At first glance, you might think New Jersey was doing pretty well in 2010. According to federal guidelines, only 7 percent of its residents age 65 and older were living in poverty. But a study primarily funded by the Silver Century Foundation paints a much more disturbing picture—in the same year, nearly 43 percent of the state’s elders who lived independently in the community couldn’t afford life’s basic necessities: housing, health care, food, transportation and other essentials such as clothing.
How can these numbers be so far apart?
The federal poverty guidelines are based entirely on food costs, using a formula unchanged since the 1960s when experts estimated that families spent a third of their budgets on groceries. The experts multiplied the price of a frugal diet by three to establish a poverty threshold.
Though that threshold updates annually, it’s still based solely on the cost of food—specifically, the current cost of the same minimal meal plan considered barely adequate more than 40 years ago—and it doesn’t take into account other essential living expenses. Today Americans spend less than one-tenth of their income on what they eat; most older people find that housing and health care claim much bigger chunks of their money.
There’s another important problem, as well: the poverty threshold is the same whether you live in rural Alabama or Manhattan, though the cost of living can vary enormously from place to place.
As she struggles financially, Antonia works at keeping her spirits up.
Despite these flaws, the federal poverty guidelines determine whether individuals and families are eligible for a number of benefits, including food stamps and some state health insurance programs. Over the years, many experts have suggested more plausible ways to measure poverty but there’s been no consensus on how to do it.
A More Realistic View
In a recent effort to establish more realistic standards for what life’s basic necessities cost older people, a Washington, DC, nonprofit group created the Elder Economic Security Standard Index (also known as the Elder Index).
Wider Opportunities for Women (WOW) worked with the Gerontology Institute of the University of Massachusetts to determine the least amount of income older Americans need to live independently—to age in place—county by county, nationwide.
The Elder Index has several goals. Primarily, it’s an attempt to improve public policies by providing real information about what elders need and to guide agencies that serve seniors. It’s also useful to individuals who want to help their parents make financial decisions, or those who wonder whether they can afford to retire, or who hope to identify a community with a lower cost of living.
The Elder Index calculates bare-bones expenses for:
- Food – home-cooked meals only, based on the USDA’s Low Cost food plan
- Housing – either a homeowner’s mortgage payments or rent (for a one-bedroom apartment), plus condo fees, property taxes, insurance, heat and utilities
- Health care – premiums, deductibles and copays for Medicare, a supplementary medigap plan and a prescription drug plan, along with out-of-pocket expenses for eyeglasses, hearing aids and other health needs not covered by Medicare
- Transportation – the cost of owning a car
- Miscellaneous – all other personal and household necessities, everything from shoes to phone service. This category does not include luxuries like cable TV, restaurant meals or gifts for the grandkids—nor does it include home repairs.
Housing consumes the biggest portion of the budget for most older people in good health. Homeowners with a mortgage generally spend the most for shelter; renters come next, then homeowners without a mortgage. Researchers calculate these three options separately. They’ve also studied the costs of long term care and the financial impact of poor health.
To figure out how many older Americans can afford the bare-bones essentials, the Elder Index calculates income, including pensions, Social Security and savings. It assumes individuals have Medicare and are completely retired with no support from relatives or government programs such as Medicaid. For both expenses and income, all calculations are based on data readily available from the government or from studies of the market.
Elder Index researchers have estimated the cost of necessities for older people in every county in all 50 states. You can find this information online and it’s sobering. In 2016, half of all US elders who lived alone and one out of four who lived with another elder couldn’t afford life’s essentials—they had incomes below the Elder Index. Overall, older Americans who lived alone needed between $20,000 and $31,000 a year to cover their basic expenses, depending on whether they owned a home outright, rented or had a mortgage. Married couples needed $31,00 to $41,000.
These findings highlight the problems with the federal guidelines, which set the poverty line in 2016 at $11,880 for those who lived alone and $16,020 for couples. In the opinion of WOW’s leaders, these are not measures of poverty but of “abject deprivation.”
Seizing the Initiative
The Elder Index is just numbers unless someone acts on it. WOW is supporting coalitions in 17 states, including New Jersey, to do studies of their own, to use the Elder Index to educate policy makers and the public and to guide outreach to elders who need help.
The New Jersey Foundation for Aging (NJFA) leads the way in New Jersey. In 2009 it analyzed the cost of living for elders in each of the state’s 21 counties, working with WOW.
