Author: SeniorWomenWeb

  • Goosed: Those Years When Fate Takes a Hand By Julia Sneden, A SeniorWomen.com Tradition

  • The Morgan’s Charles Dickens’s A Christmas Carol: Christmas is nothing more than “a time for finding yourself a year older and not an hour richer”said Scrooge

    Every holiday season, the *Morgan displays Charles Dickens’s original manuscript of A Christmas Carol in J. Pierpont Morgan’s Library. Dickens wrote his iconic tale in a six-week flurry of activity beginning in October 1843 and ending in time for Christmas publication. He had the manuscript bound in red goatskin leather as a gift for his solicitor, Thomas Mitton. The manuscript then passed through several owners before Pierpont Morgan acquired it in the 1890s.

    Beginning a few years ago, the Morgan started advancing the Christmas Carol manuscript by one page each season. This year the manuscript is open to Scrooge’s vituperative remarks about Christmas, which, he believes, is nothing more than “a time for finding yourself a year older and not an hour richer.” For the obstinate Scrooge, “every idiot who goes about with ‘Merry Christmas’ on his lips, should be boiled with his own pudding, and buried with a stake of holly through his heart. He should!” Scrooge’s nephew Fred counters with a spirited vindication of the holiday, “though it has never put a scrap of gold or silver in [his] pocket” “[it is] the only time I know of, in the long calendar of the year, when men and women seem by one consent to open their shut-up hearts, freely.”:

    Explore Charles Dickens’s A Christmas Carol online and view other related highlights from the collection.

    Share in the festivities with your own copy of A Christmas Carol available from the Morgan Shop. This is the first-ever trade edition of Charles Dickens’s “own and only” manuscript of his classic and beloved story. It contains a facsimile of the original manuscript of A Christmas Carol, published in full-color, with a foreword by Colm Tóibín and introduction by Declan Kiely.

    Charles Dickens (1812-1870), A Christmas Carol in Prose, Being a Ghost Story of Christmas, illustration by John Leech, London: Chapman & Hall, 1843. Bequest of Gordon N. Ray, 1987. PML 132030.

    *Pierpont Morgan’s immense holdings ranged from Egyptian art to Renaissance paintings to Chinese porcelains. For his library, Morgan acquired illuminated, literary, and historical manuscripts, early printed books, and old master drawings and prints. To this core collection, he added the earliest evidence of writing as manifested in ancient seals, tablets, and papyrus fragments from Egypt and the Near East. Morgan also collected manuscripts and printed materials significant to American history.

    Over the years — through purchases and generous gifts — the Morgan has continued to actively acquire rare materials as well as important music manuscripts, a fine collection of early children’s books and manuscripts, and materials from the twentieth century (as well as earlier periods). Nevertheless the focus on the written word, the history of the book, and master drawings has been maintained.

     

     
  • *KFF: Gaps in Cost Sharing Protections for COVID-19 Testing and Treatment Could Spark Public Concerns About COVID-19 Vaccine Costs

    Karyn Schwartz 

    Loopholes that have led to out-of-pocket costs for COVID-19 testing

    Gaps in the Families First Coronavirus Response Act (FFCRA) and the Coronavirus Aid, Relief, and Economic Security (CARES) Act leave some patients with private insurance unprotected when they get a COVID-19 test from an out-of-network provider — those providers are not limited in what they can charge patients and are allowed to bill patients directly for the entire cost of testing and related services, leaving insured patients to submit claims for reimbursement themselves.

    Federal law also does not prohibit out-of-network providers from balance billing for COVID-19 tests and related services. Instead, the law requires providers to publicly post their cash charges for testing and related services and requires insurers to reimburse the providers at their cash price if posted, but the law is silent on what insurers must pay for COVID-19 tests and related services rendered by out-of-network providers if no cash price has been posted.

    Additionally, COVID-19 testing may not qualify for coverage by private insurance if it is deemed to not be medically necessary, for example, testing for travel or employment.

    Patients with Medicare have more comprehensive coverage for COVID-19 testing with no cost sharing. This also is true for Medicaid enrollees while states are receiving enhanced federal matching funds tied to the COVID-19 public health emergency.

    After the public health emergency is lifted, some Medicaid enrollees may face nominal cost sharing, and some Medicaid adults (low-income parents, pregnant women, seniors, and people with disabilities who do not receive an “alternative benefit plan”) may not have coverage unless states choose to cover diagnostic tests.

    Lack of comprehensive protections against out-of-pocket costs for COVID-19 treatment

    In contrast to COVID-19 testing, there are few federal requirements related to COVID-19 treatment. For example, no changes were made to Medicare cost sharing rules, meaning that Medicare beneficiaries in traditional Medicare could face more than $1,400 in cost sharing if they are hospitalized for COVID-19 and do not have supplemental coverage, while those in Medicare Advantage could face higher or lower costs for a hospitalization depending on their plan.

  • Fed Reserve Gov Brainard: Strengthening the Financial System to Meet the Challenge of Climate Change; opportunities for private-sector investments in low-carbon innovation, infrastructure, energy, and transportation

    Climate change and the transition to a sustainable economy have important implications for the financial system. The financial system can be a powerful enabler to help the private sector manage climate-related risks and invest in the transition. It is vitally important to strengthen the U.S. financial system to meet the challenge of climate change.

