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From YouTube: Committee on Aging 12-11-2019
Description
The Committee on Aging of the Council of the City of Philadelphia held a Public Hearing on Wednesday, December 11, 2019, at 10:00 AM, in Room 400, City Hall, to hear testimony on the following items:
190777 Resolution a resolution authorizing the City Council Committee on Aging to hold hearings regarding the potential for pilot program designed to use an automated calling system in order to provide benefits to the City’s senior population and to combat senior isolation.
Immediately following the public hearing, a meeting of the Committee on Aging, open to the public, will be held to consider the action to be taken on the above listed items.
A
Good
morning
my
name
is
al
taubenberger
I'm,
the
chair
of
the
aging
committee,
and
this
hearing
is
a
call
to
order.
This
is
a
public
hearing
of
the
aging
committee
and
the
purpose
of
which
today
is
to
hear
public
testimony
on
resolution
number
one:
nine
zero,
seven,
seven,
seven
I
recognized
the
presence
of
a
quorum
and
to
my
left
is
council.
Member
Helen
Ginn
to
my
right
is
councilmember,
Allen,
Donna
and
clerk.
A
Thank
you,
I
would
just
like
to
open
up
with
a
statement.
I
think
senior
isolation
is
a
major
problem
in
this
city.
I
think
the
senior
population
of
this
city
is
quite
large
and
unfortunately,
because
we
are
America's
largest
poorest
city,
there's
a
lot
of
very
isolated
seniors.
Who
may
not
have
the
means
or
recognize
the
means
on
what
to
do
next
and
may
not
have
the
support
network
that
they
should
have
and
deserve.
A
This
hearing
is
really
an
opportunity
to
discuss
this
in
a
public
forum
to
let
other
people
know
that
these
programs
exist,
because
not
every
city
has
this,
but
I
think
this
is
something
that
is
a
very,
very
noteworthy
and
one
to
study,
and
hopefully
out
of
this
at
some
point,
a
program
could
come
out
that
really
does
help
people
and
saves
people's
lives
and
gives
the
seniors
the
quality
of
life
that
they
deserve.
Are
there
any
comments
from
members
of
the
committee
all
right,
mr.
clerk,
if
you
could
call
the
first
witnesses,
we.
C
C
According
to
AARP
research,
social
isolation
is
associated
with
an
estimated
6.7
billion
and
Medicare
spending
annually
that
doesn't
account
for
Medicaid
spending
and
other
health
program
spending.
It
is
a
very
expensive
problem
that
impacts
our
health
Cleveland
care
calls
as
an
automated
telephone
system
created
by
the
city
to
support
older
adults
who
are
isolated.
C
The
seniors
apply
through
the
Department
of
Aging
to
participate,
the
seniors
identify
a
time
and
a
day
of
the
week
for
calls
and
a
backup
emergency
contact
or
two
who
will
be
notified
if
the
senior
does
not
respond
over
200
sick
people,
60
Plus
received
the
daily
phone
call
in
Cleveland.
Cleveland
city
government
describes
the
program
as
follows.
As
a
result
of
these
wellness
checks,
Kara
calls
has
helped.
Many
older
adults
receive
urgently
needed
medical
care.
C
Creating
a
program
inspired
by
Cleveland
care
calls
is
a
good
beginning
to
support
older
philadelphians
experiencing
isolation.
However,
since
it
is
just
an
animated
car,
automated
call
excuse
me
and
not
a
personal
interaction.
It
is
only
helpful
to
check
on
senior
safety,
but
not
really
engage
with
them
to
prevent
the
most
serious
effects
of
isolation.
It
would
be
best
to
develop
a
program
or
to
adapt
this
program
that
provides
reliable
data
to
demonstrate
specific
interventions
that
measurably
lessen
the
human
impact
of
isolation
and
lonliness.
C
Our
goal
should
be
to
provide
more
opportunities
for
older
adults
to
decrease
their
isolation
by
connecting
with
others
in
their
neighborhoods,
and
a
recent
AARP
study
showed
that
that's
just
one
of
the
best
strategies
for
encouraging
older
adults
to
connect
with
others.
It's
a
finding
shows
that
shows
that
getting
to
know
one's
neighbors
can
help
reduce
loneliness.
Thank
you.
Thank.
A
D
I
want
to
thank
you
for
inviting
me
out
here
today.
Thank
you
to
the
city
council
members
that
are
here
at
this
point.
This
is
a
major
concern,
too
always
best
care
and
to
the
entire
of
senior
industry
right
now.
Senior
isolation
is
something
that
a
lot
of
people
do
not
realize
is
out
there
most
of
the
people
that
we
have
in
the
Philadelphia
area
that
are
involved
in
things
like
student
government,
etc.
They
realize
that
there
are
families.
D
There
are
people
that
they
have
that
take
care
of
the
people
that
exist
out
there
in
the
community,
so
they
reach
out
to
their
families,
whether
it
be
to
grandmom
Grandpop
their
aunts,
their
uncles.
They
have
people
to
take
care
of
them,
but,
as
our
seniors
are
living
to
a
higher
level.
At
this
point
we
have
to
realize
that
some
of
the
seniors
that
are
out
there
are
completely
on
their
own.