That was a good beginning, but NJFA executive director Grace Egan wanted to know how many older people had incomes below the Elder Index, who they were and where they lived—information that could provide a tool for planners and policy makers. In 2012, a grant from the Silver Century Foundation (SCF) enabled NJFA to undertake a second study
The new research, which analyzed the incomes and expenses of older citizens living independently in the community, revealed that almost 43 percent have incomes below the elder index. This is important to know, Egan said.
“Frequently, you hear that seniors are on easy street or that they don’t have health care costs, but in fact they do,” she said. “Medicare is not free.”
As with any other health insurance plan, Egan explained, there are premiums, copays and limits on coverage. Many older people wind up with high medical bills.
Women Are the Most Vulnerable Elders
The 2012 study took results a step further, breaking down its statistics by gender. Kay Klotzburger, president of SCF, explained that the foundation is particularly interested in the predicament of older women because they’re more vulnerable than men financially—and they live longer.
“An overwhelming number of them are in poverty,” Klotzburger said. “There’s no group in this society I’m more concerned about.”
Nationally, 60 percent of all older women have incomes below the Elder Index, compared to 41 percent of older men. The men’s incomes are almost 75 percent higher. In a Huffington Post interview, Donna Addkison, then president and CEO of WOW, called the problem “staggering.”
“Older women are very quietly making decisions at home to split their pills in an attempt to stretch their medication,” she said. “They’re choosing between having heat in the winter and having nutritious food on the table.”
A perfect storm of circumstances leave many older women financially vulnerable.
The situation is most precarious for women of color, who are generally worse off than the men, though for both sexes, the statistics are dismal. These were the national averages for 2016 for older Americans who lived alone (couples tend to be somewhat better off) and had incomes below the Elder Index:
- 61 percent of Asian Americans
- Two-thirds of African Americans
- Nearly three-quarters of Hispanics
By comparison, half of non-Hispanic whites lived below the index. Researchers suggested that one reason older people of color had lower incomes than whites was that a higher percentage of them are women —for example, 61 percent of older African Americans are women, compared to just 55 percent of non-Hispanic whites.
The factors that make older women vulnerable financially add up to a perfect storm. Women work mostly in lower-wage industries or if they don’t, they’re often paid less than men for comparable jobs. They’re less likely to have pensions, less likely to earn enough to be able to save for retirement and more likely to take time off for caregiving. Because Social Security is based on earnings, their benefits once they retire are correspondingly low.
NJFA’s research showed that for both sexes, things were worse in 2012 than in 2009, and this worrying trend continued through 2014 , thanks partly to rising costs and historically low returns on savings and safe investments. In the three years between 2009 and 2012, basic living costs increased by 8 percent for New Jersey’s single renters and by more than 11 percent for homeowners with mortgages, even as their incomes and the value of their assets dropped. By 2014, almost 60 percent of the state’s older households had incomes below the Elder Index, a jump from 43 percent in 2012.
“This is through no fault of their own,” Egan said. “Even if they were good savers and planned well for their retirement, those are steep increases.”
Putting the Numbers to Work
For social service agencies, the Elder Index offers insights into the kind of help older people need. For instance, New Jersey’s 2009 study revealed that surprisingly few elders received food stamps under the Supplemental Nutrition Assistance Program (SNAP).
“They didn’t think they were eligible,” said Melissa Chalker, NJFA’s program manager.
SNAP’s enrollment increased once local organizations began to provide information about food stamps to older people applying for a state program that helps pay for prescription drugs. Egan pointed out that getting help to pay for one thing, such as food, could free up money for other necessities.
If policy makers use the Elder Index, it could become the basis for realistic new efforts to identify and help older people who are struggling.
Access to affordable housing would make the biggest difference, especially in New Jersey, where the rent for a one-bedroom apartment typically eats up 47 percent of an older person’s income. Yet affordable senior housing is hard to find because often when someone proposes building it, neighbors object. Egan hopes that a look at the Elder Index will convince some younger adults that they may need to downsize into a reasonably priced apartment someday and therefore should support affordable projects now.
The great hope for the Elder Index is that state and federal policy makers will use it to analyze the impact of public policies on older citizens and to adjust them accordingly or come up with realistic new initiatives.
Beyond that, the concept of the Elder Index is a departure from the way Americans usually think about poverty and economic security.
“It’s a positive approach,” said SCF’s Klotzburger. “It reveals how much income older adults need to survive without help from their children or from government programs—how much they must have to remain independent and feel financially secure. Instead of measuring abject poverty, the Elder Index is a measure of self-sufficiency and human dignity.”