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Mountain View News Saturday, February 13, 2021
SENIOR HAPPENINGS
HOW TO CHOOSE A HOSPICE CARE PROGRAM
Dear Savvy Senior:
Where can I turn to find a good Medicare covered hospice
provider? My husband’s mother has a terminal
condition and wants to die at home, if possible, so I’m
helping out where I can. Sad Sandy
Dear Sandy:
Hospice is a wonderful option in the last months of life
because it offers a variety of services, not only to those who are dying, but also to those left behind.
Here’s what you should know about hospice care, along with some tips to help you choose one.
Understanding Hospice
Hospice care is a unique service that provides medical care, pain management, and emotional and
spiritual support to people who are in the last stages of a terminal illness – it does not speed up or slow
down the process of dying. Hospice’s goal is to simply keep the patient as comfortable and pain-free as
possible, with loved ones nearby until death.
The various services provided by a hospice program comes from a team of professionals that works
together to accommodate all the patients’ end-of-life needs.
The team typically includes hospice doctors that will work with the primary physician and family
members to draft up a care plan; nurses who dispense medication for pain control; home care aids that
attend to personal needs like eating and bathing; social workers who help the patient and the family
prepare for end of life; clergy members who provide spiritual counseling, if desired; and volunteers
that fill a variety of niches, from sitting with the patient to helping clean and maintain their property.
Some hospices even offer massage or music therapy, and nearly all provide bereavement services for
relatives and short-term inpatient respite care to give family caregivers a break.
Most hospice patients receive care in their own home. However, hospice will go wherever the patient
is – hospital, nursing home or assisted living residence. Some even have their own facility to use as an
option.
To receive hospice, your mother-in-law must get a referral from her physician stating that her life
expectancy is six months or less.
It’s also important to know that home-based hospice care does not mean that a hospice nurse or volunteer
is in the home 24 hours a day. Services are based on need and/or what you request. Hospice care
can also be stopped at any time if your mother-in-law’s health improves or if she decides to re-enter
cure-oriented treatments.
How to Choose
The best time to prepare for hospice and consider your options is before it’s necessary, so you’re not
making decisions during a stressful time. There are more than 4,300 hospice care agencies in the U.S.,
so depending on where you live, you may have several options from which to choose.
To locate a good hospice in your area, ask your mother-in-law’s doctor or the discharge planner at your
local hospital for a referral, or you can search online at Medicare.gov/care-compare, which provides
lists and ratings of hospice providers in your area.
When choosing, look for an established hospice that has been operating for a few years and one that is
certified by Medicare. To help you select one, the National Hospice and Palliative Care Organization
offers a worksheet of questions to ask CaringInfo.org.
Medicare Coverage
Medicare covers all aspects of hospice care and services for its beneficiaries. There is no deductible for
hospice services although there may be a very small co-payment – such as $5 for each prescription
drug for pain and symptom control, or a 5 percent share for inpatient respite care. Medicaid also covers
hospice in most states, as do most private health insurance plans.
For more information, see the “Medicare Hospice Benefits” online booklet at Medicare.gov/pubs/
pdf/02154-medicare-hospice-benefits.pdf.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim
Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
HAPPY BIRTHDAY! … February Birthdays*
Tracy Verhoeven, Beatrice DaRe, Cathrine Adde, Hilda Pittman, Anne-Marie
Stockdale, Susan Henderson, Allie Attay, Ursula El-Tawansy, Gladys Moser, Sylvia
Lorhan, Ana Ptanski, Winifred Swanson , Janet Gillespie, Marian DeMars, Vickie
Vernon, Mary Beth Knox, Sharon Lefler. To add your name to this distinguished
list, please call the paper at 626.355.2737. YEAR of birth not required
SENIOR ACTIVITIES IN SIERRA MADRE
CHAIR YOGA Every Monday and Wednesday, 10-10:45 am Chair yoga with Paul is coming back! Class will
begin on Monday, August 10th and will be held in the Covered Pavilion in Memorial Park in front of the Senior
Center. Please join us for some gentle stretching, yoga, balance exercise and overall relaxa-tion. Class size is limited
so please call 264-8923 to reserve your spot.
HAWAIIAN AND POLYNESIAN DANCE CLASS Every Friday, 10-10:45 am Class will also meet in the Cov-
ered Pavilion in Memorial Park in front of the Senior Center. Join the class with instructor Barbara as she leads
you through the art of Hula. Please call 264-8923 with any questions.
