Friday, October 26, 2007

Retirement Planning and Woulda, Coulda, Shoulda (or Old Age and Health, Part Two)

Retirement Planning and Woulda, Coulda, Shoulda (or Old Age and Health, Part Two)



The poem below, because of copyright restrictions and the fact the Shel Silverstein’s people never got back to me after I requested permission to include it in the book goes something like this:

Woulda-Coulda-Shoulda
By Shel Silverstein

    All the Woulda-Coulda-Shouldas
    Layin' in the sun,
    Talkin' 'bout the things
    They woulda coulda shoulda done...
    But those Woulda-Coulda-Shouldas
    All ran away and hid
    From one little Did.


While the previous post here outlined some of the serious health risks that are under-realized and little acknowledged in most retirement plans, I wanted to spend a moment explaining some of the references that I used for this section.

We will not be the retirees in the commercials. This is bad news for some us and a grim reality for others. The idea that we will enter old age in a different physical condition than we are currenlty in is highly likely. For most of us, that condition will not mean an improved state but rather one that is in need of repair.

We are the woulda-coulda-shouldas that scrimped and saved, lost sleep over money, worked too, too hard, and lived perhaps a bit too well. But living well will present its problems sometime in the future as our bodies will ask us, “what exactly did you do?”

Consider Ellie Metchnikoff (1845-1916), a Russian biologist who studied in Russia and Germany, and after working with Pasteur in Paris, became deputy director of the Pasteur Institute in 1904. He also won the Nobel prize in 1908 for medicine for his work in immunology.



As a biologist, he noticed that his advancing age was bound to complicate things for him. In the preface of his book The Prolongation of Life: Optimistic Studies also written by Ilya Ilyich Metchnikoff and Peter Chalmers Mitchell he wrote: “It is, of course, quite natural that a biologist whose attention has been aroused by noticing in his own case the phenomena of precocious old age should turn to the study of it. Because it is equally plain that such a study could give hope of resisting the decay of an organism which had already for many years been growing old.”

As a scientist, he began his research by looking at the historical and cultural ways peoples around the world treated their elderly members. He was well aware of how the old were thought of in Europe during his time. The sight of these people with the ravages that time took on the body concerned him. What Metchnikoff found made him pause asking why those cultures developed the attitudes toward the elderly and the way they treated their old.




The Melanesian islanders buried their old tribe members alive when they reached a point of uselessness. Natives of Tierra del Fuego would eat an elderly woman in times of famine, he wrote in cool style of an academic, because “dogs could catch seals, whilst old women could not do so.”

But we are civilized now. Right? At the time Metchnikoff wrote his book, a follow-up to his book Nature of Man, old age was nothing to look forward to. Suicide was rampant among the elderly of Metchnikoff’s era, with rates running almost twice that of any other age group. Murder of the old, as was discussed in Dostoyevsky’s “Crime and Punishment” seemed to be justified because of the childlessness, worthlessness, ill-temperedness and poor health of an old woman one might encounter was thought to be “a nuisance to everyone. She does not even now why she should live”.

A Danish law passed in 1891 began what could have been the first governmental type intervention into the deteriorating circumstances of the elderly. Metchnikoff was a biologist and his primary concern was how we age, why we do so in such different degrees and what if anything can be done to cease or at least slow the process. He looked at numerous sources for his answer from the cellular level to the giant Dragon Tree, the baobab, the cypress and of course, the one we are most familiar with, the sequoia of California.

I do however mention Sanford Bennett in the book and mostly to encourage those of use who have abused our bodies more than just a tad over our lifetimes. He found himself, as he writes in his 1912 edition of Old Age: Its Cause and Prevention: The Story of an Old Body and Face Made Young., republished in 2003 by Kessinger Press, “At fifty, I was a physically old man. Many years of a too active business career had resulted in a general physical breakdown.” He continues by describing his state as “wrinkled, partially bald, cheeks sunken, face drawn and haggard, muscles atrophied and thirty years of chronic dyspepsia.” For those of you who may not know what dyspepsia is, the word was and still is a more medical term for upset stomach and acid indigestion. That, he says later caused him to develop a “catarrh” (kind of like a running nose in your gut – it just doesn’t sound very pleasant) “of the stomach”.


