Investing 102: From Safe to Risky

Investing 102: From Safe to Risky

http://www.csa.us/email/spirit/ssarticles/1212Money.html


By V. Raymond Ferrara, CFP®, CSA®

In last month’s article (“Investing 101: Even the Mattress Has Risks,” November Senior Spirit), we talked about the necessity of finding a competent and ethical financial planner, the importance of developing a financial and investment plan and then having the discipline to follow the plan in good times and bad. Now, let’s talk about how different investments might be used. Space does not permit us to talk about all alternatives, nor can we determine which investments are most suitable to you.

Perhaps the most basic investments are also the safest as long as they are Federal Deposit Insurance Corporation (FDIC) insured. These generally include checking accounts, savings accounts and certificates of deposit (CDs). Visit with your banker to understand your personal coverage, especially if you have multiple accounts at the same bank. Multiple accounts do not necessarily provide multiple layers of insurance. Interest rates today are extremely low, but perhaps, like Will Rogers in the 1930s, you are more concerned about the return of your money than in the return on your money.

Another popular conservative vehicle is the use of a fixed annuity with an insurance company. Annuities issued today will generally have an underlying guaranteed return of 2 percent, although the actual percentage paid could be higher because the rate is reset each year. The money grows on a tax-deferred basis. When you withdraw the money from the annuity, the earnings are taxed as ordinary income, and should you withdraw money prior to age 59½, there is a 10 percent penalty. Annuities almost always have a surrender penalty if they are cashed in prematurely. You should generally avoid purchasing any annuity with a surrender period that exceeds seven years. A longer period may cause a liquidity issue, which is especially important for those in retirement.

Government Bonds
Let’s now discuss bonds, which many people consider a “safe” investment. Most bonds are safer than stocks, but not all bonds are created equal. The safest bond is a U.S. government bond, which is backed by the full faith and credit of the U.S. government. As long as the government has paper, ink and a printing press, you will always get your money back. But there is risk involved, as was seen in August 2011 when Standard & Poor downgraded U.S. government bonds from AAA to AA. The longer the term to maturity on a bond, the higher the interest rate paid and the greater the volatility of the bond’s price. When interest rates go down (like they are today), the price of bonds goes up. Conversely, when interest rates go up (as they are likely to do in the future), the price of bonds goes down. Thus, while you own a bond you will see its value increase and decrease over time, but if you hold the bond to maturity, the U.S. government will pay you the face value of the bond. State and local governments offer municipal bonds that are attractive because the interest is tax free.

Other countries also issue government bonds, but those come with their own set of risks. The last several years have been filled with financial difficulties in Greece, Spain, Italy and other countries, so it is important to understand the fiscal condition of any country prior to investing. When you invest in foreign bonds, you must also be concerned with currency risk.

Corporate Bonds
Corporate bonds generally have greater risk than government bonds and come in investment-grade (trust quality) and high-yield options. Large stable corporations are often considered less risky and generally pay lower interest rates. Small corporations or corporations that are in trouble financially offer bonds that are called “high-yield.” Because you are taking a greater risk than with government bonds, corporations must entice you with a higher interest rate. Unlike government bonds, corporate bonds are only guaranteed by the corporation that issues the bond. As seen during the financial crisis, even large firms can be at risk. The most convenient and often safest way for most investors to purchase bonds is to purchase mutual funds and/or exchange traded funds (ETFs).

The difference between stocks and bonds is that bonds are investments in which you loan money to a government or corporation that pays interest on the “loan,” while stocks actually provide ownership in a company. There are no underlying guarantees as to the financial success of the companies in which you have ownership. In particular, most investors should avoid investing in “penny” stocks, which are generally company shares that sell for less than $5 per share. A lot of promoters sell these very inexpensive stocks by promising huge gains. For the most part, the smaller the company, the greater the risk.

Small Versus Large Companies
Most stock investments are categorized by small, medium and large companies, which are determined by the market capitalization of a company (total value of all shares). In most equity portfolios, an investor wants to have a few small stocks, some medium and mostly larger company shares. Although it is commonly assumed that the larger the company, the lower the risk, we have all come to learn that even big companies can have big difficulties.

Most large corporations based in America have a significant amount of revenue coming from overseas, thus helping investors diversify their portfolio through international investing. But, investors will often purchase stocks from foreign companies in an effort to further diversify the portfolio. Foreign investments are divided into mature countries (Germany, England, France, etc.) and emerging countries (China, Russia, South America, etc.). Greater risk exists in the emerging countries. In addition to all of the regular risk associated with owning stocks, there are also foreign currency risks and accounting risks because many countries don’t have the same high accounting standards as the U.S.

