Women in Public Service

Spring Edition 2024 | Living Power Magazine

How Cutting Pension Benefits Hits Women Retirees Hardest in North Carolina

In 1980, Shirley Snelling was a 28-year-old single mother who was tired of being on welfare because her full-time job as a pharmacy technician didn’t pay enough. She applied for a better-paying job with the city of Raleigh, and on her 29th birthday, she joined the police academy to become a Raleigh police officer.
“It wasn’t easy, but I pushed to make it through,” Snelling says. “I went from making $10,000 to $19,000 a year, and it seemed like every six months I was getting a raise. I had never made that much money in my life. And as a police officer, I felt I made a difference in the community and department.”
Snelling worked 19 years with the Raleigh Police until she retired for medical reasons. Throughout her career, Snelling had numerous roles. She served as a patrol officer, responded to calls from people reporting crimes, and worked as an undercover officer. In community service roles, she helped set up neighborhood watch programs and worked with schools as a Drug Abuse Resistance Education Program (DARE) officer.
“That was probably one of my most rewarding positions I had there, interacting with the fifth graders and the children,” Snelling says. “(The kids) were only looking for love.”
And the pay and benefits brought Snelling out of poverty. “It helped me to live a productive life,” she says. “I didn’t get too far over my head in debt, and the pension plan and Social Security that I get help quite a bit.

How do pension benefits impact women?

Women now make up the majority—
52%—of North Carolina’s public service
workforce, retirees, and the population
of North Carolina as a whole. With the
Office of State Budget and Management
estimating the number of women in
North Carolina over the age of 65 to grow
by 378,000, or 33%, over the next 15 years, the number of female governmental
retirees will likely reflect similar percentage growth rates.

Graph Female Population NC

In January 2024, the state retirement plan had 370,881 people drawing pensions, according to the State Treasurer’s Office. Of these, 227,240, or more than 61%, were women. It said 143,237 (almost 39%) were men. Further, a 2020 US Department of Health and Human Services study indicated that one in three women over 65 lives in a single-person household compared to one in five men in the same age demographic.

Interestingly, marriage may have a mixed impact on a woman’s retirement.

“When a male and female married couple retires, the husband is more likely to get sick, run up high medical expenses, run up nursing home expenses, and die before the wife does,” says Tyler Bond, research director at the National Institute on Retirement Security. “That could leave the wife with little money left for her final years. “Whereas, if she had a pension—either that she earned on her own or that she received when her spouse died— then that still provides that reliable monthly benefit that she can’t outlive. So that would make it easier for her to maintain her standard of living.”

A study published in September 2023 by retirement researcher Nari Rhee of the University of California Berkeley Center for Labor Research and Education said retired women in households where they or a family member have a pension are better off economically than those in a household where no one has a pension. Specifically, 88% of women in households with pensions were at least 200% above the federal poverty level, compared to only 58% of women without pensions who were 200% above the poverty level. The 2024 federal poverty level for a one-person household is $15,060. State Treasurer Dale Folwell, who oversees the state pension and health plans, says pensions are critical for female employees and retirees.

“I can’t do anything about the fact that women were underpaid for a large part of my life,” he says. “So, I think this retirement benefit is more important than ever to someone who has been underpaid and is going to live longer.”

As North Carolina’s leaders reduce and remove retirement benefits offered to state employees, all will feel the impact, but more so women, due to historically lower lifetime pay for the female workforce. Combine this with the fact that some women may have reduced career longevity due to caretaking duties at various times in their lives, and you begin to see the larger concern. A 2020 study conducted by AARP found that six out of 10 caretakers of an aging spouse or parent were women.

With the aging of North Carolina, this noble and needed caretaking role will continue to grow. Meanwhile, the lower pay and more time away from work will continue to make it harder for women to build a retirement nest egg.

What retirement benefits have North Carolina lawmakers eliminated?

Current state retirees and most future retirees are grandfathered into the state retirement benefits that existed when they were hired. These retirees will continue to receive the retirement benefits that have been in place for decades. But as time goes on, a growing number of newer state employees—highway patrol troopers, hospital employees, teachers, transportation workers, park rangers, court clerks, and many others who bring services to the public—are getting left out.

Why?