Classes will maintain a distance of 6 ft between participants. ALL participants must be wearing masks for the
duration of the class. All equipment used will be sanitized after each use before it is stored. Each participant is
responsible for providing their own water, masks and needed equipment or sup-plies for each class. Please call the
Community Services Department at 355-5278 with any questions or concerns.
OCTOBER CRAFT
Wednesday, October 21, 11:00 am. Please join me as we try our hands at making Wooden Owl Orna-ments. This
will be a new type of program as we create our masterpieces via Zoom to ensure all of our safety. I will have all the
supplies individually packaged and ready for pickup on Monday, October 19th pickup will be between 10:00 am-
2:00 pm. I will have enough supplies for 10 participants. Reservations are required so please call 355-5278 x 704
to secure your spot. Please note that this is an ONLINE class that will be held via Zoom. We will not be meeting
in the Hart Park House Senior Center.
IDEAS
Do you have any ideas for programming? Is there a class or club you would like to see in our Senior Community?
Please call or email Lawren Heinz with ideas or questions. 626-355-5278 x 704 lheinz@cityofsierramadre.com
City staff are monitoring email communication daily, and although employees are minimizing direct engagement
and interfacing less with the community, please note that voice messages, emails, and social media responses are
being addressed in the most efficient and timely manner. If at any time additional information is needed, please
contact City Hall Administrative Services at (626) 355-7135, Monday-Thursday from 7:30a – 5:30p, as they are
taking messages and e-mailing the appropriate per-son. For messages that may trickle in otherwise, please note
our team is remotely checking voicemail daily at the Community Services Department, (626) 355-5278 x702.
SIERRA MADRE SENIOR COMMUNICATIONS PLAN
The City of Sierra Madre is following these procedures to provide current communication in light of COVID-19
and keep the Senior Community and families informed of essential information and resources. City staff are
monitoring email communication daily, and although employees are minimizing direct engagement and practicing
social distancing in the community, please note that voice messages, emails, and social media responses are
being addressed in the most efficient and timely manner.
If at any moment additional information is needed, please contact City Hall Administrative Services at (626) 355-
7135, Monday-Thursday from 7:30a – 5:30p, as they are taking messages and e-mailing the appropriate person.
For messages that may trickle in otherwise, please note our team is remotely checking voicemail daily at the
Community Services Department, (626) 355-5278 x702.
Community Services Department will continue email communication with Senior residents and aging community
members.
If you know of family members or neighbors who may benefit from accessing information electronically, and
to receive the department’s Seniors Newsletter via email but may not otherwise have been included on an email
group list, please send your request with email address to the following team members: Lawren Heinz Lheinz@
cityofsierramadre.com and Clarissa Lowe Clowe@cityofsierramadre.com.
City Social Media will continue via Facebook as well as Instagram, and information sharing will include updates
as details becomes available.
Mater Dolorosa - Sierra Madre Meal Pick-Up Program provides seal-packaged frozen meals, 5-per person
every Thursday, 12:00 – 1:00 p.m. at Hart Park House Senior Center 222 W. Sierra Madre Blvd. Donations
are accepted. Call (626) 355-5278; x702 or 704. YWCA Intervale Meal Program - Effective
Wednesday, April 1, 2020
YWCA has transitioned their distribution of take home meals at the Sierra Madre Hart Park House
Senior Center to a home-delivery meal program. Participants previously reserved for meal pick-up
as of Wednesday, 3/25/20 were informed that they would begin to have their meals delivered to their
homes, beginning Wednesday, April 1, 2020 until further notice.
FAMILY MATTERS By Marc Garlett
OUT TO PASTOR
A Weekly Religion Column by Rev. James Snyder
NEW DEVELOPMENTS TRANSFORM THE
ROLE LIFE INSURANCE PLAYS IN YOUR
ESTATE AND FINANCIAL PLANNING
IF IT WAS UP TO ME
Within the past year, a
combination of new legislation
and the recent
change of leadership in
the White House and
Congress stands to dramatically
increase the
taxes your loved ones
will have to pay on inherited retirement accounts as
well as increasing the taxes you owe on your taxable
investments. However, purchasing life insurance may
offer you the opportunity to min-imize the effect of
these developments.