Stocks that pay dividends (a share of the profits) are considered more stable and less risky than stocks that don’t pay dividends. When a company makes money, it must use that money to either grow the business by purchasing more equipment, reinvest that money by buying other companies or share some of the profits with investors. Again, the best way for most investors to buy stocks is through mutual funds, which spread the risk of any one stock.

In addition to these common investments, you may mix in other investments like variable annuities, real estate investment trusts (REITs), commodity funds and perhaps some precious metal funds. It depends upon your risk level. No two investors are alike, and you must be careful that you don’t get “cookie cutter” advice.

Visiting with a financial planner, you can determine your investment goals, risk tolerance and asset allocation program. Avoid putting all your eggs in one basket. A diversified portfolio that provides both income and opportunity for growth works best for most people.

V. Raymond Ferrara, CFP®, CSA, is president and CEO of ProVise Management Group, LLC in Clearwater, Florida (727-441-9022). © November 2012

Glossary of Financial Terms

Definitions for the following financial terms are from Investor Words.

  • AA rating: a bond rating assigned to an investment-grade debt instrument that reflects an opinion that the issuer has the current capacity to meet its debt obligations and faces slightly higher solvency risk from changes in business, financial or economic conditions than an AAA-rated instrument.
  • AAA rating: the highest possible bond rating, which reflects an opinion that the issuer has the current capacity to meet its debt obligations and has an extremely low solvency risk from changes in business, financial or economic conditions.
  • bonds: a debt instrument issued for a period of more than one year with the purpose of raising capital by borrowing. The federal government, states, cities, corporations and many other types of institutions sell bonds.
  • commodity funds: an exchange-traded fund or investment fund that is traded on stock exchanges, which invests in commodities such as agricultural products, natural resources and precious metals.
  • exchange traded funds (ETFs): a fund that tracks an index but can be traded like a stock. ETFs always bundle together the securities that are in an index; they never track actively managed mutual fund portfolios.
  • Federal Deposit Insurance Corporation (FDIC): a federal agency that insures deposits in member banks and thrifts.
  • fixed annuity: an investment vehicle offered by an insurance company, which guarantees a stream of fixed payments over the life of the annuity. The insurer, not the insured, takes the investment risk.
  • mutual funds: an open-ended fund operated by an investment company which raises money from the shareholders and invests in a group of assets in accordance with a stated set of objectives.
  • real estate investment trusts (REITs): a corporation or trust that uses the pooled capital of many investors to purchase and manage income property equity (equity REIT) and/or mortgage loans (mortgage REIT).
  • Standard & Poor’s (S&P) 500: a basket of 500 stocks that are considered to be widely held. The S&P 500 index is weighted by market value, and its performance is thought to be representative of the stock market as a whole.
  • Variable annuity: a life insurance annuity contract that provides the holder (the annuitant) with future payments, usually at retirement, the size of which depends on the performance of the portfolio’s securities.

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At Your Fingertips: Three Options for Accessing Your Health Records

At Your Fingertips: Three Options for Accessing Your Health Records
http://www.csa.us/email/spirit/ssarticles/1212MedNews.html

By Mary Romelfanger

In today’s digital world, we do things online that few of us ever imagined five years ago: banking, engaging in social networking activities, even using video technology for real-time communication across geographic distances.

The healthcare industry, too, is transitioning to this brave new world of communication technology. Driven by a host of factors, from improving quality of care opportunities to complying with Affordable Care Act provisions designed to improve patient-provider communications, a primary focus of this sea change is the open exchange of personal health records (PHRs). (See “No More Questions: Medical Health Records Enter the Digital Age” in the October issue of Senior Spirit.)

The goal of online PHR access is for consumers to have immediate access to their own records: the documented information source that their healthcare providers and insurers use when making healthcare decisions, such as treatments, prescriptions and referrals. Before now, every consumer had personal health information stored in a minimum of two places: the space at home where you keep paper or computer records, the other at the provider’s office.

The two different records, of course, may or may not contain the same information, but neither the consumer or provider would be aware of that because the other documentation was irretrievable. The potential consequences of making decisions based on outdated, incorrect information are legion. Conversely, correct and current patient data, instantly retrievable by both consumers and providers, is a gold standard in the first step of healthcare planning.

The creation of secure systems for information exchange models faces several hurdles, not the least of which is development of a standardized framework for user-friendly access and online information updates. However, progress is already being made on achieving a consensus on this issue.

Available Record Tools
Early adopters of PHR technology developed consumer engagement tools, which aim to allow patients to share information with their care providers and manage their health between provider visits. In 2009, the Mayo Clinic gave patients the opportunity to cross the digital divide—to use their personal computers to create, update and download their own PHRs. The U.S. Veterans Administration (VA) and the Centers for Medicare and Medicaid made the same option available for Medicare recipients in October of 2010.