First, the North Carolina General Assembly voted in 2017 to stop offering retiree health insurance to state employees hired on or after Jan. 1, 2021. People hired prior to that date get state-provided health insurance when they retire; those hired after will not.

Second, in 2023 the General Assembly voted to quit offering pensions to new employees at UNC Health and ECU Health, the regional hospital systems based at The University of North Carolina at Chapel Hill and at East Carolina University in Greenville.

As of Jan. 1, 2024, new employees at UNC Health and ECU Health may participate in investment-based retirement programs their agencies offer. But they are barred from the Teachers’ and State Employees’ Retirement System (TSERS).

That means fewer people will contribute 6% of their salaries to the retirement system pension. And UNC Health and ECU Health won’t contribute at all.

How important have these benefits been for women who have retired from state and local government service in North Carolina? Living Power spoke to two more retirees for their thoughts.

Henrietta Saunders

Henrietta Saunders: Benefits keep good people

When Henrietta Saunders was in her 40s, she left a job at a bank for better pay as a Mecklenburg County sheriff’s deputy. She was assigned to the county detention center and stayed more than 20 years, striving to keep peace among inmates who were prone to fight with each other and assault the detention officers.

“It was trying, but my good days outweighed my bad days,” Saunders says. “You learn people skills, you learn to trust your instincts. And so you learn how to communicate more effectively, too. Because if you can talk somebody out of something, or somebody down from something, that was a good day.”

Saunders rose to the rank of captain and retired in August 2021. Now she enjoys the freedom to spend time with her grandchildren and participate in water aerobics, line dancing, and other activities. She thinks that if she had stayed in the private sector, she would have worked her way up to better pay and gotten investment benefits for retirement. But Saunders says the government’s pension benefits are an important tool to attract good people and persuade them to stay for the long term.

“(When benefits are reduced) I think you end up having a higher turnover rate,” she says, noting that’s a problem in a jail. Inmates quickly recognize new deputies and try to play psychological games with them. “They can read most new people like a book,” she says. “They know who’s afraid, they know who’s going to do the job. They know who they might approach, and then they know who not to approach.

“And so that turnover rate, when you lose that experience, you lose a lot. Because now you’ve got to train somebody to get up to their level of competence in order to do that job, in order to be successful at it.”

Chris Smoot: 46 years at the county courthouse

Chris Smoot joined the Cumberland County Clerk of Superior Court office in 1973 and retired in 2019, 46 years later. The hours were long, and when she started, the salaries were low. “So very low, it affects your Social Security,” Smoot says. She worked part-time jobs to pay down debts and build up savings.

“It really is hard for a woman, for a single person who doesn’t have people to share expenses with,” she says. “And that was my case. So I took extra care to plan for my retirement.”

Though Smoot worked her way up through the ranks, and for a time served as the interim Clerk of Superior Court when the elected clerk left mid-term, she says that in 46 years she never made more than $59,000 per year. Smoot says she’s grateful for the retirement health plan, because she uses that as supplemental health insurance to pay for things that Medicare doesn’t cover.

Employee turnover became challenging at the Clerk of Court office, Smoot says. Staffers need at least six months to get comfortable with new job duties, and she says cutting retirement benefits would make the turnover worse. Smoot thinks she wouldn’t have stayed 46 years, if not for the pension. “I wouldn’t have stuck it out,” she says.

More Summer for Less with AMBA Discounts

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Explore a world of additional savings on clothing, entertainment, shopping, and car rentals by visiting www.passportcorporate.com

Members, if you don’t have your activation code, please call our office at 919-834-4652 or 800-356-1190.

“Am I Allergic to Summer?”

AMBA’s Seasonal Eye Allergies Guide

Summertime is supposed to be all about outdoor fun. But what if your fun is interrupted by swollen eyelids, itchy, or red eyes? These are just some symptoms of summertime eye allergies. 

What Causes Seasonal Eye Allergies?

Eye allergies develop when the body’s immune system becomes sensitized and overreacts to something in the environment. Summertime eye allergies can be caused by contact with elements like pollen, grass, and some flowers. 

Eye allergies can cause your eyes to tear as they try to discharge these elements. Other symptoms can include constant eye irritation and itchiness, red eyes, and sudden swelling of the eyelids.