    Meeting the Challenge of Climate Change
    Climate change is one of the major challenges of our time.2 There is growing evidence that extreme weather events related to climate change are on the rise — droughts, wildfires, hurricanes, and heatwaves are all becoming more common.3 Climate-related events are already adversely affecting the lives of many Americans. The economic and financial impacts are also increasingly evident: we are already seeing elevated financial losses associated with an increased frequency and intensity of extreme weather events.4 Some have described Pacific Gas and Electric’s bankruptcy as the first climate-related bankruptcy of a major US corporation.5

    Average annual insured weather-related catastrophe losses have increased over the past decade.6 With losses increasing, insurers are incorporating the impact of climate change into their underwriting assumptions, pricing, and investment decisions. Climate change is also likely to have a notable impact on coverage availability.7 Some insurers have discontinued policies in fire-prone areas, which, in turn, is changing the costs of homeownership and the risk profiles of previously underwritten mortgages.8

    Similarly, mortgages in coastal areas are vulnerable to hurricanes and sea level rise. New mortgages issued for U.S. coastal homes have, in aggregate, exceeded $60 billion annually in recent years.9 Recent research suggests that lenders hit by hurricanes, particularly in areas not typically affected by natural disasters, tend subsequently to securitize more of their mortgage loans, which could have higher climate risks, higher borrower defaults, and lower collateral values.10 Homeowners could also face increased hardship, since many homeowner insurance policies exclude flooding.11

    Just as there are risks, there are also promising opportunities for private-sector investments in low-carbon innovation, infrastructure, energy, and transportation. With support from accounting standard setters, credit rating agencies, and regulators, the financial system can provide useful signals to help the private sector manage climate risks and facilitate a smooth transition.12

    Climate Risks and Financial Stability
    Climate change could pose important risks to financial stability. That is true for both physical and transition risks. A lack of clarity about true exposures to specific climate risks for physical and financial assets, coupled with uncertainty about the size and timing of these risks, creates vulnerabilities to abrupt repricing events.13 For example, a shift in the perceived frequency or severity of climate-related events, such as storms, floods, or wildfires, could rapidly change perceptions of risk and lead to rapid repricing of assets.14 Similarly, changes in investor expectations about future climate policies could lead to rapid and unexpected price changes that ripple through the financial system.15

    Assessing climate risk effects is complex because the predicted path of climate change is nonlinear and has likely tipping points, beyond which changes in climate conditions could occur rapidly, and climate forecasts based on historical data are no longer relevant.16 This uncertainty in climate forecasts may reduce the accuracy of risk models used by investors, risk managers, asset managers, financial infrastructures, and leveraged financial institutions.

    With accounting standards and disclosure frameworks for climate risk in the early stages of development and adoption, investors may lack transparency around the range of climate-related exposures facing financial firms, and non-financial short-term investors may be disinclined to fully price in longer-term climate effects.17 Some studies suggest that even well-informed investors may underestimate the likelihood of large shocks related to climate.18 Combined with the uncertainty in the timing and magnitude of climate change itself, this mispricing could lead to financial volatility as conditions evolve and perceptions shift.

    Consistent, comparable, and actionable disclosures are critical to understanding firms’ exposures to climate risks and to accurately pricing that risk. The Task Force on Climate-Related Financial Disclosures (TCFD), a private sector-led initiative with support from the Financial Stability Board, provides a consistent global framework for companies and other organizations to improve standardization of climate-related financial disclosures. As of October 2020, nearly 1,500 organizations with a combined market capitalization of $12.6 trillion, including financial institutions that own or manage assets of $150 trillion, had expressed their support for the TCFD framework. This support signifies strong demand from the private sector and investors for greater transparency around climate-related risks to better inform decisionmaking.19

    We are improving our understanding of climate risks and their impact on financial stability through staff research and engagement with other central banks on topics like climate scenario analysis. One useful approach to assessing the effect of climate-related risks is through scenario analysis of how the financial system is exposed and how it may respond to climate-related risks. Climate scenario analysis identifies climate-related physical and transition risk factors facing financial firms, formulates appropriate stresses of those risk factors under different scenarios, and measures their effects on individual firms and the financial system as a whole.20 In part because of the different nature of climate-related risks relative to financial and economic downturns and the significantly longer planning horizon, this is distinct from established regulatory stress tests at banks, which are used to assess capital adequacy over a relatively short horizon.

    Measuring, Modelling, and Managing Climate Risk in the Banking System
    Supervisors are responsible for ensuring that supervised institutions are resilient to all material risks, including those associated with climate change. The economic and financial market consequences of climate change and the accompanying economic transition will have direct implications for bank balance sheets, strategies, and operations, and could increase credit, market, liquidity, or operational risk at banks. These climate-related developments may affect the creditworthiness of corporate, household, and government borrowers.21 Climate-related risks may reduce a borrower’s repayment capacity or the value of assets collateralizing a loan, exposing banking institutions to losses. Similarly, climate-related risks may impact the level and volatility of asset prices, thus affecting the value of a bank’s portfolios. Severe weather events may disrupt a bank’s data centers or operations and impede its ability to provide financial services to customers.