D
At
this
point,
they
have
nobody
to
keep
track
or
to
keep
in
contact
with
the
neighbors
that
were
in
the
neighborhood
either
moved
out
or
as
they
became
older,
the
neighbors
passed
away
so
as
they
live
a
raper
older
age.
At
this
point,
a
lot
of
these
people
do
not
have
their
connections
that
help
them
out
or
they
keep
in
touch
with
them.
D
Now,
as
far
as
that
goes,
one
of
the
main
things
here
is
as
I
go
out
and
do
assessments
for
care
and
see
people
on
a
regular
basis
in
person,
I
notice
a
lot
of
things,
one
of
the
things
as
you
walk
in
and
a
lot
of
times,
they
may
be
actually
disjointed
with.
What's
actually
going
on
when
I
come
out
to
see
them,
somebody
else
has
set
up
the
appointment.
I
walk
in,
they
may
not
even
know
necessarily
the
day
it
is.
D
They
may
not
know
a
lot
of
things,
so
they
lose
track
of
what's
going
on
in
their
life.
This
is
one
of
the
reasons
why
I
feel
that
a
call
would
bring
them
back
in
line
with,
what's
actually
happening
on
a
daily
basis.
Some
of
them
don't
realize
their
actual
health
status,
things
that
they
may
have
going
on,
for
instance,
a
simple
dehydration
that
can
turn
into
a
major
problem
for
our
seniors.
They
don't
realize
this.
They
don't
realize
they're
not
taking
in
enough
fluids.
They
don't
realize
that
they're
not
nourishing
themselves
properly.
D
So
if
somebody
doesn't
keep
in
touch
with
them,
these
things
go
unnoticed
and
sometimes
to
the
point
where
it
causes
a
disaster
for
the
people
involved.
So
it's
very
important
for
us
to
make
sure
that
we
are
actually
keeping
in
touch
of
these
people
to
know
what's
going
on
seniors.
Basically,
as
we
walk
in
to
see
them,
we
often
find
that
the
emotions
and
the
things
going
on
with
them
are
very
severe.
Loneliness
fear
health
issues,
depression.
D
All
these
things
actually
are
part
of
the
fact
that
they
don't
have
anybody
that
they're
in
contact
with
on
a
regular
basis.
Some
people
get
into
depression
because
they
feel
that
nobody
cares
that
nobody
reaches
out
to
them
anymore.
Some
people
have
a
tendency
to
give
up
which
allows
them
to
fall
into
severe
health
problems.
Somebody
has
to
take
care
of
all
these
issues
and
actually
talk
to
them
on
a
regular
basis
for
their
overall
well-being,
something
as
simple
as
a
phone
call
can
help
them
address
these
issues
on
a
regular
basis.
D
If
we
can
keep
these
people
living,
a
good
life
bring
as
al
had
mentioned,
quality
of
life
to
these
people
by
just
keeping
track
of
what
is
going
on
with
them.
It's
going
to
make
a
big
difference.
We
reach
out
on
a
regular
basis,
especially
at
certain
parts
of
the
year,
as
there
are
changes
going
on
in
seasons.
D
A
lot
of
our
seniors
suffer
a
lot
from
those
changes,
whether
it
be
going
into
the
winter
season,
where
people
don't
actually
have
heat,
but
do
not
realize
that
they
have
no
resources
as
far
as
heat
and
by
the
time
they
find
out,
they
don't
have
a
way
to
fix
these,
so
they
don't
have
any
way
to
reach
out
to
or
it's
a
touch
base
with.
They
are
stuck
with
no
heat
in
the
house
the
same
with
when
they
go
into
the
summer
months
and
it
becomes
so
hot.
They
don't
have
windows
that
work.
D
D
But
these
people
don't
have
people
to
reach
out
to
people
to
talk
with.
So
I
really
feel
that
it's
very
important
that
they
have
an
option
for
people
to
reach
out
touch
base,
find
out
what's
going
with
them
a
daily
basis,
and
at
this
point,
like
I,
said,
I,
don't
see
any
solution
other
than
coming
up
with
something
like
a
program
of
the
short
to
actually
combat.
What's
going
on
with
senior
isolation,
so
I
think
it's
very
important
that
we
would
start
this
program.
D
I
realize
that
the
program
itself
has
some
different
things
that
may
have
to
be
adjusted
as
it
goes
along
to
bring
in
the
proper
feedback.
That's
going
to
accomplish
all
these
things,
but
it
has
to
start
somewhere.
So
I
really
feel
that
this
is
a
major
step
in
helping
the
senior
community,
because
we
are
not
getting
less
seniors.
The
senior
community
is
growing
all
the
time
and
if
anything
else,
I
am
here
for
my
own
selfish
reasons,
because
I
want
to
make
sure
that
I
solve
some
of
these
problems
before
I
need
these
services.
E
You,
chairperson
Tauber
tole
burger,
and
thanks
for
bringing
this
resolution
forward
and
having
this
hearing
today,
it's
very
important
subject:
I
have
a
few
questions.
I
just
wanted
to
ask.
This
is
a
basic
question.
When
you
turn
is
it
65
you
get?
Is
it
Medicare
explain
to
me
how
the
insurance
works
when
people
turn
is
it
62
or
65?
I
should
know
this,
but
I
don't
know
that.
