Current Awareness in Aging Research (CAAR) Report #363--November 22, 2006

====================================================================================

CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar.html

=======================================================================

I. Data:

1. HEALTH AND RETIREMENT STUDY: The University of Michigan Institute for Social Research Health and Retirement Study has announced an invitation for new experimental modules for HRS 2008. For more information on how to submit a proposal, go to:

http://hrsonline.isr.umich.edu/news/sho_news.php?hfyle=news218&xtyp=1
-----------------------------------------------------------------------

2. MEDICAL EXPENDITURE PANEL SURVEY TABULAR DATA: "Prescribed Drug Estimates: 2004 Top 10 Prescribed Drugs, by Total Expenditures and Total Purchases," (November 2006, HTML format).

http://www.meps.ahrq.gov/mepsweb/data_stats/summ_tables/hc/drugs/2004/hcdrugest_2004.shtml

=======================================================================

II. Reports and articles:

3. US GOVERNMENT ACCOUNTABILITY OFFICE CORRESPONDENCE: "Social Security Administration: Short Time Frame and Workload Challenges Could Affect Timely Implementation of Income-Based Medicare Part B Premiums," (GAO-07-228R, November 2006, .pdf format, 22p.).

http://www.gao.gov/new.items/d07228r.pdf

Note: This is a temporary address. GAO reports are always available at:

http://www.gpoaccess.gov/gaoreports/index.html
-----------------------------------------------------------------------

4. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF INSPECTOR GENERAL REPORT:

A. "Review of Fee-for-Service Payments for Medicare Beneficiaries Enrolled in Managed Care Risk Plans," (A-07-05-01016, November 2006, .pdf format, 17p.).

Summary:

Our objective was to determine whether the fiscal intermediaries complied with Federal regulations in making fee-for-service payments to hospitals for inpatient services furnished to Medicare managed care organization (MCO) beneficiaries.  Fiscal intermediaries did not always comply with Federal regulations in making fee-for-service payments to hospitals for inpatient services furnished to Medicare MCO beneficiaries.  The intermediaries incorrectly paid 803 fee-for-service inpatient claims in calendar year 2003 and 2004 for beneficiaries who were enrolled in MCOs. 

We recommended that CMS: (1) direct the fiscal intermediaries to recoup the $4.6 million of duplicate payments and (2) periodically compare the Group Health Plan with the Common Working File, reconcile any discrepancies in enrollment data, and have the fiscal intermediaries take necessary action on apparent duplicate payments.  CMS agreed.

http://oig.hhs.gov/oas/reports/region7/70501016.pdf

B. "Nationwide Review of Inpatient Rehabilitation Facility Claims Coded as 'Discharged to Home with Home Health Agency Services'," (A-04-04-00013, November 2006, .pdf format, 22p.)

Summary:

Our objective was to determine whether inpatient rehabilitation facilities (IRFs) coded claims as "discharged to home with home health agency services" in compliance with Medicare's transfer regulation during fiscal year 2003.  IRFs did not always code claims in compliance with Medicare's transfer regulation.  Nationwide, we identified 585 IRF claims coded and paid as discharges to home with home health agency services that potentially should have been paid as transfers.  We visited or contacted four IRFs to verify the coding of 44 of these claims and found that all 44 claims should have been coded as transfers.  We also repriced a sample of 100 of the 585 claims and estimated that overpayments to IRFs totaled $2,331,042 in fiscal year 2003.

We recommended that CMS: (1) instruct the fiscal intermediaries to review the claims in question and to recover, as appropriate, the estimated $2,331,042 in overpayments; (2) instruct the fiscal intermediaries to review claims paid after our audit period for possible coding errors; and (3) implement edits in the Common Working File to identify potentially miscoded claims.  CMS concurred with the recommendations.

http://oig.hhs.gov/oas/reports/region4/40400013.pdf

C. "Identifying Beneficiaries Eligible for the Medicare Part D Low-Income Subsidy," (OEI-03-06-00120, November 2006, .pdf format, 4p.).

Summary:

Beneficiaries with limited income and assets are eligible to receive assistance to pay for the out-of-pocket costs associated with their Medicare prescription drug coverage.  CMS has overall responsibility for implementing the prescription drug benefit.  The Social Security Administration (SSA) was given the responsibility for processing the subsidy applications and determining eligibility.  OIG found that currently, there is no way to effectively identify the pool of beneficiaries who may be eligible for the subsidy.  Neither CMS nor SSA has a comprehensive source of income data to accurately identify potentially eligible beneficiaries who need to apply for the subsidy. 