  • How are States Prioritizing Who Will Get the COVID-19 Vaccine First? CDC’s Advisory Committee on Immunization Practices (ACIP) Released an Interim Recommendation For the Highest Priority Group

    Covid 19
    Michigan Health Lab News Illustration
     

    Introduction

    On December 11, the Food and Drug Administration (FDA) issued the first emergency use authorization (EUA) for a COVID-19 vaccine – the Pfizer-BioNTech vaccine – followed by the Centers for Disease Control and Prevention (CDC)’s recommendation for use, clearing the way for delivery and administration of the vaccine throughout the country. Initially, supply will be very limited, meaning states have to make difficult decisions about who should get the first allocations.

    To help guide these decisions, the CDC’s Advisory Committee on Immunization Practices (ACIP) released an interim recommendation on December 1 for the highest priority group (“Phase 1a”) to include health care workers (HCWs) and long-term care (LTC) residents; we estimate that this populations together represents about 17.6 million people.  ACIP also provided further guidance regarding sub-prioritization within these groups. While ACIP has yet to finalize recommendations on subsequent prioritization (expected soon), according to presentations and materials provided in recent ACIP meetings, the committee is likely to recommend that (non-health care) essential workers be the next priority group (“Phase 1b”), followed by persons age 65 and older and those with conditions that place them at high risk for severe illness from COVID-19 (“Phase 1c”).  These groups are much larger, which will likely make the next stages of prioritization much more difficult given that supply will still be limited (according to ACIP, there are an estimated 87 million essential workers, 53+ million seniors and more than 100 million individuals with high-risk medical conditions).

    States look to and often follow ACIP guidance, but the federal recommendations are not binding and some states may choose to depart from the prioritization sequence outlined by ACIP, which could mean that initial access will depend on where people live. To see where states stand on prioritization, we collected and reviewed all statements and releases from state officials that reference the criteria they will use to prioritize vaccines during Phase 1 (these prioritization criteria build on and add detail to states’ initial vaccine distribution plans, which we already examined here). We did not assess how individual facilities (such as hospitals) will allocate vaccines once they arrive at their doors.

    Findings

    All states have released updated prioritization criteria for Phase 1, primarily in response to ACIP deliberations and guidance. Some had planned emergency meetings in anticipation of the FDA’s announcement and ACIP’s follow-on recommendation. Importantly, most indicate that these criteria could change depending on supply, vaccine characteristics, and other factors.

    Most states are following ACIP’s Phase 1a recommendation.

    • 45 states are following ACIP’s interim Phase 1a recommendation to prioritize HCWs and LTC residents. Some states will start vaccinating both of these groups together, while others will start with one of these groups first as they await more supply to start vaccinating the other. Still, even with these state criteria, decisions about how to allocate limited initial vaccines to HCWs and LTC residents will mostly be left to facilities.
    • 7 states depart from ACIP’s Phase 1a recommendation in some way. For example, the District of Columbia and Utah include HCWs in Phase 1a but LTC residents in Phase 1b.  Nevada, New Hampshire, and Wyoming include law enforcement in Phase 1a (per ACIP’s proposed framework, they are in 1b). Massachusetts includes people incarcerated in prisons and those living in homeless shelters in Phase 1a (neither is explicitly mentioned in ACIP’s Phase 1 framework).
    • More than 20 states also provide further sub-prioritization rankings or criteria within HCW and/or LTC resident groupings. For example, Alabama segments HCWs into “very-high”, “high”, and “medium” risk. Idaho provides specific rankings within each group. Texas groups Phase 1a into “first” and “second” tier.

    The majority of states are still developing criteria for subsequent Phase 1 prioritization, but there are already some differences from ACIP’s preliminary framework.

    • 30 states indicate that they are still developing more specific criteria for these next phases.
    • Of the 21 with criteria, 8 follow ACIP for Phase 1b and 5 follow ACIP for 1c.
    • The main differences lie in where states place people ages 65 and older and those with high risk medical conditions, relative to essential workers. For example, Alabama, Delaware, Florida, Maryland, North Carolina, and Tennessee each prioritize those 65+ and/or those with high risk medical conditions over non-health essential workers; North Carolina and Tennessee prioritize those with high risk medical conditions over those ages 65 and older.
    • In addition, some include other congregate settings (not indicated in ACIP’s framework). Alabama, Nebraska, Nevada, North Carolina and Oklahoma explicitly include those living in homeless shelters and prisons in Phases 1b or c. Delaware and Tennessee explicitly include people incarcerated in prisons in 1c.

    Discussion

    Our review finds that almost all states hew to ACIP regarding initial allocations of a COVID-19 vaccine (Phase 1a) and have looked specifically at ACIP for decision-making.  Beyond that, a good number of states are still developing criteria for Phases 1b-c.  Given that ACIP has yet to issue recommendations for these phases, states may be waiting for further guidance. However, based on ACIP’s preliminary framework, there are some differences between state priorities and where ACIP is likely to land, primarily related to the prioritization of seniors and/or those with high risk medical conditions relative to non-health essential workers. Moreover, these later prioritization decisions are likely to be more difficult given the large numbers of people in these groups and continued limits on vaccine supply.