To this end, if you hold assets in a retirement account,
you need to review your financial plan and estate plan
as soon as possible to determine if investing in life insurance
or some other strategy may offer tax-saving
benefits for you and your family. To help you with this
process, here we’ll discuss how these new developments
might affect the taxes owed by you and your heirs, and
how investing in life insurance may help offset the tax
impact of these new changes.
The SECURE Act
At the start of 2020, the Setting Every Community Up
for Retirement Enhancement Act (SECURE Act) went
into effect, and the new law effectively put an end to the
so-called “stretch IRA.” Un-der prior law, beneficiaries
of your retirement account could choose to stretch out
distributions of an inherited retirement account over
their own life expectancy to minimize the income taxes
owed on those distributions.
Under the new law, however, most designated beneficiaries
of inherited IRAs and similar tax-deferred qualified
retirement accounts are now required to withdraw
all of the assets from the inherited account—and pay
income taxes on those withdrawals—within 10 years of
the account owner’s death. Those who fail to withdraw
funds within the 10-year window face a 50% tax penalty
on the assets remaining in the account.
Democrats Take Control
The recent election of Joe Biden as President and subsequent
Democratic takeover of the Sen-ate will likely
result in the passage of new tax legislation that could
have a significant impact on your family’s financial and
estate planning considerations.
Specifically, it’s likely that within the next two years
Democrats will pass legislation aimed at eliminating
many of the tax cuts enacted through the 2017 Tax Cuts
and Jobs Act. As part of this legislation, we’re expected
to see significantly lower federal estate tax exemptions,
the elimi-nation of the step-up in cost basis on inherited
assets, as well as an increase in the top personal
income and capital-gains tax rates.
One way you may be able to minimize the new taxes
on both your tax-deferred retirement ac-counts and
taxable investments is by investing in cash-value life
insurance. Let’s break down exactly what this strategy
might look like.
The New Role of Life Insurance in Your Estate and Financial
Planning
Given the new distribution requirements for inherited
IRAs, you should consider whether it makes sense to
withdraw funds from your retirement account now,
pay the tax, and invest the remainder in cash-value
life insurance. From there, you can access the accumulated
cash-surrender value of the life insurance policy
income-tax free during your lifetime via tax-free withdrawals
and/or loans. And upon your death, the payout
of your life insurance policy would be income-tax free
for your heirs.
By annually investing what you would otherwise put
into tax-deferred retirement accounts into a cash-value
life insurance contract, or by taking taxable withdrawals
from your tax-deferred retirement accounts over
time and reinvesting them in cash-value life insurance,
you can effec-tively move these funds into a tax-free,
rather than tax-deferred, investment vehicle.
This strategy could not only minimize the income taxes
you pay over your lifetime, but it could also significantly
reduce the tax bill imposed on your designated beneficiaries
after your death, since life insurance proceeds
are income-tax free.
Additionally, by investing a portion of your investable
assets in cash-value life insurance, you can offset the
effects of the proposed loss of income tax basis step-
up upon your death, which we’re likely to see enacted
through Democrat-backed legislation. What’s more,
this strategy would also minimize your current income
taxes on what otherwise would have been taxable income
from your investments, as growth on investments
inside a life insurance policy are not subject to income
tax, including any capital gains.
Finally, if you stand to be affected by the proposed decrease
of the federal estate-tax exemp-tion, which is
currently set at $11.7 million, by placing the life insurance
policy inside an irrevo-cable life insurance trust,
you can remove the death benefit paid out to your
beneficiaries from your taxable estate. In doing so, you
would still be able to access the cash value of the insur-
ance policy during your lifetime, either via a so-called
“spousal access trust,” if you are mar-ried, or via a traditional
irrevocable life insurance trust, if you are not
married.
Rethink Your Planning
Although the SECURE Act and the proposed new
legislation stands to have an adverse effect on the tax
consequences for your retirement and estate planning,
investing in life insurance may offer you a valuable tax-
saving opportunity. That said, you can only take advantage
of this op-portunity if you plan for it.
Dedicated to empowering your family, building your
wealth and defining your legacy,
A local attorney and father, Marc
Garlett is on a mission to help
parents protect what they love
most. His office is located at 55
Auburn Avenue, Sierra Madre,
CA 91024. Schedule an
appointment to sit down and talk about ensuring a
legacy of love and financial security for your
family by calling 626.355.4000 or visit www.CaliLaw.
com for more information.
Fifty years ago, I was a teenager.
Boy, do I miss those Days
of Yore. It's not that I would
like to relive them, but I was a
much different person back then.
