Author: Harry S. Margolis

  • Medicaid Coverage of Home Health Care is Growing: But Will the Trend Last?

    Medicaid Coverage of Home Health Care is Growing: But Will the Trend Last?

    Most seniors want to stay in their own homes when and if they need care. In response to this desire and the generally lower cost of home health and assisted living services compared to nursing home care, Medicaid has expanded its coverage of home-and-community-based services (HCBS) over time.

    According to the Centers for Medicare & Medicaid Services, in 2023, 8.4 million Medicaid beneficiaries received assistance paying for care at home or in assisted living facilities – a substantial increase of 8 percent from 7.8 million in 2022. In comparison, 1.5 million beneficiaries received institutional care – mostly in nursing homes – a more modest 3-percent increase over 2022. However, the overall costs for institutional services grew by 17 percent compared to 13 percent for HCBS.

    Growing HCBS Coverage

    HCBS accounted for almost two-thirds of all spending on long-term services and supports (LTSS). For historical perspective, in 1981 only one dollar out of a hundred spent by Medicaid for LTSS went to HCBS, rising to half of LTSS spending by 2013 and continuing to grow thereafter (see Figure 1).

    State Variation

    Large variations exist in Medicaid coverage of HCBS by state in large part because such coverage is discretionary, in contrast to nursing home coverage, which is mandatory. Ninety-nine percent of Medicaid beneficiaries in Oregon and Wisconsin receiving LTSS were doing so at home or in assisted living facilities, in contrast with just 56 percent in Kentucky and 61 percent in Mississippi.

    In terms of spending, Medicaid costs for HCBS constituted 95 percent of LTSS costs in Wisconsin as compared to just 36 percent in Arkansas. In other words, only 5 percent of Wisconsin’s expenditures on LTSS are going to nursing homes in contrast with 64 percent of Arkansas’ spending.

    The Future?

    Many people who work on long-term care policy are concerned that the $900 billion in Medicaid cuts in the “One Big Beautiful Bill” will reverse the trend towards more coverage of HCBS. While a lot of the bill’s cuts are aimed at younger beneficiaries, in large part by instituting work requirements, others, such as limitations on so-called provider taxes, are not. States will have to find ways to make up the shortfall in revenue or reduce services. One way may be to cut home health and assisted living coverage, since they are optional under the federal Medicaid rules.

    For more from Harry Margolis, check out his Risking Old Age in America blog and podcast.  He also answers consumer estate planning questions at AskHarry.info.  To stay current on the Squared Away blog, join our free email list.

    This post was originally published on this site.

  • Senior Heart Health: Ailments, Care, and Prevention

    Senior Heart Health: Ailments, Care, and Prevention


    Senior Heart Health: Ailments, Care, and Prevention

    February is American Heart Month, and those of us who care for seniors use it as an opportunity to raise awareness about one of the leading ailments in the elderly: cardiovascular disease.

    Heart health for seniors takes on increasing importance as the cardiovascular system ages. Older people deal with more arrhythmia (irregular heartbeat), blood clots, thickening walls of the heart and blood vessels, and less efficient blood flow through the body. These problems often start quietly in middle age and accelerate as we get into our 60s, 70s, and 80s.

    While aging is itself a risk factor for heart disease, some risk factors are within our control. The following covers essential information to discuss with your elderly loved one and their healthcare providers.

    Cardiovascular Disease in the Elderly

    The term “cardiovascular” reminds us that we are talking about ailments of both the heart and all the vessels that work with it—arteries, veins, and capillaries. While individuals of any age can suffer from cardiovascular disease, it becomes more common as we get older. Common heart problems in elderly patients include, but are not limited to:

    High blood pressure: Also known as hypertension, this very common condition increases the risk of many other cardiovascular problems, including stroke and heart attack. What’s difficult about hypertension is that, day to day, it’s not that noticeable. This can lead to ignoring its very real risks. Contributing factors to high blood pressure are diets high in saturated fat and sodium, chronic stress, obesity, lack of exercise, poor sleep (including with apnea), using tobacco or alcohol, and certain health conditions like kidney disease.

    Coronary artery disease (CAD): When there is damage to the arteries from high blood pressure, high cholesterol, diabetes, and other conditions, plaque can build up in the arteries, blocking normal blood flow. This plaque buildup is also called atherosclerosis and is made up of cholesterol, other fats, and calcium. CAD is the leading cause of angina (chest pain) as well as heart attacks.

    Arrhythmia: This is experienced as an irregular heartbeat and is caused by damage to the heart’s electrical system. Contributing factors are age itself (due to tissue damage and deterioration), hypertension, diabetes, thyroid disease, and sleep apnea. Arrhythmia can also result from dehydration or electrolyte imbalance (from missing nutrients like potassium), and it can be a side effect of some medications. Arrhythmia increases the risk of stroke and heart failure.

     Myocardial degeneration: This is when heart tissue thickens and weakens, leading to reduced blood flow throughout the body. In an individual, this can look like shortness of breath—even when sitting down—fatigue, and edema (swelling in parts of the body, often legs or feet, because of pooling blood and other fluids). Causes include certain infections, nutritional deficiency, drinking alcohol, stress, and sometimes genetics.

    Arteriosclerosis: This is similar to myocardial degeneration, but for the blood vessels instead of the heart.

    Congestive heart failure: This is a chronic condition that happens when a damaged heart cannot pump adequate blood through the body. Fluid builds up in the lungs and/or legs and arms. Heart failure is often the result of chronic cardiovascular disease/damage, or it can begin after a heart attack. It is more common in those over 75 years of age.

    Aneurysm: Aneurysms happen suddenly and are frequently fatal. They occur when part of a weakened artery widens abnormally and then bursts. Prevention of an aneurysm is focused on general blood vessel health, as well as medical screening.

    Heart attack: Medically known as a myocardial infarction, a heart attack happens when a blockage (usually a blood clot triggered by plaque buildup) stops blood from flowing normally to the heart. When this happens, heart tissue quickly begins to die. Signs of a heart attack include shortness of breath, nausea or vomiting, extreme fatigue, dizziness, a cold sweat, and intense chest pain. Different symptoms are more common in women vs. men.

    Stroke: This is similar to a heart attack, but affecting the brain instead. In addition to a clot, it can be caused by brain bleeding (hemorrhage). Signs of a stroke include severe headache, vision problems, confusion, difficulty speaking, and sudden numbness. It is common to lose control over one half of the body.

    Other common conditions include varicose veins, deep vein thrombosis, and aortic stenosis.