OIG concluded that legislation is needed to allow CMS and SSA to more effectively identify beneficiaries who are potentially eligible for the subsidy.  Specifically, access to Internal Revenue Service earnings data would help CMS and SSA identify the beneficiaries most likely to be eligible for the subsidy.  The identification of these beneficiaries would allow for a more targeted and effective outreach effort to ensure that all those who qualify for the subsidy receive this important assistance.

http://oig.hhs.gov/oei/reports/oei-03-06-00120.pdf

D. "Availability of Quality of Care Data in the Medicare End Stage Renal Disease Program," (OEI-05-05-00300, November 2006, .pdf format, 24p.).

Summary:

Given problems with the oversight of quality of care in End Stage Renal Disease (ESRD) facilities previously identified by the Office of Inspector General and the Government Accountability Office and ongoing concerns related to quality of care, we assessed the extent to which data are available to ESRD Networks to assist them in identifying ESRD facilities with quality improvement needs. This study found that while Networks have access to multiple sources of data about quality of care, each has limitations as a tool to assist them in identifying facilities with quality improvement needs. Limitations include lack of facility-specific, comprehensive, and current clinical performance measures. Taken together, these sources compose a limited system of data about the quality of the ESRD program.

In 2000, CMS stated that it was developing a Core Data Set project that would collect facility-specific data on a comprehensive set of clinical performance measures regularly. If implemented as planned, the Core Data Set project could capture data currently collected from multiple sources in one national source of comprehensive facility-specific performance measures. However, CMS has faced technical and resource challenges and the implementation of the Core Data Set project is not complete.

Under the current system, Networks' abilities to ensure that all patients in all facilities receive quality care may be impaired. In addition, limitations of the current system of data about the ESRD program may have implications for the movement in health care towards linking payment to quality of care. We continue to support our earlier recommendation to CMS regarding development of facility-specific quality improvement information. We recommend that CMS increase its efforts towards regularly collecting data on all clinical performance measures identified by CMS from all patients and all facilities to address quality of care in the ESRD program, either through completing implementation of the Core Data Set project, or by some other means.

http://oig.hhs.gov/oei/reports/oei-05-05-00300.pdf
-----------------------------------------------------------------------

5. CENTERS FOR MEDICARE AND MEDICAID SERVICES REPORT: "CMS RAC Status Document : FY 2006," (November 2006, .pdf format, 24p.).

http://www.cms.hhs.gov/RAC/Downloads/RACStatusDocument--FY2006.pdf
-----------------------------------------------------------------------

6. US NATIONAL INSTITUTE ON AGING NEWS RELEASE:

A. "NIA Statement: Data Published on Safety Review of Anti-Inflammatory Drugs in ADAPT Alzheimer's Disease Clinical Trial," (November 17, 2006).

http://www.nia.nih.gov/Alzheimers/ResearchInformation/NewsReleases/PR20061117ADAPTstatement.htm

B. "Novel Program Enhances Dementia Caregivers' Quality of Life," (November 21, 2006).

http://www.nia.nih.gov/NewsAndEvents/PressReleases/PR20061120caregiverQOL.htm
-----------------------------------------------------------------------

7. US NATIONAL INSTITUTES OF HEALTH PRESS RELEASE: "Structured Exercise Program May Enhance Seniors' Physical Functioning," (November 17, 2006).

http://www.nih.gov/news/pr/nov2006/nia-17.htm
-----------------------------------------------------------------------

8. AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE REPORT: "Hip Fracture Injuries," (NISU Briefing No. 8, November 2006, .pdf format, 24p.).

http://www.aihw.gov.au/publications/index.cfm/title/10274
-----------------------------------------------------------------------

9. UK DEPARTMENT FOR WORK AND PENSIONS REPORT: "Employer attitudes to personal accounts: Report of a quantitative survey," by Keith Bolling, Catherine Grant, Alice Fitzpatrick and Matthew Sexton (Research Report 397, 2006, .pdf format, 186p.).

http://www.dwp.gov.uk/asd/asd5/rports2005-2006/rrep397.pdf
-----------------------------------------------------------------------

10. OFFICE FOR NATIONAL STATISTICS [UK] PRESS RELEASE: "Life expectancy at 65 reaches record level," (November 21, 2006).

