Government/Legal/Financial
Showing posts with label Government/Legal/Financial. Show all posts

Work Ethic Scholarships Info

Wednesday, July 15, 2026

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Image: mikeroweworks.org accessed 15 July 2026

Scholarship Information Time Sensitive 

     At first, it may not seem that scholarships for "hands on" type jobs relate to caregivers. A direct connection might not be apparent. However, those in a "Sandwich Generation" situation may be using funds to provide care for elderly parents and therefore not have the ability to provide financial aid to their children for career education. Chronic illness or disability often diminish income. Perhaps having a better paying job would allow for hiring assistant caregivers or pay for a time of respite care. 

     Mike Rowe, probably most famous for hosting the TV show "Dirty Jobs," has a foundation that is providing scholarships for learning skilled trades and other hands on jobs. The link to the website is inserted below. However, this opportunity is time sensitive and will close in October. Even if this information is not immediately helpful for you, please share it in your sphere of influence.

     As mentioned above, care giving and chronic illness do impact finances. Links to previous blog posts related to money are also inserted below.

Mike Rowe Works Foundation

Finances and Chronic Illness

Finances for Special Needs 4/9/25 

More on Money 4/23/25

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Emergency Preparation #3 Snow

Wednesday, January 21, 2026

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Image: Snowy Neighborhood 14 December 2025 by Gail K. Kachnycz

EMERGENCY PREPARATION #3 SNOW by Gail K. Kachnycz 21 January 2026

     This winter 2025-26 is starting out as a snowy one, with three events already that required clearing snow from cars and walkways. Roads were not plowed quickly, resulting in hazardous driving conditions. This was just practice for the storm we are anticipating this coming Sunday January 25, with 19 to 24 inches of snow predicted. The weather alert on my phone instructs me to implement my plan of preparation. I am inserting the link for Philadelphia Office of Emergency Management. If you do not live in Philadelphia, search your county's government website for emergency management instructions.

Philadelphia Emergency Management/Snow

     The website gives a lot of detailed information related to snow, heating, and travel. Caregivers need to have emergency supplies for their loved one. Here are the links for my previous posts on preparing for emergencies:

Emergency Preparation 25 June 2025

Emergency Preparation #2 Critical Supplies

     Here are a few of my thoughts on preparing for snow.

- Be sure you have a backup plan for loss of electrical power. Battery operated lighting, radio or device for media, and a way to charge your phone. I have used the car phone port to charge my phone during loss of electricity. If you turn on your car to charge the phone, do not keep the car in the garage. Carbon monoxide will seep into the house. Be sure that all devices and medical equipment have a full battery charge. Fill up your car; gas stations require electricity to operate the pumps.

-You may experience loss of internet or phone service. Text messages are sometimes delivered when phone service does not work.

-Have a backup plan for heat. If using kerosene heaters or generators, follow all safety regulations to avoid fire hazard or exposure to carbon monoxide. Be sure there is adequate ventilation and do not operate a generator in a garage (carbon monoxide will seep into the house). If you plan on using a fireplace, be sure the chimney is clean & you know how to operate the flues properly.

-Take precautions so that your water pipes do not freeze. This may mean allowing a small stream of water to flow from a faucet at all times.

-Obtain medications and medical supplies in advance of the storm.

-Obtain supplies for clearing the snow. Have a shovel and kitty litter or some other item to promote friction for your wheels if your car is stuck on ice or snow. Get enough salt for pavements around your house.

-We have a heat pump, so the unit fan operates year round. It does have a defrost mode for the blade, but probably not enough for 24" of snow! If you are in the same situation, check the manual for your unit to learn how to protect it in bad weather. If you can't put your hands on the manual, information is probably available on line, just check the unit for the brand model type & number.

-Stock up on bread, milk, and eggs. These items fly off the shelves before a storm. Everyone must make French Toast when it snows. OK, I am just kidding. But seriously, go food shopping, especially if your loved one requires a special diet. And so you are fully prepared, here is a recipe for French Toast.

McCormick French Toast Recipe

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MEDICARE OPEN ENROLLMENT

Wednesday, October 8, 2025

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Image: pexelsleeloothefirst accessed 13 September 2025

MEDICARE OPEN ENROLLMENT  by Gail K. Kachnycz 

     Open Enrollment for Medicare begins October 15, 2025 and ends December 7, 2025. There are quite a few options, and health insurance "Advantage Plans" will be flooding the TV with ads. Of course, they will try to convince you that their plan is the best for you. However, unbiased information and assistance is available through PA MEDI. An appointment is needed, so make contact early to arrange a time to see a counselor.  PA MEDI was introduced on A Map Through the Valley last October, so here is the link to that post which includes more information and the phone number to call.