    Table 1: Sources for State Prioritization Criteria
    State Sources
    Alabama https://www.alabamapublichealth.gov/covid19/assets/adph-covid19-vaccination-allocation-plan.pdf
    Alaska http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/VaccineInfo.aspx#who; https://www.ashnha.com/wp-content/uploads/2020/12/Alaska-Allocation-Committee-Summary-12-3-20.pdf
    Arizona https://azgovernor.gov/governor/news/2020/12/primer-arizona-receiving-383000-vaccine-doses-end-december; https://apnews.com/article/travel-arizona-thanksgiving-holidays-coronavirus-pandemic-d7a965eb92d84be297074ce85f224069; https://www.azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php#novel-coronavirus-faqs
    Arkansas https://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-plan; https://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-plan#:~:text=The%20initial%20recipients%20in%20Arkansas,vaccines%20may%20also%20be%20authorized
    California https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CDPH-Allocation-Guidelines-for-COVID-19-Vaccine-During-Phase-1A-Recommendations.aspx 
    Colorado https://covid19.colorado.gov/vaccine  
    Connecticut https://portal.ct.gov/Coronavirus/COVID-19-Vaccinations 
    Delaware https://coronavirus.delaware.gov/wp-content/uploads/sites/177/2020/12/COVID-19-Vaccination-Playbook-DE-V10-120920_final.pdfhttps://coronavirus.delaware.gov/vaccine/vaccine-information-for-the-general-public/
    District of Columbia https://mayor.dc.gov/sites/default/files/dc/sites/coronavirus/release_content/attachments/Situational-Update-Presentation-12-10-20.pdf
    Florida https://www.flgov.com/2020/12/10/governor-ron-desantis-provides-update-on-covid-19-vaccine-distribution-plan-2/
    Georgia https://dph.georgia.gov/covid-vaccine (updated plan)
    Hawaii https://www.hawaiinewsnow.com/2020/12/10/watch-gov-ige-unveil-states-covid-vaccination-plan/
    Idaho https://coronavirus.idaho.gov/wp-content/uploads/2020/12/CVAC-Prioritization-for-HCP-and-Essential-Workers.pdf  
    Illinois https://www.dph.illinois.gov/covid19/vaccination-plan
    Indiana https://www.coronavirus.in.gov/vaccine/index.htm
    Iowa https://idph.iowa.gov/News/ArtMID/646/ArticleID/158385/Pfizer-COVID-19-Vaccine-Receives-Emergency-Use-Authorization
    Kansas https://www.coronavirus.kdheks.gov/DocumentCenter/View/1664/COVID-19-Vaccine-Updates-1292020-
    Kentucky https://govstatus.egov.com/ky-covid-vaccine
    Louisiana https://ldh.la.gov/index.cfm/page/4042https://www.wdsu.com/article/who-gets-the-covid-19-vaccine-first-in-louisiana/34921329#
    Maine https://www.seacoastonline.com/story/news/local/2020/12/05/covid-vaccine-maine-new-hampshire-distribution-plans/3826828001/
    Maryland https://governor.maryland.gov/2020/12/08/state-of-maryland-to-focus-on-health-care-workers-long-term-care-facilities-first-responders-in-initial-covid-19-vaccine-allocation/; https://governor.maryland.gov/wp-content/uploads/2020/12/December-8-Slides.pdf
    Massachusetts https://www.mass.gov/info-details/covid-19-vaccine-frequently-asked-questions#who-will-get-vaccine-first?-  
    Michigan https://www.michigan.gov/documents/coronavirus/MI_COVID-19_Vaccination_Prioritization_Guidance_710349_7.pdf
    Minnesota https://www.health.state.mn.us/diseases/coronavirus/vaccine.html#who (general) 
    Mississippi https://www.sunherald.com/news/coronavirus/article247696885.html
    Missouri  https://covidvaccine.mo.gov/residents/#availability; https://www.kmov.com/news/covid-19-vaccine-timeline-missouri-expects-first-vaccinations-to-begin-next-week/article_00ab8cc8-3bef-11eb-a2fe-ffffcd1815cd.html
    Montana https://dphhs.mt.gov/aboutus/news/2020/bullockanouncesfirstroundcovid-19vaccineplan  
    Nebraska http://dhhs.ne.gov/Pages/COVID-19-Vaccine-Information.aspx; See 12/7 plan
    Nevada https://nvhealthresponse.nv.gov/wp-content/uploads/2020/12/NEVADA-COVID-19-VACCINE-PLAYBOOK-VERSION-2.0.pdf  
    New Hampshire https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/phase-1a-technical-assistance.pdf  
    New Jersey https://www.nj.gov/health/cd/documents/topics/NCOV/Priority_Groups_English.pdfhttps://www.northjersey.com/story/news/coronavirus/2020/12/11/covid-vaccine-where-get-nj-who-gets-first-more-faqs/3886922001/https://www.nj.com/coronavirus/2020/12/nj-will-give-first-doses-of-covid-19-vaccine-tuesday-morning-in-newark-murphy-says.html
    New Mexico https://www.santafenewmexican.com/news/coronavirus/new-mexico-could-receive-first-shipment-of-covid-19-vaccine-tuesday/article_fdf5e79c-3b05-11eb-a8d2-d3005d4eb76c.html
    New York https://www.governor.ny.gov/news/governor-cuomo-updates-new-yorkers-states-vaccination-distribution-plan
    North Carolina https://covid19.ncdhhs.gov/vaccineshttps://files.nc.gov/covid/documents/COVID-19-Vaccine-Update.pdf
    North Dakota https://www.health.nd.gov/sites/www/files/documents/COVID%20Vaccine%20Page/Vaccine_Prioritization_Phase_1A.pdf
    Ohio https://coronavirus.ohio.gov/static/vaccine/general_fact_sheet.pdfhttps://governor.ohio.gov/wps/portal/gov/governor/media/news-and-media/covid10-update-12042020
    Oklahoma  https://oklahoma.gov/content/dam/ok/en/covid19/documents/vaccine/COVID-19%20Vaccine%20Priority%20Population%20Framework%20for%20Oklahoma%20-%2012-8-20.pdf  
    Oregon https://govstatus.egov.com/or-oha-covid-vaccinehttps://www.kptv.com/news/state-health-advisors-lay-out-oregons-covid-19-vaccination-plan/article_abac6714-3bae-11eb-a921-4352fc359b5c.html
    Pennsylvania https://www.health.pa.gov/topics/Documents/Programs/Immunizations/Vaccine%20Plan%20V.3%20FINAL.pdf
    Rhode Island https://www.ri.gov/press/view/40004
    South Carolina https://doh.sd.gov/documents/COVID19/Vaccine/covid_vaccine_FAQ.pdf
    South Dakota https://doh.sd.gov/COVID/Vaccine/https://scdhec.gov/sites/default/files/media/document/COVID-19%20Vaccine%20Plan%20Updated%20120720_0.pdf
    Tennessee https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/COVID-19_Vaccination_Plan.pdfhttps://www.tn.gov/health/cedep/ncov/covid-19-vaccine-information.html
    Texas https://www.dshs.state.tx.us/immunize/covid19/COVID_Vaccine_Principles_HCW_Definition.pdf
    Utah https://coronavirus.utah.gov/what-you-need-to-know-about-the-covid-19-vaccine-right-now/https://coronavirus.utah.gov/vaccine/
    Vermont https://www.necn.com/news/local/vt-gov-scott-to-provide-coronavirus-update-10/2368459/
    Virginia https://www.vdh.virginia.gov/blog/2020/12/07/virginias-covid-19-vaccination-priorities-announced/  
    Washington https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/VaccineAllocationPhase1A.pdf
    West Virginia https://governor.wv.gov/News/press-releases/2020/Pages/COVID-19-UPDATE-Gov.-Justice-provides-new-details-on-phases-of-vaccine-allocation-plan.aspx
    Wisconsin https://publicmeetings.wi.gov/download-attachment/5c02a854-fcc9-4e29-819f-29fa6985ba56
    Wyoming https://health.wyo.gov/wp-content/uploads/2020/12/Phase-1a-COVID-19-Vaccination-Priorities-121120.pdf