http://www.statistics.gov.uk/cci/nugget.asp?id=168
-----------------------------------------------------------------------

11. STATISTICS CANADA ARTICLE: "Balancing career and care," by Wendy Pyper (Perspectives on Labour and Income, Vol. 7, No. 11, November 2006, .pdf format, p. 5-15).

http://www.statcan.ca/english/freepub/75-001-XIE/75-001-XIE2006111.pdf

Article from The Daily:

http://www.statcan.ca/Daily/English/061122/d061122c.htm
-----------------------------------------------------------------------

12. TAIWAN DEPARTMENT OF HEALTH STATISTICAL TABLES (all November 2006, all Microsoft Excel format):

A. "Number of Deaths Classified According to the Basic Tabulation List by Gender and Age, 2005"

http://www.doh.gov.tw/EN/Webpage/content.aspx?class_no=0&now_fod_list_no=860 4&array_fod_list_no=0&level_no=2&doc_no=46969&show=show

B. "Number of Deaths and Crude Mortality Rates Classified According to the Mortality List by Gender and Age, 2005"

http://www.doh.gov.tw/EN/Webpage/content.aspx?class_no=0&now_fod_list_no=860 4&array_fod_list_no=0&level_no=2&doc_no=46971&show=show
-----------------------------------------------------------------------

13. AUSTRALIAN DEPARTMENT OF HEALTH AND AGEING NEWS RELEASE: "PBS Reform (Pharmaceutical Benefits Scheme)" (ABB152/06, Nov. 16, 2006, HTML and .pdf format, 1p.).

http://www.health.gov.au/internet/ministers/publishing.nsf/Content/health-mediarel-yr2006-ta-abb152.htm?OpenDocument&yr=2006&mth=11
-----------------------------------------------------------------------

14. KAISER FAMILY FOUNDATION ISSUE BRIEF: "Medicaid's Long-Term Care Beneficiaries: An Analysis of Spending Patterns," by Anna Sommers, Mindy Cohen, and Molly O'Malley (November 2006, .pdf format, 33p.).

http://www.kff.org/medicaid/7576.cfm
-----------------------------------------------------------------------

15. AARP GLOBAL AGING PROGRAM REPORT:

A. "AARP European Leadership Study: European Experiences with Health Care
Cost Containment," (October 2006, .pdf format, 23p.).

http://assets.aarp.org/www.aarp.org_/cs/gap/ldrstudy_costcontain.pdf

B. "AARP European Leadership Study: European Experiences with Health Information," (October 2006, .pdf format, 23p.).

http://assets.aarp.org/www.aarp.org_/cs/gap/ldrstudy_healthit.pdf

C. "AARP European Leadership Study: European Experiences with Long-Term Care," (October 2006, .pdf format, 34p.).

http://assets.aarp.org/www.aarp.org_/cs/gap/ldrstudy_longterm.pdf

D. "AARP European Leadership Study: European Experiences with Prescription Drug Pricing," (October 2006, .pdf format, 26p.).

http://assets.aarp.org/www.aarp.org_/cs/gap/ldrstudy_prescdrugs.pdf
-----------------------------------------------------------------------

16. WATSON WYATT REPORT: "Ageing Workforce 2006: Health and Retirement, Hong Kong," (2006, .pdf format, 14p.).

http://www.watsonwyatt.com/asia-pacific/localsites/hongkong/research/PDF_File/GS_AgeingWorkforce2006.pdf
-----------------------------------------------------------------------

17. ILCUSA REPORT: "ILC Policy Report" (International Longevity Center, USA, November 2006, .pdf format, 5p.). The ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."

http://www.ilcusa.org/_lib/pdf/November202006.pdf
-----------------------------------------------------------------------

18. DEMOGRAPHIC RESEARCH ARTICLE: "Comparative mortality levels among selected species of captive animals," by Iliana Kohler, Samuel H. Preston, and Laurie Bingaman Lackey (Vol. 15, Article 14, November 2006, .pdf format, p. 413-434). Links to an abstract and full text are available at:

http://www.demographic-research.org/Volumes/Vol15/14/default.htm
-----------------------------------------------------------------------

19. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES ARTICLE ABSTRACT:

A. "LRRTM3 promotes processing of amyloid-precursor protein by BACE1 and is a positional candidate gene for late-onset Alzheimer's disease," by John Majercak, William J. Ray, Amy Espeseth, Adam Simon, Xiao-Ping Shi, Carrie Wolffe, Krista Getty, Shane Marine, Erica Stec, Marc Ferrer, Berta Strulovici, Steven Bartz, Adam Gates, Min Xu, Qian Huang, Lei Ma, Paul Shughrue, Julja Burchard, Dennis Colussi, Beth Pietrak, Jason Kahana, Dirk Beher, Thomas Rosahl, Mark Shearman, Daria Hazuda, Alan B. Sachs, Kenneth S. Koblan, Guy R. Seabrook, and David J. Stone (Vol. 103, No. 47, November 21, 2006, .pdf and HTML format, p. 17967-17972). Note: _PNAS_ is providing free-access to the full-text of this article.

http://www.pnas.org/cgi/content/abstract/103/47/17967

B. "Low micronutrient intake may accelerate the degenerative diseases of aging through allocation of scarce micronutrients by triage," by Bruce N. Ames (Vol. 103, No. 47, November 21, 2006, .pdf and HTML format, p. 17589-17594).

http://www.pnas.org/cgi/content/abstract/103/47/17589
-----------------------------------------------------------------------

20. LANCET ARTICLE ABSTRACT: Note: Lancet requires free registration prior to providing access to content. "Cardiovascular outcomes with etoricoxib and diclofenac in patients with osteoarthritis and rheumatoid arthritis in the Multinational Etoricoxib and Diclofenac Arthritis Long-term (MEDAL) programme: a randomised comparison," by Dr. Christopher P. Cannon, Sean P. Curtis, Garret A. FitzGerald, Henry Krum, Amarjot Kaur, James A. Bolognese, Alise S. Reicin, Claire Bombardier, Michael E. Weinblatt, Désirée van der Heijde, Erland Erdmann and Loren Laine, for the MEDAL Steering Committee (Vol. 368, No. 9549, November 18, 2006, p. 1771-1781).

http://www.thelancet.com/journals/lancet/article/PIIS0140673606696669/abstract
-----------------------------------------------------------------------

21. US NEWS AND WORLD REPORT ARTICLES:

A. "A Safety Net That Might Not Hold," by Michelle Andrews (Nov. 27, 2006).

http://www.usnews.com/usnews/health/articles/061119/27long.htm

B. "It's That Time of Year Again," by Michelle Andrews (Nov. 27, 2006).

http://www.usnews.com/usnews/health/articles/061119/27medicare.htm

C. "A Primer on the New Medicaid Rulebook," by Sarah Baldauf (Nov. 27, 2006).

http://www.usnews.com/usnews/health/articles/061119/27medicaid.htm

D. "Need Help? Ask Your Employer," by Deborah Kotz (Nov. 27, 2006).

http://www.usnews.com/usnews/health/articles/061119/27benefit.htm

E. "Finding a Good Home," by Christine Larson (Nov. 27, 2006).

http://www.usnews.com/usnews/health/articles/061119/27home.htm

=======================================================================

III. Working Papers:

22. NATIONAL BUREAU OF ECONOMIC RESEARCH:

A. "The SES Health Gradient on Both Sides of the Atlantic," by James Banks, Michael Marmot, Zoe Oldfield, and James P. Smith (w12674, November 2006, .pdf format, 51p.).

Abstract:

Looking across many diseases, average health among mature men is much worse in America compared to England. Second, there exists a steep negative health gradient for men in both countries where men at the bottom of the economic hierarchy are in much worse health than those at the top. This health gradient exists whether education, income, or financial wealth is used as the marker of one's SES status. These conclusions are maintained even after controlling for a standard set of behavioral risk factors such as smoking, drinking, and obesity and are equally true using either biological measures of disease or individual self-reports. In contrast to these disease based measures, health of American men appears to be superior to the health of English men when self-reported general health status is used. The contradiction most likely stems instead from different thresholds used by Americans and English when evaluating health status on subjective scales. For the same "objective" health status, Americans are much more likely to say that their health is good than are the English. Finally, feedbacks from new health events to household income are one of the reasons that underlie the strength of the income gradient with health in England.

http://papers.nber.org/papers/W12674

B. "The Effect of Subjective Survival Probabilities on Retirement and Wealth in the United States," by David E. Bloom, David Canning, Michael Moore, and Younghwan Song (w12688, November 2006, .pdf format, 43p.).