    Preventive Care for Heart Disease

    Much of senior heart disease prevention is focused on keeping the heart and blood vessels strong and clear. This means preventing the strain caused by hypertension, safely exercising the cardiovascular system, and making lifestyle choices that promote healthy arteries.

    First, be sure your loved one visits their doctor regularly. Blood tests can assess cholesterol levels and catch problems early, including high blood sugar or other diseases that impact cardiovascular health. Their medical office will take their blood pressure, but this is something you can also do at home. You can also monitor pulse; a normal heart rate for an elderly individual is 60-100 beats per minute when they are at rest, with an average in the 70s. If resting heart rate falls outside this window, bring it up with their doctor.

    If your loved one is prescribed medications to manage cholesterol or hypertension, make a plan to ensure they take it exactly as prescribed. Encourage them to speak up about side effects or changes they notice, and don’t be shy about bringing issues promptly to their doctor.

    The most important lifestyle change your loved one can make for their cardiovascular health is to quit smoking, since it severely damages bodily tissue. Beyond this, avoiding alcohol and adopting a heart healthy diet are effective ways to preserve the health of their heart and blood vessels. Speak to a doctor or registered dietician about foods to emphasize and foods to avoid. Also find out the healthy target weight range for your loved one and get assistance with diet planning to help them stay within it.

    Stress is hard on the whole body, so managing it becomes crucial. Help your loved one find enjoyable activities for relieving stress, whether that is chair yoga or playing a musical instrument. Facilitate their social life; this may mean helping them with rides or with technology to stay in touch with friends and family. If their stress is intense and possibly diagnosable as a mental health disorder, help them find resources such as a counselor or support group.

    Exercise is important at every age, but seniors may not be able to safely do all the activities they once did. Talk to their doctor or an occupational therapist about simple, appropriate exercises to maintain flexibility and balance, increase blood flow, and strengthen muscles. This is important for cardiovascular health, but has the side benefit of helping to prevent falls.

    Check in with your senior loved one about any cardiovascular symptoms they may be experiencing—shortness of breath, easy tiredness, chest pain, pain in arms or legs, dizziness, or trouble sleeping. Encourage them to see their doctor regularly and to make lifestyle choices that help prevent heart disease in old age.

    If you need support in caring for your elderly loved one, our VetAssist mission is to make home care easily and quickly accessible for those who qualify through the VA Pension with Aid and Attendance benefit. Veterans Home Care can help you determine whether you or your loved one will be eligible to receive the benefit, which can cover some or all of the cost of home care, and we make it easy to apply. Chat with us via our website, or call us at (888) 314-6075.

    The post Senior Heart Health: Ailments, Care, and Prevention appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

    This post was originally published on this site.

  • CVN’s Global Expansion: Supporting American Military Families in Asia

    CVN’s Global Expansion: Supporting American Military Families in Asia

    For nearly 10 years, CVN has been driven by its core mission: to ensure that veterans, service members, and their families receive the high-quality, accessible mental health care they deserve. We have built a robust network of 22 clinics serving 20 states, caring for over 95,000 clients. Now, we proudly reaffirm our commitment to military families with an announcement of our expansion to Asia, bringing care to American military family members on U.S. military bases abroad.

    Working with AAFES

    CVN is working with the Army & Air Force Exchange Service (AAFES) to establish five Steven A. Cohen Military Family Clinics in Japan and South Korea. The clinics will be the first of their kind in the region, delivering mental health care to family members and U.S. veterans, DoDEA staff, and DoD CAC civilians, directly on military installations. Care will be provided by U.S.-licensed clinicians, a key distinction of the clinics.

    “We are thrilled to be working with AAFES who has been serving the needs of U.S. military families around the world for 130 years. Together, we are bringing accessible, high-quality mental health care on base to complement existing services and enhance support for military families,” says Cohen Veterans Network President and CEO Dr. Anthony Hassan.

    Where Are We Going?

    CVN is establishing clinics where the need for family support is significant:

    Fall 2026:

    • Camp Foster – Okinawa, Japan
    • Camp Humphreys – Pyeongtaek, South Korea

    Additional locations to follow:

    • Kadena Air Base – Okinawa, Japan
    • Yokota Air Base – Tokyo, Japan
    • Osan Air Base – Pyeongtaek, South Korea

    Empowering Military Families

    The Cohen Clinics in Asia will increase options for families with children experiencing mental, emotional, developmental or behavioral issues to serve in South Korea and Japan, ensuring access to the care they need. They will also enhance readiness by addressing mental health challenges faced by military family members and federal employees supporting our military mission abroad.

    “Taking care of families is a force multiplier for the military,” says CVN Chairman of the Board Gen. Joseph L. Lengyel USAF (Ret.) “We need every member willing to serve our nation, and making sure their families have access to the care they need is a big part of keeping people on the team.” 

    A Milestone Worth Celebrating

    CVN’s expansion is a testament to the hard work, dedication, and impact of our network. As we prepare to open the doors in 2026, we look forward to extending our care to meet the needs of military families abroad.

    Learn more at the CVN Newsroom.

    The post CVN’s Global Expansion: Supporting American Military Families in Asia appeared first on Cohen Veterans Network.

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  • New Tax Break for Seniors

    New Tax Break for Seniors

    Part of the recently passed tax bill includes what the administration is calling “No Tax on Social Security.” The bill does not directly remove taxes on Social Security payments, but it does provide an additional deduction for seniors under certain income limits. This provision may effectively reduce – or, in some cases, even eliminate – federal taxes paid by people ages 65+.

    First of all, it should be noted that this tax break worsens the tenuous fiscal condition of Social Security. Social Security actuaries estimate that the new tax provisions will move up the trust fund depletion date by roughly six months – from the 3rd quarter to the 1st quarter of 2034.

    Nevertheless, current beneficiaries will see the benefits of lower taxes. This blog post looks at how the new deduction works and how it may impact your federal income taxes.

    How Deductions Work

    To understand the mechanics of this new tax break, it helps to know how deductions work. The following is a simplified explanation of the standard deduction (this is not tax advice).

    You start with gross income, which is the total of all sources of taxable income. This amount typically includes work income, most pensions, taxable investment income, and up to 85 percent of your Social Security income. The taxable share of your Social Security is based on what is called “combined income,” which equals half of your Social Security benefit, plus nontaxable interest, plus all other taxable income. Once combined income is greater than $44,000 for married couples filing jointly or greater than $34,000 for single filers, 85 percent of Social Security benefits are taxable. (At lower thresholds, people are taxed on up to 50 percent of their benefit income; below these thresholds, benefits are not taxed at all.)