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  • Jill Norgren Writes: My Choices of Good Reads For The Past Year

    By Jill Norgren

    It is the end of the year and I want to write about a handful of books that I read over the past months and thought were really fine. I am wary about using the “best books” sobriquet. Judgment about books is so intensely personal. That said, each of the following books, most but not all published in 2020, caused me to make deals with the devil so I could put aside other responsibilities and just read.

    First up, Michelle Obama’s Becoming published by Crown in 2018. I waited until this October to read the former First Lady’s memoir. I wanted to absorb what she was willing to tell of her life before I went on to her husband’s story. It is a strategy worth recommending. Like their marriage, the two memoirs fit together well. Her narrative has tremendous feel-good, as Mrs. Obama speaks with appreciation about America’s working class. She advocates for educational opportunities and strong families. And she is unflinchingly honest about what is required of a politician’s family.

    Read with her book, Barack Obama’s memoir, A Promised Land, published in mid-November (Crown). It has more heft, more humanity because Michelle has introduced us to him. Barack Obama writes with grace and honesty. His language is crisp but not cool. Newly experiencing the security imposed on a president, he writes, “it felt as if I now lived in my own portable ghost town.” Clarity defines his discussions of policy and politics including the former president’s description of the Republican’s strategy of “all-out obstruction,” a strategy congressional Republicans followed with unwavering discipline for the eight years of Obama’s administration.

    A Promised Land is absorbing and accessible. Read after Joe Biden’s victory, Obama’s book helps us to understand the strategies guiding the decisions of the new president-elect as Biden forms a government and maps out what he seeks to accomplish in his first hundred days. [And, for added fun, if you want to learn how Lincoln did it, get Ronald C. White’s eminently readable book, A. Lincoln: A Biography (Random House, 2010.]

    Does good fiction rely on character or plot? Noted writers James McBride and Elizabeth Strout do not force us to choose. Strout’s 2019 novel Olive, Again (Viking) reprises the irascible Olive of Crosby, Maine. The interwoven stories present interesting plots but it is Olive who controls the page, ill-tempered but grounded in even deeper feelings of decency. Her stories are brilliantly observed and can leave you breathless with surprise. Hundreds of miles south, in Brooklyn, New York James McBride’s main character, Sportcoat, runs us ragged in the 2020 mystery novel Deacon King Kong (Riverhead). Like Olive, Sportcoat has been thrown into the maelstrom of aging and loss. Where Strout examines relationships McBride mines for the makings of community and the cost of violence. In each, there is the poignancy of older characters chasing life.