Bennett at age 50



But Bennett turned that physical deterioration around as he developed an exercise routine, researched dietary guidelines and wrote his experiences down if only to authenticate his health reversal. Like Metchnikoff, he spent a good deal of time studying the ill effects of aging and developed a way to fix what nature had wronged.


Bennett at age 72



He writes that he was unable to find adequate information about the subject largely because no one prior to him had experienced what he had. So he offered to the public what may have been the first self help book for health designed for the layman.

Retirement planning, like the claim made by Bennett, is not something that you have to accept at face value for what it is. If you focus on your health as an important attribute to a successful plan, the financial end of the equation may just fall right into place.

To answer your question: No. Being healthy will not make you financially savvy. That’s why you have me. But you cannot ignore the cost of poor health on your retirement. We are all aware of the pressures already being exerted on our health system and movement to push more and more of those costs and as well as the decisions of how that care should transpire back to the private citizen.

This will not be the last time we touch on the topic of health and the cost it tallies against your best retirement goals. Poor health almost acts like a tax on those savings, which is yet another important topic we will consider further along.

Thursday, October 25, 2007

Retirement Planning and Your Health

Retirement Planning and Your Health



Few of us factor in the cost of our health on our retirement. We live with great gusto when we are young, never thinking of the possible implications those risky behaviors can have later in life.

We often discuss risk in financial terms but that discussion is often focused on the risk of an investment. But risk can be controlled in the world of investing just as it can be controlled when it comes to your health. Opting for less risky investments however can lead to smaller returns on that investment dollar. The opposite is true for your health.

When it comes to your health, this one area that requires you to review how much risk you have taken and what that risk will affect. Health risks demand conservative investing.




Those risky behaviors can have daunting costs later in life that can serve to undermine the best-laid plans. While incidents of cancer actually decreasing somewhat and most of the credit for that is due to earlier detection, it still remains a menace that is, in many cases preventable.

At Harvard University’s Cancer Prevention Center, they list ten controllable risks and habits, each of which has additional side benefits across your entire health picture.

Those risk factors are:
Maintaining a Healthy Weight
    National Institute of Diabetes, Digestive, and Kidney Diseases

    Weight-control Information Network
    A one-stop-shop for information on weight control, this site covers a huge range of topics.

    Centers for Disease Control and Prevention
    Getting Started

    This site offers practical strategies for becoming and staying active.


    Tufts University
    Nutrition Navigator

    An informative site that rates the quality of individual nutrition Web sites based on their accuracy and usability.

    Energize Yourself! Stay Physically Active

    Being active can boost your mood and give you more energy.

    Harvard School of Public Health, Department of Nutrition
    The Nutrition Source

    An informative site covering a wide range of nutrition topics, including weight control.

    Intelihealth
    Weight Management

    A comprehensive site that offers everything from the basics on weight management to specific action plans for healthy eating and physical activity


Physical Activity

There is growing proof that physical exercise can prolong your life and ultimately lower your risk for disease. Remember, it isn’t too late to start and when you do, do so regularly. But if you haven’t done much more than remote control calisthenics, it would probably be best to talk with you doctor prior to getting started.

Tobacco Use

Tobacco use is the leading preventable cause of death worldwide. Aside from causing 90 percent of all lung cancer, cigarette use is related to the risk of cancers of the bladder, kidney, pancreas, lip, mouth, tongue, larynx, throat, and esophagus, among other chronic diseases.

Although the X Pack is primarily designed for those who have begun smoking at an early age, the product, the brainchild of Dr. Lorien Abroms, who won the Gareth Green Award for Public Health Practice is suitable for any age group.