    After totaling your gross income, including taxable Social Security, you subtract deductions. You have the option of tallying up individual items and itemizing deductions, but most people do better by taking the standard deduction. People ages 65+ also receive an extra standard deduction. The new tax bill adds to this already increased standard deduction, bringing the total to $23,750 for singles and up to $46,700 for married couples filing jointly (see Table). It is worth noting that this new deduction is temporary – it is available from 2025 through 2028. This potentially whopping standard deduction is then subtracted from gross income to arrive at taxable income.

    Impact of the New Provision

    The new provision doesn’t explicitly remove federal taxes on Social Security, but it does have the same effect for many people, reducing taxable income by $6,000 per person for those ages 65+. For lower-income retirees who are reliant on Social Security, this might be enough to all but eliminate their entire federal income tax liability. Note, though, that lower-income households below certain thresholds were already untaxed on Social Security. For these households, the additional deduction will reduce other taxable income.

    Let’s look at how this might impact income taxes. Take a single woman over age 65. Say she receives a taxable pension of $30,000, investment income of $10,000, and Social Security benefits of $24,000 (85 percent of which is taxable). That puts her in the 12-percent federal tax bracket. Incorporating the new $6,000 tax provision will effectively reduce her federal tax bill by $720.

    Pay Attention to Income

    An important caveat to this new provision is that it is phased out for single taxpayers with incomes over $75,000 and married filers with incomes over $150,000. The phaseout is $60 for each $1,000 over the threshold. It is fully phased out at $175,000 for single filers and $250,000 for joint filers.

    Bigger Refunds in 2026

    Although the new tax provision does not explicitly eliminate taxes on Social Security, it will reduce taxes for many filers age 65+. If you’ve paid estimated taxes throughout the year or had taxes withheld on your income, you may end up getting a bigger refund (or owe less) in 2026.

    Luke Delorme, CFP® is Director of Financial Planning at Tableaux Wealth in Great Barrington, MA (www.tableauxwealth.com), reachable at luke@tableauxwealth.com. To stay current on the Squared Away blog, join our free email list.

    This blog post is for informational and educational purposes only and should not be considered financial advice. Consult a qualified professional for advice specific to your situation.

    This post was originally published on this site.

  • Caregiver Tips for Doctor Visits

    Caregiver Tips for Doctor Visits


    Caregiver Tips for Doctor Visits

    Supporting an aging loved one’s health means learning a level of medical advocacy most of us were not trained for. Many individuals find that attending doctor appointments with their elderly parent brings unforeseen needs. The following is our guide for better preparation, advocacy, and making the most of your loved one’s doctor visit.

    Before the Appointment

    To prepare for the appointment, focus on gathering information.

    • Does your loved one’s medical office require completion of paperwork ahead of time? Even if they don’t, completing it at home—in a comfortable, calm environment, with lots of time—works to your advantage. (Ask the office if this is an option.) Completing the paperwork with your parent or loved one gives you the chance to fill out health history and related details you may not even know.
    • Find out if your senior loved one has named a healthcare proxy or filled out a release of information with your name on it. If you can’t find it, call the office and ask. It’s important to have your loved one sign off on your ability to speak for them if needed, as well as receive information about their condition and care.
    • Interview your parent or loved one on the medications they are taking, and how faithfully they are taking them according to prescription. Ask about any side effects and recent changes they have noticed.
    • Likewise, find out about any new lifestyle challenges, such as difficulty walking or getting in or out of bed. Ask whether they are eating regularly and drinking water, if they are socializing, and if they are struggling with any household chores. Be alert for signs of negative mood or anxiety, as this can be helpful for their doctor to keep tabs on their mental health.

    What to bring to a doctor’s appointment:

    • A list of medications and supplements your loved one is taking. Bringing the actual bottles/packaging is even better, as the doctor can review labels.
    • A list of concerns you’d like the doctor to address. Besides known conditions and symptoms, this is a good time to ask about concerns like dementia screening, assistive devices for walking, eyesight changes, and occupational therapy Keep the list to your most pressing concerns.
    • Their glasses, hearing aid, walking device, or similar implements.
    • Insurance cards and information of any other healthcare providers that they see.
    • Something to take notes as you are communicating with medical staff. There is no way to simply remember everything that was said, and these face-to-face opportunities provide vital information.

    Lastly, but very importantly, have a conversation with your loved one regarding speaking up for them during their appointment. Are they alright with you chiming in when needed? Do they prefer you take the lead? Let them know you want to help, but be aware it can be embarrassing for some elderly parents to be contradicted or talked over in front of the doctor. Talking about boundaries ahead of time is effective caregiver communication; emphasize your intent to help to your fullest capability, and empower them to take the lead if they can.

    During and After the Appointment

    During a senior medical visit, remain alert to your loved one’s emotional state, energy level, and attention. Long wait times and shuttling between rooms can cause fatigue, which in turn can discourage your loved one from speaking up and asking their questions. Do what you can to ensure you both dress warmly and comfortably, eat beforehand, and set yourself up to stay resilient.

    If your loved one asks you to leave the room, do so. Try not to talk over them or make them feel invisible, even if you’re trying to help. Listen attentively, take notes, and ask the medical staff for any literature or resources related to your loved one’s health conditions.

    After the appointment, write up any instructions from the doctor in an easy-to-read format, and place it in a highly visible place like the kitchen counter. Give your loved one your notes from the appointment. Follow up on further appointments to be scheduled, prescriptions to be picked up, or tests to be completed. If your loved one is comfortable with it, you may want to get the login for their patient portal to see test results or notes from their clinic. You can usually also send messages to their doctor through the portal (though you should never impersonate your parent/loved one).

    Other Considerations

    Certain healthcare and social services professionals are highly trained in coordinating senior care. These include geriatricians, who specialize in patients over 65 years of age, and geriatric care managers, who are an excellent resource for elderly patients with complex care needs. Social workers are also available at most hospitals to provide medical advocacy for seniors and education to their families.

    If your parent speaks a different language than their doctor, an interpreter may be available to help with communication. This can bridge the gap without putting too much emphasis on the adult child to do all of the communication.

    For some families, agreement on a care plan or its details may be hard to come by. Caregivers with siblings might need to find ways to make joint decisions peacefully, or else get their siblings’ blessing to act more unilaterally (though this comes with the tradeoff of taking on the bulk of caregiving duties).