Abstract:

We explore the proposition that expected longevity affects retirement decisions and accumulated wealth using micro data drawn from the Health and Retirement Study for the United States. We use data on a person's subjective probability of survival to age 75 as a proxy for their prospective lifespan. In order to control for the presence of measurement error and focal points in responses, as well as reverse causality, we instrument subjective survival probabilities using information on current age, or age at death, of the respondent's parents. Our estimates indicate that increased subjective probabilities of survival result in increased household wealth among couples, with no effect on the length of the working life. These findings are consistent with the view that retirement decisions are driven by institutional constraints and incentives and that a longer expected lifespan leads to increased wealth accumulation.

http://papers.nber.org/papers/W12688

C. "Americans' Dependency on Social Security," by Laurence J. Kotlikoff, Ben Marx, and Pietro Rizza (w12696, November 2006, .pdf format, 44p.).

Abstract:

This paper determines the standard of living reductions that young, middle aged, and older households would experience were the U.S. government to cut Social Security benefits (but not taxes) to deal with its well documented (see Gokhale and Smetters, 2005) long-term fiscal crisis. To determine pre- and post-retirement living standards in the absence and presence of Social Security benefit cuts the paper relies on ESPlanner, a financial planning software program. ESPlanner calculates a household's highest sustainable living standard taking into account the household's economic resources including its claims to future Social Security benefits. The program also incorporates borrowing/liquidity constraints that limit households' abilities to smooth their living standards over their life cycles. The analysis considers both stylized single and married households of different ages and resource levels as well as actual households sampled from the 2004 Federal Reserve Survey of Consumer Finances (SCF). The extent of current and future living standard reductions in response to announcements of future Social Security benefit cuts depends critically on the age of the household, when the cuts are announced, the size of the cuts, the income of the household, and the degree to which the household is liquidity constrained. For our stylized households on the brink of retirement the complete elimination of Social Security benefits would entail retirement living standards reductions ranging from roughly one third to one hundred percent depending on the household's income. Our SCF findings also point to a strong dependency on Social Security. Indeed, 41 percent of older SCF couples and 33 percent of SCF singles would experience a living standard reduction of 90 percent or more were Social Security benefits eliminated. A surprising finding is the major dependency of very high-income households on Social Security. Take the highest earning couple in our stylized sample. This couple earns $500,000 per year from age 30 through age 64 when it retires. It enters retirement with over $2.3 million in assets. But given the length of its potential retirement, the modest real return it can safely earn on its assets, its off-the-top housing expenses, and its tax payments, this household is highly dependent on Social Security benefits, notwithstanding their taxable status. Indeed, were this household denied all its Social Security benefits on the eve of its retirement, it would suffer a 35.6 percent reduction in its living standard throughout retirement.

http://papers.nber.org/papers/W12696

D. "Bequest and Tax Planning: Evidence From Estate Tax Returns," by Wojciech Kopczuk (w12701, November 2006, .pdf format, 42p.).

Abstract:

I study bequest and wealth accumulation behavior of the wealthy (subject to the estate tax) shortly before death. The onset of a terminal illness leads to a very significant reduction in the value of estates reported on tax returns - 15 to 20% with illness lasting "months to years" and about 5 to 10% in case of illness reported as lasting "days to weeks". I provide evidence suggesting that these findings cannot be explained by real shocks to net worth such as due to medical expenses or lost income, but instead reflect "deathbed" estate planning. The results suggest that wealthy individuals actively care about disposition of their estates, but that this preference is dominated by the desire to hold on to their wealth while alive.

http://papers.nber.org/papers/W12701
-----------------------------------------------------------------------

23. POPULATION COUNCIL: "Poverty, wealth inequality, and health among older adults in rural Cambodia," by Zachary Zimmer (Policy Research Division Working Paper no. 217, November 2006, .pdf format, 23p.). Links to the abstract and full-text can be found:

http://www.popcouncil.org/publications/wp/prd/217.html
-----------------------------------------------------------------------

24. LUXEMBOURG INCOME STUDY: "Widowhood Later in Life in Japan: Considering Social Security System in the Aging Society," by Sawako Shirahase (Working Paper No. 444, August 2006, .pdf format, 27p.).