8 Steps to Care for Seasonal Eye Allergies

  1. Avoid triggers by making changes to your home and your routine.
  2. Keep windows closed during high pollen periods; use air conditioning in your home and car.
  3. Wear glasses or sunglasses when outdoors to keep pollen out of your eyes.
  4. Use “mite-proof” bedding covers to limit exposure to dust mites and a dehumidifier to control mold.
  5. Wash your hands after petting any animal.
  6. Avoid rubbing your eyes, which can cause symptoms to become more severe.
  7. Nonprescription eyedrops can provide short-term relief of some symptoms. They may not relieve all symptoms, and prolonged use of some eyedrops may cause your condition to worsen.
  8. Don’t use window fans. These can blow pollens and allergens from the outside into the house and worsen symptoms.

Treating summertime allergies is just one reason to visit your eye doctor. Protect your vision with the comprehensive Vision Plan from NCRGEA and AMBA. The benefits of this plan include annual WellVision checkups, 100% coverage for most lenses (even progressives!), and thousands of nationwide in-network providers. Sign up today – acceptance is GUARANTEED! – at www.AMBAdentalvision.com/NCRGEA or call 800-956-1228 M-F 9am-6pm ET.

Source: https://acaai.org/allergies/allergic-conditions/eye-allergy/
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/allergy-q-and-a

Four Simple Steps to Get the Most from Your Retirement Savings

For many people, retirement marks a profound shift in identity. Many have difficulty adjusting away from the career that defined them. After all, you’re not just retiring; you’re redefining who you are. One aspect of this is how you view and use money. NCRGEA & AMBA are here to help you embrace this new and exciting chapter with insightful planning and an optimistic, intelligent strategy.

1. Overcome Fear and Embrace the Opportunities

We all know FDR’s great quote, “We have nothing to fear but fear itself.” For many, the fear of running out of money in retirement can be overwhelming. This is called “negativity bias.” For example, if you’re told you have a 99% chance of a successful retirement, many people focus on that tiny 1% chance of failure. 

Uncertainty has power over us, but we can limit its negative impact by accepting and embracing it rather than worrying about it. 

“Positive reframing” lets you take control. It redefines money as a means for joy and fulfillment instead of an ever-eroding defense against potential downsides. This shift in perspective encourages us to see money as a tool to enrich life experiences. Emphasizing the value and impact of purchases instead of their cost can help reframe your spending. 

2. Giving More Can Give You More

If you feel you already have everything you need, you can use your means to help others. Research demonstrates that spending money on others can have a more significant positive impact on one’s happiness than spending it on yourself. Using money purposefully, such as through supporting loved ones or charitable giving, benefits yourself as much as it benefits others. Keep in mind, you need to keep these contributions within your budget just like any spending. 

3. Frame Your Future

What passions did you put on pause or have you been unable to pursue while you focused on your career and family? Retirement allows you to rediscover them. Ask yourself, “What new pursuits most excite me?” 

As you align your spending with your interests and goals, your financial decisions gain a more profound sense of purpose.

The key to happiness at every stage of life is to focus on what is within your control and make time to pursue your passions. Your healthy lifestyle includes living with a sense of goal-driven purpose.

Accepting uncertainty isn’t about resignation but navigating life’s inevitable challenges and adjusting when the unexpected occurs. By recognizing what is and isn’t within your control and budget, you are more empowered to direct your attention to the things that bring you joy.

4. Consider an Annuity from NCRGEA & AMBA

Get guaranteed income with the Tax-Deferred Asset Protection from NCRGEA & AMBA to help protect your retirement. This annuity is a smart and safe way to diversify your savings and can earn much more interest than CDs or savings accounts. NCRGEA & AMBA’s Tax-Deferred Asset Protection Plan features tax-deferred accumulation of interest, a guaranteed competitive interest rate, multiple payout options, and a nursing home waiver.

Get more info at myambabenefits.info/ncrgea or speak with a knowledgeable AMBA Call Center representative at 800-956-1228 M-F 9am-6pm ET.

Source: https://pubmed.ncbi.nlm.nih.gov/18356530

INSIDE NCRGEA’s Advocacy Goals

Spring 2024 Living Power Magazine

NC Legislature

Each year, NCRGEA develops a set of legislative or advocacy goals that guide the work of the Association in the General Assembly and with the Pension Systems’ Board of Trustees.