    If at some point, your elderly loved one needs more assistance than a family caregiver can provide—especially for routine, everyday activities—you may want to review your home care options. Our VetAssist mission is to make home care easily and quickly accessible for those who qualify through the VA Pension with Aid and Attendance benefit. Veterans Home Care can help you determine whether you or your loved one will be eligible to receive the benefit, which can cover some or all of the cost of home care, and we make it easy to apply. Chat with us via our website, or call us at (888) 314-6075.

    The post Caregiver Tips for Doctor Visits appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

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  • How the Civil War inspired this iconic poet’s classic Christmas song

    How the Civil War inspired this iconic poet’s classic Christmas song

    This post was originally published on this site.


    Charles Appleton Longfellow was the oldest child of American poet and writer Henry Wadsworth Longfellow.

    A dramatized version of Charley’s story was recently made into the movie “I Heard the Bells,” but the true story behind the origins of the Christmastime poem-turned-song is just as, if not more, interesting.

    Henry Wadsworth Longfellow vehemently objected to his son’s desire to enlist in the Union Army. But in 1863, at the age of 18, Charley ran away from home and enlisted in the 1st Massachusetts Artillery.

    He informed his father of his decision in a letter mailed from Portland, Maine.

    “I have tried hard to resist the temptation of going without your leave but I cannot any longer,” he wrote. “I feel it to be my first duty to do what I can for my country and I would willingly lay down my life for it if it would be of any good.”

    Within two weeks of his arrival, likely because of his famous father’s connections, Longfellow was commissioned a 2nd Lieutenant in the 1st Massachusetts Cavalry.

    On Nov. 27, 1863, while involved in a skirmish during a battle of the Mine Run Campaign, Charley was shot through the left shoulder. The bullet exited under his right shoulder blade and skimmed his spine.

    The wound was considered grave, and the army surgeon told the elder Longfellow that “paralysis might ensue” for his son.

    On Christmas day 1863, as his son recovered from his wounds, Henry penned the poem “I Heard the Bells on Christmas Day,” with many references to the Civil War.

    The cannon thundered in the South

    And with the sound    

    The carols drowned

    Of peace on earth, good-will to men!

    It was as if an earthquake rent

    The hearth-stones of a continent,    

    And made forlorn    

    The households born

    Of peace on earth, good-will to men!

    And in despair I bowed my head;

    “There is no peace on earth,” I said;    

    “For hate is strong,    

    And mocks the song 

    Of peace on earth, good-will to men!”

    Then pealed the bells more loud and deep:

    “God is not dead, nor doth He sleep;    

    The Wrong shall fail,    

    The Right prevail,

    With peace on earth, good-will to men

    Henry Wadsworth Longfellow

    Charley would survive his wounds, but did not return to the war.

    He kept in touch with friends made during his brief career as a soldier, receiving letters and photographs from them and creating a scrapbook of newspaper articles relating to his unit’s role in the war.

    He went on to become a world traveler and author.

  • Choking, Dysphagia, and Difficult Swallowing in Elderly Adults

    Choking, Dysphagia, and Difficult Swallowing in Elderly Adults


    Choking, Dysphagia, and Difficult Swallowing in Elderly Adults

    Dysphagia in the elderly is a common condition resulting from multiple factors including oral health problems, chronic illness, and medication side effects. Also called geriatric dysphagia, this is characterized by difficulty swallowing and a higher risk of choking. Seniors make up an astounding 75% of the choking deaths each year in the US. That statistic represents over 4,000 senior deaths annually. Risk rises with age, especially after age 71.

    Swallowing issues can be diagnosed and mitigated. Protect your senior loved one by getting educated on dysphagia and choking risks and by speaking to them about struggles they may be experiencing.

    Why Do Older People Choke on Food?

    Swallowing food and water occurs in three phases requiring first the mouth, then the throat, and lastly, the esophagus. When even one of these phases is compromised, choking can occur.

    With age, oral health can decline, and unchewed food can lead to swallowing problems in elderly adults. Missing or damaged teeth, diseased gums, loose dentures, insufficient saliva (dry mouth), and weakened or uncoordinated muscles in the tongue or throat can all contribute.

    Illness can also cause or worsen swallowing challenges. Some examples are:

    • Paralyzing conditions, such as a stroke
    • Neurological or neurodegenerative conditions, such as Parkinson’s disease
    • Dementia, due to reduced cognitive capacities
    • Chronic or untreated acid reflux
    • Diabetes, which can be accompanied by dry mouth
    • Certain cancers or their treatment

    While it is typical for older adults to produce less saliva, some medications have dry mouth as a side effect, exacerbating the issue. These include medications for blood pressure, allergies, and depression. (Read about medication safety here.) Conversely, seniors who cannot clear their own saliva or phlegm by swallowing are also at risk of choking.

    With these barriers to healthy swallowing, choking in elderly people presents an underestimated threat to their safety.

    Risks Associated with Dysphagia and Choking

    Besides the obvious threat to breathing, choking can result in lung infections as foreign objects like food particles enter the lungs, along with bacteria from the mouth. Aspiration occurs when food or drinks enter the lungs without blocking airways, and this can also carry bacteria into the lungs. This is one reason it is imperative to brush, floss, and visit the dentist regularly.

    Furthermore, frequent and violent coughing can lead to tissue damage, and dysphagia is thought to be a risk factor for the development of pneumonia. Elderly people who have choked on food or water might become afraid to eat and drink, which leads to malnutrition and other health issues. Fears around eating and drinking can also cause anxiety and distress, impacting mental health and quality of life.

    Certain food choices or habits increase risks for seniors. These include eating hard candies, meat or fish with bones, popcorn, hot dogs, food in large chunks, and sticky or chewy foods (such as taffy, peanut butter, or even tough meats). Other risks include eating quickly and eating alone, because no one can intervene quickly if they choke. Those who eat while watching TV may be distracted or laugh with food in their mouth, upping their risk.

    Seniors should speak to their doctor if they show any of the following dysphagia warning signs:

    • Choking regularly while eating meals or drinking beverages
    • Choking to the level of coughing violently and turning red in the face
    • Having a dry mouth much of the day
    • Feeling distress around eating and drinking, or avoiding doing so

    Diagnosis and Treatment of Dysphagia

    Your elderly loved one may opt to see their geriatrician or a specialist, such as a speech pathologist, for their swallowing difficulties. Their provider will typically begin assessment of dysphagia with a simple swallow test, where they observe their patient drinking water. They will ask their patient what foods or liquids typically cause problems, as well as cover surrounding risk factors like diagnosed illness or medications that might be impacting their ability to swallow.

    Next, they may order a Video Fluoroscopic Swallowing Exam (VFSE), where x-rays capture the patient swallowing in real time to see where and how issues are occurring. A similar test, an esophagram, can be used to observe the esophagus in action.