Post: PA MEDI Explains Plans 

Here is a link to the Medicare website that lists information about Open Enrollment. I find government websites can be "Too Much Information" but it is the official website so no bias to promote an Advantage Plan

Medicare Website: Joining a Plan


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PECO Medical Certification Waiver

Friday, August 1, 2025

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Image: Logo for PECO Electric Company

PECO Medical Certification Waiver, or DON'T LET THIS HAPPEN TO YOU!

by Gail K. Kachnycz on August 1, 2025

     This past Saturday, during the fourth hottest July on record in Philadelphia, I opened a letter from PECO that said: TEN DAY SHUT OFF NOTICE. Of course, the first thing I did was panic, and there followed a series of unfortunate events which were extremely frustrating. Long story short, our electric service has continued uninterrupted, and we are enjoying air conditioned cool in our house, but I would like to spare you a similar scenario by sharing my experience.

     The initial pebble in the pond that began this downward spiral was a breech in our bank account in early May. Thousands of dollars were transferred out of our account. The bank froze all of our accounts for three weeks while a fraud investigation took place. Thankfully, all funds were restored. A friend at church who works in finance told me, "That doesn't always happen. God had your back!" Indeed. We thank God for His favor and grace to us in this situation. After three weeks, the bank advised us to open new accounts. We transferred all funds to the new accounts. However, our Social Security was still being deposited into the old checking account, so we still had to maintain that account until arrangements could be made to change the deposits (this takes about 2 months).

     We had bank cards for the new accounts within 24 hours. I began making calls to all the services and utilities to catch up on payments that came due while our accounts were frozen. The general number for PECO was answered by "AI Lady," that is, an automated menu. I selected "Billing" and paid using the new bank card. The automated menu offered the option: "Save this card for future payments?" I said "Yes." So, when a statement from PECO came that noted, "Automatic Payment Deducted on 7/17/2025" I thought the new bank card was used. Therefore, it was a shock when the shut-off letter arrived July 26. Apparently, PECO kept trying to take payments from the "old" checking account which was frozen.

      The shut-off letter included a statement that electricity would not be shut off if "you or anyone presently and normally living in your home is seriously ill," but certain requirements had to be fulfilled for this type of waiver. The letter listed steps to take, such as having the doctor call and then send a letter. My friend Donna works in a Cardiology practice, and told me an easier way to do this:

1. Have these ready: the PECO account information, the patient's  information, and the name of the practice, the doctor's name, and fax number

2. Pack your patience. I was on hold for 45 minutes. Fold laundry or do something you can drop as soon as the service rep answers. The business hours are Monday-Friday, 7 AM-7 PM, but recorded message says there is high volume of calls Mondays and 11 AM-2 PM Tuesday to Friday, so long waits then.

3. Call 1-888-480-1533. This connects you directly to the Credit Department, who handles the waivers. This is not the general PECO number.

4. State that you need a "Medical Certification Form" to be faxed to the doctor's office. 

5. They may ask for the patient's name and address. Also give them the doctor's name and fax number. Ask for the PECO fax number in case the doctor's office does not have it on file.

6. Check if there is a confirmation number for your request/conversation.

7. Contact the doctor's office to alert them that the PECO Medical Certification form is being faxed from PECO.

     The Medical Certification gives a window of 30 days. During that time, the electricity will not be shut off. Meanwhile, the reason for the shut-off can be addressed. 

     Finally, I hope your bank account is never hacked. If you do have to stop your automatic payments, don't trust "AI Lady." Be sure to speak with a real person. Stop the deductions from the old account, and then ask about the process to start automatic payments using your new account.

Trying to stop automatic payments

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Emergency Preparation #1

Wednesday, June 25, 2025

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Image: CBS News Philadelphia 20 June 2025

EMERGENCY PREPARATION #1 by Gail K. Kachnycz 25 June 2025

 

     Last Thursday evening, June 19, strong storms hit the Delaware Valley. Our power went out about 5:30 PM. Electricity was restored in our home about 11:30 AM the next day. However, neighbors only a few miles away had no electricity for 3-4 days. We also had outages for 3 hours Sunday and 30 minutes just last night. Our cell phone service has been spotty. This experience has prompted today's post. 

     Caregivers and those with chronic illness face added difficulties in emergency situations. Medical equipment may have battery back-up, but eventually recharging is needed. Lack of air conditioning, or poor air quality, first affects sensitive groups such as those with heart/lung conditions, children and elderly. Some events can be anticipated, such as hurricanes or severe snowstorms. Others can happen with little or no warning, such as the storm we experienced, or wild fires. Hurricane season on the East Coast & Gulf starts June 1 and continues through November 30. These dates are good reminders to review a plan for emergencies, and update or replace supplies that are nearing their expiration date.

     To be quite honest, I do not have a formal Emergency Plan or stock of supplies. However, I always try to fill the car with gas, since no electricity means the pumps will not work. Making sure my phone is fully charged is important, since that is the portal for news and communication. After our recent experience, I am looking at how I can be better prepared. I am including the links for Ready.gov below. If you have tips, ideas, or information that is helpful for planning for emergencies, please share with me. If appropriate, I will include in future posts. I do plan to have several posts on different topics for emergency planning, such as electronics, food, and medication.

Ready Emergency Supply List

Ready.gov Website

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Juneteenth Flag Symbols

Thursday, June 19, 2025

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JUNETEENTH FLAG SYMBOLS

     Since Juneteenth has been an official Federal Holiday for only a few years, I am still learning the history connected with it. This 2022 article by a CNN reporter explains the symbolism in the Juneteenth flag. Each symbol is positive and forward looking. It is an encouragement to me. Juneteenth is cause for celebration.

