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FAIRBANK5-1 Uf.i I ow Bo 6.7,j,@ A 99707 IMPACT INFORMATION CENTER SPECIAL REPORT SFNTQR CITIZENS: THE EFFECTS OF PIPELINE CONSTRUCTION ON OLDER PERSONS LIVING IN FAIRBANKS by Mim Dixon, Ph.D., Information Officer impact Information Center June 25, 1975 Borough Mayor John A. Carlson Impact Information Center Impact Advisory Committee 514 Second Avenue Larry Carpenter Box 1267 Claude Demientieff Fairbanks, AK Leslye Korvola Phone: 452-4002 Charles Parr J.C. Thomas Mim Dixon, Ph.D., George Wise Information Officer Phil Younker Cathy Feldman Secretary Table of Contents Page No. Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Introduction . . . . . . . . . . . . . . . . . . . . ... . . . . . 3 The Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Sources of Income for Senior Citizens . . . . . . . . . . . . . . 11 Social Security . . . . . . . . . . . . . . . . . . . . . . . 11 SSI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 State Public Assistance . . . . . . . . . . . . . . . . . . . 15 Alaska Longevity Bonus . . . . . . . . . . . . . . . . . . . . 16 Native Claims Payments . . . . . . . . . . . . . . . . . . . . 16 Entitlement . . . . . . . . . . . . . . . . . . . . . . . . . 17 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Inflation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Health Care . . . . . . . . . . . . . . . . . . ... . . . . . . . 32 Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Medicaide . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Alaska Area Native Health Service . . . . . . . . . . . . . . 34 Other Insurance . . . . . . . . . . . . . . . . . . . . . . . 34 Health Services . . . . . . . . ... . . . . . . . . . . . . . 34 Safety and Security . . . . . . . . . . . . . . . . . . . . . . . 36 Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Summary and Conclusions . . . . . . . . . . . . . . . . . . . . . 38 Appendix 1: Directory of Local Agencies Serving Senior Citizens.39 Appendix II:Senior Citizen's Survey Questionnaire . . . . . . . . 41 List of Figures Figure 1: Comparison of Age Distributions of Senior Citizens in Borough & City, 1970 Census & 1975 Survey . . . . . . 7 Figure 2: Distribution of Income of Respondents .. . . . . . . . 9 Figure 3: Average Income Per Person in Household . . . . . . . 10 Figure 4: Distribution of Ages of Persons in Household by Personal Income of-Respondents . . . . . . . . . . . 12 Figure 5: Distribution of Sources of Income of Respondents & Whether Income Increased in Last Year by Personal Monthly Income of Respondents . . . . . . . . . . . 13 Figure 6: Lifestyle Changes in Last Year by Income . . . . . . 20 Figure 7: Place of Residence by Income of Respondents. . .'. , 23 Figure 8: -Percentage of Combined Monthly Household Income Spent on Housing . . . . . . . . . . . . . . . . . . 24 Figure 9: Senior Citizen's Survey . . . . . . . . . . . . . . . 28 Figure 10: Difficulties in Obtaining Medical Care . . . . . . . 33 Figure 1-1: Distribution of Health Insurance by Income of Respondents . . . . . . . . . . . . . . . . . . . . . 33 PREFACE Fairbanks is a city of young people -.the average age of residents of the Fairbanks North Star Borough in 1970 was 22 years, according to the U.S. Census. But, Fairbanks is also the home of many older persons. The 1970 Census showed that there were 886 persons over the age of 62 living in the Borough, 544 of them living in the City of Fairbanks. Fairbanks has been the home of many of these older citizens for a quarter of a century or more. In this time of rapid change resulting directly or indirectly from construction of the trans Alaska oil pipeline, Senior Citizens often have the least to gain the the most to lose. Legislators, federal and state agencies, and persons involved in local governmental and social service programs have asked for more information about Senior Citizens so that they may plan policy to address their needs. Poor health, lifestyles and a lack of public transportation often keep@Senior Citizens from participating in public hearings and having direct input into policy-making. Few figures are available which describe the living conditions of older persons in Fairbanks. In response to a need for information about Senior Citizens in Fairbanks, the Impact Information Center in conjunction with the North Star Council on Aging conducted a questionnaire survey of local Senior Citizens which addressed possible problems of housing, food, health care, and lifestyle changes resulting from pipeline impact. This report presents an analysis of that survey, as well as other pertinent information, in an attempt to develop a profile of Senior Citizens in the Fairbanks area and their needs. One of the purposes of this report is to let Senior Citizens be heard. More often than not, they can do the best job of expressing their concerns. Thus, many quotes from Senior Citizens are used in this report not only to focus on problems, but also to convey feelings of the older members of this community. Another purpose of this report is to provide Senior Citizens with information which,may be useful to them. Since many agencies and.services are mentioned in this report, a summary of those agencies and services, as well as addresses and telephone numbers, are provided in a directory in Appendix 1. 2 INTRODUCTION Like any other age group in the community, Senior Citizens are diverse p6rsons with varying lifestyles, personalities, and political affinities. Older people are being affected by pipeline impact in different ways: "I do not receive any help herd in Alaska. I have never worked here. So no chance of receiving any help of any kind. We have orders to move trailer first of May. It is impossible to find a place in Fairbanks, costs too much. We own our trailer, have flowers and a little garden now. Our trailer is 12 x 45 and all larger trailers are to be moved to make room for the new Pipeline people to put in their travelling trailers. It is very hard on us older people to have to move for non- Alaska people. Their big wages and money always help to get what they want. I do not think the pipeline people should be allowed to take over here from us poorer people." "Crowded city, crowded streets - roads, parking space almost unavailable at any time, less competant clerks, higher everything." "It is getting increasingly dangerous for older people on the city streets at night. Medical expenses have increased, also lab fees and medical clinic service charges. Get medicine out of town; too expensive here. Long lines at banks and much more open drunks in Northward building, which can't be locked. The security problem is bad. Police department ought to be enlarged and more street patrols on foot. Traffic is much worse. We need buses for around town and nearby areas. If it wasn't for the Senior Citizen transportation I couldn't do my shopping, can't affort taxis ... we are increasingly seeing middle income people come to our lunches - they are hit by inflation. Food prices are terrible." "Prices too high. Traffic bad. Pollution terrible. No bus service in town or neighborhood ... too hard to walk in winter weather.and icy .... Have to wait hours before I can see a doctor." Not every Senior Citizen is having a hard time withstanding pipeline impact. "Everything at present is perfect," writes one Senior surveyed, "No special concern on any issue at this time." Another Senior who spends much time outside of Fairbanks writes, "To date we are virtually unaffected by the pipeline impact." Others are suffering from the effects.of impact without knowing it. One Senior attributes his problems to inflation, rather than impact, without seeing the relationship between the two. Some Seniors are 3 grateful for the care and attention which they are receiving and focus on the positive aspects of their lives rather than the negative. "I have lived at Careage North a year now; they are great... just <wish) I could go every Thursday to Senior Citizen luncheon, but on $29 can't afford it." "I live across the street from a doctor whose wife calls me frequently to be sure I am all right."" Many of the local Senior Citizens are Alaskan Native persons for whom the changes brought by the pipeline are minimal.compared to changes in lifestyle resulting from a move from a village to Fairbanks. For the most part, age means experience, and with it comes perspective. "I do not feel that problems in the Fairbanks area are basically related to the pipeline impact but have existed previously to a substantial degree. Icefog in the winter, dust pollution in the summer have been increasing for some years as vehicular traffic and population expansion accelerated in this area. Telephone service has always been erratic and lagging behind subscriber demand for installation. Sarrow streets in the core area have"been with us since the town-was founded, and traffic congestion has occurred perioducally during the times of transient influx a number of times. Such as during the construction of Ladd (Wainwright) Field and Eielson, during World War II, and the Russian plane ferrying program-, etc. Between these periods,.there was the yearly seasonal impact of workers for the F.E. gold dredges with resultant dislocations of rents, services and transportation facilities. "Food prices have been high, but the wage scale locally has taken that into account in the main. Comparison shopping in the Seattle area (itself a high cost area) usually shows that except for,fresh fruits and vegetables, prices'in Fairbanks compare favorably if transportation charges are included. Variety of selection is more limited here, but that gap is closing from year to year as more chain stores, markets, and specialty shops open up. Rental housing has been the mostiexpensive item comparatively speaking, due partly to the climatic demands,. and partly to the boom-and-bust nature of the Fairbanks economy. The high price of gas and oil is a national and international problem, so Fairbanks is not unique in that. High land prices are not unique to here either and in any event, should lead to increased borough revenue in the future, as property tax assessments rise." 4 However, perspective does not always cast the current situation into a positive light: "Being an old-timer from Territorial days, I resent the influx of rabble looking for the "easy-buck" and caring little for our traditions. Increase with that type is not progress. The pipeline construction brings decay not only to our "way of life" but to the ecology of the land. The men coining for gold after '98 were a different type. They came for adventure and "to seek a newer world" and built a "brotherhood of man". Now, most of the newcomers seek money and will leave after making it. No solution appears in time, Alaska will cure this decay. Newcomers might be discouraged when they are told the pipeline will be completed in a couple of years and Alaskan economy cannot support a large population.'