Additional links:


Diet, Multivitamins, Alcohol Use The HCCP is quick to point out that just because you may have received numerous and often conflicting reports about what you should and should not eat, that you should not be discouraged. The science behind diet is evolving but one thing can be said for certain, fruits and vegetables, less meat and generally avoiding unnecessary fats will help you reduce your risks for many health problems. Alcohol should be drunk in moderation if at all. Once again the science is still finding its footing on this subject but most studies agree, too much of anything is bad for your delicate system.



Additional resources


Sun Exposure The science on this category is pretty straightforward. Sunlight is not a good thing for most of us and for those of us who think we can tan, it can be deceivingly bad. The proportion of major cancers due to sunlight is startling: Melanoma (over 90%) ,Basal cell carcinoma (over 90%), and
Squamous cell carcinoma (over 90%) This is a risk factor that is easily controlled.



Here are some suggestions:
    Avoid unnecessary and prolonged sun exposure.

    Use a sunscreen with a skin protection factor higher than 15.

    Avoid exposure to sun between the hours of 10 am and 3 p.m.

    Wear long-sleeved outdoor clothing and a hat with a brim in the sun.

    Protect your children from excess exposure to sunlight.

    Don't ignore any suspicious skin growth, particularly one that changes in shape, color, or pigmentation.


Sexually Transmitted Infections Few if any of us consider infections as a risk for more serious diseases.



And even fewer, consider the risk of any sexually transmitted disease as having long-term, often cancerous results.























































INFECTIOUS AGENTS ASSOCIATED WITH CANCER
Agent Type of cancer
Human papillomavirus (HPV) Cervix, vulva, anus, penis, head and neck
Hepatitis B virus (HBV) Liver
Hepatitis C virus (HCV) Liver
Helicobacter pylori Stomach
Epstein-Barr virus (EBV) Nasopharynx, Hodgkin’s disease, non-Hodgkin’s lymphoma
Human herpesvirus type 8 (HHV-8) Kaposi’s sarcoma
Human immunodeficiency virus type 1 (HIV-1) Kaposi’s sarcoma, lymphoma
Human T-cell lymphotrophic virus type I (HTLV-I) Leukemia/lymphoma
Schistosomes Bladder
Liver flukes Bile duct


Screening and Family History & Genetics



And lastly, frequent screening for such treatable and often preventable diseases such as breast cancer, cervical cancer, colon cancer and melanoma all help to reduce your risk later in life. And while genetics is still in its infancy, the communication you have with your doctor, especially when it comes to family history of illness is extremely important.

So if you are focused solely on the monetary value of your retirement plan, it would be wise to take into consideration some of the additional factors that are well within your control and most importantly, can end up thwarting all your well-intentioned efforts.

Retirement Planning and Your Health

Retirement Planning and Your Health



Few of us factor in the cost of our health on our retirement. We live with great gusto when we are young, never thinking of the possible implications those risky behaviors can have later in life.

We often discuss risk in financial terms but that discussion is often focused on the risk of an investment. But risk can be controlled in the world of investing just as it can be controlled when it comes to your health. Opting for less risky investments however can lead to smaller returns on that investment dollar. The opposite is true for your health.

When it comes to your health, this one area that requires you to review how much risk you have taken and what that risk will affect. Health risks demand conservative investing.




Those risky behaviors can have daunting costs later in life that can serve to undermine the best-laid plans. While incidents of cancer actually decreasing somewhat and most of the credit for that is due to earlier detection, it still remains a menace that is, in many cases preventable.

At Harvard University’s Cancer Prevention Center, they list ten controllable risks and habits, each of which has additional side benefits across your entire health picture.

Those risk factors are:
Maintaining a Healthy Weight
    National Institute of Diabetes, Digestive, and Kidney Diseases

    Weight-control Information Network
    A one-stop-shop for information on weight control, this site covers a huge range of topics.

    Centers for Disease Control and Prevention
    Getting Started

    This site offers practical strategies for becoming and staying active.


