{"id":126285,"date":"2020-07-20T12:33:46","date_gmt":"2020-07-20T19:33:46","guid":{"rendered":"https:\/\/calmatters.org\/?p=126285"},"modified":"2020-09-16T11:52:32","modified_gmt":"2020-09-16T18:52:32","slug":"coronavirus-bay-area-seniors-health-tech-divide","status":"publish","type":"post","link":"https:\/\/calmatters.org\/_ko\/california-divide\/2020\/07\/coronavirus-bay-area-seniors-health-tech-divide\/","title":{"rendered":"Coronavirus: The Bay Area seniors who are left behind by a telehealth tech divide"},"content":{"rendered":"<div class=\"wp-block-group has-light-gray-background-color has-background calmatters-summary\">\n\t\t\t<div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n\t\t\t\t\n\t\t\t\t<p class=\"has-small-font-size calmatters-summary-heading\"><strong>\uc694\uc57d\ud574\uc11c<\/strong><\/p>\n\t\t\t\t\n\n\t\t\t\t\n\t\t\t\t<p class=\"calmatters-summary-content\">Without internet access, getting health care is harder than ever.<\/p>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\n<p>Dan Makevich\u2019s terrible eyesight made him retire early from his beloved job of 15 years as a tour guide in the Bay Area and Yosemite. When the pandemic hit, Makevich knew his age, diabetes and respiratory problems made him a prime target. What he didn\u2019t know was that not owning a computer would make getting health care much harder.<\/p>\n\n\n\n<p>\u201cAll of my doctor\u2019s appointments started canceling,\u201d said Makevich, 67, who now lives on a fixed income and can\u2019t afford a computer. \u201c\u2018They said, \u2018We\u2019ll do it by Zoom.\u2019 Well, we can\u2019t.\u201d<\/p>\n\n\n\n<p>Seniors make up&nbsp;<a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/need-extra-precautions\/older-adults.html\" target=\"_blank\" rel=\"noreferrer noopener\">80 percent of COVID-19 deaths in the U.S.<\/a>&nbsp;and run a greater risk than most venturing&nbsp;outside their homes, according to the Centers for Disease Control. But even when sheltered, some elders face a lonely, disconnected reality:&nbsp;<a href=\"https:\/\/www.pewresearch.org\/internet\/2017\/05\/17\/technology-use-among-seniors\/\" target=\"_blank\" rel=\"noreferrer noopener\">Half the country\u2019s<\/a>&nbsp;senior population doesn\u2019t have internet access, and&nbsp;<a href=\"https:\/\/www.census.gov\/content\/dam\/Census\/library\/publications\/2018\/acs\/ACS-38.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">one-fourth live alone<\/a>, according to the Census Bureau.<\/p>\n\n\n\n<p>Loneliness itself is a&nbsp;<a href=\"https:\/\/www.nia.nih.gov\/news\/social-isolation-loneliness-older-people-pose-health-risks\" target=\"_blank\" rel=\"noreferrer noopener\">health risk for older adults<\/a>, but experts and providers worry now more than ever that the technological divide is reducing seniors\u2019 access to health care. Without a statewide effort specifically aimed at helping low-income seniors during the pandemic, existing programs and Bay Area nonprofits are trying to fill a tech gap made life-threatening by COVID-19.<\/p>\n\n\n\n<p>\u201cThere has been so much despair around not getting to see family and, more to the bone, around not having food, or access to telehealth,\u201d said California Department of Aging director Kim McCoy Wade.<\/p>\n\n\n\n<p>Doctors are increasingly using telehealth as the safest, most effective means of caregiving. It\u2019s a luxury that low-income seniors who don\u2019t have internet, a computer, or digital skills simply can\u2019t access. Doctors and volunteers who teach digital literacy report that clients have trouble installing apps or may have never held, much less used, a smartphone.<\/p>\n\n\n\n<p>For immunocompromised Makevich, health care has always been a high priority. But without a computer or smartphone, he quickly piled up a sizable list of small but impossible tasks: registering online for appointments, accessing programs requiring a Google or Facebook account, getting text&nbsp;messages for prescriptions and emails for Medicare updates or appointment reminders.<\/p>\n\n\n\n<p>Makevich said he wished he could have participated in the Zoom appointment his health care coverage was supposed to provide him. That way, a doctor could have taken a look at his spinal stenosis. But with no way to film himself, his back problem could only be assessed over the phone. Still, Makevich knows he\u2019s lucky: He has a partner at home and takes digital training classes through a San Francisco nonprofit that will soon provide him with a free tablet.&nbsp;\u201cPeople without computers are being left behind,\u201d Makevich said. \u201cAnd you can\u2019t keep up with computers if you don\u2019t have money.