Morton pointed to his actions last year when his application for a new facility in Vilonia was considered by the Health Services Permit Commission. “You recuse yourself from voting and sit in the audience,” he said, adding that he did not participate in the discussion or the vote on his application. Luker declined to comment on the the conflict-of-interest question. “That really is a policy issue for the governor and the legislature to decide,” he said. “The Commission is made up of a number of individuals representing various industries, not just nursing homes.” The Arkansas Health Services Permit Agency is directed by the Arkansas Health Services Permit Commission, a nine-member board whose memebers are appointed by the governor and confirmed by the Arkansas Senate.
Public
choice and competition
The current Commissioners are: Nina Alter, Ark. Residential Assisted Living Association; Janie Pugsley, Ark. Home Health Association; Michael Morton, Ark. Health Care Association; Kevin Hodges, Ark. Hospital Association; Dr. Kimberly Curseen, Practicing Physician; Dewery Watkins, AARP Volunteer; Breck Hopkins, Ark. Dept. of Human Services; David Laffoon, Business Health Insurance; Jim Petrus, Ark. State Hospice Association.
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health ne w s
Smart Apps Won’t Replace Doctors By Cal Wasson
I
t's a few years from now and you're about to have a heart attack. You don't know it but a sub-sand-grain-sized implant has been measuring your nucleic acids and sees it coming. The information goes to your smartphone that compares it to your genome sequencing and other biomarkers. It determines the severity and, if necessary, triggers nano-sensors releasing anti-inflammatory and anti-clotting drugs. You get a text-message saying what happened and what to do. Today, eHealth is in its infancy. When it grows up, that computer phone some 90% of us carry may replace hospital wings. The apps that can accurately handle medical testing are just coming to market. The Food and Drug Administration (FDA) just approved a smart phone based ECG (electrocardiogram) system, AliveCor. Systems
near release include consumer ultra-sound, electrolytes and diabetes monitoring. Phone-based apps are in development for breath analysis and blood testing. Dr. Charles Smith, University of Arkansas for Medical Sciences (UAMS) professor, and his colleagues pioneered the field, starting eDoc 15 years ago. Subscribing patients can phone in or text questions that go to collaborating physicians. Smith wants to add real time testing but sees substantial barriers to entering the market. "There are legal, financial and regulatory problems that have to be worked out," Smith told Mature Arkansas. “Right now we don’t even know who’s going to pay for it. Now the only way is to offer it as a free service or have the patient pay for it and that’s not going to work.”
It will be expensive. While the apps can get, record and transmit your results, what do we do with the information? There is no precedent for storing and retrieving personal medical results on this scale. There’s also no precedent for evaluating these mega records. Hospital computer systems
There is no precedent for storing, retrieving and evaluating personal medical results on this scale.
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are notoriously complex and patched together. How will they handle mountains of patient data coming in over the Internet? We will have apps long before we have systems to effectively use the data. While Apple has been touting its phones as the
medical device platform of the future for five years, it hasnâ&#x20AC;&#x2122;t happened. A Pew Foundation study released last month had consumer eHealth application sales flat for two years. About 10% of cell phone users have some kind of health app. Most are simple record keepers. Some give tips. Some are bizarre, such sending pictures of your skin for sexually-transmitted disease (STD) analysis. Some are pure fraud, such as an application from Apple Stores that triggers cell phone lights to cure pimples.
