Healthcare Reform Reimagined: The Utah CARES Act with Joseph Jarvis

Send us a textWhen a hospital CEO candidly admitted to Dr. Joseph Jarvis that they diverted non-paying patients elsewhere despite having available beds, it crystallized everything wrong with America's healthcare system. In this eye-opening conversation, Dr. Jarvis—physician, public health leader, and healthcare reform advocate—shares his groundbreaking vision for transforming healthcare access in Utah and potentially nationwide.The Utah CARES Act represents a radical yet practical approach to healthcare reform that could eliminate the bureaucratic middlemen wasting billions while ensuring every resident receives necessary medical care without financial barriers. Dr. Jarvis artfully dismantles the "socialized medicine" critique by drawing a compelling parallel to our highway system: publicly funded, privately built, and universally accessible without anyone crying "socialism."Perhaps most disturbing is how our current system actively punishes healthcare providers for improving patient outcomes. Dr. Jarvis shares the story of a Utah physician whose protocol dramatically reduced pneumonia hospitalizations and costs—only to see the hospital financially penalized for delivering better care. The Utah CARES Act would flip these perverse incentives, rewarding quality care rather than billable procedures.Despite economic studies confirming the plan's fiscal soundness, political obstacles have temporarily blocked this initiative from reaching voters. But Dr. Jarvis remains undeterred, motivated by his faith and the knowledge that approximately 2,000 Utahns die unnecessarily each year due to healthcare access barriers.Whether you're a healthcare professional frustrated by systemic dysfunction, a patient struggling with medical costs, or simply someone who believes healthcare should serve people rather than profits, this conversation offers both a sobering diagnosis of our current system and a hopeful prescription for meaningful reform. Visit www.utahcares.health to learn more, share your healthcare story, or support this vital initiative.Support the show

Send us a textThe crisis in senior care isn't coming—it's already here. With Utah nursing homes forced to deny 1,200 admissions in 2023 and the state's senior population projected to grow 18% by 2027, we're facing critical questions about how to care for our aging loved ones.Allison Spangler, President and CEO of the Utah Healthcare Association, takes us behind the curtain of healthcare policy and advocacy. Her journey from hands-on caregiver to policy champion offers a unique perspective on the challenges facing senior care today. "I fell in love with helping older adults, being their family," she explains, describing her early days as a CNA that sparked a lifelong mission to serve this often-forgotten population.The conversation reveals startling truths about the regulatory and financial pressures squeezing senior care providers. Nursing homes operate with a staggering $100 per patient per day shortfall in Medicaid reimbursement, while navigating what Spangler describes as "the most regulated industry in the nation outside of NASA." This combination creates an unsustainable model threatening access to care precisely when demographic shifts demand expansion.We explore the crucial distinctions between skilled nursing facilities and assisted living communities, the special challenges facing rural providers, and innovative approaches like Utah's quality improvement incentive program. Spangler also shares her exciting "Stories of Caring" initiative designed to change public perceptions of long-term care by showcasing the dedication of caregivers who make these communities home.For anyone concerned about the future of elder care, this conversation offers both sobering realities and hopeful pathways forward. Whether you're a healthcare professional, have aging loved ones, or simply care about this growing societal challenge, you'll gain valuable insights into the complex world of senior care advocacy.Ready to make your voice heard? Connect with the Utah Healthcare Association at www.uthca.org or reach out to Allison at [email protected] and join the movement to ensure quality care for our seniors.Support the show

Send us a textPlanning for long-term care might be the most important conversation your family isn't having. In this eye-opening episode, Raymond Lavine, founder of Lavine LTC Benefits, reveals why waiting to address caregiving needs creates unnecessary financial and emotional burdens for families across America.Drawing from his personal experience caring for both parents, Raymond shares powerful insights that go beyond insurance policies to the heart of what matters: preserving relationships when caregiving becomes necessary. "Wife should always be wife, son should always be son—not caregivers," he emphasizes, highlighting how proper planning maintains the integrity of our most important connections.We explore the three critical questions everyone should answer: Where do you want your care? Who will be responsible for it? And how will you pay for it? Raymond brilliantly reframes long-term care insurance as "a warranty on you," helping listeners understand that humans, like machines, eventually need maintenance—and having a plan for that inevitable reality isn't pessimistic but practical.The conversation tackles common misconceptions about long-term care benefits, explains how modern policies have evolved to be more efficient, and outlines the various options available depending on your specific needs and circumstances. Raymond's empathetic approach to what many consider an uncomfortable topic transforms the discussion from one of fear to one of empowerment.Whether you're in your 30s planning decades ahead, approaching retirement, or concerned about aging parents, this episode provides essential guidance for navigating one of life's most challenging transitions. As Raymond powerfully concludes: "Have the conversation." Your future self—and your loved ones—will thank you.• Long-term care insurance functions as "a warranty on you," protecting your most valuable asset: yourself• Three fundamental questions everyone should address: Where do you want care? Who will provide it? How will you pay for it?• Family relationships suffer when spouses and children become caregivers instead of maintaining their primary roles• Caregiving is a specialized skill that most people haven't been trained to perform• People delay planning because insurance isn't immediately gratifying and forces confrontation with mortality• Benefits activate based on inability to perform daily activities, not specific medical diagnoses• Modern policies have become more efficient with streamlined health assessments and various coverage options• Raymond's personal experience caring for his father through three extended periods shaped his approachHave the conversation about long-term care planning now—whether with Raymond Levine, a financial advisor, or another knowledgeable professional. Contact Raymond through LinkedIn or at https://raymondlavineofficial.com/Support the show