Meaning of Juneteenth Flag

The advertisements in the CNN article may not reflect the mission of this blog. I apologize for the advertisements and other links, but wanted to give full credit to the CNN author rather than cut and paste the information.

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More on Money

Wednesday, April 23, 2025

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Image: Pexels.com/search/money/ accessed 22 April 2025

MORE ON MONEY

     Tax season requires a look at our financial picture. Having done that, it may be time to adjust cash flow or decide what to do with any tax refund. Managing finances can be complicated. It can be even more difficult to mange money for someone else, especially the estate if someone has died unexpectedly. For most people, it is an unfamiliar role and requires attention to detail that can be exhausting, especially while grieving the loss of a loved one. Here is a link to an article that may be helpful:

What to Do When a Loved One Unexpectedly Dies

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Finances for Special Needs

Wednesday, April 9, 2025

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Image: Hourglass by Steve Buissinne on Pixabay.com accessed 9 April 2025

FINANCES FOR SPECIAL NEEDS INDIVIDUALS 
Tax filing day is less than a week away! Each year, we try to adjust the amount withheld so that we will neither owe payment nor receive a refund at tax time. This time of year many people review their finances: income, expenses, savings, and retirement funds. Individuals with Special Needs often need payment for special equipment or other accommodations. Caregivers may have questions about how to set up a special fund for the individual to cover these expenses, without affecting the income from government programs. There are financial advisors who specialize in this type of fund management. Laws affecting finances for special needs individuals can change with amendments and vary from state to state. Here are some resources that may be helpful (thanks to my friend Donna, who is a Special Mom!).




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Real ID, Give Life Month

Wednesday, April 2, 2025

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                   Image: Announcement Count-down on the PennDOT website, accessed 4/2/25

                   REAL ID, GIVE LIFE MONTH Reminder by Gail K. Kachnycz 2 April 2025

     Enforcement of Real ID will begin on May 7, 2025. This means that you need to have a government approved form of identification to fly in the USA, enter a military base, or enter a federal facility that requires ID. If you have a passport, this will comply with the rule. You just need to remember to take it with you for ID purposes and any air travel, whether within the USA or international flights. If you do not have a passport, and plan to enter a military base or federal facility, or travel by air is planned for any time starting May 7, 2025, you need to get a Real ID. You can do so at PennDOT drivers license centers. On Monday, April 7, PennDOT is hosting Real ID Days at 57 locations throughout the state. Check here:

Real ID April 7 8:30 AM to 4:15 PM


     If you have a passport, or do not have air travel planned for immediately after May 7, 2025, you can get a Real ID driver's license the next time your usual renewal is due, or another convenient time before that. Check the PennDOT link above to get a list of the documents needed to meet Real ID requirements. While you are at it, consider becoming an organ donor and having that indicated on your driver's license. April is Give Life Month. Here is the link to the information I posted in 2024:

Give Life: Organ Donation Info

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Change Website to Contact Elected Officials

Wednesday, March 5, 2025

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Image:  https://pixabay.com/photos/usa-flag-us-flag-american-flag-239620/

Change Website to Contact Elected Officials by Gail K. Kachnycz 4 March 2025

     I recently wanted to express my concerns to my Federal Elected Officials (President, US Senators from PA, US Representative). I went to the website I recommended after the November elections,  https://myreps.datamade.us/ and learned that this website was shutting down at the end of March. Included in this announcement were recommendations of three other sites that would provide contact information for elected officials. I checked them out, and found that each wanted me to sign up to receive newsletters or updates in order to proceed to the screen that would allow me to search for the contact information I wanted. If you want to receive that type of political information, you can check for the sites they recommend here: MyReps Website 

     However, like Joe Friday, I want "Just the facts, Ma'am." After searching and clicking, searching and clicking, I finally happened upon the government website link for contacting elected officials (Federal, State, and Local). The information can be accessed by entering only your street address. Once you are on the website of the elected official, your street address is required (to confirm that you are indeed a constituent) but you can usually skip the email or phone, or select that you do NOT want newsletters or updates. The link is included below. I hope this is helpful.

usa.gov/elected-officials

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Resolution: Get Organized!

Wednesday, January 8, 2025

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Image: 10 Top Resolutions from Kenwoodnews.org

RESOLUTION: GET ORGANIZED! By Gail K. Kachnycz on 1 January 2025

     Did you think about New Year Resolutions as 2025 began? "Get Organized" is one of the top ten resolutions. However, a vague notion rarely translates into action. The topic of this post is one that is often avoided: End-of-Life Planning. Our lives are busy, especially if we are caring for others. Writing a Will, documenting instructions for a Medical Proxy, or pre-planning a funeral are the last things we want to do. But, if we make time and invest the effort when we are not in a crisis situation, things will be easier "when the time comes." 

