Health
Poll: Sandwich Generation Worried About Own Long-Term Care

In this photo taken Monday, July 6, 2015, Kamila Al-Najjar, center, visits with her mother, Joan Groen, right, at her assisted living facility as her daughter, Inanna Al-Najjar, 14, left, looks on in Santa Rosa, Calif. Caught between kids and aging parents, a new poll shows the sandwich generation worries more than most Americans their age about how they’ll afford their own care as they grow older. (AP Photo/Eric Risberg)
LAURAN NEERGAARD, AP Medical Writer
WASHINGTON (AP) — Caught between kids and aging parents, the sandwich generation worries more than most Americans their age about how they’ll afford their own care as they grow older, a new poll shows. But most aren’t doing much to get ready.
Nearly 1 in 10 people age 40 and over are “sandwiched” — they’re supporting a child while providing regular care for an older loved one, according to the poll by The Associated Press-NORC Center for Public Affairs Research.
Another 8 percent may join the ranks of double-caregivers in the next five years, citing declining health of an older relative or close friend.
Dueling responsibilities can make some days feel like a tug-of-war.
“If my mom needs something badly, I get pulled away from my kids a lot,” said Kamila Al-Najjar of Santa Rosa, California, a lawyer with two children and self-described health advocate for her mother. She visits her mother’s assisted living facility at least twice a week and checks in daily by phone, to oversee a list of illnesses.
“You’re dealing with someone who is aging, toward the end of their life; then you have to deal with a teenager. I hear from my mom and daughter that I’m a nag. There’s no winning in it,” she said.
Adding to the challenge, 40- and 50-somethings tend to be at the height of their careers — and need to hang onto their jobs despite difficulties of caregiving, said Susan Reinhard, who directs AARP’s Public Policy Institute. Employer flexibility is a top issue as the population ages, she said.
“It’s not just their own financial security, it’s the financial security for their children and for the future,” Reinhard said.
After age 65, government figures show nearly 7 in 10 Americans at some point will need long-term care — from a relative, home aide, assisted living or nursing home.
Yet the AP-NORC Center poll found overall, most Americans 40 and older — 54 percent — have done little or no planning to get ready for this often pricey reality. Only a third reports setting aside money for those needs. That’s even though Medicare doesn’t pay for the most common types of long-term care, and a nursing home can cost more than $90,000 a year.
Drill down to the 9 percent of this age group who make up the sandwich generation, and their experience leaves them far more concerned about their own senior years.
About half worry about being able to pay for their future care needs or having to move into a nursing home, compared with just over a third of other adults, the poll found. Also, 44 percent of sandwichers fear leaving debts to family, compared with 28 percent of others polled.
But the poll found the sandwich generation no more likely than other middle-aged adults to be planning and saving, possibly because of time or resources.
Al-Najjar is glad her mother “saved all her life … so she didn’t have to stress out about stuff like that.” Caring for her has changed how she spends and plans for the future.
“It’s like a wake-up call,” she said. There are “a lot of seniors in the United States that don’t have that money.”
The squeeze isn’t ending as children grow up. Among currently sandwiched parents, 29 percent have adult children living at home, the poll found; others are providing adult children with financial assistance, meaning some are sandwiched even after their children leave the nest.
Another challenge: Finding services to help seniors live out their days at home. AARP recently opened an online “livability index” to rank communities on such factors as accessible housing and transit options.
And the National Association for Area Agencies on Aging runs an Eldercare Locator — at www.eldercare.gov and 1-800-677-1116 — to help people find local resources. Last year, the locator averaged more than 22,000 requests for assistance a month. A recent report found the top needs: transportation, mostly to get to doctor appointments; in-home services, such as meals and personal care; and finding affordable housing or making age-friendly home modifications.
“People don’t generally make these calls until they’re in crisis,” said association CEO Sandy Markwood. “If mom and dad need this as they get older, you should prepare for that, too.”
Carroll Burnett of Whitesboro, Texas, cared for his 88-year-old father, who’d suffered a stroke, for a year before he died in March.
“I felt good that I could take care of him,” said Burnett, a retired tool and die maker who had help from his wife and one of his three grown children. But he’s saving up: “I don’t want any of my kids to go through what I did.”
The AP-NORC Center survey was conducted by telephone April 7 to May 15 among a random national sample of 1,735 adults age 40 or older, with funding from the SCAN Foundation. Results for the full survey have a margin of sampling error of plus or minus 3.2 percentage points.
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Associated Press writer Stacey A. Anderson and AP news survey specialist Emily Swanson contributed to this report.
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Online: http://www.longtermcarepoll.org
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Activism
Essay: Intentional Self Care and Community Connections Can Improve Our Wellbeing
At the deepest and also most expansive level of reality, we are all part of the same being, our bodies made from the minerals of the earth, our spirits infused by the spiritual breath that animates the universe. Willingness to move more deeply into fear and pain is the first step toward moving into a larger consciousness. Willingness to move beyond the delusion of our separateness can show us new ways of working and living together.