Itâ&#x20AC;&#x2122;s probably better if youâ&#x20AC;&#x2122;re a late app adopter. While there are strong apps for doctors, two thirds of them donâ&#x20AC;&#x2122;t use them. The 30,000+ consumer apps are mostly primitive. More than $900 million was spent on health-app development last year and those investments are just showing up in product-approval logjams. Before you buy a health app that seems to fit your medical needs, check with your physician. While AliveCorâ&#x20AC;&#x2122;s ECG app (at left) has a great â&#x20AC;&#x153;gee-whiz factor,â&#x20AC;? the data isnâ&#x20AC;&#x2122;t really a good predictor of heart problems and doctors notoriously interpret data differently. You need to determine if your endless stream of test results is of any use to your case and if your doctorâ&#x20AC;&#x2122;s office has a mechanism for processing the data. Youâ&#x20AC;&#x2122;re on a frontier so moderate your expectations. Key companies that are developing these apps are also creating the systems that process and respond to the information. When this happens, weâ&#x20AC;&#x2122;ll be getting texts or emails saying things like â&#x20AC;&#x153;Skip your beta blocker today,â&#x20AC;? or â&#x20AC;&#x153;Take 250 mgs. of magnesium,â&#x20AC;? or â&#x20AC;&#x153;Lie down, youâ&#x20AC;&#x2122;re about to receive medication to stop a stroke.â&#x20AC;? Until then, the best advice is the oldest: Stay healthy For more information on health-related digital information visit hhs.gov/digitalstrategy
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MATURE ARKANSAS
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MEDICAR E MAT T ERS n B y Sa l l y J o h nso n
FREE Preventive Care from Medicare P
revention is the key to good health for many health problems. Medicare will pay for everyone. Medicare (Part B) now covers weight-loss counseling through your doctor. 100% of the cost of preventive screenings. Some • Depression screening annually of the free tests you can get (if your primary care • Alcohol misuse screening annually doctor accepts Medicare assignment) include: • STDs (sexually transmitted diseases such • Cardiovascular disease screening, via a as Hepatitis B, chlamydia, etc.) screening and blood test that measures cholesterol, lipid and counseling are also available. triglyceride levels, can find problems that may It’s a sad truth that if you are African lead to a heart attack or stroke. Medicare covers American or Hispanic, you are more likely the cost of one doctor visit annually to discuss to suffer from a long list of health problems, ways to lower heart attack and stroke risks. and less likely to receive preventive screen• An annual “wellness” visit to create a ings and quality healthcare. In 2009 the death personalized plan to prevent disease and rate from heart was 213 per 100,000 for The New York Times Syndication Sales disease Corporation The New York Times Syndication Sales Corporation 620 Eighth Avenue, New York, N.Y. 10018 disability, based on your personal factors. Arkansans, but 270 deaths per 100,000 620risk Eighth Avenue,white New York, N.Y. 10018 For Information Call: 1-800-972-3550 • Obesity screening and counseling is free Call: for African-Americans. Caucasians have the For Information 1-800-972-3550 For Release Thursday, May 2, 2013 For Release Friday, April 5, 2013 because being overweight raises the risk of highest use of preventive services.
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22 may, 2013 MATURE ARKANSAS
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These disparities result from a number of factors, mostly related to income level, and, by extension, to where people live and work. Those living in rural or isolated areas without enough doctors or a hospital are less likely to get healthcare. They’re more likely to suffer from preventable health problems. Lower-income areas are often “food deserts”—neighborhoods that don’t have grocery stores that sell healthy foods like fresh fruits and vegetables. People with lower incomes are also less likely to be able to pay for healthcare, so they delay getting care until they are very sick. Medicare’s free screenings are important for everyone to use. For Medicare questions, call toll free 888-354-9100
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edicare has redesigned and simplified the Medicare Summary Notice (MSN), mailed to beneficiaries every three months.The MSN explains the claims and benefits you’ve received; what has been billed to Medicare on youraccount;howmuchMedicarepaid; and how much you owe providers. MSNs are sent only to those enrolled in Original Medicare. The MSN notice isn’t a bill, but you should carefully review it to check your out-of-pocket expenses, detect billing errors and possible fraud. The new format includes: • What you’ve paid toward your annual deductible • Healthcare providers making claims for your care, and if Medicare paid them • Definitions of terms • Information on preventive services. The improved, large-type MSN will help you more easily file an appeal if your claim is denied, and more easily spot billing mistakes or fraudulent charges. For services or supplies you did not receive, ask the provider. If the provider cannot resolve it, call Medicare at 800-633-4227.
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