.' In addition to perspectives from experience, age sometimes brings a sense of powerlessness which results from poor health or an inability to accomplish objectives with the ease of youth or from the way a nation or culture regards its elderly. It is difficult to distinguish the problems which result from aging from problems which are a result of changes in the community from such things as pipelines. "These things did not happen as a result of changes in the community. It is because I am a semi-invalid and 66 years old and cannot earn a living on my own power." Powerlessness sometimes brings guilt feelings in whi ch a person tends to blam himself for problems which were perhaps unavoidable. Older persons with well-developed values often find it difficult to live in a world-of changing values: "I have to wait for admittance to Hospital, then be put in with an alcoholic with.D.T.'s (ward) * I am staying home to protect ones property. Courtesy. There is no such thing. Everyone seems to be mad at the world. Pedestrianhasn't a chance. All in such a hurrv and mad. I'm wondering if and when the speed -limits should be posted, by City Ordinance, especially in residential area of city. We don't go up town only early morning'before the "Kooks",block the doorways and streets." Perhaps it is in the area of values that it is most difficult to address the needs of older persons in Fairbanks. Public policy can address the needs for housing or health care or transportation, but, as the addage states, one cannot legislate morality. Hence, in spite of changing values being one of the major impacts of the pipeline, this report considers only peripherally value aspects of impact on older persons. THE SURVEY A questionnaire survey of Senior Citizens residing in th&:-Fairbanks area was conducted in March, 1975.. A survey form with 16 questions was developed by the Impact Information Center after talking with persons who work with Senior Citizens. The questionnaire was then tested on several Senior Citizens and revised. A copy of the final questionnaire is appended to this report. After the final format was developed, the questionnaire was reproducedand attached to the front of the March monthly newsletter sent out by the North Star Council on Aging to approximately 600 persons. An addressed envelope with postage provided was supplied with the questionnaire. To explain the purpose of the questionnaire and to help persons fill out the form, an outreach,program was initiated. Persons from the impact Center and the Council on Aging spoke to Senior Citizens on this subject on radio and television programs and at the Senior Citizen's Lunch Program. The Fairbanks Daily News-Miner ran a lengthy article on the subject. Persons working with older people were contacted and asked to encourage Senior Citizens to fill out the questionnaire and to offer to assist them. And leaders of groups of retired persons were asked to make announcements to their groups. A total of 177 questionnaires was returned prior to April 1, 1975, at which time analysis of the questionnaires was begun. The few questionnaires submitted after that date have not been included in the analysis which is presented here. Three of the returned questionnaires did not,provide.the information@sought. Oneperson wrote simply, "Own our home, no mortgage. Employed. Ample income. if The other two refusals protested the concept of such aquestionnaire: "I thought it an honor to become an Alaskan pioneer - now .,.,.it looks as tho we Senior Citizens are-j-ust being used by bureaucrats for more money to cushion their soft jobs. No thank you!" "Commisar Dixon and.Commisar Ohata: Go back to Russia and take the likes of you with you. A Senior Citizen-." Thus, a total of 174 persons chose to respond to the questionnaire. According to their,responses on the number of persons living in their household,the questionnaires represent a total of 304 persons. It is difficult to know what percentage of the total number of Senior Citizens this represents. It has been five years since the last census conducted by the U.S. Census Bureau, which provides the only information on the age breakdown of persons in the Fairbanks area. Numbers of persons in different age groups in the 1970 Census and in the survey are presented in Figure 1. Persons who were 55-59 years old five years ago would be 60-64 today. However, there is no way of knowing whether those persons have remained in the community or moved elsewhere. And some of the persons represented in the 1970 Census are undoubtedlv deceased today. Al@o there ds no way of knowing whether the rate of movenent of older persons into the comnun4fy has remained the same as in 1970. Figure I Comparison of Age Distributions of Senior Citizens in Borough and City, 1970 Census and 1975 Survey 1970 Census Survey Sample Age Group Borough City -Wo-usehold Respondents 55-59 1,031--------623. - 820 10 60-64 576-352 18%- 65 38 20@, 6.5-69 264-159 45%- 72 58 70-74 133-70 59% 30 - - - - 41 7 75-79 69- .42 50% 21 18 4o7 80-84 9% 48-35 - - - - - - 17 12 %@ 17. 85 & Older 59 48 - - 6- .6 Total 2,180 1,329 304 169 Totals represent those under 60 years old. -2 -3 0. 7 Two assumptions could be made: either cohorts in the 1970 Census are now 5 years older and fall into the next highest age category, as represented by the solid lines in Figure 1; or, the attrition rate has been such that the population pyramid has remained fairly constant in 5 years. If the first assumption is made, then the sample in the survey represents 10-40% of each age group, with an average of 17%. If the second assumption is made, the sample represents 13-59% of each age group, with an average of 30%. The real situation lies somewhere .between the two assumptions. Thus, one could safely say that the .sample represents 17-30% of the Senior Citizens. The Fairbanks North Star Borough.Dept. of Planning and Zoning estimated that 750 Senior Citizens lived in the Borough as of March 1, 1974. If this were so the sample would represent 29.6% of Senior Citizens. Because many problems considered in the questionnaire relate to .income, in the initial analysis questionnaires were grouped according to monthly incomes of the respondents. This resulted in the groups listed in Figure 2. However, these groups are somewhat misleading as indicators of income levels. Another approach is to divide the combined monthly household income by the number of persons residing in the household, which was done in Figure 3. When there is more than one person in the household, this generally results in a lower per capita income than the income of the respondent. Approximately 36% of the respondents, not including those living at the Pioneer Home ,or Careage North, live with other persons in their,'household. @Because of the distribution of persons and income, most of the data "has-been consolidated into fewer income groups. These groups could be regarded generally as,poverty level (under $300 per month), low income($300 - $700 per month) middle income($ 700-$ 1100 per month), and upper income( more than $1100 per month). These verbal classifications would probably be inaccurate in describing the population of Fairbanks as a whole, since an income of $13,000 per year is more middle income than high income locally. The U.S. Census does not give the distribution of income by age; however, some comparisons can be made between the distribution of income of Senior Citizens as indicated by the survey, and that of the population .as a whole, as indicated by the Census. According to 1970 Census data, 38.5% of the population of Fairbanks as a whole had incomes greater than $15,000 per year; whereas, only 4.6 % of the Senior Citizens surveyed had incomes above $13,200 per year. Similarly, 17.1% of the population as a whole had incomes less than $6000. in 1970 as compared to 53.4% of the Senior Citizens surveyed. 8 Figure 2 Distribution of Income of Respbndents Monthly Yearly Number Percentage Accumulative Percentage Income Income Respondents Respondents of Respondents under $300 Under $3,600 54 31.0% 31.0% r $301- $500 $3,612- $6,000 39 22.4% 53.4% $501- $700 $6,012- $8,400 22 12.6% 66.0% $701- $900 $8,412-$10,800 11 6.3% 72.3% $901-$1100 $10,812-$13,200 15 8.6% 80.9% more than $1100 more than $13,200 8 4.6% 85.5% no information no information 25 14.4% 99.9% 174 99.9% Figure 3 Average Income Per Person in Household 1-Person Households 2-Person Households More Average Income Average Income Average Income Income of Number of Person in Number of Person in Number of Person in Respondent Respondents Household Respondents Household Respondents Household under -.$300 33 $ 233.03 $ 245.33 $ 275.21@ $300 --- $500 19 400.68 9 257.17 7 262.26 $501---$700 9 576.77 10 354.70 2 185.71 $700---$900 3 847.00 3 456.16 5 405.31 $901-41100 7. 1007.14 7 565.71 0 ------ more than $1100. 3 1271.33 3 1050.00 2 800.00 74, 41 21 Does not include persons in Pioneer Home or Careage North. + Per capita income was derived by dividing combined monthly household income by number of persons in household. These tabulations exclude respondents for which information is inadequate. Three-fourths of the Senior Citizens surveyed made less than $10,800 per year, while only 40% of the total population were in that category. Hence, compared to the 1970 Census figures, the distribution of incomes of Senior Citizens is well below that of the population as a whole. The differences in income have probably widened as the introduction of high-paying pipeline jobs has escalated wages for persons in the community not on fixed incomes. Figure 4 gives the ages of both the respondents and the other persons in their households by the income of the respondents. It may be seen that older persons tend to have lower incomes, probably because they are less likely to be working. Results of the questionnaire suggest three major problems for Senior Citizens: inflation, housing, and transportation. These and other problems are discussed following a section describing sources of income for Senior Citizens. SOURCES OF INCOME FOR SENIOR CITIZENS According to the survey of Senior Citizens, a majority (81%) receive income from Social Security (see Figure 5). The next most common form of income is Longevity Bonus, which 47% of those surveyed receive. Nearly one-fifth of those surveyed receive public assistance. This section explains some of the limitations on Social Security, Public. Assistance, Longevity Bonus, and Alaska Native Claims Settlement Act payments. Social Security. Social Security was