By Dr. Lorraine Bonner, Special to California Black Media Partners
I went to a medical school that was steeped in the principles of classical Western medicine. However, I also learned mindfulness meditation during that time, which opened me to the multifaceted relationship between illnesses and the interconnecting environmental, mental and emotional realities that can impact an individual’s health.
Therefore, when I began to practice medicine, I also pursued training in hypnosis, relaxation techniques, meditation, and guided imagery, to bring a mind-body focus to my work in medical care and prevention.
The people I saw in my practice had a mix of problems, including high blood pressure, diabetes, and a variety of pain issues. I taught almost everyone relaxation breathing and made some general relaxation tapes. To anyone willing, I offered guided imagery.
“My work embraced an approach to wellness I call “Liberatory Health” — one that not only addresses the treatment and management of disease symptoms but also seeks to dismantle the conditions that make people sick in the first place.”
From my perspective, illness is only the outermost manifestation of our efforts to cope, often fueled by addictions such as sugar, tobacco, or alcohol, shackled by an individualistic cult belief that we have only ourselves to blame for our suffering.
At the deepest and also most expansive level of reality, we are all part of the same being, our bodies made from the minerals of the earth, our spirits infused by the spiritual breath that animates the universe. Willingness to move more deeply into fear and pain is the first step toward moving into a larger consciousness. Willingness to move beyond the delusion of our separateness can show us new ways of working and living together.
To put these ideas into practical form, I would quote the immortal Mr. Rogers: “Find the helpers.” There are already people in every community working for liberation. Some of them are running for office, others are giving food to those who need it. Some are volunteering in schools, libraries or hospitals. Some are studying liberation movements, or are working in urban or community gardens, or learning to practice restorative and transformative justice, or creating liberation art, music, dance, theater or writing. Some are mentoring high schoolers or apprenticing young people in a trade. There are many places where compassionate humans are finding other humans and working together for a better world.
A more compassionate world is possible, one in which we will all enjoy better health. Creating it will make us healthier, too.
In community, we are strong. Recognizing denial and overcoming the fragmenting effects of spiritual disorder offer us a path to liberation and true health.
Good health and well-being are the collective rights of all people!
About the Author
Dr. Lorraine Bonner is a retired physician. She is also a sculptor who works in clay, exploring issues of trust, trustworthiness and exploitation, as well as visions of a better world.
Activism
Prescribing Prevention: Doctors Turn to Lifestyle, Herbs and Veggies to Protect Against Chronic Illness in Black Californians
By Charlene Muhammad, California Black Media
Leibo Glover received his diabetes diagnosis at the same time he found out he needed a below-the-knee amputation.
“Minor,” thought the 63-year-old.
Glover had been self-medicating a toe injury before seeing the doctor.
But while driving from South Los Angeles to Miami on a family trip, an infection set in.
“I had it but didn’t know,” said Glover. “I was just going to come back to California, but they told me if I had left, I would have come home as a corpse,” Glover told California Black Media (CBM).
A majority of the nearly 3.5 million Californians diagnosed with diabetes have preventable Type 2 diabetes, according to researchers at the UCLA Center for Health Policy Research.
In 2023, diabetes was diagnosed in 1 in 6 adults with the lowest incomes (16.7% at 0–99% of the federal poverty line), compared to 1 in 11 adults with the highest incomes (8.9% at 300% or more of the federal poverty line). Age is a factor, too: more than 1 in 5 older adults age 65 and over (22.3%) had diabetes, about twice the rate of adults age 18–64 (8.6%).
Another study by Health Economics and Evaluation Research (HEER) mapped patients with diabetes in California who had amputations. Researchers found that patients living in low-income ZIP codes were far more likely to have had lower-limb amputations than those in higher-income ZIP codes, essentially identifying amputation “hot spots.”
At the time of Glover’s 2018 diagnosis, he was experiencing housing instability and going through financial hardships. Now, he has more stable housing and he has improved his health through lifestyle changes like eating healthier and getting more sleep.
“If the equipment is right, I can stand on my leg for hours. I can actually run, jump, dance and all of that,” said Glover, who got his diabetes under control, in part, by avoiding carbohydrates and sugars.
As chronic illnesses continue to disproportionately impact Black Californians — often leading to preventable amputations and premature deaths — a growing number of doctors and advocates are expanding their care from just treatment to including prevention. From promoting diet and lifestyle changes to cultivating community farms focused on prevention and wellness like Dr. Bill Releford’s Bloom Ranch in Acton.
Releford, a podiatrist based in Los Angeles started the 250-acre Bloom Ranch in 2023 as part of his strategy for preventive care.
“This is my assignment,” said Releford.
“Bloom Ranch has been a perfect backdrop for me to be creative and to find avant-garde ways to make fresh fruits and vegetables more accessible to food deserts in Los Angeles County,” he stated.
California produces nearly half of the nation’s fruits and vegetables, yet more than 1 in 5 Californians — about 8.8 million people — currently struggle with food insecurity, according to the California Association of Food Banks.