C
D
C
Services,
transportation,
services
and
a
whole
host
of
community-based
services
60.
When
you
turn
62
is
the
first
time
you're
eligible
to
claim
Social
Security.
Most
people's
full
retirement
age
is
more
like
66
67,
and
we
all
hope
that
people
don't
claim
their
Social
Security
till
they're
70
if
they
can
afford
it.
The
first
time
you're
eligible
for
sick
for
Medicare
when
you're
healthy,
is
65
you're
correct.
If
you
are
fully
disabled,
you
may
have
another
eligibility
age
for
it,
but
the
general
age
is
65
and
you're
eligible
for
Medicare.
So.
C
Care
is
a
federal
insurance
program.
Medicaid
is
the
state
version
of
a
low
income
health
insurance
program
that
supplements
health
care
for
some
people,
they're
called
dual
eligibles
they're
low
income,
they're
elderly
and
they
may
be
eligible
for
both
programs.
Medicare
is
a
health
insurance
program,
so
it's
really
helpful
for
hospital
stays
for
doctor
visits.
It's
not
really
something
we
look
to
for
home
and
community-based
care
for
older
people,
and
so.
E
C
My
guess
is,
it
could
be
wrong,
but
my
guess
is
Cleveland
adopted
it
as
part
of
their
age
friendly
initiative
to
really
reach
out
to
people
who
are
isolated,
older
people
and
suffering
from
loneliness.
It's
not
just
isolation,
but
both
things
are
really
linked.
They
have
a
2-1-1
system
and
I
believe
as
part
of
their
two
on
one
system.
They
were
able
to
implement
this.
Now.
C
What
happens
is
someone
has
to
apply
to
receive
these
phone
calls?
Their
automated
calls
I
think
it's
a
low-cost
option,
but
I'm
not
sure
of
the
cost.
The
individual
applies
to
the
Department
of
Aging
in
the
city
of
Cleveland.
The
Department
of
Aging
is
run
by
the
city
in
Cleveland
and
they
fill
out
a
form.
They
designate
a
family
member,
a
loved
one,
a
neighbor
who
will
be
called
if
they
don't
respond
to
that
automated
call
it
in
30
minutes.
C
C
C
30
minutes
they
redial
it
right.
They
call
a
few
times.
Person
knows
this:
they
self
select
to
be
in
this
program,
so
they
don't
think
it's
a
stranger
or
the
telemarketing
call.
Hopefully
that's
a
little
bit
of
a
concern
of
mine.
They
know
that
they've
put
in
for
this
call.
Perhaps
it
comes
the
same
time
every
day
they
get
that
automated
call.
It
helps
them
touch
bases
you've,
just
so
so
well
described
and
sort
of
keep
them
grounded
in
reality,
someone's
calling
to
check
on
me
so.
E
I
guess
the
question:
either
what
where
I
was
going
with
this?
Is
it
mr.
clay
back?
Yes,
because
you
and
I
agree
with
you,
because
I
hear
so
many
stories
of
people
who
typically
have
fallen
and
can't
get
to
some
sort
of
communication,
and
you
hear
about
people
that
have
been
laying
on
the
ground.
You
know
6
hours,
12
hours,
24
hours
and
what
happens
is
the
issues
magnify
when
that
occurs?
E
So
I
guess
I
think
it's
a
great
idea
but
I'm
just
wondering:
why
want
insurance
companies
or
whatever
pay
for
all
this,
because
in
though,
in
the
end
game,
they're
gonna
save
a
lot
of
money
by
having
these
systems
in
place?
That's
one
number
two:
is
this
a
step
before
you
know
I
see
on
TV?
Sometimes
these
you
wear
them
around
your
neck,
the
medical
alerts,
what
people
press
the
button
for
help
and
a
lot
of
people
don't
want
to
wear
those
because
they
don't
worry.
E
C
Answer
that
question
I
can't
I
can't
also
can't
answer.
The
question
is
why
insurers
wouldn't
want
to
participate
in
a
system
like
this.
What
I
can
tell
you
is
that
the
city
is
uniquely
placed
to
establish
a
system
like
this
people,
trust
Philadelphia.
If
they
were
to
receive
an
inquiry
to
participate
in
this
program,
I,
don't
think
it
would
have
stigma
the
way
the
sometimes
the
medical
alert
do
for
some
people.
C
E
D
Mr.
padge
would
make
one
more
comment:
okay,
I've
been
involved
in
senior
charities,
senior
related
charities
for
the
last
40
years
and
I've
lived
in
Northeast
Philadelphia.
All
my
life
I
was
a
member
of
a
group
nonprofit
in
there
and
we
tied
them
with
a
lot
of
the
churches
through
Northeast
Philadelphia
and
at
one
time
we
had
a
program
of
the
sewer.
Unfortunately,
a
lot
of
smaller
churches
and
so
forth
have
are
no
longer
in
service
at
this
point.
But
we
tied
this
in
with
volunteers
and
it
worked
out
very
well.
D
We
had
some
of
the
churches
calling
maybe
30
members
because
they
had
a
lot
of
older
members
than
then
and
it
actually
helped
a
lot,
because
what
we're
talking
about
accomplishing
with
this
was
being
accomplished,
and
luckily
we
were
on
a
small
enough
basis
that
each
church
could
actually
implement
its
own
program
and
follow
up
on
its
own
program
with
its
members
and,
like
I,
said
once
again
on
a
smaller
basis.