established by the federal government in 1935 to supplement the decreased income that occurs for older Americans, particularly after they retire. Persons who have worked at jobs covered by,Social Security are eligible for Social Security Administration benefits, or SSA, if they are 62 years old or older or if they.are disabled. Social Security benefits also extend to dependents of deceased,persons who worked at jobs covered by Social Security. Not all jobs have Social Security- coverage, and therefore not all persons who have worked are eligible for Social Security. Neither federal civil service nor the tail- roads, two sources of employment for many Alaskans over the years, Accrues Social Security benefits. However, self-employed persons, including persons engaged in trapping, fishing, or carving, may be eligible for SSA benefits. Social Security payments are based upon individual earnings and contributions throughout the working years. The U.S. Congress sets the rates for Social Security paymen ts, and these rates are consistent throughout the country. In 1974, the Congress raised the rates of payment for Social Security by 11%. Although this increase is roughly consistent with the national rate of inflation, older Alaskans are trying to live on the same amount as persons in Figure 4 Distribution of Ages of Persons in Household by Personal Income of Respondents More than Total ample Under $ ONTO. $300-$700/mO. $1100/mo. -1100/mo. ncome Unknown 4J 4-1 Cn W 0 @4 -1 0 P r--1 0 @4 r-@ 0 P 0 @4 0 P CL Q) z a) Co ed Cd M 01 (D Ct 4J U) 4J 4J U) En 4J a; 4-J0 0 -W 0 4J 0 a) 4J 0 Q) 0 Aix Qroury 60 & under 10 18 8E .4 12 16 2'- 35 37 2 14 16 2 4 6 0 13 13 61-65 38 21 59 9 5 14 1.4 5 19 6 6 12 2 0 2 7 5 12 66-70 58 14 72 19 4 23 20 5 25 10 1 11 .4 2 6 5 2 7 71-75 37 4 41 9 2 11 16 0 16 7 1 8 0 0 0 5 1 6 76@80 18 3 21 7 0 7 5 1 6 2 0 2 0 0 0 4 3 7 81-85 12 5 17 6 0 6 3 4 7 0 0 0 1 0 1 2 1 3 Older 6 0 6 2 0 2 1 1 2 0 0 0 -0 0 0 1 1 2 Total 179 125 304 56 23 79 61 51 112 27 22 49 9 6 15 24 26 50 Average Number Persons/ Household 1.69 1.41 1.81 1.66 2.08 Some of the totals for numbers of respondents in each category are greater then the number of questionnaires as indicated in Figure 2. This is attributed to a situation in which on some questionnaires couples answered jointly giving both ages as the age of the respondent. Figure 5 Distribution of sources of Income of Respondents and Whether Income Increased in Last Year by Personal Monthly Income of Respondents Under $300- $500- $700- $900- Source Total Sample $300/ma. 500/mo. 700-/mo. 900/mo. 1100/mo. More/mo. Social Security 141 81% 51 94% 36 92% 14 64% 9 82% 7 47% 5 63% Welfare Assistance 33 19% 22 41% 7 18% 1 5% 0 - 0 - 0 - Employment 29 17% 4 7% 5 13% 4 18% 3 27% 8 53% 2 25% Food Stamps 10 6% 9 17% 1 3% 0 - 0 - 0 - 0 - Money from Children 4 2% 0 - 2 5% 0 - 1 9% 0 - 0 - Insurance 3 2% 0 - 2 5% 0 -- 1 9% 0 - 0 - Longevity Bonus 81 47% 18 33% 24 62% 10 45% 7 64% 6 40% 2 25% Land Claims Payments 17 10% 8 15% 7 18% 0 - 0 - 0 - 0 - Private Savings & Investments 32 18% 3 6% 6 15% 9 41% 2 18% 3 20% 1 13%, Pension 66 38% 3 6% 19 49% 12 55% 9 82% 8 53% 6 75% Changes in Personal Income in Last Year Income Increased 67 39% 15 28% 8 21% 10 45% 7 64% 11 73% 6 75% No Income Increase 94 54% 36 67% 28 72% 10 45% 3 27% 4 27% 2 25% No Answer 13 7% 3 6% 3 8% 2 10% 1 9% 0 - 0 - -74- - 54 39 22 -11 15 8 Total includes 25 respondents for whom the amount of income of respondents was not given. Florida, for example, where the costs of housing, clothing, and food are substantially less. U.S. Senator Ted Stevens from Alaska and others have introduced legislation to provide for cost of living adjustments in Social Security payments, but differentials in Social Security payments do not appear to be forthcoming. Social Security payments range from $93 per month to $340 per month. The upper limit of $340 per month applies to persons who were earning more than $14,000 per year during the time that they,were making contributions to.Social Security. Persons who receive Social Security benefits may not substantially-increase their income through employment. If a person's total yearly earnings exceeds $2,520, the Social Security Administration holds back $1 in Social Security for every $2 earned for each month in which the recipient earns more than $210. Although Social Security places restrictions on employment, pensions and other sources of money, such as savings or Longevity Bonus, do not affect Social Security payment rates. The local Social Security Administration Office is located in Room 311 of the Alaska Sportsmans.Mall at 1514 Cushman Street. Most transactions are conducted there; however, service- representatives will make home visits. The seven-person SSA staff is managed by Gordon F. Taylor. According to Mr. Taylor, it now takes 2 days to one week or more to make adjustments in Social Security checks for local residents. A new data retrieval system with a remote computer terminal is scheduled to be installed in Fairbanks by Sept. 30. However, this system which uses satellite communications is so sophisticated that no one in Alaska is qualified to repair it. This has created several delays in installation. Once installed, the new data retrival system would enable the Social Security office here to make adjustments in Social Security checks in 7 seconds, which should help to minimize some of the problems affecting Senior Citizens on Social Security. SSI. Prior to 1974, the State of Alaska Department of Health and Social Services Division of Family and Children Services (DFCS) administered all public assistance programs. Some programs, known as "categorical assistance,".received partial funding from the federal government. These programs included Old Age Assistance (OAA), Aid to the Disabled (AD), and Aid to the Blind (AB), as well as other programs. In Jan. of 1974, the federal government began to administer its public assistance funds for adults through the Social Security Administration in what is known as Supplemental Security Income (SSI). The maximum SSI payments ard $146 per month. -Persons are eligible for SSI if they meet certain requirements and if their total resources are less the $1,500. Any amount of unearned income above $20 per month and one half of earned income above $60 per month ,is deducted from SSI payments. Persons must apply to the Social 14 Security Administration for SSI. By law, every year each SSI recipient is re-evaluated and the amount of assistance is re- determined, In 1974, SSI payments were increased by 11% in keeping with the national inflation rate. Like Social Security, there are no regional cost of living adjustments for SSI recipients across the nation. SSI payments are scfteduled to increase by 8% in July 1975 but according to Mr. Taylor, President Ford has asked Congress to increase SSI only by 5% in July to '.'hold down on inflation." State Public Assistance. State public assistance elegibility requirements are often less rigid than the federal requirements. However, before a person can apply for state categorical assistance funds, he or she must first apply to the Social Security Administration for SSI. Persons ineligible to receive SSI may still'be eligible to receive state public assistance. Nevertheless, each adult in need of public assistance must go through two application processes: first at the Social Security Offices at 1514 Cushman and then at the DFCS offices in the Chena Building at 510 Second Avenue. State categorical assistance supplements income to a level of, $250 per month for persons renting or owning their own housing, and $185 for persons living with other persons, such as their children. The amount of assistance received from SSI and/or Social Security is deducted from the state assistance limits so that'nobody receiving state public assistance has an income of more than $250 per month, excluding Longevity Bonus. Shirley Coleman, DFCS Eligibility x@ork manager, acknowledges that the level of public assistance is not commensurate with the cost of living in Fairbanks. And some of the regulations are such that people are forced into compromising &ittiations. For example, married persons who separate can receive *100 per month more from the state than if they live as a couple. According to Ms. Coleman, some people are so desperate for the income that they either lie about their marital status or actually separate. As of March 31, 1975, 312 persons in Fairbanks receive adult categorical assistance from the state including 125 persons receiving Old Age Assistance, 184 receiving Aid to the Disabled, and 3 receiv ing Aid to the Blind. Since no one can receive two types of assistance, persons who are disabled and are 65 or older receive Old Age Assistance. In addition to financial assistance, persons receiving categorical assistance from the state may receive other types of social services. Rogenia Thims, a social worker with DFCS, handles the adult categorical assistance caseload. The types of social services which Ms,. Thims provides includes home visits, counselling, referral, and arranging transportation. In addition the DFCS can arrange for homemaker service for homebound older persons. Alaska @Home Health Aide Service, Inc. contracts to provide homemaker services such as nursing, shopping, preparing meals, housekeeping, etc. 15 Alaska Longevity Bonus. The Alaska Longevity Bonus Program was established by the State Legislature in 1972 and became effective January 1, 1973. The enabling legislation, AS47.45.170, sets forth the purpose of the Bonus, as follows: "The sole purpose of this chapter is to offer and provide all law-abiding Alaskans capable of managing their own affairs who have maintained a domicile in the state for at least 25 years and have reached a retirement age of 65, an incentive to continue uninterrupted residency in the state. Under no circumstances shall this chapter be considered a form, type, or manner of public relief." Sec. 47145.170 Eligibility for the Longevity Bonus is not based upon income or .,need. Every person who has maintained continuous residency in Alaska since Jan. 3, 1959, is eligible for the Bonus. The Longevity Bonus is administered by the Department of Administration. Persons may rec&ve the Bonus by filling out an application which-may be obtained from the local Office of the Governor, in the State Office Building. The application form requires proof of birth, which may.be either a birth certificate or a statement from the Social'Security Administration, as well as three references who can establish that the person has lived in Alaska for 25 years. Currently the Longevity Bonus pays.persons.who apply and qualify $100 per month. This money isexempt from State income tax and is not deducted from Social