  • National Museum of American History: Even Though the Room Is Full, They Are “The Only One in the Room”

    Tillie Lewis and brokers, 1945, Courtesy of Haggin Museum

    Tillie Lewis and brokers, 1945Courtesy of Haggin Museum

    Carving out a successful career in business and entrepreneurship is tough, but for women, rising to the top of their fields is even tougher. Those who do reach this pinnacle often find that they are the only woman in the room. The Smithsonian’s National Museum of American History will feature eight such women in its new display, “The Only One in the Room,” which opened on  Nov. 20. This “New Perspectives” case will be on view in the museum’s business history exhibition, “National Museum of American History: Even Though the Room Is Full, They Are “The Only One in the Room”” through November 2021.

    Spanning three centuries of American history, the display will explore the stories of women who made a mark in their respective industries, including banking, beauty, advertising and manufacturing, and examine the obstacles they faced and the context of the times in which they lived. While illustrating the remarkable achievements of women in business, this display also examines how much work remains to dismantle these obstacles, not only due to gender, but also to race, class and ethnic background.

    The display tells each woman’s story with an image and one artifact representing her achievements. These stories are expanded online at and museum visitors can scan a QR code in the gallery to access the information.

    List of Women Featured in “The Only One in the Room”

    Mary Dell Chilton (b. 1939) (pipet)

    Battling sexism in science, Chilton established her own lab at Washington University in St. Louis in 1979, where her pioneering work in genetic engineering led to some of the first genetically modified plants. In 1983, she demonstrated that Agrobacterium could be used to transfer genes from other organism into plants, thus providing an alternative to traditional plant breeding. Chilton then left academia and founded the Biotech Research Center for Ciba-Geigy Corp. She has since received numerous awards and accolades, including the Crop Science Society of America Presidential Award in 2011 and a spot in the National Inventors Hall of Fame in 2015.

    Myrtle “Tillie” Ehrlich Weisberg Lewis (1896–1977) (Sweet’n syrup bottle)

    Born into a poor Jewish immigrant family in Brooklyn, New York, Lewis fought hard throughout her life for economic success. She established a cannery that packed plum tomatoes primarily for the Italian American market. She grew the enterprise considerably by developing one of the nation’s first diet-food brands, Tasti-Diet. Not only did Lewis manage and grow her business, she was also a prominent figure in the company’s marketing as she felt she could relate to the concerns of female consumers. Additional video content about Lewis is available on the museum’s YouTube page.

    Rebecca Lukens (1794–1854) (Bank of Chester Valley $10 note)

    Following the Quaker belief of equality for men and women, Lukens spent much of her childhood learning about her family’s steel business in Coatesville, Pennsylvania, the Brandywine Iron Works and Nail Factory. When Lukens eventually inherited the business in 1825 after the death of her father and husband, the operation was in financial distress. Through her strong leadership, she turned the iron-and-steel business around and made it successful. Staying true to her Quaker principles, Lukens established a balance between fairness and profit and kept the business afloat during a major recession during the Panic of 1837. The displayed Bank of Chester Valley $10 note features an illustration of the inside of Lukens’ family mill.

    Lena Richard (1892–1950) (New Orleans Cook Book)

    Thirteen years before Julia Child’s TV premier on the French Chef, African American chef Richard hosted her own cooking program on WDSU-TV in New Orleans. Richard, a trained chef, was a pioneer in food TV, but her story has long been overlooked. Richard built a life and culinary career in the Jim Crow South, where she skillfully navigated a racist social and economic landscape to build her career and educate people. Richard shared her life’s work with the nation in her cookbook, New Orleans Cook Book. She also established an international frozen-food company, opened a cooking school and ran several catering businesses and a white tablecloth restaurant. Using her book’s platform, Richard shared with readers the mission of her recently opened cooking school: to better the lives of young African American food-service-industry workers.

    Rea Ann Silva (b. 1961) (prototype Beautyblender sponge)

    Born to a Mexican family, Los Angeles native Silva enrolled at the Fashion Institute of Design and Merchandising to pursue a fashion career. After becoming a single mother, Silva turned her knowledge from working at the makeup counter of a department store into a business. She created the original Beautyblender sponge out of necessity: as one of the first professional makeup artists to work on TV shows in high definition, she needed a tool that would allow her to quickly apply makeup and make it look natural. She turned her innovation into a multimillion-dollar business. The Original Beautyblender has since won 12 Allure Best of Beauty Awards. Silva has become known for her expertise in working with women of color and for developing products for all types of women.

    Sara Sunshine (b. 1936) (Clio Award)

    Cuban American Sunshine is known as the grande dame of Hispanic advertising. She co-founded the nation’s first Latino ad agency, the Spanish Advertising and Marketing Service, and was part of the first wave of Hispanic advertising executives in the early 1960s. Arguing that ads needed to be uniquely designed for the Hispanic market, she conducted market research by visiting bodegas around New York City and talking to the owners and customers to figure out shopping trends. Sunshine and her company received the first Clio Award given to a Latino-owned agency in 1987.

    Lillian Vernon (1927–2015) (purse)

    Vernon and her family immigrated to the U.S. from Germany after escaping the Nazi regime of the 1930s. Vernon inherited her family’s entrepreneurial spirit and adopted the nickname “Queen of Catalogs” as she built one of the nation’s most successful mail-order catalogs. Pregnant with her first child, Vernon searched for a way to stay home and yet augment the family budget. Racking her brains for a product that she could sell from her home, Vernon decided on monogrammed accessories for teenagers and turned her kitchen into a mail-order business. Combining marketing skills, careful production management and risk-taking, Vernon grew her enterprise into a major corporation. Vernon’s company became the first business founded by a woman to be publicly listed on the New York Stock Exchange.