But
we
had
great
success
with
that
and
the
things
that
we
accomplished
in
many
cases
actually
were
life-saving
for
members.
D
A
D
A
Well,
how
about
someone
calling
to
see
how
they're
doing
and
then
you
oughta
made
a
call
actually
might
be
the
best
lead-in,
because
that's
going
to
be
done
on
a
regular
basis,
no
matter
if
there's
a
snowstorm
or
whatever
and
I
and
I
think
it's
a
you,
know
great
Genesis
to
start
with,
and
then
ultimately
volunteers
could
be
needed
or
could
might
might
want
to
step
forward,
and
so
I
think
the
idea
that
you
have
brought
up
that
people.
You
know
like
that.
A
D
Also,
the
prospect
of
working
with
other
companies,
just
to
mention
a
lot
of
the
companies
out
there
that
are
doing
senior
here
right
now
do
have
options
to
help
out
with
this
type
of
thing.
So
maybe
they
can
also
help
you
with
that
always
best.
Cara
has
always
in
touch,
is
one
of
their
systems,
and-
and
that
has
proven
to
help
a
lot
and.
A
I
think
what,
with
Miss
audit
miss
Eisenhower
had
said
that
the
city
is
very
much
a
trusted
entity.
They
know
it's,
not
a
scam
and
they
know
it's
not.
You
know
someone
trying
to
get
over
on
someone
or
it's
a
solicitation
call
it's
how
you
doing
mr.
Eisenhower.
Thank
you
for
your
testimony
as
well,
but
what
what
do
you
think
the
population
is
of
seniors
in
Philadelphia?
You.
C
C
Also,
just
that
it's
a
longevity
bonus
that
that
people
are
living
longer
because
of
many
successes.
The
success
of
the
programs
will
run
the
successes
of
health
care.
So
what
we
are
really
talking
about
today
is
how
do
we
address
some
of
the
impact
of
that
success
and
that
is
living
longer
out
living?
Maybe
your
children,
children,
adult
children
moving
away,
so
they
can't
get
to
productize.
C
B
C
F
A
C
And
I
think
maybe
to
go
back
to
something
council,
member
Tom
suggested,
which
certainly
seems
that
insurers
would
have
an
interest
in
this
because
it
prevents
the
worst
problems
from
happening
and
while
the
human
cost
is
high,
the
financial
cost
is
very
high.
There
isn't
the
same
trust
for
insurers
for
private
entities,
I,
don't
care
who
they
are
correct.
There
may
be
selling
something,
but
but
the
city
you
know
one
has
to
assume
you
enroll
in
this
program.
You
expect
that
call
someone
from
the
city
is
going
to
call
and
check
up
on
you.
G
Thank
You
mr.
chair
and
sure
thank
you
for
your
leadership
of
this
committee.
We've
had
an
opportunity
to
work
on
a
number
of
different
issues
related
to
this
committee
and,
as
my
father
would
often
say,
seasoned
citizens.
So
thank
you
for
your
leadership
on
this
committee.
I'm
doing
this
past
term
and
I
appreciate
our
partnership
on
these
and
other
issues.
G
C
G
A
colleague
from
nationalist
cities,
Matt
is
only
the
councilmember
in
Cleveland.
He
is
the
past
president.
The
past
president
of
nationalist
cities
in
the
councilmember
Cleveland
I
just
saw
him
a
few
weeks
ago.
I'm
so
I
could
be
a
resource
to
connect
with
him,
but
there
is
a
council
member
in
the
city
of
Cleveland,
in
the
for
this
initiative
in
Cleveland
has
been
any
partnership
with
private
entities
and
non-government
entities
like
AARP
or
others.
G
In
this
regard,
because
I
know
we
have
done
hearings
the
chair
myself
with
AARP,
where
we've
had
a
robo
town-hall
meeting
after
a
committee
on
aging
hearing,
where
we
allowed
enough
people
part
of
the
AARP
Network
to
participate,
because
they
have
some
mobility
issues
and
we're
not
able
to
get
into
a
city
council
chambers,
but
we
were
anticipating
in
a
rowboat
town
hall
and
we've
done
at
least
two
of
those.
So
I
was
curious
if
AARP
or
other
Cleveland
based
nonprofit
organizations.
You
know
we
have
PCA
here
in
the
region
and
we're
other.
C
C
A
G
G
Then
one
other
question
has
in
Cleveland:
was
there
any
resource
provided
at
the
state
level?
My
thought
was
that
this
could
benefit
Allen
city
of
qaddafi,
but
also
a
region
considering
we
do
have
some
new
leadership
in
both
Delaware
County
Bucks,
County,
Chester,
County
and
we've
had
a
strong
relations
with
members
of
Montgomery
County.
It's
a
great
opportunity
to
ready
to
get
some
state
dollars
to
make
it's
a
regional
effort
yeah
to
help
broaden
impact
for
this
type
of
content.
Well,.
C
A
E
Want
to
follow
up
on
few
thoughts
on
this.