Security, SSI, or state public assistance paymentL Sharon Brosky of the Office of the.Governor in Fairbanks explains, "The Longevity Bonus can make the difference betweensurviving and living." Currently 5,374 Alaskans are receiving Longevity Bonus, 468 of whom reside in the Fairbanks Area. Native Claims Payments. Senior Citizens who are enrolled in Doyon, Ltd., the Native corporation for Interior Alaska, have been receiving Alaska Native-Claims payments in yearly installments. These payments, which started on Dec. 18, 1971, will continue for the next seven years at approximately the same rate.. There are two types,of.6nrollments, each having different benefits: the non-village enrollments, and the village enrollments. Persons who are enrolled in Doyon, but not in a village corporation, have received $1,528.55 since Dec. 1971, or approximately $500 per year. Persons who are enrolled in.both Doyon and a village corporation have received $275.27 to date, or less than $100 per year. 16 Alaska Native Claims payments are not taxable, although interest on the payments may be taxable. Also, Claims payments are disregarded in determining eligibility for Social Security, SSI, or state public assistance. The administrator for Alaska Native Claims payments in the Interior is Kathryn Harwood, whose office is located in the Doyon, Ltd., offices at First and Hall, across from the Eagles Hall, in Fairbanks. Ms. Harwood says that Older Native persons who have selected non-village enrollment will probably accrue greater financial benefits in their lifetimes. Entitlement. Each of the forms on income discussed here SSA, SSI, State Public Assistance, Longevity Bonus, Native Claims payments - involve administrative and bureaucratic decisions about eligibility and amount to which Senior Citizens are entitled by law. Persons who feel that they are not getting all to which they are entitled have legal recourse. However, to appeal administrative and bureaucratic decisions usually requires legal councel. Senior Citizens who cannot afford private attorneys may be eligible for free legal assistance from Alaska Legal Services. On Feb. 2, 1975, Alaska Legal Services in conjunction with the State Office of Aging established a Senior Citizens Law Office in the Fairbanks offices of Alaska Legal Services, 510 Second Avenue. The Senior Citizens Law Office is served by two paralegals, Bernice Aldridge and Jackie Saffel, and by Attorney Barbara Evans. Senior Citizens are eligible for services if their incomes are less that $2, 980 per year not including Longevity Bonus or Native Claims payments. Senior Citizens who do not meet the income requirements may be given advice and referral services. The Senior Citizens Law Office handles a variety of legal problems including entitlements, tax problems, adoptions, evictions, and some consumer complaints. They cannot take "fee-generating" cases, or civil suits which ask for monetary payments. The Senior Citizens Law Office will make visits to homebound persons, and they are engaging in a legal education outreach program which includes visiting the North Star Council on Aging Lunch Program, Careage North, National Association for the Advancement of Colored People (NAACP), and other places. At the end of April, 1975, the Senior Citizens Law Office was handling approximately 30 cases. The office has been funded through August, 1975, specifically to deal with pipeline-related impact .on Senior Citizens. 17 Summary. "The green check is Social Security, the yellow check is SSI, the blue check is from the state.... it Senior Citizens receive their income in bits and pieces. The amounts of each check in some way depends on the amounts of every other check. Changes in administrative procedures of an agency or life circumstances of a recipient may change the amount of one check which starts a chain reaction known to some as a bureaucratic nightmare. One social service worker calls it "the battle of the computers." In order to receive the benefits to which they are entitled, Senior Citizens often have to deal with many interdependent bureaucracies (a list of a encies is given in Appendix I). Yet.- 9 Senior Citizens are often the group with the least stamina for such processes. Regulations for each agency are so complex that the system is mystifying, and Senior Citizens can feel much more powerless undef those circumstances. Although 54% of the Senior Citizens surveyed indicated that their incomes had not increased in the last year (see Figure 5), this is probably an inaccurate representation since 81% of the sample receives Social Security which increased.by 11% in 1974. With income from so many different sources and with adjustments in amounts to which person are entitled due to administrative changes ot life circumstances, it is likely that many Senior Citizens are not awake of those types of increases. Perhaps a more accurate interpretation of Figure 5 is that, unlike persons in the Fairbanks community who have taken pipeline jobs in the last year,54% of the Senior Citizens surveyed have not perceived appreciable-increases,in their incomes. IN17LATION inflation is an integral part of most impact-related problems in Fairbanks. It is considered separately here because the Senior Citizens singled out inflation as their major problem. Inflation is a problem for many members of the Fairbanks community, but it is intensified for persons on fixed.incomes. .III think the pipeline-related prices have made it twice as hard to get@by on the'fixed income of so many of the people that are on pensions and social security." The Senior Citizen"s survey showed that not all older persons have fixed incomes - 40% of tho'se surveyed indicated that their incomes had increased within the last year. According to the survey, persons with low incomes are more likely to have fixed incomes (see Figure 5) 18 Income level depends in part upon the source of income. Figure 5 suggests that higher income persons tend to be less dependent upon Social Security, public assistance, food stamps, and Native Claims payments, and more dependent upon employment and pensions as sources of income than lower income persons. The survey indicates that less than 2% of the respondents in the sample depend upon their children for financial support. Inflation is the greatest concern of the people surveyed. Problems with the cost of living extend beyond the excalating prices of food, clothing, and housing. One retired person who has not yet reached the age of 65 wrote: "Inflation in all directions; my greatest concern at the moment is receiving my tax assessment notice and -finding the valuation of my property and home has gone up $41,000 in one year's time. I realize I am living in a business zone, but have been for a good many years, and to have that tax at the mill rate which I am sure will be not less than last year is hard to face in lieu of the fact that I am living on a fixed income." The cost of fuel oil and maintenance of automobiles is another factor .affecting the lifestyles of Senior Citizens. The survey asked Senior Citizens if they have had to change their lifestyles as a result of changes in the community in thd last year. Responses to that question (see Fig'ure 6) indicate that most life- style,changes are a result of inflation. More than 37% of the total sample said that they had made changes in their lifestyles. The most common change is that older persons are spending less on recreation and staying home more. This may have ramifications in terms of mental health. "It is quite difficult to sit at home all the time, so I take my car, all of which is paid for, and go visit other friends of which I have known and worked with in all the years I have lived up here. And that takes some of my pension checks for gas, oil, and upkeep. In this way I try to control.my illness and visits to doctors which are exceedingly high (expensive)...." Other changes in lifestyle common to Senior Citizens surveyed are buying less clothing and walking rather than taking taxis. Nearly 30% of the Senior Citizens surveyed said that they are buying less food and different types of food than they did one year ago. Particularly for older persons, this may affect nutrition and health. More than 14% of the respondents said that"they are participating in the nutrition program sponsored by the North Star 19 Figure 6 Lifestyle Changes in Last Year by Income Lifestyle Changes in Last Year Total Sample Under $300/mo. $300-$700/mo. $700-$1100/mo. More/mo. Change 65 37.3% 19 35.2% 22 36.0% 13 50.0% 3 37.5% No Change 73 41.9% 20 37.0% 25 41.0% 14 53.8% 5 62.5% No Answer 33 18.9% 16 29.6% 8 13.1% 2 7.7% 0 - Total 1:-74 54 61 26 8 Type Changes Moved to less expensive housing 10 5.7% 5 9.3% 4 6.6% 0 - 0 - Sold home 6 3.4% 0 - 3 4.9% 1 3.8% 0 - More people living in household 6 3.47. 3 5.6% 1 1.6% 2 7.7% 0 - Buying less food 52 29.9% 16 29.6% 23 37.7% 6 23.1% 2 25.0% Buying different kinds of food 51 29.3% 16 29.6% 22 36-.0% 7 26.9% 1 12.5% Senior Citizens Lunch Program 25 14.4% 9 16.7% 10 16.3% 1 3.8% 2 25.0% Walking rather than cab 34 19.5% 10 24.6% 15 24.6% 5 83.3% 2 25.0% Using Senior Citizens Transportation 24 13.8% 11 20.4% 7 11.5% 0 - 2 25.0% Staying home more 65 37.4% 20 37.0% 27 44.3% 5 83.3% 2 25.0% Spending less on recreation 62 35.6% 19 35.2% 27 44.3% 8 30.8% 2 25.0% Buying less clothes 54 31.0% 22 40.7% 20 32.8% 6 23.1% 2 25.0% .Making fewer visits to doctor 28 16.1% 9 16.7% 13 21.3% 2 7.7% 0 - Other 19 11.0% 7 13.0% 10 16.4% 0 - 0 - Total 174 54 61 26 8 Total incl@des 25 respondents for whom no income information was provided, Council on Aging as a result of higher food prices. The nutrition program, which is federally funded through Title VII of the Older Americans Act, provides a main meal at noon each day. Each day approximately 45-50 persons eat their noon meal at one of the two nutrition program sites. Meals are served at the Ninth Avenue Golden Age Apartments and at the American Legion Hall on First Avenue. In addition, the nutrition program has a "meals on wheels" program which provides food for shut-ins. Currently the meals which are served are prepared by the food service at the University of Alaska. The North Star Council on Aging purchases the meals at $2.25 each and provides them to Senior Citizens at less than cost. The "suggested fee" is $1.25 per meal, but Seniors average $1.00 per person per meal. Food stamps may be used to purchase the meals, but this is rarely done. In general, the nutrition program appeals to persons who are fairly healthy. It helps in addressing two r@ajor nutrition problems for Senior Citizens 1) for income reasons, older persons tend to eat a disproportionate amount of starches; and 2) because they cannot affort good dental care, older persons tend to have denture problems which prevent them from chewing adequately and from eating meats. However, the nutrition program does.not address special dietary needs such as low-salt, diabetic, or low-cholestrol diets. Another result of inflation is that older people are delaying retirement. "I am still working, but I hope to retire in June 1975,* but I do know high cost of living hurts very much. Very much." Another man stated that he simply can't afford to retire. Some Senior Citizens have been forced out of retirement. "Came here with retired husband to live out our lives. Both been foreced to return to work as his pension will not even pay rent..." "I went back to work as a full charge bookkeeper so we could still get by on our own. Thanks to my working for a sub-contractor on pipeline camp job we are doing OK at present. Before that was not able to get by on Social Security and Alaska bonus as only income. Will try and have all indebtedness paid in full before my job over, so can exist on S.S. and AK Bonus, if they continue paying it." By going to work, Senior Citizens who earn more than $2,510 a year can lose their Social Security payments according to law. How do Senior Citizens with fixed incomes copo with the rising cost of living? One Senior Citizen reports that she has "made 30% savings on power bills due to better management of electric power and car use." Others are saving money by walking rather than using more costly forms of transportation. For some, the Longevity Bonus has provided the extra margin of income which combats the effects of inflation. 