    Treatment for dysphagia has many components. First, there are practical changes your elderly loved one can make to their eating by:

    • Cutting food into smaller pieces
    • Eating slowly and chewing food thoroughly (those with dentures should see their dentist about ensuring proper fit)
    • Eating smaller, more frequent meals throughout the day, versus a couple of large meals
    • Adding flavored or flavorless thickeners to drinks (thickened water for elderly dysphagia patients is commonly indicated)
    • Eating more soft, thick, and even-textured foods such as yogurt, pudding, and pureed soups
    • Sitting up straight while eating, and tucking their chin towards their chest while chewing and swallowing
    • Avoiding distractions while eating, including talking
    • Sipping a beverage while eating

    An occupational therapist can bring a wealth of knowledge and resources to compensate for dysphagia and its challenges.

    In some instances, dysphagia is the result of a treatable condition, and a doctor can address the root cause to lessen or eliminate it.

    Some Cautions Around Choking in Elderly People

    It is important to know how you will respond if you are near your elderly loved one when they are choking. If they begin coughing, encourage them to keep coughing until the obstruction is cleared. Do not slap their back to help, as it is usually ineffective, and you risk hurting them in the process. Do not put your fingers in their mouth or throat, but have them bend over slightly or lie on their side while continuing to cough.

    Signs you should escalate include:

    • They stop coughing and don’t make any sound at all
    • They make wheezing or high-pitched sounds
    • Their hands are around their throat
    • They get very pale, or turn red or blue

    In this case, immediately call 911. You may also choose to perform emergency aid in the form of the Heimlich maneuver, or CPR if they lose consciousness.

    Some stores now sell anti-choking implements that supposedly clear obstructed airways by sucking out or extracting the blockage, but these have not been tested enough to be considered safe, are not FDA-approved, and are not recommended.

    Swallowing difficulties should be taken very seriously as soon as they emerge. If your elderly loved one lives alone, speak to them about preventing a crisis. And if they need home care, our VetAssist mission is to make home care easily and quickly accessible for those who qualify through the VA Pension with Aid and Attendance benefit. Veterans Home Care can help you determine whether you or your loved one will be eligible to receive the benefit, which can cover some or all of the cost of home care, and we make it easy to apply. Chat with us via our website, or call us at (888) 314-6075.

    The post Choking, Dysphagia, and Difficult Swallowing in Elderly Adults appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

    This post was originally published on this site.

  • Home Modifications for Seniors Aging in Place

    Home Modifications for Seniors Aging in Place


    Home Modifications for Veterans and Seniors Aging in Place

    With more seniors, including millions of aging Veterans, choosing to age in place, families should have a conversation about home safety modifications. Adaptations can be made to each part of the home to prevent falls and compensate for reduced vision, hearing, and mobility.

    Our population of American seniors is steadily growing, and consequently, aging-in-place solutions and products are becoming easier to find. Your loved one has more options, and your family can address relevant risks while helping your senior maintain their independence. What follows are some ideas for home modifications focused on preventing accidents and increasing comfort.

    Fall Prevention: Stairs, Steps, and Safe Flooring

    In the home, falls pose the greatest risk to your elderly loved one’s safety. Falls are responsible for many hospital readmissions, and seniors’ risk of falling increases steadily with age. For homes that have a few steps up to the front door, or between rooms in an open-plan house, consider installing a ramp with handrails. This is especially helpful for seniors who use an assistive device for walking, and is essential for wheelchair use. Another solution to prevent tripping is to add LED lights and/or brightly colored tape to steps, providing more visibility. (Learn more about common age-related vision loss (Learn more about common age-related vision loss here.)

    For safer stairways, look at handrails and nonslip surface covers. Remove runners that aren’t totally slip-proof, and add plenty of light, including motion-activated light. If there is a landing, add a chair where your loved one can take a rest partway through.

    For some seniors, a stairlift may be necessary; ensure they can operate it themselves and that it is properly maintained.

    One last tip, and this goes for the entire home: clear clutter! Make sure items (including decorative ones) are not cluttering stairs, floors, doorways, or anywhere else around the home.

    Floors and Doors

    Some more hazardous types of flooring include high-pile carpet (over half an inch), porcelain tile, marble tile, and old hardwood that has warped or separated. The key is avoiding slippery or uneven surfaces. Where the option is present to choose flooring, choose vinyl, linoleum, rubber, or low-pile carpet. To work with what you have, add low-profile, well-secured mats and rugs to minimize slip risk. Pay special attention to areas that might get wet, such as near sinks or doors leading outside.

    Consider widening doorways if your loved one uses a walker or wheelchair. The ADA recommends doorways be 32-48” wide. Doors with swing-clear hinges swing further open than standard hinges. Doors with lever-style handles are also easier to open for those with arthritis, versus twist-knobs.

    For doors leading outside, ensure locks work smoothly and that your senior is able to use them comfortably. They may also benefit from a doorbell camera that shows them who is at the door. A side benefit to the door camera is that, for seniors in the early stages of seniors in the early stages of dementia, it can notify loved ones when they have unexpectedly left the house. A front or back door with a keypad can also let you (or a neighbor or caregiver) enter with a code, in the event of an emergency.

    Bathroom Modifications for Senior Safety and Accessibility

    Most bathrooms are designed with features that can prove hazardous to seniors with reduced vision or mobility, including slick floors and shower-bathtubs that require stepping over. Add plenty of washable rugs to bathroom floors, fixed in place with velcro or grippers. Handles and bars should be added along walls, including in the shower and near the toilet.

    Comfort height toilet seats can be purchased that raise seated height so the senior does not have to bend as much. This is a less costly alternative to replacing the toilet.

    In the shower, replace the showerhead with a handheld type, and adjust the height so the senior does not have to reach. If layout allows, add a shower stool so the senior can sit.

    Light-sensing nightlights can be plugged into outlets in the bathroom and other rooms of the house so that it is never completely dark.

    Kitchen Safety Tips to Support Independent Living at Home

    As mentioned elsewhere, it is important to minimize trip hazards. Kitchens can be organized thoughtfully so that the senior does minimal (or no) bending down, reaching up, or climbing stepladders. Where possible, replace low cabinets with drawers for easier access to stored items. Pull-down shelves and Lazy Susans can also help with making kitchen items easier to reach. Similar to the doorknobs tip, D-handle cabinet pulls are easier to grip than a rounded knob. Your loved one may also benefit from a grabber that can reach spaces they cannot, such as the top shelf of a pantry.