     My mother passed away unexpectedly due to injuries sustained in a car crash. I was both her Medical Proxy and her Executrix. She was just about to begin a vacation trip, so she had shown me her will and other important papers. However, the document I had was only a carbon copy of the will. The original was filed in New Jersey, and my mother had moved to Pennsylvania. To make matters worse, the law firm in New Jersey had closed. According to the courts in Philadelphia, my mother had died "intestate," that is, without a will. I could use the copy of the will as an indication of her wishes, but it took extra time and effort to divide the estate as she wanted, rather than just equal portions to each of her children as the court would have done. This illustrates the need to review and update the information on a regular basis. New Year Resolution time might be a good reminder.

     I see three topics related to End-of-Life planning, but there may be more. One is being a Medical Proxy (which is different from Power of Attorney, POA). Another is preparing for a death and funeral on a practical level. Last is settling the estate. The legal term is probating the will. Today's post will give resources for organizing the estate (finances and property). 

      On April 10, 2024 Jean Kirkley was featured as the CEO/Facilitator of Boomers R Heroes. One of the resources on her website is the "Blue Suitcase Drill." Kathy & Charles Sutton share their story and give information on how to set up instructions for the family to follow. Here is the link:

Blue Suitcase Drill

     A commercial product is Nokbox, that is, "Next Of Kin" Box. A filing system which lists every aspect of settling the estate is offered with various options: "Lite," "Fireproof Box," etc. I have not used this yet myself, but it includes information that I would not have thought of to address. This might be good if you know you are a procrastinator, or organization is not your strong suite.

https://www.thenokbox.com/

     As always, I hope this is helpful.

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ELECTED TO SERVE

Thursday, November 7, 2024

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Image:  https://pixabay.com/photos/usa-flag-us-flag-american-flag-239620/

ELECTED TO SERVE 

By Gail K. Kachnycz on 28 October 2024 

     We are indeed privileged in this country to have the opportunity to vote for those who represent us. I hope you exercised that right on election day.

     Whether you are elated or incensed with the results of the election, the officials who have been voted into office have a responsibility to serve all of their constituents, regardless of party affiliation. It is important to have contact information for elected officials, so that you can inform them of your support or concerns about upcoming legislation or other issues. Here is a link to a website that provides the contact information for every elected official in the USA, from the President right through your city mayor and local representatives. It is easy to use simply by entering your address (no name needed). By January 2025, when newly elected officials are sworn in, the website should be complete with all the updated information.

My Reps Website

     Last week, the post highlighted the PA MEDI program, for help during Medicare Open Enrollment (10/15/24-12/7/24). Since Medicare is a federal program, it is important to know that if you are having difficulties with Medicare services, your Federal Congressman/woman is the office that can help you. Your US Representative should have a person designated as the “Medicare Liaison.” You can use the link above to identify your Representative and contact information.

     Let me close with a few verses that address our attitude toward government officials. 

Let every soul be subject to the governing authorities. For there is no authority except from God, and the authorities that exist are appointed by God. Romans 13:1 NKJV 

Therefore submit yourselves to every ordinance of man for the Lord’s sake, whether to the king as supreme, or to governors, as to those who are sent by him for the punishment of evildoers and for the praise of those who do good. For this is the will of God, that by doing good you may put to silence the ignorance of foolish men—as free, yet not using liberty as a cloak for vice, but as bondservants of God. Honor all people. Love the brotherhood. Fear God. Honor the king. 1 Peter 2:13-17 NKJV 

The king’s heart is in the hand of the LORD, Like the rivers of water; He turns it wherever He wishes. Proverbs 21:1 NKJV

Therefore I exhort first of all that supplications, prayers, intercessions, and giving of thanks be made for all men, for kings and all who are in authority, that we may lead a quiet and peaceable life in all godliness and reverence. For this is good and acceptable in the sight of God our Savior, who desires all men to be saved and to come to the knowledge of the truth. 1 Timothy 2:1-4 NKJV 

     As Paul states in 1 Timothy, the ultimate goal is “for all men to be saved and to come the the knowledge of the truth.” God’s purposes in this world cannot be thwarted, regardless of who is wielding earthly authority. With that in mind, I leave you with Paul’s prayer for the church in Ephesus:

Therefore I also, after I heard of your faith in the Lord Jesus and your love for all the saints, do not cease to give thanks for you, making mention of you in my prayers: that the God of our Lord Jesus Christ, the Father of glory, may give to you the spirit of wisdom and revelation in the knowledge of Him, the eyes of your understanding being enlightened; that you may know what is the hope of His calling, what are the riches of the glory of His inheritance in the saints, and what is the exceeding greatness of His power toward us who believe, according to the working of His mighty power which He worked in Christ when He raised Him from the dead and seated Him at His right hand in the heavenly places, far above all principality and power and might and dominion, and every name that is named, not only in this age, but also in that which is to come. Ephesians 1:15-20 NKJV (emphasis added)

 


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Medicare: PA MEDI Helps Explain Plans

Wednesday, October 30, 2024

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Image: Medicare Collage. Philadelphia Corporation for Aging website accessed 10/25/24

Medicare: PA MEDI Helps Explain Plans

By Gail K. Kachnycz on 25 October 2024 

     If you are caring for someone with chronic illness, you may be dealing with insurance provided by Medicare. This government health insurance is available to those over 65 years, but in some cases may be available to people under 65. For example, my husband Mike was eligible for Medicare after he had been on long-term disability for two years, even though he was younger than 65 years.