21 "If it wasn't for the Longevity Bonus we would have to sell our house and move out of Alaska. Sorry to say after living in Fairbanks 30 years, the pipeline is good for Alaska, otherwise I think we all would be in the red; that is what started the Longevity Bonus and saved lot of us Seniors in Alaska." Other people are selling their possessions to make ends meet. "Have had to sell many household items, antiques, misc. Desperately hunting for heated one bedroom house or apartment unfurnished. Sold my home." "Sold my jewelry." And, an unknown number of Senior Citizens are following the course contemplated by this older Alaskan: "We will probably sell out in a year or two and move back south but we prefer Alaska after 1/4 of a century. This is 'home' to us." HOUSING Housing appears to be the second most critical problem for Senior Citizens. 'According to the survey, 50% of the respondents are homeowners. Information on the location and type of residence by income is presented in Figure 7. Low income persons are less likely to.be homeowners than high income people; however, nearly 40% of people with incomes of less then.$300 per month own their own homes. Few of the older people surveyed live with their children Currently Senior Citizens are spending a disproportionate percentage of their income on housing. Figure 8 shows the percentage of combined monthly household income spent on housing for each of the income groups. A total of 22% of the people surveyed spend more than 50% of their income on housing. As with other age groups, .people with lower incomes spend.a greater percentage of their incomes on housing than people with higher incomes. This may be partially due to the fact that people with higher incomes are more likely to own their own homes. However, homeownership is not always without expenses. "I paid $113.93 for repair on furnace; $37.00 for repair on water heater. My home needs repairs - a new roof - chimney repair - roof leaks and the siding is old and water runs down the walls how can I get help to do this repair?" 22 Figure 7 Place of Residence by Income of Respondents Location Total Sample Under $300/mo. $300-$700/mo. $700-$1100/mo. More/mo. City of Fairbanks 140 80.5% 47 27.0% 41 67.2% 23 88.5% 7 88.0% Fairbanks North Star Borough 31 17.8% 7 13.0% 17 27.9% 3 11.5% 1 12.0% Outside Borough 2 1.1% 0, - 2 3.3% 0 - 0 - Total 174 -i-6 Type Residence Home-Owned + 88 50.6% 20 37.0% 32 52.0% 19 73.0% 4 50.0% Uncontrolled re t 40 23.0% 12 22.0% 14 23.0% 5 19.0% 4 50.0% Controlled rent 22 12.0% 12 22.0% 6 10.0% 1 4.0% 0 - Health facility 8 5.0% 6 11.0% 1 1.6% 0 - 0 Live with children 7 4.0% 4 7.0% 2 3.0% 0 - 0 Other 12 7.0% 2 4.0% 6 10.0% 3 12.0% 0 Total 174 54 61 26 8 Total includes 23 respondents for whom income information was not given. Uncontrolled rent rented home, apartment, rooming house. Controlled rent Birch Park 'Apartments, 9th Avenue Apartments. Figure 8 Percentage of Combined Monthly Household Income Spent on Housing % of Income Spent on Housing Total Sample Under $300/mo. $300-$700/mo, $700-$1100/mo. More/mo. 0-10 % 16 12% 2 4% 5 9% 4 33% 1 14% 10-20 % 31 23% 10 22% 8 15% 7 29% 6 86% 20-30 % 28 21% .12 27% 8 15% 8 M 0 - 30-40 % 20 15% 4 9% 12 23% 4 17% 0 40-50 % 11 8% 3 7% 11% 1 4% 0 50-60 % 10 8% 5 11% 5 9% 0 - 0 60-70 % 4 3% 1 2% 3 6% 0 - 0 70-80 % 6 5% 4 9% 2 4% 0 - 0 more 8 6% 4 9% 4 8% 9 - 0 Total 134 -4-5 53 24 7 Homeownership also requires many activities on the parts of the owner which some Senior Citizens are no longer able to perform, such as shovelling snow from the roof and drive. Persons over 65 who are homeowners are given a break on their property taxes. Alaska Statute 29.53.020, passed in 1973, provides that Senior Citizens are exempt from property tax, and allows the state to reimburse local governments for the amount of property tax from which Senior Citizens are exemted. When the law was adopted in 1973, there was an income eligibility requirement which has subsequently been ammended so that any Senior Citizen may be eligible for property tax exemption regardless of income. To receive the property tax exemption, persons older than 65 must file an application each year prior to Jan. 15. Persons who miss the Jan. 15 deadline are still entitled to some property tax relief if they file applications prior to May 31. Applications may be obtained from the Fairbanks North Star Borough Assessing Office at 517 1/2 First Avenue. The application form is brief, and persons-working in the Assessing Office will help Senior Citizens fill out the form. According to the law, the property tax exemption applies to mobile homes as well as conventional houses. Two types of rental situations occur which have been designated as "uncontrolled rents" and "controlled rents". Uncontrolled rents are homes, apartments, or rooms which are rented from private concerns. Controlled rents are low income housing which has federally regulated rent structures, such as Birch Park and the Ninth Avenue Golden Age Apartments. Places with controlled rents have income requirements which select for low income persons. According to An ne Cothron, who manages the Alaska State Housing Authority (ASHA) low-income housing projects, there are a total of 26 ASHA units which are designated to be occupied by persons or families in which the heads of households are older than 65 or disabled. These units are distributed such that 20 are located at the Ninth Avenue Golden Age Apartments, 6 are at Birch Park, and 2 are at Spruce Park. To be eligible for ASHA housing, a single person must have an income less than $7,800 per year and a couple must have a combined income of less that $8,700 per year. Rent is determined by deducting 10% of the monthly income and then setting the rent at 1/4 of the remainder. Most persons in ASHA housing are paying approximately $44 per month for rent. This formula, which was determined by ASHA and approved by the federal government, has remained unchanged except for An increase in the income limit in Sept. 1974. A total of 27 Senior Citizens are officially on the waiting list for ASHA housing. However, the turnover rate is so.low that vacancies rarely occur unless someone dies. Because chances of obtaining ASHA housing are so slim, many older persons do not even apply. Also, ASHA 25 V@-. 77 Aives preferential treatment to persons displaced by highway projects. Thus, 10 ASHA apartments are currently occupied by persons displaced by a highway project in Feb. 1974, even though other persons had been on the waiting list for a longer period of time. Ms. Cothron says she is already receiving calls from persons who would like their names placed on the waiting list for the Senior Citizen's high-rise apart- ments, which have not yet been built. Although ASHA housing provides rent subsidies which aleviate the problems of rent increases for ASHA residents during the rental housing shortage in Fairbanks, subsidized housing do.es not solve all of the housing problems for Senior Citizens. "...If I could move to some apartment, I'd be satisfied because, there is always fighting and noises in our n&ighbors. Cantt sleep sometimes. That is the reason..." Other Senior Citizens living in ASHA housing have complained that they don't feel free to pursue the activities which would make them happy - such as scraping skins. One older woman noted that she could not live in ASHA housing because she could not bear to part with her pets. Subsidized housing presents a trade-off of freedom for security. Persons who rent private housing are often findin5z thpmselves having to contend with rent increases which they cannot afford. ."Had to move. Couldn`t afford to pay $235 rent." ?twill have a new landlord this summer and rent on apartment will go up from $225.00 presently paid to $350.00." "The rent may be raised, so I would need to 'find a living place where the rent is not more than I now pay." Like other persons in Fairbanks, the choice of rental housing is limited for Senior Citizens and they do not always have the option.of moving to less expensive housing when the rent is raised. Of the 35% of the sample who are renters, less than half are renting in controlled-rent situations. According to the survey, 25 of the 40 persons who are renting in uncontrolled situations have experienced rent increases. The amounts of rent increases range from $2 to $460, which represents a range of .9 to 328.6 percent increase in rental prices in the last year. The largest percentage of rent increases are under 10%, with the modal increase $25. Although this is fairly consistent with the rate of inflation nationally, a $25 -increase in rent is significant to persons on fixed incomes under $300 per month. The average rent increase, which includes several extreme rent gouging situations, is $57.56, or 49.6%. Half of the rent increases are over $25 and more than 20%. 