Besides
the
phone
calling
you
might
want
to
add
texting
and
even
email,
because
the
course
is
minimal
and
in
today
and
I
would
add
that
not
just
to
the
person
that
you're
checking
on
but
to
the
people
that
are
next
in
line
you're
going
to
all
because
I'm
sure
the
next
in
line
more
technology
savvy
than
the
elderly.
But
I
also
think
that
there
was
a
lot
of
older
people
that
know
how
to
text
and
use
phones
and
some
don't.
E
More
than
not
ease
assistance,
the
other
thing
I
wanted
to
mention
that
maybe
there's
a
bigger
piece
here,
just
checking
in
on
people,
and
that
is
that
maybe
this
would
be
a
communication
tool
not
just
for
checking
in
but
having
the
ability
to
phone
text
email
all
the
communications
from
the
city,
such
as
programs
for
seniors,
whether
it's
on
making
sure
they're
they're
applied
for
their
tax
benefits,
letting
them
know
what's
going
on
the
city.
Let
him
know
about
all
the
potential
benefits
you
know
we
still
leave
on
the
table.
E
200
million
in
Medicare
benefits,
terrible
I
mean
that'd,
be.
This
would
be
a
great
communication
tool
to
let
them
know
about
that
also
even
a
ITC,
not
just
for
them,
for
their
kids
and
even
snap
or
all
these
programs
that
we
we
leave
450
million
dollars
a
year
of
federal
money
that
doesn't
go
to
Philadelphians.
This
is
just
another
vehicle
you
could
use
in
communication.
I
agree.
C
D
A
D
Not
really
a
question:
okay,
but
I
made
a
lot
of
really
the
things
come
down
to
funds.
How
can
we
do
this?
How
can
we
support
this
system?
And
one
of
the
things
I
want
to
say
is
the
fact
that
right
now
realize
that
the
emergency
responders
in
the
city
of
Philadelphia
on
the
average
they
have
certain
seniors
that
they
may
be
actually
taking
care
of
maybe
three
times
a
month,
okay
or
a
few
times
a
month.
D
Some
of
the
cost
involved
in
that
okay
could
be
eliminated
by
a
system
like
this,
where
they
call
and
they're
in
touch
with
people,
and
they
can
know
the
needs
or
the
problems
ahead
of
time,
because
some
people
wait
till
it's
too
late.
So
I
really
think
that
that's
going
to
help
us
and
it's
going
to
cut
back
on
the
actual
emergency
responders
having
to
go
out
and
actually
take
these
people
into
the
hospitals
or
see
them
in
their
homes.
So
yes,
sir.
E
I
just
want
to
make
a
suggestion:
there's
a
company
that
we
use
in
Philadelphia
called
benefits,
Data
trust
BTC.
They
have
all
this
information
they've
over
a
hundred
computer
operators
at
their
headquarters
over
here
fifteen
hundred
market.
This
would
be
an
easy
program
for
them
to
Institute
and
do
as
a
pilot
and
also
they
would
then
have
all
that
information
of
all
the
other
programs
we
could
put
into
the
hands
of
seniors.
So
they
know
what's
going
on
so
that
might
be
a
great
resource
for
us
to
look
at
Thank
You.
Mr.
chair
council,.
H
H
I
was
he's
dropping
on
your
hearing
and
felt
compelled
to
come
down
and
I'll.
Tell
you
why
there
is
a
place
called
Brook
Shalom
in
my
district.
It
is
over
200
units
of
high
rise.
We
were
out
there
arguing
about
a
different
matter.
Physical
plant
improvements,
capital
improvements,
wellness
kind
of
thing.
We
literally
you
would
love
this.
We
block
the
intersection,
nothing
more
stimulating
than
some
seniors
protesting,
I
stopped
in
trucks
and
stopping
buses.
It
was
it
was.
It
was
interesting
to
say
least
one
man.
H
H
H
He
lived
on
a
chair
where
he
sat
erect
to
sleep
because
of
the
couch
he
had
had
bedbugs.
He
believed
further
that
someone
was
coming
into
his
unit,
stealing
his
clothes,
replacing
them
with
tattered
clothing.
Now,
at
this
point,
I
am
not
qualified
to
know
whether
he's
having
forms
of
hallucination
or
whether
this
is
a
real
thing.
H
You
will
be
a
physician
and
you're
dealing
with
mental
health.
One
of
these
students
exercises,
if
you
would
should
be
to
knock
on
our
door.
If
we
don't
do
nothing
but
bring
them
a
basket
of
joy
during
the
holidays,
or
you
know,
coats
for
warmth
in
winter
and
take
a
quick
look
around
to
make
sure
people
are
living
safely,
because
this
problem
is
not
going
away.
We
are
a
city
that
is
graying
as
they
say,
and
we
are
a
city
in
my
district.
We
are
within
one
mile,
oh
I
must
say
there
Hilton.
H
There
are
about
ten
retirement
facilities,
all
90%
of
the
folk
there,
whether
it's
English
house,
Hayes,
Manor,
Simpson
house,
all
within
walking
distance
of
each
other.