     Open Enrollment, that is, the opportunity to change coverage options, is occurring now. From October 15, 2024 through December 7, 2024, changes can be made which will be active starting January 1, 2025. Media advertisements and direct mailings offer a dizzying number of plans. Processing this overwhelming amount of information can be confusing. However, there is help that is not biased or promoting a specific insurance agency or plan.  PA MEDI (Medicare Education and Decision Insight Program) is a statewide service operated by the Pennsylvania Department of Aging through the state’s Area Agencies on Aging. The program offers free, unbiased, confidential counseling regarding Medicare enrollment and selection of plans. An appointment is needed. The ideal time to contact this organization is three months before a person’s 65 th birthday, when they are first eligible for Medicare. Help during Open Enrollment is also available. Another time when the plan can be changed is after a “qualifying event.” Examples include (but are not limited to) getting married, moving to a new area, or experiencing a shift in employment status.

There are two service providers in Philadelphia:

215-456-7600 Einstein Medical Center (now part of the Jefferson system)

215-545-5728 Center for Advocacy for the Rights and Interests of Elders (CARIE)

There is a Helpline for those who do not live in Philadelphia:

1-800-783-7067 PA MEDI Helpline; toll free, call weekdays 8 AM to 5 PM

     More information is available on the website of the Philadelphia Corporation for Aging

PCA Home Page

Select “Services,” “Community & Connection,” then “Medicare Help for Older Philadelphians through PA MEDI” or use the direct link:

PA MEDI


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JULY: DISABILITY PRIDE MONTH

Wednesday, July 31, 2024

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Image from www.npr.org "In Their Own Words: How The Americans With Disabilities Act Changed People's Lives." Accessed 7/31/2024

JULY: DISABILITY PRIDE MONTH        By Gail K. Kachnycz on 31 July 2024 

     Some people may not think of themselves as care-givers because they do not provide hands-on care to their loved one. However, being an advocate for someone who needs modifications or special support is just as important as physical care. Often it can be just as demanding or time consuming.

     July has been designated Disability Pride Month, to commemorate the passage of the Americans with Disabilities Act (ADA).

“On July 26, 1990, the Americans with Disabilities Act banned discrimination based on disability in all parts of public life. People with disabilities could no longer be denied access to jobs, schools and transportation. The law also included private places that are generally open to the public, such as restaurants and movie theaters.” [1]

    A recognizable result of this law is the modification of public sidewalks with curb cuts and ramps to the entry point of buildings. Opportunities for employment and education opened up.

     Other red-letter dates include:

1975: Public Law (PL) 94-142; The Education for All Handicapped Children Act. This guaranteed a Free and Appropriate Public Education (FAPE) for children with disabilities. In 1990, PL 94-142 was reauthorized by Congress, and the name of the Act was changed to the Individuals with Disabilities Education Act (IDEA) to use more contemporary and respectful terms. [2]

1984: Halderman v. Pennhurst State School and Hospital. On January 23, 1984, the US Supreme Court decided in favor of Terri Lee Halderman and her family, and ruled that “an institution must be closed based on a constitutional right to community services.”[3] This resulted in dozens of disabled individuals being transferred from living in a large institution in Pennsylvania, to living in small groups in community settings, known as “community living arrangements” with special supports. Since the ruling was from the Supreme Court, individuals in all states were afforded these protections and freedoms.

     In the situations described above, the people who needed to have their rights and freedoms secured required advocates to demand that they be treated with the care, respect and dignity that they deserved. Compassion, patience, and tenacity resulted in legislation and litigation that has benefited those with disabilities nationwide. As Disability Pride Month comes to a close, we salute advocates, both on the public and individual level, who demonstrate the Golden Rule in action. 

So in everything, do to others what you would have them do to you, for this sums up the Law and the Prophets. Matthew 7:12 KJV

you shall love your neighbor as yourself: I am the LORD. Leviticus 19:18b NKJV 

[1] www.npr.org In Their Own Words: How The Americans With Disabilities Act Changed People’s Lives, Morning Edition 7/27/2020. Accessed 7/31/2024 

[2] http:www.ed.gov/print/policy/speced/idea/history.html Accessed 3/9/2005 

[3] en.wikipedia.org/wiki/Pennhurst_State_School_and_Hospital_v._Halderman

     Accessed 6/25/2024

[3] http://www.preservepennhurst.org Accessed 7/30/2024


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Give Life Month; Organ Donation

Wednesday, April 17, 2024

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PRAYING FOR AN ORGAN TRANSPLANT

By Gail K. Kachnycz; 8 March 2021, update 29 March 2024 

     Sometimes the life of someone with chronic illness can be transformed with an organ transplant. Choosing to be a live donor, or even give the organs of a loved one who has died, is a great sacrifice. April is Give Life Month; here are some thoughts on how to pray regarding organ donation. 