26 Senior Citizens were asked if they favor some type of rent control this summer. The group as a whole favored some type of rent control by 2:1 and the non-homeowners favored rent control by 3:1. Answers to that question by homeownership and income levels of respondents are given in Figure 9. To stay within their budgets, older persons often rent sub- standard housing. This not only presents potential safety hazards such as fires, but it also makes them more vulnerable to the housing shortage as land use and zoning change to accomodate the increased demands for space utilization in the city. "I was iiving at the Deluxe Hotel that is going to be torn down." "I lived in a pretty good place, the Rose apartments@ and they condemned it. Why? When housing is so short." Shortly after the Nordale Hotel burned in 1972, several of the rooming houses in which oldtimers lived were condemend, including the Steele Hotel, Deluxe Rooms and the Wayfarer. Some of the older tenants had lived in these hotels for 15 years at reduced rates. Older persons living in these condemned places ranged in age from 65 to 91 and in income from $1,600 to $3,000 per year. At that time all of the Pioneer Homes were full, and the Polaris Hotel helped by taking all of those who could find no other housing. At that time a campaign was begun to build additional Senior Citizen housing. An an hoc committee, later called the "Golden Towers Board," began to collect data on the need for Senior Citizen housing. Individuals on this ad hoc committee wrote letters, sent telegrams, and talked personally with legislators and government administrators on the local, state, and federal levels in an attempt to see their dream of a high-rise apartment building for Senior Citizens realized. Now, three years later, a site for the high-rise apartments has been purchased by the Borough, and the st@ate has commissioned an architect to draw the plans. However, the source of funding for the project has not yet been determined and plans have not been finalized. It appears that Senior Citizen housing will not be finished, and perhaps not even begun, in time to alleviate the pressures on Senior Citizens in the housing shortage caused by:pipeline impact. Another type of vulnerability in relation to the housing shortage is that Senior Citizens, like other renters, are faced with a greater demand for housing than supply, thus allowing landlords to change tenants rather than responding to their requests. An older man who had lived on Ft. Wainwright for 20 years while he worked there as a civilian claims that he was forced to move to make room for the pipeline operations there. The housing into which he was re-located was more costly and less accomodating. After trying unsuccessfully to have heat in his apartment adjusted, he approached the owner of the apartment complex to request that the temperature be controlled more satisfactorally. Despite a lack of housing alternatives for this Senior Citizen, the landlord's only response was that the man ought to look for other housing. 27 Figure 9 Senior Citizen's Survey Question 11: Do you favor some type of rent control this summer? CO Total Sample Homeowners Non-Homeowners Income of Respondent Yes NO N/A Total Yes No NTA--Total Yes No NIA Total Under $300 30 13 12 55 6 9 6 21 24 4 6 34 $300-$500 25 .4 10 39 11 4 8 23 14 0 2 16 $501-$700 13 2 7 22 9 1 6 16 4 1 1 6 $701-$900 7 2 2 11 5 2 2 9 2 0 0 2 $901-$1100 7 5 3 15 5 3 3 11 2 2 0 4 more than $1100 4 4 0 8 1 3 0 4 3 1 0 4 unknown 10 11 4 25 9 2 3 14 1 9 1 11 Total T6 -4-1 3-8 f7_5 -4-6 2-4 _@_8 @_8 TO 1-0 77 During the housing shortage, trailers have become more popular as a housing alternative-to some segments of the population. Many persons who buy trailers must rent a space in which to park the trailer and hook-up utilities. In addition to facing trailer- space rent increases, owners of trailers have the same types of maintenance problems that face homeowners. "The court owners have increased rent twice in the last year - but not for Senior Citizens. Our mobile home will have to be gotten rid of, as I'm no longer able to do necessary repairs and upkeep. And we cannot buy a new one, when my wife can only work one more year." A survey of Senior Citizens conducted by the Golden Towers Committee in April 1974, indicated that trailers are the least favored type of housing among the group of 100 persons surveyed. One type of housing which is currently readily available for Senior Citizens is the Pioneer Home. The Fairbanks Pioneer Home is one of five operated by the State of Alaska Department of Health and Social Services. According to Alaska Statutes, any person older than 65 who has lived in Alaska for 15 years prior to applying for Pioneer Home residency may live in a state Pioneer Home, regardless of income. The Pioneer Home offers dormitory-style accomodations with private or semi-private rooms and a common dining area. In addition, the Home provides housekeeping, recreational and medical services. Regular residents are charged $180 per month, which includes food. Persons requiring nursing care are charged $225 per month. Persons who are unable to make these payments apply the amount of their Social Security checks to rent and are given $35 per month for personal expenses. The Fairbanks Pioneer Home was expanded last year and currently has a capacity for 120 persons. At the present time there are 78 residents and patients, which means that approximately 40 beds are unoccupied. According to Stella Muckenthaller, Administrator of the Fairbanks Pioneer Home, many of Alaska's older persons do not choose to live at the Pioneer home because they do not wish to give up their independence. However, the current situation created by the pipeline construction has created conditions which make the Pioneer Home more attractive to older persons. Recently three oldtimers moved to the Pioneer Home because they felt that they were no longer safe on city streets and because they were experiencing rent increases. 29 TRANSPORTATION Although transportation was not a focus of the Senior Citizen survey, it emerged as a significant problem for Senior Citizens. "I have no transportation," writes one older person, "I walk." In response to a question about changing lifestyles, 19.5% of the respondents indicated that they were walking more rather than taking taxis. Those who can afford taxis cannot always find them. "Many times you have to wait over an hour for a cab," a Senior Citizen complained. Walking may be good for the health, but it can also be dangerous for older persons who are not always sure-footed and steady, particularly during winter when the streets are icy. Some Senior Citizens are also finding driving.to be more hazardous. "Style of living will change sharply by mid-summer; I feel; driving car much less because of high rate of accidents; too many reckless drivers and people who don't know how to handle a motor vehicle on ice and snow." "As a result of the increase in auto traffic, public transportation is even more desirable." Driving has also become more costly, not only for fuel, maintenance, insurance and repairs, but also for associated costs, such as parking. Persons living in downtown apartments often have to pay to rent parking spaces on a regular basis. IlParking facility rent increased from $30 to $50 for plug-in." "Parking increased $5 per month in summer, $10 in winter. Up from $10 to $15 in summer; $15 to $25 in winter plus electricity." Thus, the effects of the pipeline both in terms of inflation and traffic conjestion, as well as the increased demand for taxi service, have affected the mobility of Senior Citizens. To address the special transportation needs of Senior Citizens, the North Star Council on Aging initiated a transportation service in Jan. 1974 The transportation program is federally funded by Title III of the Older Americans Act. The vehicles used and side-band radios have been donated, and persons using the transportation system have also made donations which are used for maintenance of the vehicles. The transportation system is a a "dial-a-ride" type which has three vehicles when all are in working condition. In the mornings, from 8:00 to 11:00., Senior Citizens are transported to medical appointments. From 11:00 to 1:00 p.m. the vans are used to take Senior Citizens to the North Star Council on Aging lunch programs. And, in the afternoons, from 1:00 to 4:00., older persons are.provided transportation to assist them in shopping. 30 Each month since June 1974, the number of persons using the transportation system has increased. In March, a total of 117 persons used the North Star Council on Aging transportation. The transportation was used by 124 persons to go to-the lunch program, by 79 persons for medical appointments, and by 69 persons for shopping assistance. Transportation to recreational events in the evenings or on weekends may also be arranged if five or more persons desire it. Persons older than 60 and their spouses may use the North Star Council on Aging transportation system regardless of income. To arrange a ride, the persons must call the Council on Aging office, 452-1735, in the morning or a couple of hours prior to the time that the ride is needed. Although the service is primarily designated for persons in the City of Fairbanks, persons living in Graehl and in the College area may also use the services. There are two regular routes which function each day for which reservations do not have to be made. One route, called "the town route" stops at the following places at the following times: Northward Building, 11:05; Penney's, 11:15; NAACP, 11:30; Eskimo Village, 11:45; Birch Park, 11:55; Ninth Avenue (lunch program), 12:00 . The other route, called "the Graehl route," picks up persons at home on the north side of the Chena River. Persons who attend the Senior Citizen's lunch program often want to stay downtown to shop. They have agreed to meet at the downtown Safeway store at 3:00 p.m. at which time the North Star Council on Aging-transportation system takes them home. Senior Citizen's transportation is not a solution for all -the transportation needs of the older persons in the community. The service operates on a restricted schedule, with no regular service on weekends or in the evenings. During the noon period, the system is directed toward transporting persons to the lunch program and therefore is not available for other purposes. Also, the program is a "dial-a-ride" type which is difficult for persons without telephones to use. Many Senior Citizens appear to look forward to a community public-transportation system. "Pipeline or not, Fairbanks needs a public transportation system (whether Dial-a-bus or standard, probably subsidized at the outset, with a central terminal - however small - that is warm and clean) ... In the meantime, the North Star Council on Aging's transportation .service is helping older Fairbanksans meef some of their transportation needs. Of those Senior Citizens surveyed, 13.89% said that they had begun to use the North Star Council on Aging transportation in the last year as a result of changes in the community. 