As a teenager, I knew everything, and all you had
to do was ask me. Even if you didn't ask me, I still
would tell you what was on my mind. I wished I
knew everything today because people are asking
me questions I can’t even answer.
A teenager is someone between being a baby and
being an adult. I sure don't want to be a baby, and
I've had misgivings about becoming an adult. An
adult has all kinds of responsibilities, of which
none define the term "let's have fun."
One of the marvelous things about being a teenager
is that you really don't know what's going on
in the world. When I was a teenager, television
wasn't the big thing it is today. And we didn't
have the Internet with all of the social media associated
with it. I could go a whole week and not
know what was going on out in the world.
If you would watch the TV news at night, which
I did very rarely, in under 30 minutes they could
tell you everything going on in the world. Now,
the news needs a 24/7 platform, and even then,
they can't get all of the news out there.
A characteristic of a teenager is that they don't
know what they don't know. And what they don't
know doesn't interest them at all. Those were the
good old days.
Back in those days, NEWS meant Nothing Ever
Worth Seeing. And I lived by that rule.
Today, however, is a little bit different for me. At
the end of the day, I like to sit in my easy chair
with a nice hot cup of coffee and try to catch up
with the news. To catch up with the news is like
spilling Ketchup on your shirt while eating a hot
dog. It's there, but it disgusts you.
Towards the end of last week, I came home from
the office, situated myself in my easy chair with
my coffee, and began watching the news. It went
from one story to another story, and it was hard
to tell the difference between any of them.
It was almost as entertaining as watching the
Three Stooges. Political stooges, however, repeat
the same thing over and over and over again.
Before they go into office, I think our politicians
need to sit down and have a 24-hour binge-
watching the Three Stooges. Not that they would
learn anything, but it might give us 24 hours of
peace.
To say I was getting a little irritated is to put it
rather mildly. It's not often that I get irritated at
any-thing, but watching the news really made me
irritated that night. Maybe it was because I had a
hard week or something, I'm not sure. But I was
irritated.
Finally, the Gracious Mistress of the Parsonage
joined me, and I could hold it back no longer.
Taking a deep breath, raising my right fist, I said,
"If it were only up to me. I'd fix that problem.
What's wrong with those stupid politicians?"
When I calmed down a little bit, I heard some
chuckling across the room. I'm not used to hearing
chuckling across the room, and so I did not
know what was going on. I looked, and wouldn't
you know it, it was the Gracious Mistress of the
Parsonage laughing.
“What are you laughing about?”
Looking at me, still chuckling, she said, "Are you
sure you could fix that problem?"
I wasn't quite sure what she was getting at, and at
this point, I was not going to jeopardize my happiness
by asking her to explain what she just said.
I did not have to ask her because as she cooled
down her chuckling, she began to explain why
she was chuckling. I didn't want to hear it.
"If you can fix that problem," she said, still chuckling,
"I have a list of problems that I would like you
to fix." With that said, she continued chuckling.
At the time, I did not find it worth chuckling, but
I did realize I had dug a hole that I'm not going to
get out of very easily.
Still chuckling, she continued, "Which problem
would you like to start with? You can pick which-
ever one you want."
Trying to smile as best I could, which at the time
was quite tricky, I said, "I was just speaking parenthetically.
I'm just a little upset that our politicians
don't do the work that they say they're going
to do."
"That's okay, and I understand," my wife said,
"you now can set the example by taking this list
and begin fixing one problem after another."
This is why I am very careful what I say out loud.
Somebody is always listening.
As we were sitting there, I was reminded of what
that wise old King Solomon once said. “In the
multitude of words there wanteth not sin: but he
that refraineth his lips is wise” (Proverbs 10:19).
Solomon had more wives than I can count, and
perhaps that was why he came to this wonderful
piece of wisdom. It's easy to say something, but
once you do, you can never unsay it.
Dr. James L. Snyder is pastor of the Family of God
Fellowship, 1471 Pine Road, Ocala, FL 34472. He
lives with his wife in Silver Springs Shores. Call
him at 352-687-4240 or e-mail jamessnyder2@
att.net. The church web site is www.whatafellowship.
com.
Mountain Views News 80 W Sierra Madre Blvd. No. 327 Sierra Madre, Ca. 91024 Office: 626.355.2737 Fax: 626.609.3285 Email: editor@mtnviewsnews.com Website: www.mtnviewsnews.com
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