These systems created portals to the world of healthcare “informatics,” the science of processing health data for storage and retrieval. PHRs are becoming a patient-centered system for sharing crucial, personal health information with healthcare providers and facilities of the patient’s choice. This article will briefly explore how to access each of these systems.

Mayo Clinic Model
The Mayo Clinic model offers one secure spot for storing (and immediately retrieving) the multiple forms and pieces of paper that hold bits and pieces of your health information. The tool provides a place for creating and maintaining your PHR so it is accessible anytime via a web-enabled device such as your computer, phone or tablet.

VA “Blue Button” Model
The “Blue Button® option allows veterans to download their personal health information from their My HealtheVet online account, which contains their VA healthcare records, including all providers and prescriptions. Blue Button is a collaborative effort with the Department of Defense, the Centers for Medicare and Medicaid Services and the Markle Foundation’s Consumer Engagement Workgroup. (The term “blue button” refers to the icon for selecting this option on the My HealtheVet web page.) On the HealtheVet site, veterans can enter their personal health indicators (blood pressure, weight, heart rate), emergency contact information, test results, family health history, military health history and other health-related information. Users who receive VA healthcare services can also refill prescriptions and view appointments, allergies and laboratory results online.

Veterans can download their Blue Button information into a simple text file or PDF document that can be read, printed or saved on any computer. The feature gives veterans complete control of this information—without any special software—and enables them to share this data with their healthcare providers, caregivers or people they trust.

Centers for Medicare and Medicaid Model
MyMedicare.gov’s Blue Button system provides a simple way to download and save your personal health information. You can then import this file into other computer-based personal health management tools. Blue Button is safe, secure, reliable and easy to use.

To download and save your health information:

  • Select the Blue Button icon from the MyMedicare.gov site to create a downloadable file with your information.
  • Save the Microsoft Excel data file to your computer.
  • Upload or import this Excel file into a PHR application that can accept it.

Other PHR Options

  • Providers, health plans and private companies offer PHRs, some for free.
  • Health insurance companies are rapidly embracing the concept of creating PHR programs because they serve as a patient-driven tool for self-awareness and trending of one’s personal health status. Aetna insurance has adopted this technology, and United Healthcare recently made it available for 20 million subscribers.
  • Some independent companies create and maintain PHRs for you. If you give them permission, they may be able to get your health information from your doctor or health plan.
  • If your doctor or health plan doesn’t offer a PHR, check what’s available from myPHR.com.

    The world of patient-provider health information exchange is in its infancy but growing rapidly. Stay tuned for the rest of the journey.

Sources

Health Care Informatics: www.healthcareinformatics.com.

Healthcare IT News: www.healthcareitnews.com.

National Committee on Vital and Health Statistics (2006). “Personal Health Records and Personal Health.” http://www.ncvhs.hhs.gov.

National Committee on Vital and Health Statistics. “Records Systems: A Report and Recommendations.” www.ncvhs.hhs.gov.

National eHealth Collaborative. “The Patient Engagement Framework.” www.clinical-innovation.com/topics/practice-management/nehc-patient-engagement-framework-takes-incremental-approach, 2012.

Web MD: www.webmd.com/phr

Mary Romelfanger, RN, MSN, CS (Gerontology), LNHA, is a clinical specialist with more than 30 years of experience working with the older adult population and health care systems throughout the United States and Canada.

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Alzheimer’s Association–What are you willing to give?

https://act.alz.org/site/Donation2?df_id=16020&16020.donation=form1&JServSessionIdr004=pndhdjpla1.app208a

As I’m gearing up for the holidays and enjoying this time with friends and family, I’m also looking back at 2012 in awe at how far we have come. To look at moments in single days, it can sometimes feel like we are fighting an uphill battle. To look at them collectively is to see that together, we are making unbelievable strides against this devastating disease.

I know that this quickly approaching New Year brings hope-hope for individuals living with Alzheimer’s disease, hope for their friends and family who are giving care, and hope that a world without Alzheimer’s is in reach.

I share this hope with each one of you. I firmly believe in making that change and standing up for those who cannot. Winston Churchill once said, “We make a living by what we get, but we make a life by what we give.” Today, I invite you to give with me and help affect the life of at least one person living with Alzheimer’s disease.

I am making a donation in memory of my grandmother who passed away from Alzheimer’s and in respect of this crucial war we’re fighting daily on behalf of the millions currently affected. I would be honored if you would join me by making your own gift to the Alzheimer’s Association.

If we each make one gift today, think of what we can accomplish together in the fight against Alzheimer’s disease.