31 HEALTH CARE Aging brings health problems, so as people grow older their health care needs often become greater. For the most part, Senior Citizens surveyed did not indicate that they are having more difficulties obtaining medical care as a result of pipeline impact (see Figure 10). However, persons surveyed did not answer the questions about health care as accurately or completely as they answered other questions.which .may suggest that the questions were,unclear or contusing. It is possible that it is difficult for Senior Citizens to assess whether or not their health care problems are pipeline-related. "So far we have met our payments for medical care, but it is getting a burden. $300 plus $60 per month for over 2 years and will run some more the next 2 years, but we have some insurance. It seems as if the cost of health care is getting ridiculous. So far we havealways managed our payments at a sacrifice of all trips, money for recreation or needed clothes. I do not think our complaint is a res@Llt of pipeline impact." It is likely that persons with large medical,bills would have had those bills regardless of the pipeline; however, with inflation excalating, the medical bills are more of a burden. Most Senior Citizens'haVe some type of health insurance (see Figure 11). In addition to private health insurance, Senior Citizens may be entitled to Medicare, Medicaide, or services of the U.S. Public Health Service Ala�ka,Area Native Health Service (ANHS). Medicare. Persons entitled to Social Security benefits may receive health insurance coverage called "Medicare." Medicare is a federal-program in conjunction with Blue Cross. Persons receiving Social Security automatically.receive hospital coverage under Medicare. Their room and board is paid for a 60 day period, except for $92 which the Senior Citizen must pay. Senior Citizens may elect to receive additional coverage by paying $6.70 each month. This entitles them to receive insurance for other medical expenses. According to this plan, Medicare pays 80% of "allowable" doctor bills, except for $6.0 per year which the Senior Citizen must pay. The "allowable" medical bills are figured as an average of all charges for the same types of services for a given. state. If local doctors charge more than this amount, the Senior Citizen must pay the difference plus 20% of the standard charge. Persons with Medicare coverage are not without extensive medical expenses. 32 Figure 10 Difficulties in Obtaining Medical Care Total Sample Under $300/mo. $300-$700/mo. $700-$1100/mo. More/mo. Persons having more difficulty 26 14.9% 10 18.5% 8 13.1% 4 15.4% 2 25.0% Persons not having more difficulty 101 58.0% 34 62.9% 27 44.2% 20 76.9% 4 50.0% No answer 47 24.0% 8 14.8% 3 4.9% 0 - 2 25.0% Total 174 Source of Difficulty Dental care appointments 17 9.8% 3 5.6% 4 6.5% 5 19.2% 2 25.0% Eye care appointments 7 4.0% 2 3.7% 0 1 1.6% 2 7.7% 0 - Routine medical care 15 8.6% 3 5.6% 3 4.9% 5 19.2% 2 25.0% Emergency medical care 5 2.9% 1 1.9% 1 1.6% 2 7.7% 0 - Medicines 4 2.3% 2 3.7% 0 - 1 3.8% 0 - Payment of medical expenses 15 8.6% 8 14.8% 5 8.2% 2 7.7% 0 - Ot'ier 11 63.0% 4 7.4% 4 6.6% 1 3.8% 0 - Figure 11 Distribution of Health Insurance by Income of Respondents Health Insurance Yes 133 76.0% 30 55.0% 49 80.0% 24 92.0% 8 100% No 30 17.0% 15 28.0% 12 20.0% 0 - 0 - No Answer 6.0% 9 17.0% 0 2 8.0% 0 Total 174 54 26 "I lived with my daughter until I broke my hip in July I was moved to the Pioneer Home - I receive 2 checks and they go the home - I receive $35.00 from the Home - I have 2 doctor bills that amount to $650 after Medicare paid - I have no way to pay these bills. I need help with these Dr. bills." "Need dental work - not covered in Medicare." In addition, the cost of medicine is not covered by Medicare. Medicaide. Medicaide is a health insurance program which is.funded by the federal government, but administered by the state. Persons receiving state categorical assistance have 100% of their health care paid through Medicaide. This includes doctor and hospital bills, as well as medicine. Alaska Area Native Health Service. The Alaska Area Native Health Service (ANHS) provides health care, hospitalization, and medicine to persons of Indian or Eskimo descent and their families free of charge to the individual. ANHS. functions both as a direct provider of health care and as a third-party payer. The local ANHS clinic is located adjacent to Fairbanks Memorial Hospital. Other Insurance. In addition to private insurance, some older Alaskans may have veterans health care benefits. Health Services. With or without the pipeline, many older Fairbanksans would not obtain medical care either because of the cost or because they have not made health care a regular part of their lives. "I doctor myself when it's needed." "What isn't paid for in my health care and medicine I go without." "Unable to pay for denture work." However, 16% of the Senior Citizens surveyed said that as a result of changes in the community in the last year they are making fewer visits to the doctor (see Figure 6). One change in the community is that some health care services -are being provided to elderly people outside of doctors' offices at no charge. The North Star Council on Aging has arranged for some health services to be provided regularly at their lunch sites without charge including the following: 34 -weekly blood pressure, provided free by Alaska Home Health Health Aide Service, Inc.; -monthly foot care, proveded by a Licensed Practical Nurse (LPN) who works for the North Star Council on Aging; -monthly diabetic screening, provided by an LPN who works for the North Star Council on Aging; -glaucoma screenings two times each year, provided free by Dr. Dicksheet. In addition, the Alaska State Division of Public Health provides some services to Senior Citizens free of charge. These include the following: -complete audiological services provided by the Communicative Disorders Program, located in the Alaska Cripple Children and Adults offices, 1020 Barnette Street; an audiologist provides screening, diagnosis, counselling, hearing aide evaluation and referrals for hearing aides; -home nursing visits provided by the public health nurses at the Fairbanks Health Center; nurses provide such services in the home as taking blood pressure, providing and teaching injections, and follow-up after persons have left the hospital; -immunizations, evaluation and referral provided by the Fairbanks Health Center, 800 Airport Road; these services include flu shots, tuberculosis evaluations and follow-up. Some new services are being organized for Senior Citizens, slich as a lip-reading class to be held, at the Pionner Home starting June 1 under the joint sponsorship of the Quota Club and Alaska Cripple Children and Adults (ACCA). ACCA would like to join forces with other organizations to start a "stroke club" for persons who have suffered strokes, which would include many older persons. In spite of the many services which are provided for Senior Citizens free of charge, their problems often go untreated. For example, if the Communicative Disorders Program diagnoses a hearing problem and recommends a hearing aide, the Senior Citizen must find a way to purchase the device, which may cost $300 or more. Neither Medicare nor Medicaide pays for hearing aides. Sometimes the Bureau of Indian Affairs or the Office of Vocational Rehabilitation pays for hearing aides, but not every Senior Citizen is eligible for that type of assistance. According to audiologist K.D. Gish., the lack of hearing aides is not always due to financial constraints. Older people go without hearing aides for other reasons, such as pride, or they have been told erroneously that it won't help their hearing problem, or they have had bad experiences with hearing aides. 35 Whether for financial reasons or otherwise, the resultant loss of hearing creates communications problems which may also lead to social and psychological problems for older persons. Similarly, dental care which is not covered by health insurance may result in dental problems which may have nutritional, social and psychological ramifications. SAFETY AND SECURITY Although no questions specifically asked about safety and security, the survey of Senior Citizens indicated that this is a growing concern among many. This may be attributed to pipeline impact both in terms of influx of new persons in the community and police force staffing being less than required due to high turnover rate in response to higher-paying pipeline security jobs. "With the pipeline impact on Fairbanks, makes the people here less trusting - as all people aren't honest - more crime, break-ins - can't trust taking offyour parka - many people coming to Fairbanks from states - no work when they get here so are in need - I have my gloves taken every time I lay them down - I've had many pairs.taken this winter - see the difference this year to what our lifestyle has been in previous years .1here needs to be more protection against thievery and. vandalism as well as fear of assault. The courts are so lenient that too many people are at large who are-going to do or get whatever they want with no regard for the feelings or rights of others." One Senior Citizen stated simply, "I feel less safe living alone." Security involves more than the fear of assault, thievery, and vandalism. For older persons, there is also the fear of being taken advantage of financially. "My concern is maintenance help we can rely on. I am alone. 70 years old; I paid $346.00 to get my roof repaired. All he did was make holes in it. I found out later he'd done a lot of old people the same way. All the reliable people are too busy. If we had a place to call in complaints and get a list we could do something about these crooks." Senior Citizens do have a recourse for consumer complaints. The Consumer Protection Agency, part of the Attorney General's Office located in the State Office Building, investigates complaints of fraud and other types of consumer complaints free of charge. If complaints are not within*:-the jurisdiction of the Consumer Protection Agency, they will refer the person with the complaint to the appropriate agency or institution. 