    Maggie Lena Walker (1864–1934) (Burroughs Number 9 adding machine)     

    In 1903, Walker did the unimaginable: She created a bank and hired Black women to run it. Living in the segregated South, Walker started St. Luke Penny Savings Bank and dedicated her life to African American advancement. As the only Black woman bank president in the nation, she advocated for Black working women and girls by creating jobs, funding educational institutions and participating in prominent civil rights organizations. Through St. Luke’s, she also founded a newspaper and department store. Later in life, Walker also became an advocate for people with disabilities after suffering from paralysis.

    The “Only One in the Room” display is part of the museum’s 2020 celebration of the “Year of the Woman,” which strives to amplify women’s crucial role in history during the centennial celebration of the 19th Amendment. Other recently opened exhibitions include “Girlhood (It’s Complicated)” and “Creating Icons: How We Remember Woman Suffrage,” both part of the Smithsonian American Women’s History Initiative #BecauseOfHerStory. The initiative represents one of the country’s most ambitious efforts to collect, document, display and share the compelling story of women, deepening the understanding of women’s contributions to the nation and the world. It amplifies women’s voices to honor the past, inform the present and inspire the future.

    Through incomparable collections, rigorous research and dynamic public outreach, the National Museum of American History seeks to empower people to create a more just and compassionate future by examining, preserving and sharing the complexity of our past. The museum, located on Constitution Avenue N.W., between 12th and 14th streets, is open Friday through Tuesday between 11 a.m. and 4 p.m. Admission is free, but reserved timed-entry passes are required. To make reservations, visit si.edu/visit. Follow the museum on social media on Twitter and Instagram @amhistorymuseum and on Facebook at @americanhistory. For Smithsonian information, the public may call (202) 633-1000.

    Editor’s Note: My mother, who didn’t have a high school degree, became a secretary at a new magazine in New York City in 1926: Parents’ Magazine. Although she didn’t possess a degree, she taught herself accounting and became the Comptroller of the magazine. A comptroller is a person in the business who oversees accounting and the implementation and monitoring of internal controls, independently from the chief financial officer (or CFO). 

  • GAO & VETERANS HEALTH CARE: Agency Efforts to Provide and Study Prosthetics for Small but Growing Female Veteran Population

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    Prosthetics for female veterans has been a national research priority for the Veterans Health Administration since 2017. VHA has funded 8 related studies, but officials said recruiting participants is a challenge. Although the female veteran population is growing, it remains small. Women make up just about 3% of the veteran amputee population.

    Female veterans received other “prosthetics” from VHA — like eyeglasses and wheelchairs — in addition to artificial limbs. Women made up 7.9% of those receiving prosthetic services in FY 2019, and accounted for about $889 million of the $15.4 billion cost of prosthetics VHA provided from FYs 2015-19.

    One study aims to develop a prosthetic ankle-foot system that allows female veterans to more easily change footwear with different heel heights.

    A prosthetic in women's shoes

    What GAO Found

    The Department of Veterans Affairs’ (VA) Veterans Health Administration (VHA) provides veterans with prosthetic services to assist with their mobility, vision, and hearing needs. The proportion of prosthetics VHA provided to female veterans has been small compared to the share provided to male veterans. However, in fiscal years 2015 to 2019, this proportion grew from 6.8 percent to 7.9 percent and accounted for about $889.1 million of the $15.4 billion total cost of prosthetics.

    Artificial limbs comprised a relatively small number of the total prosthetics VHA provided to veterans in fiscal years 2015 to 2019; however, veterans who use artificial limbs have complex needs and are significant users of health care services. VHA provided prosthetic services to a small but growing female veteran amputee population (almost 3 percent of veteran amputees in fiscal year 2019), who were generally younger than male veteran amputees.

    VHA has established an individualized patient care approach in its Amputation System of Care that seeks to address the prosthetic needs of each veteran, including accounting for gender-specific factors. VHA officials said that using a standardized, multidisciplinary approach across VA medical facilities also helps them incorporate the concerns and preferences of female veterans. For example, veterans are provided care by a team that includes a physician, therapist, prosthetist (clinician who helps evaluate prosthetic needs and then designs, fabricates, fits, and adjusts artificial limbs), and other providers as needed. Female veteran amputees GAO spoke with at one VA medical facility said they were satisfied with their VHA care. They also noted a lack of commercially available prosthetic options that VHA providers can use to meet women’s needs.

    Examples of Female Veterans’ Artificial Limb Prosthetics

    Examples of Female Veterans' Artificial Limb Prosthetics

  • US Trustee Program Reaches Agreements with Three Mortgage Servicers Providing More than $74 Million in Remediation to Homeowners in Bankruptcy

    treasury seal
    Agreements Address Past Systemic Bankruptcy Servicing Errors Impacting Homeowners

    Correction (12/7/2020): Per the Memorandum of Understanding it was U.S. Bank’s policy to perform annual escrow analyses for borrowers in bankruptcy.