     Very few types of organs can be removed from a living donor; one kidney is the most common. One lung, or a portion of the liver, pancreas, or intestine can be taken from a living donor. In each case, the surgery is elective, that is, voluntary, and not necessary to improve the health of the donor. In addition, the donor chooses to undergo the risks of anesthesia, surgery, and the changes to their own health after the operation. Living donors are true heroes. 

     The vast majority of organs are “cadaver” donations. That is, vital organs needed for transplantation are harvested from a person who has had severe traumatic injury resulting in brain death. Examples of organs obtained in these cases are: heart, heart valve, both lungs, corneas, and bone tissue. A prayer for these types of organs to be supplied is, in a way, a prayer for someone to die. 

     How then, should we pray? God has provided wisdom to doctors and scientists to explore the possibilities of transplantation, and these procedures can be life-saving or greatly improve the quality of life of the recipient. If you know someone who needs a transplant, I would suggest the following guidelines: 

FOR LIVING DONORS

1. Thank God for their generosity and true demonstration of love. In some cases, the recipient is not a relative and the donor is helping a stranger. Ask God to bless them, and draw them closer to God (and saving faith, if they have not taken that step).

2. Ask God to protect them from complications of anesthesia, surgery, and the changes in their own health status after the operation.

3. If direct contact is permitted between donor and recipient (if they are unrelated to each other), seek to bless the donor with expressions of thanks

FOR DONORS WHO ARE DECEASED

1. Pray for the families of the organ donor. If the injured person did not designate themselves as a donor, the family may be approached to authorize donation. Of necessity, this takes place at a time of crisis for the family. Pray that they would be comforted by the Lord, and that they would understand the blessing that the recipients will receive.

2. Pray for people to become aware of the option to donate organs in the event of their death. In Pennsylvania, citizens have the option to designate organ donation every time their driver’s license is renewed. Motor vehicle crashes sometimes result in the types of injuries that are fatal. It is not pleasant to think about, but planning for someone else to be blessed is an act of generosity.

3. Pray that the health of the organs can be preserved as they are harvested, matched, and transported. Time is of the essence. 

FOR BOTH TYPES

1. Pray for skill and wisdom for the transplant team. Pray that the surgery will take place without complication.

2. Pray that recovery would be without complication and that the organ would not be rejected.

3. If direct contact is permitted between the recipient and the donor’s family, seek to bless the family with expressions of thanks. Uphold them as they go through the process of grieving their loved one. The decision to donate organs, whether specified by the donor or made by the family, may be difficult to think about. The family may wonder if they made the right decision, if they did not know the wishes of their loved one. 

FOR YOURSELF: Consider becoming an organ donor.

1. Check if that option is available the next time your driver’s license is renewed. Or, sign up at:

www.organdonor.gov/ 

2. Discuss your decision with your family so they are aware of your desire to donate organs. 




Don’t take your organs to heaven; heaven knows we need them here.”

  quoted by Maxie Scully 

The story of Maxie Scully by Meghan Scully

https://meghannmix.com/2017/03/30/dont-take-your-organs-to-heaven-heaven-knows-we-need-them-here/ 

For a Biblical perspective on organ donation:

Does Judaism Allow Organ Donation?

https://www.sefaria.org/sheets/302635?lang=bi

https://www.myjewishlearning.com/article/organ-donation-and-judaism/


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Resource: How to Care...from A to Z!

Wednesday, March 13, 2024

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Photo: Gail Kachnycz; book cover How to Care for Aging Parents by Virginia B. Morris

HOW TO CARE...FROM A to Z!

by Gail K. Kachnycz 09 March 2024

     Just a little over a week ago, I was out walking with a friend. We came across one of those little boxes that contain books, free for the taking. "I want to check for children's books to read to my neighbor's kids," said my friend. As we looked into the box, I saw the book How to Care for Aging Parents by Virginia B. Morris. Both my parents have passed away, but I thought it might be a good resource for this blog. I was amazed! This book is written in lay terms and contains so much contact information for agencies, organizations, and government programs that provide assistance to older adults. The author also addresses mental health, family dynamics, and many other issues that impact families trying to support their parents in various ways. I have recommended it to at least half a dozen people already. My copy was published in 1996, but I searched online and there are updated editions available for only about $5 if purchased used. I will list the Chapters and Contents. If you are a caregiver, I'm sure you will find something useful.

1. GET READY, GET SET: Talking to Your Parents about Tough Issues-Gathering Essential Documents-Organizing Your Own Life-Caring from Afar

2. YOUR PARENT AND YOU: Adapting to New Roles-Knowing When to Intervene-Resolving Old Struggles-Managing Day-to-Day

3. CARING FOR THE CAREGIVER: Setting Limits-Emotional Minefields: Guilt, Anger and Depression-Support Groups-Gaining a Healthy Mindset: Friends, Laughter and Tranquility

4. DOCTOR DO'S AND DON'TS: Rx for the Elderly-A Geriatric Assessment-Finding a Good Doctor-Being an Informed Advocate

5. THE BODY IMPERFECT PART I: Vision and Hearing-Insomnia-Overmedication-Alcohol-Temperature Regulation-Dehydration-TLC for Skin, Legs and Feet