“Studies have shown that 75% of amputations are preventable. And African Americans have the highest amputation rate in the nation,” Releford said.
As such, Releford continued, the mortality rate associated with high-level amputation is 50%, which means “if we had 10 people that all had high level amputations, five of those would be deceased in three years.”

Monday, June 28, 2025. Leibo Glover at his home in Los Angeles, California. The security professional’s leg was amputated below the knee.
Releford’s ranch is the largest Black-owned farm in L.A. County. He plans to partner with UCLA and the Charles R. Drew University of Medicine and Science to develop prescriptive vegetable boxes.
“Certain vegetables and herbs can lower blood pressure naturally, like beets, turnips, dill, basil, garlic and others,” said Releford.
“Hopefully, this will inspire other farmers to take this model and replicate it across other urban areas,” Releford added.
“A lot of studies have shown that gardening has so many health benefits – being in the sun, Vitamin D,” said Releford. “The dirt has a lot of microbes that are good for your immune system. Studies have shown that people who work in the dirt have strong immune systems.”
Gardening can potentially decrease the risk of dementia, enhance cognition, reduce stress, and boost immunity, indicates research by Genoa Barrow of the University of Southern California Center for Health Journalism as part of the 2024 Ethnic Media Collaborative, Healing California.
During a recent picturesque day at Bloom Ranch, families, school children, farmers and members of The Ultimate Book Club 1998, founded by Alina Anderson, sampled and purchased fresh produce while taking photographs.
“This is huge. “All of us have families that could use this information,” said Anderson.
Doctors like Releford, who are committed to tackling the most chronic diseases impacting all their patients utilize peer-to-peer support programs with self-management training led by individuals living with chronic conditions to provide role models and support for patients, according to a recent study by the California Health Care Foundation.
“The unifying feature of these programs is that they seek to build on the strengths, knowledge, and experience that peers can offer,” the report states.
Liz Helms, CEO of the California Chronic Care Coalition, addressed state-backed prevention policy and initiatives.
“It’s in horrible shape. It needs to get so much better, especially in underserved areas, where the Black population has a whole set of different needs,” she said.
Helms, who started advocacy after being denied access to care in the early 1990s, applauded new developments in telehealth. The opportunity to choose between visiting a doctor’s office or placing a phone call makes a difference, especially if there are transportation or distance issues, or if one is too sick, she said.
Fear is one thing people, especially in the Black community, must overcome, emphasized Helms.
“I had to get over my fear of going to the doctor, of not speaking up,” continued Helms, urging patients to “understand the baseline” of their health.
“Don’t let anyone stigmatize you or tell you that you’re not good enough to get care or look down on you. Everyone has a right to good, quality, affordable, timely health care,” said Helms.
To engage Bloom Ranch for preventive care focused on wellbeing and healthy living, call (323) 388-4828 or sign up at Bloomranchofacton.com
Activism
A West Coast CDC? California Partners With Oregon, Washington and Hawaii to Form Regional Health Alliance
“President Trump’s mass firing of CDC doctors and scientists — and his blatant politicization of the agency — is a direct assault on the health and safety of the American people. California, Oregon, and Washington will not allow the people of our states to be put at risk,” said Governors Gavin Newsom, Tina Kotek, and Bob Ferguson in a joint statement.
By Bo Tefu, California Black Media
California, Oregon, and Washington have launched the West Coast Health Alliance, a regional initiative to provide unified, science-based guidance on immunizations and other public health policies. The alliance was created in response to federal actions that have undermined the independence of the Centers for Disease Control (CDC) and raised concerns about the politicization of science.
The alliance aims to ensure residents receive credible, evidence-based recommendations, free from political interference.
“President Trump’s mass firing of CDC doctors and scientists — and his blatant politicization of the agency — is a direct assault on the health and safety of the American people. California, Oregon, and Washington will not allow the people of our states to be put at risk,” said Governors Gavin Newsom, Tina Kotek, and Bob Ferguson in a joint statement.
State health leaders emphasized the importance of transparency and evidence-based communication.
California Department of Public Health Director Erica Pan said, “The dismantling of public health and dismissal of experienced and respected health leaders and advisors, along with the lack of using science, data, and evidence to improve our nation’s health are placing lives at risk.”
Oregon Health Authority Director Sejal Hathi backed the coalition saying, “Our communities deserve clear and transparent communication about vaccines — communication grounded in science, not ideology.” Washington State Secretary of Health Dennis Worsham noted, “Public health at its core is about prevention — preventing illness, preventing the spread of disease, and preventing early, avoidable deaths.”
Hawaii has joined the alliance, expanding the partnership to four states. “Hawaii is proud to stand with our West Coast partners to ensure public health decisions are grounded in science, not politics,” said Gov. Josh Green.
The alliance states will coordinate health guidelines using trusted national medical organizations, aligning immunization recommendations and public health strategies while respecting tribal sovereignty. Shared principles to strengthen public confidence in vaccines and other health measures will be finalized in the coming weeks.
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