Ruben Ortiz admitted he was concerned the first time he picked up takeout from the New Haven restaurant where he worked until the COVID-19 pandemic shut down the state in mid-March. “I walked in and thought, I can’t do this,” the New Haven resident said of his concerns about transmission of the virus that has killed more than 4,400 residents statewide. “I was inside, and it was making me uncomfortable.”
Like millions of employees throughout the country, particularly those working low-wage restaurant, hospitality, retail or cleaning jobs, Ortiz has no idea what the future will bring. He was out of work for 13 weeks. Then the Cast Iron Chop House began to see enough customers to schedule four waiters a night, compared with the eight to 10 who worked nightly before the pandemic.
Thousands of consumers statewide are experiencing sticker shock at the pharmacy this year after increases in deductibles and out-of-pocket expenses for employer-sponsored insurance, forcing some to choose between their health and their finances. Since 2003, drug costs in Connecticut have increased faster than prices across the nation, reports the nonprofit Connecticut Health Policy Project. The advocacy group also found that Connecticut residents spend more per person on prescriptions than residents in all states except Delaware and that rate is rising much faster than in other states. According to the State Comptroller’s Office, the total net costs of prescription drugs in the state employee health plan rose 29 percent, from $257.6 million in 2014 to $332.3 million in 2017, with diabetes drugs the most expensive therapeutic class. Some of the companies to hike prices on dozens of medications by more than 9 percent this year include Allergan Plc, Insys Therapeutics Inc., Horizon Pharma Ltd., and Teva Ltd, according to Jefferies LLC, a New York-based investment advisory firm.
As the number of elderly drivers steadily increases, the decision about when it’s time to stop driving often falls to their children, who must make the gut-wrenching choice to take away the car keys, and often, their parents’ independence. But two Connecticut doctors are studying various aspects of elderly driving and their findings could eventually make the decision-making process easier or perhaps even keep elderly drivers on the road longer. At Yale New Haven Hospital, geriatrics researcher Dr. Richard Marottoli is studying driving longevity in women compared to men. He’s working to identify gender differences, determine whether women are more likely to stop driving sooner than men, and whether there is any relationship between brain volume, adverse driving experiences and medical history as it relates to the ability to drive safely. At UConn Health Center on Aging in Farmington, Dr. Kevin Manning, a neuropsychologist and assistant professor of psychiatry, is conducting a separate study using a Patterson Grant, defining what aging factors affect driving ability, identifying correctable difficulties that could help extend the driving lifetime and measuring how loss of a driver’s license is associated with the risk of depression and mortality.
Health experts are struggling to narrow the gaps in Connecticut’s geriatric care to meet the needs of the state’s rapidly aging population. The state needs more professionals to focus on geriatric care while also addressing other ways to meet the increasingly complex care needs of older residents, says the American Geriatric Society (AGS). In Connecticut, only 134 certified geriatricians are currently practicing—caring for a 65-plus population that topped 577,000 in 2015, according to the AGS. And that population will continue to grow, the AGS says, with an elderly population of 956,000 expected by 2030. That’s a 40 percent increase, and will require an estimated 340 geriatric specialists to meet that treatment need.
‘Patient-centric care’ is one of those catch phrases that have little grounding in real-world patient-provider encounters. But later this month, hundreds of Connecticut health care consumers and clinicians will come together for a first-of-its-kind conference that aims to foster patient engagement in medical care. “Better Health: Everyone’s Responsibility,” set for Sept. 17 at the Connecticut Convention Center, Hartford, is a step in bringing patients and providers together to discuss joint decision-making in medical care – from medication management, to end-of-life care, to navigating provisions of the Affordable Care Act. The goal of the summit – open to the public – is to break down barriers between providers and the people they serve, by giving both sides a crash course in key health-care issues and effective ways of communicating.