Send us a textThe walls between generations seem to grow taller each year. Teenagers roll their eyes at grandparents who "just don't get it," while seniors shake their heads at youth who "don't care enough." But what if these misconceptions are actually preventing some of life's most enriching relationships?Licensed clinical social worker Danniel Worthen-Cullumber joins us to dismantle these barriers with wisdom gained from decades working with both ends of the age spectrum. Her insights reveal something surprising: our discomfort with older generations often stems from fear of our own aging future. By creating distance through stereotypes, we protect ourselves from confronting our inevitable journey.Danniel shares powerful observations about what each generation truly needs. For seniors, regular interaction combats the growing invisibility they feel as society pushes them to the margins. For younger people, these relationships provide something increasingly rare: adults who genuinely listen without judgment. "Teenagers just want to be heard," Danniel explains, "and I guarantee you that senior is going to listen."The most transformative connections happen in everyday moments, not just holiday gatherings. Whether it's teaching grandma to use a smartphone or learning about historical events from someone who lived through them, these exchanges build bridges across decades of different experiences. Danniel's simple but profound advice—"Ask the question, you'll get the answer"—opens doorways to extraordinary stories and mutual understanding.For families navigating the delicate balance of supporting aging loved ones while preserving their dignity, this episode offers practical guidance on maintaining autonomy while strengthening bonds. You'll discover how to identify what seniors truly want versus what they need, and how asking this simple question transforms relationships.Whether you're caring for aging parents, hoping to connect with grandchildren, or simply wanting to enrich your life through intergenerational friendships, this conversation will forever change how you approach these vital human connections.• Danniel's journey began as a CNA working with seniors, discovering it was "the hardest job she ever loved"• Depression rates among seniors entering care facilities are alarmingly high, particularly for those who lose independence• Misconceptions create barriers - young people often think seniors "don't get them," while seniors believe youth "don't care" or "aren't responsible"• Young people may distance themselves from seniors as a way to avoid confronting their own future aging• Intergenerational programs like those at Neighborhood House demonstrate how seniors' mental capacities "light up" when interacting with children• Communication between generations improves when focused on common interests rather than generational differences• Consistency matters more than grand gestures - regular Tuesday visits mean more than just showing up on holidays• Seniors provide what teenagers crave most: someone who genuinely listens without judgment• The value of older adults' experiences and stories provides perspective that can't be gained elsewhere• Practical advice for families: "Ask the question, you'll get the answer" to discover connections• Maintaining dignity and autonomy for seniors is crucial - avoid taking away rights as abilities changeFor those seeking support as caregivers or those working with aging loved ones, Danniel's practice Willow Medela Wellness offers resources. Caregivers face high burnout rates and often benefit from professional guidance through life transitions and emotional challenges.Support the show

Send us a textRetirement planning has a serious problem: we're living much longer than previous generations, but our financial preparation hasn't kept pace. With many retirees finding themselves 45% short of what they'll need for a comfortable retirement lasting potentially 30+ years, what options do we have?Laura Phillips, a licensed reverse mortgage specialist with over 25 years of experience, joins us to demystify one powerful but often misunderstood financial tool - the modern reverse mortgage. She tackles the elephant in the room immediately, acknowledging the product's controversial reputation while explaining how today's reverse mortgages differ dramatically from their predecessors. "It's not your grandmother's reverse mortgage," Phillips explains, detailing the significant consumer protections now built into these loans.We explore the mechanics of reverse mortgages in straightforward terms, from how they calculate available funds (based on age, equity, and interest rates) to what happens when the homeowner passes away. Phillips brings compassionate insight to the emotional aspects of retirement planning, addressing the delicate balance between using home equity as a financial tool and honoring the sentimental value of the family home.Perhaps most eye-opening is our discussion about financial education and America's retirement readiness gap. Phillips shares personal experiences that highlight how unprepared many of us are for financing decades of retirement, noting that even financial advisors struggle to project 30 years into the future. Her passion for helping seniors find solutions shines through as she encourages earlier, more honest conversations about aging and finances.Whether you're approaching retirement age yourself or helping parents navigate their options, this episode provides valuable perspective on one potential strategy for aging in place with greater financial security. Connect with Laura Phillips to learn if a reverse mortgage might be right for your situation.• Reverse mortgages have evolved substantially with improved consumer protections• Modern reverse mortgages require both spouses on the loan and verify ability to pay taxes/insurance• Homeowner age, available equity, and interest rates determine how much can be accessed (42-75%)• Older borrowers can access higher percentages of their home's value• Reverse mortgages work best when heirs aren't expecting to inherit the physical home• The loan grows over time but has protections against going "underwater"• Heirs can choose to sell the home or purchase it by paying off the loan balance• Financial education about longevity planning should start much earlier in life• A home should be viewed as both an emotional space and a potential financial toolIf you're 62 or approaching that age and thinking about retirement options, reach out to Laura Phillips at [email protected] or call 303-817-4611 to discuss whether a reverse mortgage might be right for your situation.Support the show