6. THE BODY IMPERFECT PART II: Osteoporosis and Arthritis-Incontinence-Digestive Disorders-Depression-Delirium-Anxiety

7. ON THE FIFTH FLOOR: Entering the Hospital-Questions about Tests, Treatments and Surgery-Dealing with Hospital Staff-Your Role as an Advocate-Preparing for Discharge

8. TIPS FOR DAILY LIVING: Steps to a Safer Home, Bathing and Dressing-Eating Right-Setting Up the Bedroom-A Question of Driving-The Importance of Exercise-Quality of Life

9. GETTING HELP; COMMUNITY AND HOME-CARE SERVICES: What's Available and How to Find It-Companions-Meal Programs-Transportation-Senior Centers-Adult Day Care-Home Health Aides and Nurses-Geriatric Care Managers-Hiring and Overseeing Workers-Respite Care

10. HOME AWAY FROM HOME: When It's Time to Move-Should Dad Move In?-Shared Housing-Senior Apartments-Assisted-Living Homes-Continuing Care Retirement Communities

11. A GOOD NURSING HOME: Making the Decision-What to Look For in a Nursing Home-Getting In-A Plan of Care-Moving Day and Beyond-Your Role as Visitor and Advocate-Getting Adjusted

12. THE INNER CIRCLE: Sharing Care with Siblings-A Family Meeting-Spouses-The Sandwich Generation: Aging Parents and Young Children-Balancing Career and Caregiving

13. PAYING THE WAY: Talking About Money-What Medicare and Medicaid Really Cover-Medigap and Long-Term Care Insurance-Financial Planning-Homes as Collateral-Tax Tips-Hiring Financial and Legal Counsel

14. LIVING WITH DEMENTIA: Helping Yourself: A Clear Perspective and a Little Humor-Helping Your Parent: Simplicity, Routines and Diversions-Tips for Eating, Dressing, Communicating and More-Coping with Special Problems

17. IN THE END: Broaching the Subject of Death-Caring for Your Parent in the Hospital-Choosing Hospice Care-Medical Treatment: When Enough is Enough-Making Advanced Directives Stick-Saying Good-bye-The Face of Death

18. GOOD GRIEF: The Necessity of Mourning-The Surviving Parent-Growing From Grief

APPENDICES (A) State Units on Aging and Long-Term Care Ombudsmen (B) Yellow Pages of Useful Organizations (C) A Patient's Bill of Rights (D) The ABC's of Diet (E) Catalogues: Where to Find What (F) Checklist for Touring a Nursing Home; A Resident's Bill of Rights (G) Funerals and Burials 

Look for these boxes in your neighborhood, connected with LittleFreeLibrary.org
This is the box where I found How to Care for Aging Parents
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Working and Caregiving

Wednesday, November 22, 2023

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Photo: klsmith77 1314832.jpg
 

WORKING AND CAREGIVING

By Gail K. Kachnycz; 1 April 2021 

     Chronic illness affects not only the person who is diagnosed with a medical condition, but all the members of the family in different ways. If the person experiencing progressive illness is the primary breadwinner, and needs to work fewer hours or actually apply for disability benefits, the family income will be affected. The whole family should be included in talks about finances. There are emotional and spiritual effects as well. Here are some examples of how different family members may be impacted:

      FINANCIAL:

·         Income may be reduced due to decreased hours or disability benefits.

·         The spouse may need to continue working, begin working, or take on an additional job.

·         Medical insurance and medical bills will be a big part of the picture. The decision to work, and how much, may depend on if the job includes medical insurance as a benefit.

·         Children need to understand that they may need to earn the money for sports activities, school trips, and so forth.

·         Children of high school age may need to seek part time employment to fund their activities, save for college/job training, or even contribute to some of the family expenses (for example, if they use the family car they may contribute to the cost of car insurance as well as paying for gas).

·         Everyone may need to look at ways to live more economically. Examples: walking/biking/riding public transit, checking thrift stores for clothing. 

EMOTIONAL:

·         The primary breadwinner who must decrease hours due to illness may feel they have let the family down.

·         Any of the family members who must seek employment to make up the lost income will have the added stress of the job search, and then training when the job starts. If the added income is from a home business or self-employment, there is stress of launching the business.

·         There may not be enough income for mortgage or car payments. Decisions about selling a car or house can be draining. Relocating to a more affordable dwelling may mean uprooting from the church fellowship, enrolling children in new schools, and leaving neighbors who have become friends.

·         Bills may accumulate until a new source of added income is secured. This may result in higher interest rates, bills going to collections, and damage to the credit rating. Stress, stress, stress!

·         If the caregiver is employed outside the home, there is concern about the loved one managing at home alone.

