If there’s one thing that’s 100% within your control, it’s your effort. You control how hard you work. Not your manager. Not anyone else. No one can, or will, stop you from working hard. The effort you make is yours alone. If it isn’t enough, it’s all on you. You control how many hours you work, too. The time you invest in work each day has nothing to do with scheduled hours; it has nothing to do with whether you’re paid hourly, salary or straight commission. You can work as much as you want – or as little. If you’re being out-hustled, it’s because you’re allowing it. If someone’s working harder than you, they’re likely to produce more and better results. Even if they aren’t as smart or as talented or as well-connected as you. There’re very few things in life that’re 100% within your control. Your belief system is one of them. Your attitude is another. And your effort is also one of the few things you can control. 100%.
Deaths from heart failure, one of the nation’s biggest killers, are surging as the population ages and the health of younger generations worsens. The death rate from the debilitating condition rose 20.7% between 2011 and 2017, and is likely to keep climbing sharply, according to a study published today (Wednesday) in the journal JAMA Cardiology.
The rapid aging of the population, together with high rates of obesity and diabetes in all ages, are pushing both the rate and number of deaths from heart failure higher. Most deaths from heart failure occur in older Americans, but they’re rising in adults under 65, too, the study showed. The findings help explain why a decades-long decline in the death rate from cardiovascular disease has slowed substantially since 2011 and started rising in middle-aged people, helping drive down U.S. life expectancy. The number of Americans who are 65 and over rose nearly 23% between 2011 and 2017 to 50.9 million, and is projected to expand another 44% to 73.1 million by 2030, according to the study, citing Census Bureau data.
A new interactive survey by Genworth Financial found the fastest-rising long-term care cost is not for the most skilled care at a nursing home or assisted-living facility, but in-home services. Genworth reported the cost of homemaker services – in which an aide helps with tasks such as cooking, cleaning and running errands – has increased 7.14% in the past 12 months. That’s four times the increase in the median cost of a private room in a nursing home, which rose 1.82%. The cost of a home health aide – who assists someone in eating, getting dressed or taking medication – increased 4.55%.
In its 2019 Annual Cost of Care survey, Genworth added a new category for in-home services: skilled nursing care. The median cost is $87.50 per visit. The annual median cost of care in a nursing home is $90,155 for a semiprivate room and $102,200 for a private room. At some point in their senior years, 7 in 10 Americans will need LTC. The problem is many people don’t realize that Medicare doesn’t cover LTC except in limited situations.