We
need
to
develop
two-pronged
approach,
one
somebody
actually
knocks
on
the
door
because
there,
when
we
knock
on
the
door,
the
seniors
are
glad
to
see
us
yes,
because
they
don't
often
get
visitors
and,
if
you're,
bringing
glad
tidings
in
a
basket
of
month
or
you
know
foodstuffs,
that's
the
opportunity
to
engage
with
them
to
make
sure
they're,
okay
and
then
the
follow-up
can
be
your
technological
txt
week.
H
I
H
H
A
Adding
to
our
knowledge
on
this
because
that's
sort
of
what
the
goal
is
to
have
here,
you
know
discussion
on
this
and
and
and
and
and
create
the
you
know,
a
synergy
on
it,
and
hopefully
it
can
be
implemented
because
it
can
be
done
with
with
modern
technology
very
inexpensively
and
then
broaden
with
volunteers
or
not
on
the
door.
You
know
it
depends
I
just.
C
A
A
C
And
the
the
largest
population
group
that
we
see
growing
of
the
older
population
is
the
over
75.
When
we
look
at
that
group
75
and
above
today,
20
years
ago,
50
years
ago,
it's
an
astronomical
growth
number.
So
that's
a
population
that
needs
these
kinds
of
services,
especially
many
of
us
hope
to
continue
working
to
over
70
hope
to
be
active
and
vital,
and
still
using
our
phones
and
many
other
things,
but
for
older
people
today
who
may
feel
isolated,
I
think
it's
it's
it's
that
picture.
B
J
Morning,
thank
you
for
inviting
me
here
today.
I'm
the
director
of
the
Klein
life
in-home,
Support
Program
that
serves
temporarily
homebound
seniors
in
the
Northeast.
Many
of
our
clients
are
isolated,
frail
and
alone
most
reside
in
their
homes
where
they
have
lived
for
many
years.
Our
clients
want
to
remain
in
their
homes
in
familiar
environments,
that
offer
comfort
and,
of
course,
that
offers
more
health
and
security
aging
health
Aging
in
Place
results
in
better
health.
J
However,
they
may
no
longer
know
their
neighbors
and
have
no
one
who
is
checking
on
them
on
a
daily
basis
involved.
Family
members
may
live
at
a
distance.
Raising
families
of
their
own,
a
daily
telephone
call
would
ensure
that
an
older
adult
is
in
good
health
and
is
safe
and
would
reassure
them
as
well
as
family
members
that
help
is
available
if
and
when
they
need
it,
knowing
that
that
they
are
part
of
a
community,
that
cares
will
definitely
improve
their
outlook
on
life.
J
I
also
want
to
just
mention
councilman
dawn
mentioned
about
the
emergency
response,
necklaces,
that's
something
that
people
have
to
pay
for
and
can
be
anywhere
between
25
and
35
or
40
dollars
a
month,
and
many
of
the
low-income
seniors
that
we
see
in
our
program
really
cannot
afford
that
I.
Can
you
know
they?
Sometimes
we
have
to
help
them
with
shutoff
notices
for
utilities
in
the
winter
or
the
summer,
because
they
don't
have
enough
money
to
pay.
Even
if
they,
you
know
applied
for
LIHEAP
any
other
kinds
of
benefits.
J
They
don't
have
things
on
the
monthly
income
to
pay
for
something
like
that
on
a
regular
basis,
so
that
I
also
think
that
an
automated
call
may
be
a
good
place
to
start,
but
that
having
volunteers
actually
make
a
phone
call
and
a
lot
of
times.
These
volunteers
are
seniors
themselves,
and
so
it's
good
for
the
volunteers
and
they
they
also
benefit
from
giving
back
to
their
community
and
forming
relationships,
even
if
they
talk
to
people
5
or
10
minutes
every
day
or
every
other
day,
whatever
it
is.
A
J
K
Good
morning,
everyone,
my
name,
is
Anastasia
belli.
I'm.
The
deputy
director
of
business
development
for
caregivers,
America,
I
Pennsylvania
based
homecare
agency,
was
a
large
operation
right
here
in
Philadelphia.
It's
an
honor
to
be
here.
Thank
You,
councilman
tavern
burger
for
inviting
me
because
the
seniors
do
have
a
special
place
in
my
heart,
as
I
know,
they
do
in
yours
from
working
with
you.
K
Over
this
year,
I
have
worked
with
the
Philadelphia's
aging
population
for
the
last
six
years,
I've
been
to
many
of
their
homes
in
various
parts
of
the
city
and
can
tell
you
that
many
of
them
are
in
fact
living
alone
and
in
isolation
as
the
home
care
working
with
the
state
program
and
providing
personal
assistance
services
to
many
seniors
across
the
city.
We
also
aim
to
combat
this
issue.
K
K
The
only
thing
that
I
wanted
to
mention
and
coming
from
I
guess
standpoint
again
from
seeing
a
lot
of
the
seniors
in
the
various
communities
is,
if
this
program
takes
off
beyond
the
pilot
stage
and
expands
to
really
consider
the
diversity
of
this
city,
because
what
I
found
is
some
of
the
most
isolated
seniors
are
the
ones
that
for
whom
English
is
not
the
primary
language,
so
looking
into
expanding
into
those
different
various
language
communities
would
be
important.
Thank
you.
A
I
think
that's
an
actual
suggestion,
but
of
course
we
have
to
get
something
moving.
