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An older person's money management errors may be a sign of some sort of dementia
Alzheimer's and other forms of dementia leave seniors at risk for financial mismanagement and exploitation. With few regulatory safeguards, it falls on families to monitor the risk and intervene.
STEVE INSKEEP, HOST:
By 2030, an estimated 9 million Americans will be living with some sort of dementia. They will need health care and social support and also consumer financial protection. That's because people with dementia are at risk for losing control of their money. As Sarah Boden of WESA in Pittsburgh explains, these problems can even be an early symptom of illness.
SARAH BODEN, BYLINE2: Angela Reynolds pulls out faded photos of her childhood home in New Haven3, Conn.
ANGELA REYNOLDS: I don't know if you can tell here, but the blinds right there, they go out to a deck that she had built on to the house.
BODEN: This house was a point of family pride. When her mom bought it for $20,000 in 1966, she became one of the first Black homeowners in that part of town.
REYNOLDS: So this should have been a legacy4 for so many different reasons.
BODEN: But her family no longer owns this house, and Reynolds blames the ravages5 of Alzheimer's because her mom began to forget to pay the mortgage.
REYNOLDS: And we lost it.
BODEN: Reynolds had been living in another state and thought her mom was doing fine. By the time she stepped in, it was too late to stop the foreclosure. Her mom had been withdrawing large amounts of cash but wasn't paying her bills. And for some reason, she had refinanced the mortgage to a much higher interest rate. Reynolds thinks her mom might have been exploited, but there's no way to know. Dementia specialists say money problems can be one of the first signs of trouble. Robin6 Hilsabeck is a neuropsychologist at the UT Austin Dell Medical School.
ROBIN HILSABECK: It's not uncommon7 for the first sign is, you know, my loved one was scammed out of several hundred or thousands of dollars.
BODEN: Hilsabeck says errors in money management can help reveal the kind of dementia a person has. For example, when it comes to the leading cause of dementia, Alzheimer's disease...
HILSABECK: That's the one where it's really rapid forgetting.
BODEN: Including that they need to pay their bills. Lewy body dementia creates fluctuating cognition. So in the morning, a person might be perfectly8 capable of writing a check...
HILSABECK: And later in the day, they may not be able to do it.
BODEN: Someone with vascular9 dementia can have issues with their processing speed, so it's easier to confuse them and defraud10 them. And frontotemporal dementia creates behavior changes.
HILSABECK: They're disinhibited, impulsive11. They do things like you would never, ever have thought they would do before, and their families come in and say, oh, my gosh.
BODEN: Research shows how financial issues are both caused by and sometimes predictive of dementia. One study of some 81,000 Medicare recipients12 found that people with Alzheimer's disease and related dementias started to develop poor credit up to six years before their diagnosis13. At first, dementia can be pernicious. Early signs are often subtle and hard to recognize. Sharon Gwinn, who lives in Pittsburgh, was at the grocery store when she got an early clue that something was wrong with her husband. Her credit card was declined.
SHARON GWINN: And I was like, no, no, no, there's thousands of dollars in that account.
BODEN: Initially14, Sharon thought her identity had been stolen. What actually happened was worse. The night before, her husband of 28 years, Richard, had racked up a $3,000 tab in a Pittsburgh bar, buying rounds for strangers.
GWINN: So I was completely crushed.
BODEN: Richard was showing the first signs of Lewy body dementia. Before he got sick, Sharon says her husband had been the kind of guy who only bought used cars, which he kept until they rusted15 apart. At the time of the bar incident, Richard was seemingly normal, except for money.
GWINN: He drove for years after his financial awareness16 was gone.
BODEN: Neurologists say someone with early-stage dementia may seem perfectly functional17 in some areas of daily living, while other aspects, such as finances, spin out of control. These people are frequent targets of scams or outright18 theft - sometimes by strangers, sometimes by family members. Now Sharon is a widow, but she still worries about losing her savings19 if she gets dementia.
GWINN: I do not want my children to be responsible for taking care of me. What I have, I want my money to be spent for my care, and I don't want to burden them.
BODEN: Sharon pays a monthly fee for a service that monitors for unusual spending - like huge bar tabs - across all of her accounts. And she's designated power of attorney to her eldest20 daughter. Unlike Sharon, a lot of people are not reckoning with the possibility that they could one day develop dementia. Matt Lundquist specializes in financial family therapy.
MATT LUNDQUIST: What we discover in being close to people who are struggling with something like dementia is the ways that money can represent stability, control, power, autonomy and safety.
BODEN: Some people may assume they don't need to talk to their family about money because their bank or brokerage firm is looking out for them. But advocates say the financial industry could be doing a lot more. In 2016, the Consumer Financial Protection Bureau made a set of recommendations for companies to better protect the wealth of seniors. These included employee training and tweaks to fraud detection systems. But Naomi Karp, who worked at the bureau at that time, says little was done.
NAOMI KARP: We would have meetings repeatedly with some of the largest banks, and they gave a lot of lip service to these issues, but when it came right down to it, change is very, very slow.
BODEN: There's at least one regulation that seems to help. Brokerage firms are required to try to get clients to name so-called trusted contacts. The contact gets alerted if something concerning is going on with their loved one's money. But at most financial institutions, this safeguard is limited to brokerage accounts. It's not offered for checking and savings accounts. For Angela Reynolds, she wishes the bank had alerted her that her mom had stopped paying the mortgage on the family house in New Haven.
REYNOLDS: I fully21 believe that they noticed signs, but there was nothing in place at that time.
BODEN: Today, that home is owned by U.S. Bank. It's valued at more than $200,000. That's money Reynolds could have used to pay for her mother's care.
For NPR News, I'm Sarah Boden in Pittsburgh.
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n.抄本,誊本,副本,肄业证书 | |
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byline
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n.署名;v.署名 | |
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haven
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n.安全的地方,避难所,庇护所 | |
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legacy
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n.遗产,遗赠;先人(或过去)留下的东西 | |
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ravages
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劫掠后的残迹,破坏的结果,毁坏后的残迹 | |
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robin
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n.知更鸟,红襟鸟 | |
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uncommon
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adj.罕见的,非凡的,不平常的 | |
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perfectly
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adv.完美地,无可非议地,彻底地 | |
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vascular
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adj.血管的,脉管的 | |
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defraud
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vt.欺骗,欺诈 | |
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impulsive
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adj.冲动的,刺激的;有推动力的 | |
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recipients
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adj.接受的;受领的;容纳的;愿意接受的n.收件人;接受者;受领者;接受器 | |
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diagnosis
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n.诊断,诊断结果,调查分析,判断 | |
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initially
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adv.最初,开始 | |
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rusted
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v.(使)生锈( rust的过去式和过去分词 ) | |
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awareness
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n.意识,觉悟,懂事,明智 | |
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functional
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adj.为实用而设计的,具备功能的,起作用的 | |
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outright
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adv.坦率地;彻底地;立即;adj.无疑的;彻底的 | |
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savings
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n.存款,储蓄 | |
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eldest
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adj.最年长的,最年老的 | |
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fully
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adv.完全地,全部地,彻底地;充分地 | |
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