\u201d<\/p>\n\n\n<ul class=\"wp-block-latest-posts__list is-grid columns-3 has-dates has-author wp-block-latest-posts\"><\/ul>\n\n\n<p>Of California\u2019s 5.7 million seniors, one in three are low income, according to data from the Department of Aging. When shelter-in-place orders shut down businesses, those who went to senior centers and libraries for internet and human connection quickly lost that access. With a rising number of coronavirus cases, many at-risk elders won\u2019t leave their homes. \u201cIt\u2019s a crisis on top of a crisis: older adults, even before the pandemic, we\u2019re too often isolated and excluded from communities,\u201d said McCoy Wade.<\/p>\n\n\n\n<p>That\u2019s precisely why Paige Wheeler Fleury co-launched Oakland at Risk in March. The community-based website was meant to match older adults with neighbors for&nbsp;support during the pandemic. It became much more when medical and social workers started reaching out, worried about clients who were getting further isolated by the digital divide. Wheeler Fleury said one woman hadn\u2019t seen anybody in three months and did not know where to turn when her best friend, infected with COVID-19, was put on a ventilator.<\/p>\n\n\n\n<p>In four months,&nbsp;Wheeler Fleury said, Oakland at Risk has helped 350 elders. She remembers many vividly, including one woman who was disabled and fell twice but couldn\u2019t access web-based health services on her own.<\/p>\n\n\n\n<p>\u201cMany adults have lost access to health care altogether because of this digital divide,\u201d said Dr. Josette Rivera, a professor of medicine at UC San Francisco.<\/p>\n\n\n\n<p>Rivera, who is also a clinician for the elderly, couldn\u2019t recall a single patient who\u2019d been able to set up a telehealth appointment without the help of a younger family member. \u201cSaying that telehealth is the solution \u2026 well, not for everybody,\u201d said Rivera. \u201cIt\u2019s a real inequality.\u201d<\/p>\n\n\n\n<p>The divide isn\u2019t only a question of age. According to the California Public Utilities Commission, of all demographic barriers to getting connected,&nbsp;<a href=\"https:\/\/www.nia.nih.gov\/news\/social-isolation-loneliness-older-people-pose-health-risks\" target=\"_blank\" rel=\"noreferrer noopener\">income is the most significant<\/a>. The Pew Research Center found in 2017 that 73 percent of low-income elders in the U.S.&nbsp;<a href=\"https:\/\/www.pewresearch.org\/internet\/2017\/05\/17\/technology-use-among-seniors\/\" target=\"_blank\" rel=\"noreferrer noopener\">don\u2019t have home broadband<\/a>, compared with 13 percent for households earning $75,000 or more.<\/p>\n\n\n\n<p>For 62-year-old Scott-Stephen Aiu, library computers were an essential part of life. Every day, Aiu, a San Francisco resident living alone on a fixed income, would read his email and make sure everyone was doing well back home, in Hawaii. The pandemic put a stop to those daily communications. Aiu said he contacted multiple senior centers and even city and state officials to ask how he could access the internet, without success.<\/p>\n\n\n\n<p>McCoy Wade said the Department of Aging had been communicating with the Public Utility Commission and tech corporations, among others, to address seniors\u2019 issues of digital access, and there have been discussions about making access to telehealth an integral part of Medicaid and Medicare. The department has also been gathering data and holding webinars, McCoy Wade said, but has yet to target the specific technological needs seniors face during the pandemic.&nbsp;A few statewide initiatives like Comcast\u2019s 60 Day Free internet program or the PUC\u2019s Emerging Technology Fund seek to close the digital gap, but many still struggle to find solutions.<\/p>\n\n\n\n<p>Two months into shelter-in-place, Aiu was referred to Community Tech Network, a San Francisco nonprofit that partnered with others to launch programs aimed at improving access to technology for elders. Aiu was given a tablet and digital training. Being able to connect with family and make safe doctor\u2019s appointments on Zoom has made him feel \u201cpart of the world again.\u201d<\/p>\n\n\n\n<p>\u201cIt was just in the nick of time because honestly, I was just going to give up,\u201d said Aiu.<\/p>\n\n\n\n<p><em>\uc774 \uae30\uc0ac\ub294 \ub2e4\uc74c\uc758 \uc77c\ubd80\uc785\ub2c8\ub2e4.&nbsp;<a href=\"https:\/\/calmatters.org\/projects\/the-california-divide\/\" target=\"_blank\" rel=\"noreferrer noopener\">The California Divide<\/a>\uce98\ub9ac\ud3ec\ub2c8\uc544\uc758 \uc18c\ub4dd \ubd88\ud3c9\ub4f1\uacfc \uacbd\uc81c\uc801 \uc0dd\uc874\uc744 \uc870\uc0ac\ud558\ub294 \ub274\uc2a4\ub8f8 \uac04 \ud611\uc5c5.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Without internet access, getting health care is harder than ever.