First,
thanks,
but
I
mean
the
senior
citizens
community
in
this
city
is
greatly
diverse
in
the
number
of
languages
and
speaks
and
and
on
a
historical
basis.
The
city
has
always
been
full
of
immigrants.
That's
where
my
parents
came
from
I
grew
up,
didn't
know
much
English
till
I
went
to
kindergarten,
so
it
is
important
and
in
the
be
able
to
cross
that
barrier,
please
all.
I
Right
so
good
morning,
my
name
is
CJ
Weber
I'm
from
angels
on
call.
We
also
are
a
non-medical
home
care
provider
having
offices
a
total
of
11
now
throughout
the
state.
So
I
see
this
on
in
different
areas,
especially
the
geography
where
it's
very
rural
and
there's
not
a
lot
of
resources.
I
think
this
would
be
an
excellent
program
after
we
can
prove
it
in
the
city
of
Philadelphia,
of
course.
So
thank
you
for
having
me
this
morning.
It's
great
to
hear
everyone's
perspective.
I
I
That
means
there's
fewer
family
members
to
potentially
check
in
or
provide
care
if
someone
needs
it
so
as
a
home
care
provider,
that's
typically
where
we
come
in,
and
although
there
are
some
programs
available
to
shoulder
the
burden
of
cost,
not
all
seniors
are
eligible
for
financial
assistance.
So,
there's
a
lot
of
a
lot
of
elderly
and
disabled
that
fall
in
the
gap
of
not
wealthy
enough
to
play
pay
for
private
pay
services
and
not
poor
enough
to
fall
into
the
Medicaid
category.
I
So
we
get
numerous
calls
from
clients
or
family
members
that
live
far
away
because,
as
you
said,
we're
a
more
mobile
society
now
and
they
may
just
be
looking
for
someone
to
make
a
ham
sandwich
and
have
a
conversation
with
mom.
You
know
for
lunch,
but
that
comes
at
a
cost
to
the
family.
So
for
those
people
who
are
in
a
program
like
waiver
or
the
VA,
it's
wonderful
because
they
might
have
a
home
care
attendant.
That
comes
in
on
a
daily
basis.
I
But
as
we
move
to
a
managed
care
system
which
you
know
the
city
of
Philadelphia
has
been
on
for
almost
a
year
now
and
the
rest
of
the
state's
gonna
follow
suit.
January
1st,
they
are
looking
to
be
more
cost
effective,
which
may
mean
the
people
who
had
10
hours
a
day
are
gonna,
go
down
to
5
hours
a
day
or
people
who
had
seven
days
a
week
may
go
down
to
five
days
a
week,
so
the
criterion
assessment.
When
we
look
at
people
for
services
it
is
predominantly
based
on
medical
need.
I
Financial
and
medical
are
the
two
requirements,
but
you
know
that
doesn't
mean
that
someone
doesn't
need
to
have
a
check
in
to
combat
loneliness
and
isolation.
So
you
know
certainly
I'm
never
gonna
propose
to
the
state
that
everyone
needs
a
home
care
attendant
because
I
realized
the
cost
that
come
with
that,
especially
coming
from
the
the
business
side
of
the
home
care
industry.
I
know
what
it
costs
for
the
Medicaid
program,
but
I
also
know
how
difficult
it
is
for
an
agency
to
find
qualified
workers
for
the
need.
That's
rising.
I
So
I
could
go
on
about
the
benefits
of
home
care
all
day,
but
I
also
want
to
say
that
I
think
the
Cleveland
care
call
could
be
a
great
first
step
for
the
people
who
maybe
aren't
there.
Yet
we've
all
kind
of
talked
about
what
the
program
does
and
it
says
that
an
automated
system
that's
run
by
the
Department
of
Aging
and
Public
Safety.
Does
those
computerized
calls
at
a
designated
time
after
they
can't
reach
the
person?
I
We're
kind
of
in
a
really
interesting
time
in
health
care,
I
think
there's
a
lot
of
awesome
stuff
going
on,
especially
in
the
state
of
Pennsylvania.
So
I
don't
know
how
familiar
you
are
with
community
health
choices
or
the
managed
care
organizations.
But
we
talked
a
lot
about
cost
today.
I'd
be
very
curious.
I
If
one
of
the
MCO
s
would
be
interested
in
doing
a
pilot
program
and
paying
for
some
of
the
cost,
because
you
know
with
the
silver
tsunami
as
they
call
it
and
and
the
generations
to
come,
the
cost
of
care
is
just
going
to
continue
to
rise,
and
this
is
very
inexpensive.
It's
a
lot
cheaper
than
home
care,
so
maybe
someones
on
that
cusp
of
do
they
qualify
or
do
they
not.
I
This
is
the
step
to
kind
of
see
where
they
are
in
their
progression,
so
the
goal
of
the
MCO
is
is
to
get
a
capitated
rate
per
patient
per
month
and
manage
that
cost.
So,
for
example,
if
they
over
spend
that
capitated
rate,
that's
a
loss
for
them,
so
they're
constantly
looking
at
partnerships
and
different
ways
that
they
can
manage
the
care
cost
that
they
have
so
I
think
if
we
can
catch
things
earlier,
for
example,
a
fall
if
we're
having
numerous
Falls
every
month.