    Regularly check and maintain appliances and plumbing. Induction stoves are safer than gas stoves. Make sure there’s a fire extinguisher, a working smoke alarm, and sprinklers in the kitchen. Check under the sink for any leaks and all over the kitchen for signs of water damage.

    If your senior’s refrigerator does not have an alarm, they can be purchased; this helps with preventing the door from being left open, damaging the appliance and its contents. If the fridge has a water dispenser, change the filter regularly. Check in with your loved one on whether they need assistance preparing healthy meals or buying groceries.

    Bedroom Comfort and Safety for Aging Seniors

    Also check on your senior’s comfort and safety getting into and out of bed. If appropriate, add a bed rail to prevent rolling off the bed during the night. Make sure bedding is warm enough during winter months.

    If their bedroom is on the second floor of their home, look at whether it can be moved to the ground floor instead, to lessen their need to climb the stairs.

    The bedroom is a common placement for a carbon monoxide alarm. If the home has more than one floor, ensure there is an alarm on each floor. This also applies to smoke alarms.

    Smart Home Technology That Helps Seniors Age in Place Safely

    Besides doorbell cameras, think about adding a voice assistant that can easily call you to chat—or call emergency services in the event of a household accident. These devices can also help your senior remember to take medications, to drink water, or to go to their appointments.

    Smart devices like locks and thermostats can be activated remotely, and smart lights and shades can be put on schedules so that your elderly loved one has one less task to remember at bedtime. Smart leak sensors can be put near the dishwasher, air conditioner, and other appliances to sound the alarm at the first sign of a leak.

    According to AARP, 91% of Veterans 45 and older say it’s important for them to stay in their homes if they need long-term care. Aging-in-place technology directly supports that goal. Smart home products are in demand, and new ones are coming out all the time to support a safe home for elderly users.

    VA Home Modification Grants That Can Help Veterans Age in Place

    Many Veterans are unaware that the VA offers specific grant programs to fund home modifications. In fact, an AARP survey found that 60% of Veterans 45 and older didn’t know VA provides grant funding for home modifications. Here are the key programs to know:

    HISA Grant (Home Improvements and Structural Alterations)

    The HISA benefit provides financial assistance for medically necessary home modifications — such as installing grab bars, ramps, roll-in showers, or widened doorways. Veterans with service-connected conditions may qualify for up to $6,800, and non-service-connected conditions may qualify for up to $2,000. A VA physician prescription is required. This is one of the most accessible grant options for aging Veterans who need home safety upgrades.

    SAH and SHA Grants

    The Specially Adapted Housing (SAH) grant and Special Housing Adaptation (SHA) grant are available to Veterans with more significant service-connected disabilities. For FY 2025, SAH grants can reach up to $121,812, while SHA grants offer up to $22,036 for adaptations such as ramps, doorway modifications, and accessible bathrooms.

    Aid and Attendance Benefit

    Beyond physical modifications, Veterans who need help with daily activities may qualify for the VA Pension with Aid and Attendance benefit — which can provide monthly, tax-free income to help cover the cost of in-home care. Veterans Home Care’s VetAssist® Program helps Veterans and their families check eligibility and navigate the application process at no cost.

    Talking to Your Senior about Home Safety Modifications

    It can sometimes be difficult to broach the subject of these modifications with an aging parent, as they might not see the need for such measures. Be sure to hear their concerns and let them understand what you see as the benefits of these modifications. Be wary of doing too much too soon, and if they are open to it, bring in an occupational therapist who can not only advise on household adaptations, but also on lifestyle and habits for continued independent living.

    If your loved one needs home care, our VetAssist mission is to make home care easily and quickly accessible for those who qualify through the VA Pension with Aid and Attendance benefit. Veterans Home Care can help you determine whether you or your loved one will be eligible to receive the benefit, which can cover some or all of the cost of home care, and we make it easy to apply. Chat with us via our website, or call us at (888) 314-6075.

    The post Home Modifications for Seniors Aging in Place appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

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  • Can Ken Burns revitalize American patriotism?

    Can Ken Burns revitalize American patriotism?

    This post was originally published on this site.


    Ken Burns has had a busy year.

    The famed documentary filmmaker and his co-producers, Sarah Botstein and David Schmidt, have stumped across the United States, speaking, gently of course, about their upcoming docuseries, “American Revolution,” which premieres Sunday on PBS.

    During their six-month promotional tour across 32 cities and 17 states, the trio has consistently delivered a nonpartisan, hopeful message to Americans.

    “We think always in sort of Chicken Little terms,” Burns told an audience during a panel event at Mount Vernon, Virginia, on Oct. 29, “that our time must be the very, very worst.”

    “You can have at least the possible reassurance that things were really divided back then. It was a civil war,” he said of the American Revolution. “Examining the origin story provides you with a kind of renewal and a fresh understanding.”

    Burns has endeavored to provide such reassurances. The director and his team have spoken to a spectrum of media over the course of the year, from podcasters like Theo Von and Joe Rogan to MSNBC and The New York Times.

    Burns spent nearly two hours on Von’s show and three on Rogan’s, with one listener noting in the latter’s YouTube comment section, “We need an annual Ken Burns discussion, if not more. This is cathartic.”

    “We’re trying to reach as many people as we can,” Schmidt told Military Times in a recent interview. “If anybody wants to talk to us, we’re really happy to speak to them.”

    The makings of liberty

    For Burns and his team, the decision to make a documentary on the American Revolution was “spontaneous,” according to the director.

    To put it into context, the year was 2015, President Barack Obama still had 13 months left in his presidency and “nobody was talking 250” — America’s semiquincentennial anniversary in 2026 — Burns told the audience at Mount Vernon.

    “But I was looking at this map that we had of the Ia Drang Valley, in the central highlands [of Vietnam], and I just said, ‘That could be the British moving west on Long Island towards American positions in Brooklyn,” Burns recalled at the Mount Vernon panel. “I just went, ‘We could do it.’”

    With the absence of archival footage for the series, the filmmakers had to get creative — shooting reenactors throughout the documentary. (PBS)

    The filmmakers, however, had to get creative. Without photographs, B-roll or archival footage, the trio resorted to maps, diaries and reenactors to tell the epic tale of Great Britain’s 13 North American colonies’ fight for independence.

    “We went out and filmed with reenactors,” Schmidt said of the filmmaking process, which also included commissioning watercolors from a group called Wood Ronsaville Harlin.

    “Probably the most expensive line item in our budget is re-creating North America as faithfully as we could in a map,” he noted. “That was challenging, but also really fun. Waterways across America have changed since the 18th century. We had to erase the Erie Canal. Stuff like that you just don’t think of.”