Abstract:

The purpose of this study is to examine the relationship between the change in the household structure following the birthrate decline and the aging population and the economic well-being among the elderly. This study consists of three major parts. In the first part, the change in economic well-being of the elderly living alone in Japan was examined from the mid-1980s, to the beginning of the twenty-first century. In the second part, I compared the extent of economic inequality for the elderly living alone at the beginning of the 21st century with that in other industrial nations. The nations which are compared with Japan in this study are Germany, Italy, Sweden, Taiwan, the United Kingdom, and the U.S. In the final part, focusing on the elderly who are under the long-term care, I examined how much personal networks and personal resources are utilized in receiving the long-term care among the elderly living in different types of household structure. In the households whose head is 65 years old and over, the degree of economic inequality has declined, but the economic inequality in the household with the elderly is still larger than that of households without the elderly. And although the rate of low-income households with the elderly has improved since the 1980s, the situation where female single-only household of the elderly in particular are at high economic risk has not largely changed. An important finding that emerged from the international comparison analysis is that the economic situation of the households with the elderly in Japan was similar to that in the U.S. and the U.K. The result in which the economic situation of the Japanese elderly is similar to that of countries of liberal welfare states suggest important clues in the future study of the welfare state. As far as our results are concerned, we are becoming similar to countries where the extent of economic inequality is quite high. Finally, we discussed personal network that the elderly who require long-term care possessed. In determining the size of personal network, the type of household to which elderly belong and their socio-economic status are important. For the female elderly living alone, neighbors are important resources as support network. On the other hand, personal network of the male elderly tends to be concentrated in their family, particularly their spouse.

http://www.lisproject.org/publications/liswps/444.pdf
-----------------------------------------------------------------------

25. LUXEMBOURG WEALTH STUDY:

A. "Older Women's Income and Wealth Packages: The Five-Legged Stool in Cross-National Perspective, by Janet C. Gornick, Teresa Munzi, Eva Sierminska and Timothy M. Smeeding (Working Paper No. 3, November 2006, .pdf format, 37p.).

Abstract:

In this chapter, we analyze the economic well-being of older women in cross-national perspective, comparing the United States with four other high-income countries: the United Kingdom, Germany, Italy and Sweden. These countries constitute an illuminating group; although all operate at similar levels of economic development, their employment, income, and wealth outcomes vary widely.

We report some of the first findings based on micro-data from a new source, the Luxembourg Wealth Study (LWS). LWS, a project within the larger Luxembourg Income Study (LIS), is a database containing harmonized wealth datasets from a number of industrialized countries. Using the LWS data, we analyze the income and wealth packages held by women, age 60 and older, across these five countries. The income and wealth results from the LWS data are supplemented by findings on older adults' employment patterns, using the longstanding LIS income micro-datasets.

Throughout this chapter, we invoke the metaphor of the four-legged stool, which is often used to refer to the multiple income streams on which older persons rely. In this chapter, we conceptualize the income stool as having these four legs: earnings, capital income, private transfers, and public transfers. We extend this metaphor to conceptualize a fifth leg - that is, wealth. We capture wealth mostly as a stock (in what we call wealth packages), although wealth clearly constitutes potential and actual income flows. We also capture some wealth directly as flows, via the capital income component of the income package.

We begin by assessing employment, income, and wealth outcomes, first among all older women's households and, second, in one particularly vulnerable group: older women who live alone. We then turn our attention to poor older women and, finally, to those who are extremely poor. We close with brief comments about policy implications and further research.

http://www.lisproject.org/publications/lwswps/lws3.pdf

B. "Cross National Comparison of Income and Wealth Status in Retirement: First Results from the Luxembourg Wealth Study (LWS)," by Eva Sierminska, Andrea Brandolini, and Timothy Smeeding (Working Paper No. 2, November 2006, .pdf format, 38p.).

Abstract:

This paper provides a first glance at the role of income and wealth in comparing economic security of older persons in the United States in cross-national perspective. We compare our elders to those in six other rich OECD countries (Canada, Finland Germany, Italy, Sweden, and the United Kingdom). These countries have diverse social policy systems, with respect to both social insurance and public assistance; and they have very different patterns of private wealth holding. The paper is based on a new source of wealth micro data, known as the Luxembourg Wealth Study (LWS).