    The Department of Justice’s U.S. Trustee Program (USTP announced today that it has entered into national agreements with three mortgage servicers to address past mortgage servicing deficiencies impacting homeowners in bankruptcy.  The agreements with Nationstar Mortgage, LLC (Nationstar), U.S. Bank National Association (U.S. Bank), and PNC Bank, NA (PNC) address noncompliance with the Bankruptcy Code and Federal Rules of Bankruptcy Procedure* that impacted over 60,000 accounts of borrowers in bankruptcy dating back to 2011 and resulted in payment application errors; inaccurate, missing, and untimely bankruptcy filings; and/or delayed escrow statements.

    “Homeowners in bankruptcy are entitled to receive proper and timely notices and to have their payments properly accounted for, consistent with the Bankruptcy Code and Rules,” said USTP Director Cliff White.  “The failure of mortgage servicers to comply with those requirements compromises the integrity of the bankruptcy system and the ability of homeowners to receive a fresh start.” 

    Collectively, the USTP’s agreements with Nationstar and U.S. Bank, and the letter of acknowledgement with PNC, provide over $74 million to remediate over 76,000 historical servicing errors impacting borrowers in bankruptcy.  The agreements also require the servicers to implement improvements in their bankruptcy operations to ensure that the errors do not recur.  Most of the remediation and corrective actions have already been taken by the servicers. 

    Historical Servicing Deficiencies

    Nationstar and PNC at times failed to run annual escrow analyses for borrowers in bankruptcy.  Further, Nationstar, U.S. Bank, and PNC failed to (1) file timely and accurate notices of changes to bankruptcy borrowers’ ongoing mortgage payments, (2) file timely and accurate notices of fees assessed during borrowers’ bankruptcy cases, and (3) provide an accurate final accounting of the payments made by the borrower during the bankruptcy case as required under the Bankruptcy Code and Rules.

    In addition to these deficient servicing practices, U.S. Bank and PNC failed to accurately apply borrower payments in bankruptcy cases.  And U.S. Bank failed to file timely and accurate proofs of claim in bankruptcy cases.

    Monetary Remediation and Changes to Internal Procedures

    The servicers have or will provide account credits and refunds to impacted bankruptcy borrowers.  Nationstar has provided more than $40 million in credits and refunds.  U.S. Bank has, or will, provide at least $29 million in credits and refunds, and has waived approximately $43 million in fees and charges across its mortgage servicing portfolio, including for borrowers in bankruptcy.  PNC provided close to $5 million in credits and refunds, as well as additional remediation in the form of lien releases and debt forgiveness. 

    In addition to monetary and other remediation, Nationstar, U.S. Bank, and PNC each made changes to their internal procedures to prevent the recurrence of the deficient bankruptcy servicing practices.  These changes included enhancements to computer platforms, improvements to vendor and employee training and oversight, and implementation of quality control processes to ensure the accuracy and timeliness of filings in bankruptcy cases and escrow analyses for borrowers in bankruptcy.

    No Effect on Non-Parties 

    These agreements do not affect the rights of any homeowner or other third party, including other governmental agencies.  Bankruptcy borrowers with questions may contact the servicers at:

    Nationstar Mortgage LLC at 833-981-2112,

    PNC Bank at 855-245-3814, and

    U.S. Bank at 888-724-7362.

    The agreements are posted at https://www.justice.gov/ust/national-mortgage-settlements

    The USTP is the component of the Justice Department that protects the integrity of the bankruptcy system by overseeing case administration and litigating to enforce the bankruptcy laws.  The Program has 21 regions and 90 field office locations.  Learn more about the Program at: https://www.justice.gov/ust

    Component(s): 
     *Link inserted by SeniorWomen.com’s editor
     
  • Explore the Royal Collection and an Exhibition, Masterpieces From Buckingham Palace

    The Royal Collection is one of the largest and most important art collections in the world, and one of the last great European royal collections to remain intact. Comprising almost all aspects of the fine and decorative arts and running to more than a million objects, the Collection is a unique and valuable record of the personal tastes of kings and queens over the past 500 years.

    Following the execution of Charles I in 1649, the greater part of the King’s magnificent possessions was sold by order of Oliver Cromwell, and the Royal Collection has largely been formed since the Restoration of the Monarchy in 1660.

    The most important additions to the Royal Collection were made by Frederick, Prince of WalesGeorge III; George IVQueen Victoria and Prince Albert; and Queen Mary, consort of King George V.

    The Royal Collection is held in trust by The Queen as Sovereign for her successors and the nation.  It is not owned by her as a private individual.

     The Royal Collection

    Paul Jacob Naftel, The Queen and Prince Albert landing at St Pierre, Guernsey, 24 August 1846 ©

    EXHIBITION: Masterpieces From Buckingham Palace

    https://www.rct.uk/collection/themes/exhibitions/masterpieces-from-buckingham-palace/the-queens-gallery-buckingham/explore-the-exhibition

    Many of the great paintings in the state rooms, and Queen Victoria’s belongings in the family rooms, are still owned by the Royal family and are looked after on their behalf by the Royal Collection Trust. You can see more fascinating objects from the Royal Collection from around the world in the museum in the gardens at the Swiss Cottage.

    The royal children were avid collectors. They quickly filled up a room in the cottage with natural history specimens, fossils and antiquities, so a new separate museum, also in the Swiss-chalet style, was built nearby.

    The museum still remains with its contents of thousands of objects, including the first transatlantic telegraph message and a 5-legged deer.