Caryl Greenberg, MSW, LSW
Aid in Dying Act/New NJ Legislation
Without bias or political leaning, I wanted to inform you about new legislation in case you haven’t heard; NJ is the 8th state in the nation to approve an ‘Aid in Dying policy’.
Gov. Phil Murphy signed legislation that will allow terminally ill patients to obtain medication to end their own lives. The “Medical Aid in Dying for the Terminally Ill Act” which takes effect August 1st 2019, permits terminally ill, adult patients residing in New Jersey to obtain and self-administer medication to end their lives. A patient’s attending and consulting physicians must determine that the patient has a life expectancy of six months or less, has the capacity to make health care decisions, and is acting voluntarily, in order for the patient to obtain the medication. The bill establishes additional procedures and safeguards that patients, physicians, and other health care professionals must follow before a qualifying patient may legally obtain and self-administer the medication. For example, patients would have to make at least two oral requests and one written request to a physician, and physicians would have to wait 48 hours after receiving a request before writing a prescription for a life-ending drug. Patients would also be screened for depression or other psychological impairments that would prohibit them from obtaining life-ending medication. Lastly, if there is life insurance they must still honor polices and pay beneficiaries. Hospitals, doctors and other health related facilities can opt out and not participate in helping a terminally ill individual die.
Concierge Medical Care
Practices that offer unlimited doctor access for
a fee are popping up around the U.S.
Here's what you should know.
If you are lucky enough to afford to use a concierge physician, you are among a growing population of older adults that enjoy the comfort of having round the clock attention. In a nutshell, some doctors are downsizing to a ‘retainer based practice’ in order to limit the number of patients in his/her practice for an annual fee. In return the patient receives exclusive services and increased access. Some practices are set up based on tiers and the more fragile your health is the more of a yearly fee you pay. Physicians are still billing insurances; you would continue to pay co-pays and deductibles etc.
Why is this even happening? According to an article I read, many
doctors are experiencing burnout. In order for physicians to have a viable practice a typical primary care practice has between 2,000-3,000 patients, seeing about 20-24 patients daily. With the scaled down practice that number drops to 6-8 patients a day with a practice size between 400-600. The extra time allows the concierge physician to offer a comprehensive assessment and customized treatment plan, including lifestyle and preventive services for optimum health and practice as they intended.
There are criticisms of concierge medicine which is that it is elitist,
available to the rich and can lead to a 2 tier health care system. I have heard that some recently transitioned doctors have kept their previous clients even if they can’t pay their new rate. If you’re interested in type of practice let me know and I can give you information.
Monthly Bereavement Group: Monday, August 19th 10:45am Anyone who has suffered the loss of a spouse or partner
is welcome to attend the monthly bereavement group.
Questions? Please call Caryl x 7212 is welcome to attend the monthly bereavement group.
Join A Group...
What's on Your Mind
"What's On Your Mind" meets on Fridays at 1:45 p.m. to discuss current events and information that interests you. We welcome new members. You can drop in anytime. Call Caryl for more information.
Monthly Bereavement Support Group
Ongoing support group. Participants offer mutual support to each other as we share our struggles and grief in a safe non-judgmental venue.
A weekly group using literature as a conduit for discussion. Participants share thoughts and feelings about what they have read and relate it ‘if applicable’ to their life experience. We meet every Thursday (except the first Thursday of the month) at 10:30 am. Please call Caryl for more information.
VISION LOSS SUPPORT GROUP
Meets the first Friday of every month at 10:30 a.m. in the conference room. This is an opportunity to meet new people, share information and benefit from mutual support.
Veterans age 55 + meet monthly to share stories and strive to re-create the camaraderie that is experienced when sharing a common bond. This group meets monthly on the 2nd Tuesday of each month at 10:30 a.m.
Social Work Services
As more individuals are choosing to ‘age in place’, the senior center offers ‘home visits’ by the Social Worker to the homebound elderly. We provide limited case management services, emotional support and counseling for issues including loss, caregiver's stress, reduced independence, relationship issues, depression, substance abuse, isolation and more. The Social Worker also sees individuals and couples on site. Please contact Caryl Greenberg for further information.
If you need something to be notarized, please call first to schedule an appointment. Notary services are complimentary.