<\/p>","protected":false},"author":187,"featured_media":126286,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_stopmodifiedupdate":false,"_modified_date":"","newspack_ads_suppress_ads":false,"newspack_popups_has_disabled_popups":false,"newspack_sponsor_sponsorship_scope":"","newspack_sponsor_native_byline_display":"inherit","newspack_sponsor_native_category_display":"inherit","newspack_sponsor_underwriter_style":"inherit","newspack_sponsor_underwriter_placement":"inherit","apple_news_api_created_at":"2020-07-20T19:33:53Z","apple_news_api_id":"880408c8-694a-4ffa-8d51-180254b20ec0","apple_news_api_modified_at":"2020-09-16T18:52:36Z","apple_news_api_revision":"AAAAAAAAAAAAAAAAAAAABQ==","apple_news_api_share_url":"https:\/\/apple.news\/AiAQIyGlKT_qNURgCVLIOwA","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"_spanish_translation_id":0,"_is_translation":false,"_newspack_byline_active":false,"_newspack_byline":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"newspack_content_restriction_is_exempt":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6055],"tags":[406,26758,1816,3472],"legislator":[],"bill":[],"newspack_spnsrs_tax":[],"coauthors":[39578],"class_list":["post-126285","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-california-divide","tag-bay-area","tag-coronavirus","tag-health","tag-seniors","entry"],"acf":[],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bay Area seniors are left behind by a telehealth tech divide - CalMatters<\/title>\n<meta name=\"description\" content=\"Half the country\u2019s senior population doesn\u2019t have internet access, and one-fourth live alone, according to the Census Bureau.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/calmatters.org\/_ko\/california-divide\/2020\/07\/coronavirus-bay-area-seniors-health-tech-divide\/\" \/>\n<meta property=\"og:locale\" content=\"ko_KR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coronavirus: The Bay Area seniors who are left behind by a telehealth tech divide\" \/>\n<meta property=\"og:description\" content=\"Half the country\u2019s senior population doesn\u2019t have internet access, and one-fourth live alone, according to the Census Bureau.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/calmatters.org\/_ko\/california-divide\/2020\/07\/coronavirus-bay-area-seniors-health-tech-divide\/\" \/>\n<meta property=\"og:site_name\" content=\"CalMatters\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/calmatters\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-20T19:33:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-09-16T18:52:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i0.wp.com\/calmatters.org\/wp-content\/uploads\/2020\/07\/SJM-L-TECHDIVIDE-0713-1-scaled.jpg?fit=2560%2C1707&ssl=1\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Laurence Du Sault\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@lilimichelena\" \/>\n<meta name=\"twitter:site\" content=\"@CalMatters\" \/>\n<meta name=\"twitter:label1\" content=\"\uae00\uc4f4\uc774\" \/>\n\t<meta name=\"twitter:data1\" content=\"Liliana Michelena\" \/>\n\t<meta name=\"twitter:label2\" content=\"\uc608\uc0c1 \ub418\ub294 \ud310\ub3c5 \uc2dc\uac04\" \/>\n\t<meta name=\"twitter:data2\" content=\"5\ubd84\" \/>\n\t<meta name=\"twitter:label3\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data3\" content=\"Laurence Du Sault\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/\"},\"author\":{\"name\":\"Liliana Michelena\",\"@id\":\"https:\\\/\\\/calmatters.org\\\/#\\\/schema\\\/person\\\/b198cf71fd9be0900d0096403f7828d3\"},\"headline\":\"Coronavirus: The Bay Area seniors who are left behind by a telehealth tech divide\",\"datePublished\":\"2020-07-20T19:33:46+00:00\",\"dateModified\":\"2020-09-16T18:52:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/\"},\"wordCount\":1103,\"publisher\":{\"@id\":\"https:\\\/\\\/calmatters.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/i0.wp.com\\\/calmatters.org\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/SJM-L-TECHDIVIDE-0713-1-scaled.jpg?fit=2560%2C1707&ssl=1\",\"keywords\":[\"Bay Area\",\"Coronavirus\",\"health\",\"seniors\"],\"articleSection\":[\"California Divide\"],\"inLanguage\":\"ko-KR\",\"copyrightYear\":\"2020\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/calmatters.org\\\/_ko\\\/#organization\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/\",\"url\":\"https:\\\/\\\/calmatters.org\\\/california-divide\\\/2020\\\/07\\\/coronavirus-bay-area-seniors-health-tech-divide\\\/\",\"name\":\"Bay Area seniors are left behind by a telehealth tech divide - 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Makevich, a senior citizen, is enrolled in a program for digital literacy for low-income elders. Seniors are most affected by COVID-19 and through a program by Community Tech Network they are assisted with training, internet connection and a tablet. 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