SPIRITUAL:

     Worry about finances, concern about the health of the loved one, and the stress these forces place on the family all have spiritual impact. I recommend that the entire process of addressing financial issues be bathed in prayer. Include all family members, adjusting explanations if there are young children. This is an opportunity for teaching them Biblical principles of finances and to trust that the Lord will honor His promises: 

     I have been young and now I am old,

     Yet I have not seen the righteous forsaken

     Or his descendants begging bread. Psalm 37: 25, 26 

     For this reason I say to you, do not worry about your life, as to what you will eat; nor for your body, as to what you will put on. For life is more than food, and the body more than clothing… And which of you by worrying can add a single hour to his life’s span?... And do not seek what you will eat and what you will drink, and do not keep worrying… Your Father knows that you need these things. But seek His kingdom, and these things will be added to you

Luke 12: 22-32 

     Be anxious for nothing, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all comprehension, will guard your hearts and your minds in Christ Jesus. Philippians 4: 6-7 NASB 

     When my husband went on disability, for several months we had family meetings every couple of weeks to share scriptures related to God’s promises of provision, pray, and discuss ideas that would either save money or bring in more income. At the time our youngest child was just starting high school and another was in college. We needed to both tighten our belts and work extra hours. After a year, the Lord opened a job for me that was full time and included health insurance for all family members.

     Be prepared to think outside the box and watch the Lord provide in unexpected ways. Cultivate an attitude of gratefulness, and continue to contribute financially to the work of the Lord. 

     “…Bring the whole tithe into the storehouse, so that there may be food in my house, and test Me now in this,” says the LORD of hosts, “if I will not open for you a blessing until it overflows…” Malachi 3:10 NASB 1995   

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Finances and Chronic Illness

Wednesday, November 15, 2023

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 CHRONIC ILLNESS AND FINANCES

By Gail K. Kachnycz; 05 March 2021; revised 20 September 2023

 And a woman having an issue of blood twelve years, which had spent all her living upon physicians, neither could be healed of any, came behind him, and touched the border of his garment: and immediately her issue of blood staunched.” Luke 8: 43, 44 KJV

      The full story of this woman’s healing is documented by Luke, a physician himself, in detail in verses 43-48 of Chapter 8. The King James Version notes that she had spent her life’s savings on physicians to no avail.

     Chronic illness is expensive. Copays for prescriptions, the many doctor appointments and out-of-pocket payment for medical equipment not covered by insurance will drain an account in no time. There may be a need to build a ramp or a first floor bathroom to accommodate the limitations of the person who is ill. If the person with chronic illness is the bread-winner, the family income may be severely reduced if progression of the disease means employment is no longer possible. To add to the burden, loss of a job may mean loss of health insurance for someone who desperately needs it.

     The paragraph above describes the worst case scenario. However, the person with chronic illness and the care giver should be aware that finances will need to be reviewed and plans made to economize. Even without chronic illness, every person should aim to live within their means. A good resource is Dave Ramsey’s Seven Baby Steps (www.daveramsey.com/services/financial)

     Every situation is unique. Depending on what kind of treatment or support the ill person needs, it may not be realistic for the spouse/care giver to look for additional employment. Thinking outside the box may be necessary to find new sources of income. Online classes or working from home may be an option. Every social or government program should be checked to see if the disabled person qualifies.

     At a minimum, the information regarding bank accounts, online automatic payments, and credit cards should be available using a secure but accessible method. Include account numbers and passwords. Answers to security questions may be phrased in such a way so that only appropriate people know them. Couples have different approaches to handling finances. One partner may be more detail oriented or have an approach that works well, but both should review finances together from time to time, perhaps as tax season rolls around. If the person with chronic illness is becoming more physically or mentally impaired, designate a financial Power of Attorney (POA). This may not necessarily be the caregiver. The POA can manage the finances and sign paperwork if the affected person cannot attend a meeting. There are Public Notaries who are “mobile” and can provide notary services in the home; check for these in your area.

     At all times, whether in good health or not, avoid debt. If income falls, there will not be a burden of payments and interest to deal with. This is a good Biblical principle in all circumstances of life.

    “The rich rules over the poor,

     And the borrower becomes the lender’s slave.” Proverbs 22:7

      What should you do if chronic illness is diagnosed while your finances are in a mess? Do not despair. Pray, persevere, and take whatever small steps you can to live within your means and reduce debt.

     I have been young and now I am old,

     Yet I have not seen the righteous forsaken or his descendants begging bread.” Psalm 37:25

      You may want to share with your inner prayer circle (your Peter, James & John) what your financial needs are and ask for prayer. Look for the Lord to supply and share the answers to encourage your prayer supporters.

 Other resources for financial management according to Biblical principles:

Crown Financial Ministries https://www.crown.org

Book: Debt Free Living by Larry Burkett

 

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Government/Legal/Financial

Monday, October 2, 2023

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Photo: Gail K. Kachnycz; Sidling Hill Plaza, PA Turnpike, October 2022

RESOURCES: GOVERNMENT, MEDICARE, and MORE

 New 2 October 2023

http://www.myreps.datamade.us       

     website to find your government officials: local, state, federal

 https://www.ssa.gov

     Social Security website

 https://www.medicare.gov

     Medicare website

 https://www.hhs.gov

     Health & Human Services website; criteria for eligibility for Medicare in the USA

https://sanmateo.networkofcare.org/library/article.aspx?id=131

     At the Website Homepage, click on “Library” then enter “Checklist: After a Death”

in the search field. This lists all the steps to take when a death occurs at home.

This article is specific to San Mateo County, California but is a good guideline.

Contact the Coroner’s office in your own county for requirements in your local area.

 

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