36 It has already been noted that increased traffic reduces the feeling of security among Senior Citizens who are now more hesitant to drive. Not only have the old hotels and rooming houses been torn down, but many of the old gathering places for Senior Citizens have gone by the wayside. The rapidly changing nature of the community and the new faces affects older persons sense of security. As one oldtimer put it, "You can't drive your dogsled to the Post Office anymore." SUGGESTIONS Senior Citizens surveyed had many suggestions about how to improve their lives. Some these suggestions have already been mentioned in this report: - regional cost of living adjustments for Social Security, SSI, state public assistance, and other programs upon which Senior Citizens are dependent for their income; - remove or raise earned income limit for Social Security eligibility; - construct additional Senior Citizen rental housing; - imp-lement-a public transportation system. Suggestions may also be inferred from the reported gaps in types of services, such as increasing health care coverage to include dental care and the costs of such of items as hearing aides. Other suggestions were advanced by some of the Senior Citizens surveyed: "I feel that senior citizens should have a discount on- fuel and electricity or to have a discount on having electric appliances fixed, just as other cities do outside; also should have a Senior Citizen Card to present to cab drivers, lunch rooms, etc." "It would be perfect if students age 65 were permitted not to pay tuition (at University of Alaska). Maybe this could be suggested to Board of Regents, eh? We can try anyway." "Benches should be put up for the elderly at markets to sit while waiting. Waiting in longer lines at the mark 'et and other places - paying more for food and clothing etc. A great need in this community is public transportation. A great need for housing for the elderly, and rent within their means. The traffic has increased and there should be more inter-section lights put up so it won't be so-danger6us to cross some of the streets. This is a matter the City Fathers should look into 37 and soon. The bars should not be allowed to sell booze to people already drunk. There should not be a sales tax on food. More rest rooms should be made available to the public, especially for women and children; this is important for women shopping down- town. The City and Borough should cut all unnecessary expenses and try to save the tax-payers money. The Council on Aging has been helpful to the elderly - providing meals and transportation plus recreation. They should be encouraged. This is a great need fulfilled especially for the very elderly who are alone." SUMMARY AND CONCLUSIONS In this report both a quantitative and a qualitative over- view of conditions affecting Senior Citizens in Fairbanks has been presented with Iinput from Senior Citizens. As with every other age group in Fairbanks, Senior Citizens are individuals with distinctive personalities and philosophies. Whereas there may be consensus among Senior Citizens about defining some of their problems, such as inflation, it is doubtful that there would be consensus in decisions about the best way.to solve those problems. Solving some problems, such as the need for more low-cost housing, requires massive capital expenditures; however, other problems facing Senior Citizens can be solved with little financial expense. For example, persons volunteering their services have helped to meet some health care needs for Senior Citizens. Similarly, as some Senior Citizens have suggested, local merchants could help make life a little easier for older Fairbanksans by providing toilets and places to rest in their establishments. Perhaps more than most other groups, Senior Citizens have had their needs addressed by federal and state government- At this time there does not seem to be a lack of programs and agencies directed at meeting the needs of Senior Citizens, but rather a lack of coordination of programs, and effective referral systems. The inadequacy of services is largely a matter of degree and type of delivery. Special impact problems for Senior Citizens are often indistinguishable from problems of the community as a whole or problems of aging. Construction of the trans Alaska oil pip&line has created problems for Fairbanksans which are often felt most severely by Senior Citizens for the simple reason that their @lternatives for problem-solving are limited because of the limitations of age, health, and income. Senior Citizens with incomes of less then $300 per month are simply unable to compete for limited local resources with persons earning three or four times as much on pipeline jobs. 38 APPENDIX I: DIRECTORY OF LOCAL AGENCIES SERVING SENIOR CITIZENS Service Agency Address Phone INCOME Social Security Social Security 1514 Cushman, 452-1707 SSI Administration Room 311 Eligibility, Division ofTamily Foodstamps & Children Services* 302 Chena Bldg. 452-1637 Old Age Assistance Division of Family 302 Chena Bldg. 452-1637 & Children Services Native Land Claims Doyon, Ltd. First & Hall 452-4755 Longevity Bonus Office of the Governor 604 Barnette 452-1545 Financial Assistance Fbks. Native Assoc. 102 Lacey Street 452-1648 LEGAL SERVICE Legal Problems, Senior Citizens Law ...Entitlements Office, Alaska Legal 510 Second Avenue 452-1581 Service Corp. Suite 230 452-1582 Consumer Protection Attorney General's 602 Barnette, 452-1568 Agency Office Room 247 Discrimination Human Rights complaints Commission 602 Barnette 452-1561 HOUSING Property Tax Assessing Office, Exemption Fbks. North Star 517'-2 First Avenue 452-4561 Borough ext. 51 Pioneer Home Pioneer Home 2221 Egan 456-4372 Low-Cost Housing, Alaska State Housing Rental Office 456-4453"'. 9th Avenue Apts. Authority (ASHA) Birch Park 456-6009 Emergency Shelter Fbks. Rescue Mission 506 Gaffney Street 452-5343- Emergency Shelter Salvation Army 117 First Avenue 542-5005 FOOD Lunch Program North Star Council 9th Ave.. Apts., or 452-1735 on Aging American Legion Hall 129 First Avenue Food Stamps Division of Family & Children Services 302 Chena Bldg. 452-1637 39 Service Agency Address Phone HEALTH CARE Medicare Social Security 1514 Cushman 452-1707 Administration Room 311 Medicaide Division of Family 302 Chena Bldg. 452-1637 & Children Services Hearing Evaluations Communicative Disorders Program 1020 Barnette 452-6291 Home Nursing, - Immunizations Fairbanks Health Center 800 Airport Rd. 452-1776 Homemaker Service Alaska Home Health Aide, 528 Fifth Avenue 452-3214 Service, Inc. Room 216 Health Clinic Alaska Area Native Service (ANHS) 1638 Cowles 452-2131 Blood Pressure North Star Council on 208 Wendell 452-1735 Foot Care Aging Diabetic Screening Glaucoma Screening Sight evaluations Lions International Dr. Dicksheet, Chrm. 456-7045 .Sight Conservation, Dist. 49B 127 Northward Bldg. - Mental Health Services Mental Health Clinic 103 Cushman Street 452-1575 TRANSPORTATION Dial-a-ride North Star Council on Aging 208 Wendell Street 452-1735 INFORMATION AND REFERRAL weekdays North Star Council on Aging 208'Wendell Street 452-1735 noon to 6 a.m. Fairbanks Crisis Line P.O. Box 80437 452-4403 40 0 APPENDIX II: QUESTIONNAIRE USED IN SENIOR CITIZEN SURVEY Dear Friend: Please take a minute to fill out this questionnaire so that we may better understand how Senior Citizens are. being affected by the pipeline impact and how we may better serve you. your answers are. confidential. A return envelope is provided which requires no postage. Please return this questionnaire by Thursday, March 20, 1975. Thank you. Him Dixon, Impact Information Center Sue Ohata, North Star Council on Aping SENIOR CITIZEN SURVEY 1. Number of persons living in your household: 2. Your age: _ Ages of other persons in your household- Your monthly income: Combined monthly income of household: 4. How long have you lived in Fairbanks? How long in Alaska? -A 5. Which of the. following sources of income do you receive? Please check: Social Security Longevity bonus Welfare Assistance Alaska Native Land Claim,,, payments Employment Private savings and investments Food stamps Pension (military, civil service, government, Money from children business, railroad retirement) Insurance 6. Has your monthly income increased in the last year? no _yes 7. Where do you live? Please check- City of Fairbanks Outside Fairbanks Borough College Outside Alaska Fairbanks North Star Borough 8. What type of housing do you live in? Please check: home which you own rooming house home which you rent boarding house rented apartment or duplex hotel Birch Park Apartments Pioneer Home 9th Av., Golden Age Apartments Careage North live with children Other; please explain: 9. If you own your own home, how much did you pay last month for housing (include utilities, insurance, mortgage payments if any, repairs)? 10. If you rent, please answer the following questions: a What is your monthly rent? Does this include utilities? no ____yes b. Please check the following kinds of rooms if they are in your house or apartment: efficiency ____ dining room kitchen bedrooms (give number: living room other bathroom c. Have you moved during the last year? no yes If yes, why? d. If your rent has increased since January, 1974, please give the . following information: Rent before increase Date of increase Rent after increase A 11. Do you favor some type of rent control-, this summer? -no ___yes 12. Where do you usually cat your meals? Please check: Senior Citizens Don't At home Restaurant Lunch Program Other tat Breakfast Lunch Dinner PLEASE TURN OVER 41 0 SENIOR CITIZENS SURVEY NOAA COASTAL SERVICES CTR LIBRARY Page 2 3 6668 14112854 8 13. Have you had more difficulties obtaining medical care in the last 6 months than previously? no yes if yes, please cheek the following statements if they describe' changes for you in the last 6 months: more. difficult to obtain appointments for dental care --more difficult to obtain appointments for eye care more difficult to obtain appointments for for routine- medical care more difficult to obtain emergency medical care more. difficult to obtain medicine cannot afford to pay for services please explain: .4. Do you have some type of health insurance? ___no ____yes On the average, how much do you pay each month for health care? On the average, how much do you pay each month for medicine? .5 Do you feel that you've had to change. your lifestyle in the last year as a result of changes in the community? no _yes If yes, please check any of the following statements that describe changes in your lifestyle in the, last 12 months: moved to less expensive housing -% sold your home more people living with you buying less food ____ buying different types of food eating at the Senior Citizens' lunch program walking more rather than using taxis using Senior Citizens program for transportation staying home more _____:spending less money on recreation (travel, movies, etc.) buying less clothing making fewer visits to the doctor other please explain: 16. Please use the remaining space to comment on any special problems or special concerns which you have which are related to pipeline. impact and how you feel you can better be assisted in meeting your needs. THANK YOU!