I
That's
a
pretty
good
sign
that
someone
might
need
a
higher
level
of
care
and
those
nursing
home
stays
in
those
hospitalizations.
That
will
that's
what
costs
the
most
amount
of
money.
So
if
we
can
really
catch
things
earlier
and
prevent
those
things
from
happening,
it's
a
win-win
for
the
managed
care
organization.
So,
if
you're
looking
for
some
some
money,
I
would
definitely
start
there
and
kind
of
see
what
there's
what
they
say,
but
I
would
also
suggest.
I
A
The
Jennison,
if
I,
could
just
point
of
order,
would
be
they
one
have
already
signed
up
for
it,
so
they're
kind
of
expecting
the
call
none
of
these
calls
would
be
would
be
made
at
random.
They
would
be
expecting
it.
There
might
even
be
written
correspondence
to
say,
hey
it's
coming,
meaning
a
letter
and
I
and
if
I
think
that's
a
good
way
to
start.
We
want
people
to
expect
these
right
he's
not
like
a
political
poll
walking.
I
A
I
And
I
and
I
think
that's
a
really
important
component
to
mention
so
yes,
I
agree
with
you,
I
think
I,
just
echo.
What
everyone
sentiments
are
that
an
automated
system
doesn't
replace
a
conversation,
and
sometimes
you
know
if
we
can
get
volunteers
because
I
think
that's
a
big
thing
or
you
know
even
look
at
a
pilot
program
and
see
what
the
cost
of
having
a
person
is
doing.
Those
phone
calls
compared
with
how
much
it
saves
by
unplanned
hospital
visits.
If
we
can
show
that
cost
savings,
it
might
be
worth
paying
someone.
I
I
I
I
would
just
close
by
saying
you
know
when
we
put
ourselves
in
the
shoes
of
the
senior
population.
If
I
was
at
home
alone,
I
don't
have
children
so
I'm,
hoping
there's
home
care
and
different
services
out
there
when
I'm,
older
and
I
need
it,
you
know,
would
we
want
a
phone
call
or
the
feeling
of
someone
checking
in
with
us?
A
F
A
The
panel
you
you,
you
are
released
and
just
I
just
wanted
to
say
this
is
my
last
committee
as
chair
of
the
aging
committee
and
I.
Thank
you
all
for
participating,
I
think
the
the
testimony
we
have
heard
today
and
the
question
and
the
give-and-take
we're
very,
very,
very
important
and
I
think
this
is
something
that
is
very
much
on
the
realm
of
possibility
and
I.
Think
our
seniors
in
Philadelphia
would
be
really
quite.
A
F
Thank
You
mr.
chairman
and
I
just
also
want
to
thank
you
for
your
leadership
on
this
committee,
but
also
in
City
Council.
You
brought
a
lot
of
vitality
and
energy
and
goodwill
around
challenging
issues.
Two
years
ago,
I
had
the
chance
to
go
with
the
city
of
Philadelphia
to
Copenhagen,
with
a
group
called
880
cities.
So
the
idea
is
that
cities
have
to
work
at
two
ends
of
the
age
spectrum,
eight
years
old
and
80
years
old
and
when
they
do
well
on
both
those-
and
they
actually
do
well
for
everybody
in
between.
F
But
you
know
I,
think
that
conversations
like
this
are
very
helpful
to
help
us
move
towards
that,
because
I
think
we've
heard
very
clearly
that
the
needs
of
our
young
people
and
the
needs
of
our
our
older
populations
are
aligned
and
combined
together.
They
require
us
to
really
look
at
our
city
services
a
lot
differently.
So,
yes,
it
does
matter
that
we
have
good
quality
transit.
Yes,
it
does
matter
when
a
hospital
closes
in
the
middle
of
our
city
and
we
want
to
make
sure
that
we
have
health
care.
F
A
E
You,
mr.
chairman,
it's
one
of
a
couple
comments
and
I'm
I'm
a
sitting
here
listening
and
I
think
that
the
reach
should
not
just
be
to
the
seniors
but
should
be
to
the
children
of
the
seniors
because
they
know
about
their
parents.
Health,
probably
better
than
some
of
the
seniors,
do
and
like
there's
some
scene.
It'll
say:
oh
I,
don't
need
that,
but
the
kids
know
that
they
do
need
that
help.
E
So
we
have
the
ability
to
contact
people,
that's
the
big
solution.
This
is
a
small
which
I'm
100%
for
and
then
on
a
personal
though
I
do
want
to
thank
you.
Councilman
for
your
service.
You've
been
a
great
colleague
and
a
friend
very
well
and
you're
gonna
be
missed
here
by
all,
and
especially
me.
So
thank
you.
You're.
A
Very
welcome
it
didn't
been
an
honor
to
serve
and
also
a
pleasure,
I
hope.
I've
made
some
differences
along
the
way
and
I
think
once
again,
just
the
hearing
that
we
had
today
sparked
some
interest
and
I
the
my
my
colleagues
Councilwoman
game,
councilman
Dom
for
being
here
and
being
part
of
this
committee
because
heretofore
the
senior
citizens
didn't
have
actually
committee
in
Council.
That
could
do
anything.
Well,
we
did
that
for
the
last
four
years,
and
hopefully
this
will
continue
and
I
hope
to
be
around
I
still
have
a
voice.