    Despite such challenges, according to Schmidt, the lack of visual primary sources presented opportunities to find “new ways to solve these problems.”

    Over the course of several years, the trio shot original footage of nearly 100 locations within the original 13 colonies, as well as in London and the English countryside.

    For 10 years — and to the tune of more than $30 million — Burns and his team built up a vast archive of knowledge.

    “Part of the reason it was so exciting to make [this film] is that we got to spend a decade learning what actually happened and finding out the way to artistically shape that into a 12-hour film to share with the American people,” Schmidt shared.

    “We aren’t trying to dispel myths. We’re not mythbusters out there poking holes in your understanding of the American Revolution. In fact, what we’re doing is taking what you already know and rebooting it,” he said. “It’s going to supplement what you already know and make it make more sense.”

    Heart of the story

    The six-part series follows more than just the well-known characters of the American Revolution.

    While it includes rank-and-file Continental soldiers, militiamen and American Loyalists, the series also delves into the oft-unheard stories of Indigenous soldiers and civilians, enslaved and free African Americans, German soldiers in the British service, French and Spanish allies and an array of civilians living in North America.

    The documentary highlights a war that not only touched the lives of those living within the 13 colonies, but also engaged and inspired millions of people in North America and beyond.

    Over the course of several years, the trio shot original footage of nearly 100 locations — in every season — within the original 13 colonies, as well as in London and the English countryside. (PBS)

    “The war begins in Lexington,” Schmidt said, “but it spreads all throughout — not just the original 13 colonies — but over the mountains to the Ohio River, along the Gulf Coast, even out to the Mississippi River. It’s also in the Caribbean. It’s fought off the coast of England. It’s fought in the Atlantic Ocean. It’s fought along the coast of France, along the coast of Africa, even in the Indian subcontinent — and that’s just the war.

    “The ideas just grow and grow and inspire revolutions — and have inspired revolutions for the past 250 years all throughout the world. Ho Chi Minh, when he declared Vietnamese independence, had two United States OSS officers standing next to him and was quoting Thomas Jefferson in Vietnamese.”

    Despite these ideas that have shaped the world since 1776 (many argue that date is even earlier), Schmidt recalls how surprised he was when learning about the original aims of the conflict.

    The now-lauded notions of civilian rule and non-partisanship that created the republic that we still live under were not, says Schmidt, “on the table at the start.”

    “Those weren’t war objectives,” he continued. “On April 19, 1775, they became necessary to win the war. But they were kind of outcomes of the war, rather than goals. What they were really trying to do at the start was to liberate Boston, to get a redress of grievances and to bring things back to the way they were under the British Empire. But in order to win the war, they had to involve all sorts of American people who otherwise might not get along.

    “Coalition building made it a war about liberty. It made it this fight for a union. Then in order to win the war, they had to involve foreign powers. The French came in. The Spanish came in as the allies of the French. The Dutch declared war on the British,” ultimately creating a coalition war.

    Former Commandant of the Marine Corps Gen. Joseph Dunford, who spoke alongside Burns at the panel at Mount Vernon, echoed Schmidt.

    “I would argue — and I think it’d be tough to argue against it — that our strategic center of gravity as a country comes from allies and partners,” Dunford said. “There’s almost nothing that we have to deal with, certainly in the 21st century, where coherent collective action isn’t required to address a problem.”

    That coalition is what makes up the heart of the documentary. Nearly 150 characters are highlighted in the series, with their stories read by a staggering 61 different voice actors, including: Kenneth Branagh, Josh Brolin, Jeff Daniels, Morgan Freeman, Paul Giamatti, Domhnall Gleeson, Tom Hanks, Ethan Hawke, Samuel L. Jackson, Michael Keaton, Damian Lewis, Laura Linney, Edward Norton, Mandy Patinkin and Meryl Streep, among many others.

    The military story itself features 36 battle sequences that range from the well-known, like Bunker Hill and Yorktown, to the more obscure, while showing that the American Revolution was a test of logistics and strategy as much as it was a war of ideals.

    Washington, according to Schmidt, understood the “arithmetic of this war” — that is, the importance of not losing it all “in one motion.” (PBS)

    George Washington is, naturally, also front and center in the series — a point that Burns noted while speaking at the historic home of America’s first president.

    “He’s our guy, and that’s pretty amazing. Look, we do not soft pedal the flaws. Not only are there really bad tactical mistakes: there’s the rashness of riding out on the battlefield, not just as Princeton but at Monmouth and Kip’s Bay; and he owns hundreds of human beings. You can’t square that circle. But we are so lucky [to have had him], and we’re here because of him.”

    Civilians, not subjects

    One point that Burns and his team spend considerable time exploring is the notion of citizenship.

    “I’m really still overwhelmed by some of the obvious things, that for the first time, we were creating citizens, not subjects under authoritarian rule,” says Burns.

    “Thomas Jefferson says, ‘All experience has shown that mankind are more disposed to suffer while evils are sufferable.’ That just means that for most of human history, people have been under authoritarian rule and they’ve accepted it. They’ve acquiesced that those evils are sufferable. Essentially this [American] ‘project’ was to say no to that.”

    The war, however violent and bloody it was (which Burns succeeds in displaying) was the vehicle for that freedom.

    “I’m really proud to have worked on this film. I’m prouder to be a citizen of a country that invented that idea,” he added.

    Burns ended the panel with a potent mix of patriotism grounded in history, closing with one of his favorite quotes from a Hessian soldier, Johann Ewald, who served under the British during the war.

    “Who would have thought 100 years ago that out of this multitude of rabble would arise a people who could defy kings?” Ewald once quipped.

    “That to me,” says Burns, “is the whole essence of the project. The right to defy kings.”

  • ‘Gunners!’ revives forgotten chapter of air war over Korea

    ‘Gunners!’ revives forgotten chapter of air war over Korea

    This post was originally published on this site.


    Thomas Stevens’ first combat mission was memorable — and defied direct orders from the commander in chief. On Nov. 28, 1952, the 19-year-old airman was a tail gunner on a Boeing B-29 Superfortress on a nighttime bombing run over North Korea.

    After dropping its load of 20 500-pound bombs on a target along the Yalu River, the aircraft was caught in a strong wind and blown over the border into Manchuria. President Harry S. Truman had forbidden any U.S. Air Force planes from crossing into Chinese airspace to prevent further escalation of the Korean War.