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Plan carefully for holiday travel with people with Alzheimer’s

Plan carefully for holiday travel with people with Alzheimer’s

If a person has Alzheimer’s or other dementia, it doesn’t mean he or she can no longer participate in meaningful activities, including traveling for the holidays. However, it does require planning to ensure safety and enjoyment for everyone.
Learn more about Alzheimer’s and travel >>
Get tips for holiday planning >>

If a person has Alzheimer’s or other dementia, it doesn’t mean he or she can no longer participate in meaningful activities such as travel; but it does require planning to ensure safety and enjoyment for everyone.

Deciding to travel

Whether taking a short trip to see friends and family or traveling a far distance for vacation, it’s important to consider the difficulties and benefits of travel for a person with dementia. In the early stages of dementia, a person may still enjoy traveling. As the disease progresses, travel may become too overwhelming.

When you take into account the needs, abilities, safety and preferences of the person with dementia, what’s the best mode of travel? Consider the following:

  • Go with the option that provides the most comfort and the least anxiety.
  • Stick with the familiar. Travel to known destinations that involve as few changes in daily routine as possible. Try to visit places that were familiar before the onset of dementia.
  • Keep in mind that there may come a time when traveling is too disorienting or stressful for the person with dementia.

Tips for a safe trip

Changes in environment can trigger wandering. Even for a person in the early stages, new environments may be more difficult to navigate. Keep the person safe by taking precautions, such as enrolling in MedicAlert® + Alzheimer’s Association Safe Return®, Comfort Zone® or Comfort Zone Check-In®

  • Have a bag of essentials with you at all times that includes medications, your travel itinerary, a comfortable change of clothes, water, snacks and activities.
  • Pack necessary medications, up-to-date medical information, a list of emergency contacts and photocopies of important legal documents.
  • Create an itinerary that includes details about each destination. Give copies to emergency contacts at home. Keep a copy of your itinerary with you at all times.
  • If you will be staying in a hotel, inform the staff ahead of time of your specific needs so they can be prepared to assist you.
  • Travel during the time of day that is best for the person with dementia.

    Read more: http://www.alz.org/care/alzheimers-dementia-and-traveling.asp?WT.mc_id=enews2012_12_12#ixzz2F3m54W1h

  • If you will be at a location for an extended period of time, consider contacting the local Alzheimer’s Association for resources and support.
    Find a chapter anywhere in the United States.

    Read more: http://www.alz.org/care/alzheimers-dementia-and-traveling.asp?WT.mc_id=enews2012_12_12#ixzz2F3m83oDH

  • Sign up for our weekly e-newsletter

    Want more info about Alzheimer’s and safety? Sign up and receive helpful tips, plus be the first to know about new safety services from the Alzheimers Association. Subscribe now.

    Read more: http://www.alz.org/care/alzheimers-dementia-and-traveling.asp?WT.mc_id=enews2012_12_12#ixzz2F3m9y0kk

  • Documents to Take with You when Traveling

    • Doctors’ names and contact information
    • A list of current medications and dosages
    • Phone numbers and addresses of the local police and fire departments, hospitals and poison control
    • A list of food or drug allergies
    • Copies of legal papers (living will, advanced directives, power of attorney, etc.)
    • Names and contact information of friends and family members to call in case of an emergency
    • Insurance information (policy number, member name)

    Tips for a safe trip

  • Traveling in airports requires plenty of focus and attention. At times, the level of activity can be distracting, overwhelming or difficult to understand for someone with dementia. If you are traveling by plane, keep the following in mind:

    • Avoid scheduling flights that require tight connections. Ask about airport escort services that can help you get from place to place.
    • Inform the airline and airport medical service department ahead of time of your needs to make sure they can help you. Most airlines will work with you to accommodate special needs.
    • If appropriate, tell airport employees, screeners and in-flight crew members that you are traveling with someone who has dementia.
    • Even if walking is not difficult, consider requesting a wheelchair so that an airport employee is assigned to help you get from place to place.
    • Allow for extra time.

    Read more: http://www.alz.org/care/alzheimers-dementia-and-traveling.asp?WT.mc_id=enews2012_12_12#ixzz2F3mICy6b

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  • Dear Abby: Speak up if you see signs of Alzheimer’s

    Dear Abby: Speak up if you see signs of Alzheimer’s

    http://articles.philly.com/2012-12-07/news/35649992_1_dear-abby-alzheimer-s-association-brother

    Advice columnist and Alzheimer’s Champion Dear Abby counseled readers in a recent column to speak up if they notice signs of Alzheimer’s in a family member, friend or co-worker. Knowing the signs and sharing concerns are critical to diagnosis and care.
    Read the article >>
    Know the 10 signs of Alzheimer’s >>

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