    Tufts University
    Nutrition Navigator

    An informative site that rates the quality of individual nutrition Web sites based on their accuracy and usability.

    Energize Yourself! Stay Physically Active

    Being active can boost your mood and give you more energy.

    Harvard School of Public Health, Department of Nutrition
    The Nutrition Source

    An informative site covering a wide range of nutrition topics, including weight control.

    Intelihealth
    Weight Management

    A comprehensive site that offers everything from the basics on weight management to specific action plans for healthy eating and physical activity


Physical Activity

There is growing proof that physical exercise can prolong your life and ultimately lower your risk for disease. Remember, it isn’t too late to start and when you do, do so regularly. But if you haven’t done much more than remote control calisthenics, it would probably be best to talk with you doctor prior to getting started.

Tobacco Use

Tobacco use is the leading preventable cause of death worldwide. Aside from causing 90 percent of all lung cancer, cigarette use is related to the risk of cancers of the bladder, kidney, pancreas, lip, mouth, tongue, larynx, throat, and esophagus, among other chronic diseases.

Although the X Pack is primarily designed for those who have begun smoking at an early age, the product, the brainchild of Dr. Lorien Abroms, who won the Gareth Green Award for Public Health Practice is suitable for any age group.





Additional links:


Diet, Multivitamins, Alcohol Use The HCCP is quick to point out that just because you may have received numerous and often conflicting reports about what you should and should not eat, that you should not be discouraged. The science behind diet is evolving but one thing can be said for certain, fruits and vegetables, less meat and generally avoiding unnecessary fats will help you reduce your risks for many health problems. Alcohol should be drunk in moderation if at all. Once again the science is still finding its footing on this subject but most studies agree, too much of anything is bad for your delicate system.



Additional resources


Sun Exposure The science on this category is pretty straightforward. Sunlight is not a good thing for most of us and for those of us who think we can tan, it can be deceivingly bad. The proportion of major cancers due to sunlight is startling: Melanoma (over 90%) ,Basal cell carcinoma (over 90%), and
Squamous cell carcinoma (over 90%) This is a risk factor that is easily controlled.



Here are some suggestions:
    Avoid unnecessary and prolonged sun exposure.

    Use a sunscreen with a skin protection factor higher than 15.

    Avoid exposure to sun between the hours of 10 am and 3 p.m.

    Wear long-sleeved outdoor clothing and a hat with a brim in the sun.

    Protect your children from excess exposure to sunlight.

    Don't ignore any suspicious skin growth, particularly one that changes in shape, color, or pigmentation.


Sexually Transmitted Infections Few if any of us consider infections as a risk for more serious diseases.



And even fewer, consider the risk of any sexually transmitted disease as having long-term, often cancerous results.
























































INFECTIOUS AGENTS ASSOCIATED WITH CANCER
Agent Type of cancer
Human papillomavirus (HPV) Cervix, vulva, anus, penis, head and neck
Hepatitis B virus (HBV) Liver
Hepatitis C virus (HCV) Liver
Helicobacter pylori Stomach
Epstein-Barr virus (EBV) Nasopharynx, Hodgkin’s disease, non-Hodgkin’s lymphoma
Human herpesvirus type 8 (HHV-8) Kaposi’s sarcoma
Human immunodeficiency virus type 1 (HIV-1) Kaposi’s sarcoma, lymphoma
Human T-cell lymphotrophic virus type I (HTLV-I) Leukemia/lymphoma
Schistosomes Bladder
Liver flukes Bile duct


Screening and Family History & Genetics



And lastly, frequent screening for such treatable and often preventable diseases such as breast cancer, cervical cancer, colon cancer and melanoma all help to reduce your risk later in life. And while genetics is still in its infancy, the communication you have with your doctor, especially when it comes to family history of illness is extremely important.

So if you are focused solely on the monetary value of your retirement plan, it would be wise to take into consideration some of the additional factors that are well within your control and most importantly, can end up thwarting all your well-intentioned efforts.