    However, instead of a reprimand, the crews of the 307th Bombardment Group of the 13th Air Force were treated to breakfast. Running low on gas, the squadron diverted to Japan for refueling and a meal of fresh eggs — a welcome reprieve from the powdered eggs served in the unit’s mess at Kadena Air Base on Okinawa.

    “We were not supposed to be in Manchurian airspace,” Stevens, now 92 and living in Overland Park, Kansas, told Military Times. “It was something the officers laughed about, but we knew we needed to get out of there in a hurry.”

    He added with a chuckle, “We did enjoy the breakfast.”

    Stevens' crew at Randolph Field, San Antonio, Texas, before departing for Okinawa. Stevens is in the back row, first on the left. (Courtesy Thomas Stevens/USAF)

    Stevens is one of five veterans featured in “Gunners! B-29 Machine Gunners in the Korean War” by author and military analyst James Blackwell. The others include the late Philip Aaronson, who was shot down and spent 36 months in a POW camp, Dale Crist, Romaine Gregg and Jack Bernaciak, who flew the last B-29 combat mission in Korea. Blackwell conducted personal interviews and reviewed oral histories and military records of the five men in compiling this account of their service.

    “In many ways, Korea was the ‘Forgotten War,’” the author said. “This was my father’s generation. They were young children during the Dust Bowl and Great Depression. They were the ‘Silent Generation,’ as Time Magazine referred to them. I wanted to write something that reflected who they were and what they went through.”

    The new book examines a nearly forgotten chapter of the air war over Korea. With a limited number of jet bombers in service at the time, the Air Force reactivated the Superfortress to deliver payloads against enemy targets. Technologically superior only a few years earlier, the slow, four-engine heavy bombers were now relics in a supersonic jet war.

    “The B-29 against MiG-15s — it was like David and Goliath,” Stevens said. “It was no contest against those jet fighters.”

    Stevens flew 27 missions over North Korea and accidentally over China. From his position as a tail gunner, he had a bird’s-eye view of the results of his aircraft’s bombing runs. He could also view the fighting on the ground as Marines and soldiers slugged it out with North Korean and Chinese forces.

    “I could look down at what was happening,” he recalled. “I was glad I was not down there.”

    It was no joy ride in the air either. In addition to enemy jets, Superfortresses were susceptible to antiaircraft fire. The last few minutes to the target were always the toughest. Stevens remembered hearing the deafening sound of shrapnel from exploding flak hitting and occasionally piercing the aircraft’s fuselage.

    “It made a loud bang, like a car in a hailstorm,” he said. “There would be little dents and holes all over the aircraft. Flak hits varied. One time it was so close that it bumped me out of my seat. We had flak suits. I couldn’t wear mine because of the tight space in the tail, so I put mine on the floor to help protect me.”

    As a 19-year-old farm boy from Missouri, Stevens stated he was too young to be frightened by the danger he faced at the time. He couldn’t wear a parachute because of the confines of his firing position, so he just assumed he would go down with the plane if anything happened.

    “When I think back now, I say, ‘Did I really do that? Was I that crazy?’” he stated. “We had our orders and we followed them. It was an exciting time.”

    Stevens on the flight line at Kadena Air Base. Gunners shared duties for checking bombs before they were loaded. (Courtesy Thomas Stevens)

    Capable of delivering conventional and nuclear weapons, the B-29 was a modern marvel when it first flew in World War II. The high-altitude strategic bomber featured an analog computerized firing system that enabled one person to direct four remote-controlled machine gun turrets, known as “blisters” because of rounded Plexiglas covers. If a gunner was wounded, the fire-control officer could direct shooting at enemy planes at that position.

    Instead of firing by Kentucky windage, airmen sat in seats with a screen that showed the target and adjusted for speed, distance and other factors. When an enemy aircraft appeared in a circle of dots, the gunner flipped a switch.

    “It was an analog system that was essentially mechanical, so it didn’t have the speed of a modern computer,” Blackwell said. “It was designed for shooting down German and Japanese fighters. It was a little slow against jets, but still did a good job.”

    Blackwell began researching the book believing the slower Superfortress was overmatched by a faster Soviet Union jet flown in the Chinese and North Korean air forces. However, he found that premise to be not quite true.

    “I had heard the stories and came to this with the impression that B-29s were obsolete and outclassed in the Korean War,” he said. “After checking the statistics, I came to a different conclusion and changed my approach to writing the book.”

    While the propeller-driven heavy bombers were outpaced by enemy jets, they managed to hold their own in combat. Blackwell’s analysis of statistics showed the Superfortress was at a definite disadvantage in the early days of the Korean War when the Air Force was flying daytime missions using World War II formations. However, air command changed tactics and had the B-29s fly only at night while making single-file bombing runs. By the end of the war, B-29s had shot down 25 MiG-15s compared to 16 bombers lost to enemy jets.

    “The Air Force flipped the trend by adapting new techniques,” Blackwell said. “Ending daytime missions was critical because MiG-15s weren’t equipped for nighttime attacks. Flying single file on bombing runs also reduced losses. In addition, our gunnery training outpaced that of the enemy, enabling the B-29s to stay ahead of enemy jets in terms of kills.”

    Since Stevens flew only night missions, he rarely saw MiG-15s chasing his Superfortress. In fact, he did not use his two 50-caliber machine guns against a threat.

    “I never fired them in combat,” he said. “Only test-fired them at the start of missions.”

    Stevens and his wife, Barbara, pose with President Barack Obama at the White House on Veterans Day 2017. (Courtesy Thomas Stevens)

    After Korea, Stevens left the Air Force as a staff sergeant in 1955. He married and raised two sons while attending college on the GI Bill. He then joined Southwestern Bell Telephone Company, retiring as a district manager after 33 years.

    However, Stevens’ work was not done. In 2006, he helped build and dedicate the Korean War Veterans Memorial Park in his retirement community of Overland Park, Kansas. In 2010, he was elected to the national board of the Korean War Veterans Association, serving eventually as president. In that role, he championed the cause of Korean War vets in meetings with President Barack Obama and Vice President Mike Pence, as well as other government officials.

    Today, Stevens continues to speak to school groups and others about the “Forgotten War” and the sacrifices made by the men and women who served in the conflict. He is especially proud of his time in the Air Force and all he learned as an airman.

    “It was an invaluable experience that helped shape the rest of my life,” he said.

    Blackwell hopes his book inform readers of the debt they owe to Korean War veterans. On his speaking tour, he gives away free copies of his book to veterans so they “never forget” the people who came before them.

    “Korean War vets have the same needs and hurts as the veterans of Iraq and Afghanistan,” he said. “We need to sit and listen to what they have to say, too.”