In this paper, we first develop a comparable definition of wealth and net worth across nations and then focus our efforts on the inter-country variation in the composition of income and asset packages for those 65 and over, with respect to the main sources in each package. We examine the structure of income and wealth holdings and their joint distribution; income and asset poverty of the elderly; the importance of home ownership in providing security for the elderly; differences in wealth by education; and we provide an initial glimpse at wealth and income inequality in a comparative perspective. We conclude by comparing the risks associated with private assets to those associated with under-funded public pension systems.

http://www.lisproject.org/publications/lwswps/lws2.pdf
-----------------------------------------------------------------------

26. LEVY ECONOMICS INSTITUTE OF BARD COLLEGE [ANNADALE-ON-HUDSON, NY]:" European Welfare State Regimes and Their Generosity Toward the Elderly," by Axel Borsch-Supan (Working Paper No. 479, November 2006, .pdf format, 31p.). Links to the abstract and full-text can be found at:

http://www.levy.org/default.asp?view=publications_view&pubID=10f10ae47a9
-----------------------------------------------------------------------

27. INSTITUTE FOR THE STUDY OF LABOR (IZA) [UNIVERSITY OF BONN, GERMANY]:

A. "The Retirement Expectations of Middle-Aged Individuals," by Deborah Cobb-Clark and Steven Stillman (Discussion Paper No. 2449, November 2006, .pdf format, 23p.).

Abstract:

We use the first three waves of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examine the retirement plans of middle-aged workers (aged 45-55). Our results indicate that approximately two-thirds of men and more than half of women appear to be making standard retirement plans. At the same time, more than one in five individuals seem to have delayed their retirement planning and approximately one in ten either do not know when they expect to retire or expect to never retire. Retirement plans are closely related to current labor market position. Specifically, forming expectations about the age at which one will leave the labor market appears to be easier for workers in jobs with well-defined pension benefits and standard retirement ages. Moreover, those who report that they do not know when they expect to retire do in fact appear to face greater uncertainty in their retirement planning. Those who anticipate working forever seem to do so out of concerns about the adequacy of their retirement incomes rather than out of increased job satisfaction or a heightened desire to remain employed. Finally, men alter their retirement plans in response to labor market shocks, while women are more sensitive to their own and their partners' health changes.

http://ftp.iza.org/dp2449.pdf

B. "Residential Mobility and Housing Adjustment of Older Households in Europe," by Konstantinos Tatsiramos (Discussion Paper No. 2435, November 2006, .pdf format, 27p.).

Abstract:

This paper investigates the determinants of residential mobility of older households (above 50 years old) and the adjustment of housing for those who move employing individual data from the European Community Household Panel. Although homeowners are less likely to move compared to renters, an increase in mobility rates is observed for older age homeowners. Moreover, having an outstanding home loan, retirement, the death of a spouse, and excessive housing costs, are significantly associated with a move in central and northern European countries, but not in the south. Analyzing the transitions from the current tenure choice after a move takes place, based on a competing risk hazard model, an increasing transition out of the current residence for old-age homeowners is found, indicating some dissaving later in life. The direction of the transitions is mostly from ownership to renting. However, especially in countries in central and northern Europe, transitions from ownership to ownership are also observed, which are associated with a reduction in the home size.

http://ftp.iza.org/dp2435.pdf

=======================================================================

IV. Journal Tables of Contents (check your library for availability):

28. American Journal of Epidemiology (Vol. 164, No. 11, December 1, 2006).

http://aje.oxfordjournals.org/content/vol164/issue11/index.dtl?etoc

29. Archives of Gerontology and Geriatrics (Vol. 44, No. 1, January/February 2007).

http://www.sciencedirect.com/science/journal/01674943

30. Journals of Gerontology Series B: Psychological Sciences and Social Sciences (Vol. 61, No. 6, November 1, 2006). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issue.

http://psychsoc.gerontologyjournals.org/content/vol61/issue6/?etoc

-----------------------------------------------------------------------

31. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, andpatients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/pd.htm

D. Prostate Cancer: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/prc.htm

E. Stem Cell Research: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/stc.htm

F. Ophthalmology: Literature for the week of November 22, 2006:

http://www.amedeo.com/medicine/eye.htm

AMEDEO Literature Guide:

http://www.amedeo.com/index.htm

=======================================================================

V. Books:

32. NATIONAL RESEARCH COUNCIL: Aging in Sub-Saharan Africa: Recommendations for Furthering Research, edited by Barney Cohen and Jane Menken (National Academies Press, 2006, OpenBook and .pdf format, 356p.). Note 1: NAP requires free registration before providing the .pdf version. Note 2: Ordering information for a print copy is available at the site.

http://www.nap.edu/catalog/11708.html

=======================================================================

VI. Funding Opportunities/Position Announcements:

33. NIH:

A. "Mind-Body Interactions and Health: Restricted Competition for Research Infrastructure Programs (R24)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, RFA-OD-06-005, November 15, 2006).

