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Today is World Poetry Day. This is a repost originally published on HealthCetera in celebration of poetry and our poet-in-residence,
Joy Jacobson. Follow her on Twitter: @joyjaco

Photo by Sam Magill

Photo by Sam Magill


The CHMP’s co-founder Barbara Glickstein put me in touch with a friend of hers, the poet, photographer, and leadership consultant Sam Magill. The author of Fully Human, a book of poems, Magill has offered us one of his poems that seems to illuminate something I have rarely thought about: how much sleep is like dying and waking like birth.

After dying

This is how I want to wake up after dying:
To slowly become aware as light tiptoes into the room,
To have gentle thoughts that coalesce from dreams—
Soft and fragile, then as clear and focused as the morning air—
To know that after all the difficult passages of a former life
I can smile again and look forward to the day,
Knowing who I have always been,
Knowing exactly what I love,
And what those persistent angels
Have always wanted me to do.

Sleeping and waking, insomnia, reverie, dreams: these are the realms of the poet. Samuel Taylor Coleridge called sleep “the wide blessing.” Theodore Roethke, in one of the great villanelles, wrote: “I wake to sleep, and take my waking slow.” Robert Bly fancied “Our whole body [as] like a harbor at dawn.” The poet Anne Carson, in her wonderful literary exploration in praise of sleep, described it as “that slab of outlaw time punctuating every pillow.”

We aren’t certain why we sleep—brain “maintenance” and governance of the timing of our behavior are recent theories—only that we must. And so we turn to the poets. I’ll give the last word to Sam Magill, who has this to say about the poem:

There is something magical about waking up. William Shakespeare described sleep as “death’s other self,” and so waking up is like being born again. Likewise, as we move through chapters of our lives we experience places of confusion and loss—a career reaching its end, a relationship that is finished, a loss of identity—and when we find our next orientation, there can be a great sense of having died to one thing and beginning a new life. This poem began one morning when the first sensation I had was that of “gentle thoughts that coalesce from dreams.” The space between dreaming and being fully awake is, indeed, magical. It has been called “liminal,” a time when our rational self is not yet activated and our deeper sense of knowing still informs us. Some sort of wholeness emerges there, and I say we are in desperate need of that wisdom in our times.

Today is World Poetry Day. This is

There are many ways to meditate. Mindfulness-Based Stress Reduction (MBSR) is a well-researched intervention known to impact changes in the structure and the function of the brain as well as reduce stress and improve symptoms associated with many chronic diseases.

HealthCetera host Barbara Glickstein interviews Johanna Edwards Gaskins, DNP, RN, CCAP, on how to start this practice in your life. Dr. Gaskins holds a Doctor of Nursing Practice in Integrative Health and Healing (IHH) from the University of Minnesota and is a Certified Clinical Aromatherapy Practitioner.   interviews Dr. Gaskins about meditation.  

 She was previously interviewed on HealthCetera on  Integrative Approached to Pain Management.

There are many ways to meditate. Mindfulness-Based

It’s no secret that America’s current model for delivering and paying for healthcare, and in particular, long-term services and supports, is broken.   Story upon story – including this from TIME, “Dignity, Death and America’s Crisis in Elder Care,” or this from the Wall Street Journal, “Millions Bought Insurance to Cover Retirement Health Costs. Now They Face an Awful Choice,” show that we need to rethink how care is delivered and paid for. 

credit: boris bartels, cc license

The costs of long term care can quickly bankrupt a family, who may struggle to provide even minimal paid help with basic activities of daily living for their loved ones, like bathing, dressing, or toileting. The median cost of home health care is $4,000 per month, according to Genworth Financial. The average cost of assisted living runs approximately $3,750 per month for just the basics; and a semi-private room in a typical nursing home costs upwards of $7,100 a month. Only 11 percent of Americans have long-term care insurance — it’s costly and many mistakenly assume Medicare will cover most of their future health care needs. 

However, with few exceptions, Medicare does not pay for help with daily living assistance delivered in the home unless it includes a skilled nursing component. Nor does it cover alternative living options like assisted living or long term nursing homes care. Medicaid, the safety-net program for those with very low income, will cover certain community based programs and pays for long term institutional care, but only after a person’s assets are virtually depleted. And, while the Centers for Medicare and Medicaid Services (CMS) does oversee several innovative home and community programs that allow chronically ill older adults to avoid or delay institutional care, they are not widespread and therefore, unavailable to everyone who may need them.

The wave of Medicare-eligible Baby Boomers is putting more pressure on an already-strapped system to deliver quality, cost-effective long term care. People are living longer — the over 85 group is now the fastest growing cohort in the U.S.,  and they’re living with more debilitating chronic conditions. 

It’s obvious that we need a different policy approach to financing long term services and supports. A recent report from LeadingAge, a non-profit representing the field of aging services, lays out the rationale for and potential framework of such a plan. In A New Vision for Long-Term Services and Supports, author Aaron Tripp, Leading Age’s director of long term care policy and analytics argues for universal long term care coverage for everyone, that’s both flexible and dignity-driven. 

A system that rewards health and wellness will delay the need for LTSS,  he said. A well financed universal plan with managed cash benefits would allow older adults in need of care to obtain a range of services and programs that meet their specific needs, when they need it, and allow them to live at home or in the community longer. It could save the health system money by delaying or avoiding additional hospitalizations or admission to nursing homes.

Given the current political climate, it’s unclear how anything called “universal coverage” will go over in Congress. But Tripp told me that behind the scenes, there’s actually some bipartisan support for a long term care benefit that covers everyone. Financing could come through payroll deductions, much like Medicare and Social Security are currently paid for. 

One can only hope national and local legislators act soon, before already financially and emotionally strapped families hit their breaking points.  

You can listen to the entire interview, which aired on HealthCetera, here.

It’s no secret that America’s current model