http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-06-005.html

B. "Drug Discovery for Nervous System Disorders (R21)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PAR-07-049, November 17, 2006).

http://grants.nih.gov/grants/guide/pa-files/PAR-07-049.html

C. "Research on Improving Health Care for Obese Patients (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-013, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-013.html

D. "Retirement Economics (R01)," (US National Institutes of Health, National Institute on Aging, PA-07-075, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-075.html

E. "Understanding and Promoting Health Literacy (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PAR-07-020, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PAR-07-020.html

F. "Social and Cultural Dimensions of Health (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-045, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-045.html

G. "Research on Mind-Body Interactions and Health (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-046, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-046.html

H. "Neurologic Motor Speech Disorders and Speech Motor Control (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PAR-07-055, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-055.html

I. "Pathophysiology and Treatment Response in Late-Life Mood and Anxiety Disorders (R01)," (US National Institutes of Health, National Institute of Mental Health, PA-07-077, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-077.html

J. "Drug Discovery for Nervous System Disorders (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PAR-07-048, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PAR-07-048.html

K. "Basic and Translational Research in Emotion (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-083, November 22, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-083.html

L. "Basic Research in the Bladder and Lower Urinary Tract (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-023, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-023.html

M. "Focal Cognitive Deficits in CNS Disorders (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-033, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-033.html

N. "Research on Chronic Insomnia Disorder (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-047, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-047.html

O. "Long-Term Weight Maintenance: Basic and Clinical Studies(R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-053, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-053.html

P. "Drug Discovery for Nervous System Disorders (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PAR-07-048, November 21, 2006).

http://grants.nih.gov/grants/guide/pa-files/PAR-07-048.html

Q. "Functional Links between the Immune System, Brain Function and Behavior (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-088, November 22, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-088.html

R. "Research Project Grant (Parent R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-070, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-070.html

S. "Methodology and Measurement in the Behavioral and Social Sciences (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-060, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-060.html

T. "Insulin Signaling And Receptor Cross-Talk (R01)," (US National
Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-058, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-058.html

U. "Heterogeneity of Fat Depots: Underlying Basis and Association with Morbidity (R01)," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-07-057, November 20, 2006).

http://grants.nih.gov/grants/guide/pa-files/PA-07-057.html
-----------------------------------------------------------------------

34. US NATIONAL INSTITUTE ON AGING: "Health Scientist Administrator (NIA)," (NIA-07-155712-DE, November 2006).

http://jobsearch.usajobs.opm.gov/getjob.asp?JobID=49765023&AVSDM=2006%2D11%2 D04+22%3A04%3A24&Logo=0&q=NIA-07-155712-DE&FedEmp=N&sort=rv&vw=d&brd=3876&ss =0&FedPub=Y&SUBMIT1.x=81&SUBMIT1.y=12

=======================================================================

VII. Websites of Interest:

35. KAISER FAMILY FOUNDATION STATEHEALTHFACTS.ORG UPDATE: Kaiser has recently updated this website. Items listed from Oct. 31 - Nov. 15, 2006 have been updated or are new items.

http://statehealthfacts.org/cgi-bin/healthfacts.cgi?action=whatsnew
-----------------------------------------------------------------------

36. PANEL STUDY OF INCOME DYNAMICS BIBLIOGRAPHY UPDATE: The University of Michigan Institute for Social Research PSID has recently added the following item to its bibliography. The entire bibliography can be searched or browsed in various ways at:

http://psidonline.isr.umich.edu/Publications/Bibliography/default.aspx

Hacker, Jacob S. Family Income Instability: Transitory Variance of Log Family Income, 1974-2002. . The Great Risk Shift: The Assault on American Jobs, Families Health Care, and Retirement -- And How You Can Fight Back. New York: Oxford University Press; 2006.

Hungerford, Thomas. The Role of Earnings and Financial Risk in Distributional Analyses of Social Security Reform Measures. Journal of Policy Analysis and Management. 2005; 25(2):0.

Intuwonges, Sittiporn. Social Security and U.S. Household Saving Behavior: New Theoretical and Empirical Evidence. Tennessee: Middle Tennessee State University; 2005.

--

Thanks,

Charlie

***************************************************

Charlie Fiss
Information Manager
Center for Demography and Ecology and
Center for Demography of Health and Aging
Rm. 3329 Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400
Email: fiss@ssc.wisc.edu

***************************************************