“While we don’t have a formal process for gathering information from our members, an important part of this process is listening to what our members say,” said Linda Suggs, chairperson of NCRGEA’s Government Relations Committee.
This input, combined with advice from the Association’s lobbyists, is the basis for the initial draft of the annual goals.

“Our lobbyists give the Government Relations Committee a draft of goals based on the key issues the General Assembly will be dealing with in the up-coming session,” explained Suggs. “We take a hard look at those, review what our members have said, and then forward to the Executive Committee a second draft. They edit that if they see fit, and forward their draft to the Board of Directors for final approval.”

Each member of NCRGEA’s Board is a retired state or local government employee, and they, like its members, are concerned about having a strong, stable pension system that its members can count on. “NCRGEA does not rank its goals, but getting a true COLA for state and local government retirees is always its number one priority,” says Suggs. “Keeping the pension system strong is right behind it.”

NCRGEA has many active programs and processes in place to achieve its annual goals, but to be even more effective, the Association needs the voice of its members to be heard in the General Assembly.

“We really need our members to be involved with the issues we are trying to achieve,” said Suggs. “One of the most important things is, they have to know who their representatives are. You’d be surprised at how many people can’t tell you who represents them in the General Assembly. On the NCRGEA webpage under the “Advocacy” tab, there is the “Find my NC Legislator” link to give you that information.

The second thing is, meet them. When they’re campaigning, go and meet them, listen to what they are saying, ask questions and get to know them. Politics is all about relationships. Develop relationships early so that when crunch time comes, you can call on them, and they will know who you are.”

“Third, use the tools on NCRGEA’s website, such as FastDemocracy. This tool puts all the information you need about your legislators at your fingertips, including their voting history and the committees they serve on. The better you know your legislators, the more confidently and effectively you can discuss issues with them.”

FastDemocracy

FastDemocracy also helps NCRGEA mobilize its members with “call for action” messages. “When the Association sends a call for action, open up the email,” stressed Suggs. “It will have a message that NCRGEA has crafted on the specific issue. You can personalize it if you want, but you don’t have to. Just fill in the box with your name and email address, hit “send,” and it will automatically go to your representative in the General Assembly. It’s that easy.

“For NCRGEA members, one of the most important races is the race for State Treasurer,” says Suggs. “Our state is one of only three states where the State Treasurer has total control on how the money in our pension funds is handled. We need to know what candidates’ top priorities would be if elected.
Ask:

  • What they would do to make possible a COLA or bonus for members of TSERS and LGERS on a regular basis?
  • How they will protect and strengthen the pension system?

These are important questions for our next State Treasurer.

Lastly, be the first to congratulate the winner, even if you didn’t vote for them. Whether you voted for the winner or not, that person now will represent you in the General Assembly!

NCRGEA Advocacy Goals

1. Advocate for annual cost of living adjustments for all state and local government retirees.

2. Strengthen and protect the state’s defined benefit plan to attract and retain the best and brightest public servants.

3. Defend public sector benefits so all public sector retirees can participate in traditional retirement systems.

4. Ensure the State of North Carolina will continue to fulfill its constitutional and legal requirements to fully fund North Carolina Retirement Systems and the State Health Plan.

5. Expand the Bailey tax exemption to all state and local retirees and pursue other tax exemption opportunities for government retirees.


For more information
on NCRGEA’s advocacy goals and how to assist the Association in obtaining them, watch our February 7 Lunch and Learn webinar on our YouTube channel.

What to Do if You Crack or Chip a Tooth

Although teeth are remarkably strong and can last a lifetime, chips and breaks are always possible. AMBA is here to help you understand the potential causes of fractured or broken teeth, how to care for a broken or chipped tooth, and what solutions and options are available. If you experience a chipped or broken tooth, rest assured these tips can help you start smiling again in no time.

What Causes Chipped and Broken Teeth?

The most frequent causes of tooth chips or fractures include biting down on something hard, impact to the face or mouth, or a dental issue such as a cavity, which weakens the tooth from the inside.

A minor tooth fracture may or may not hurt. However, a break in a tooth will likely cause pain. Many people feel pain when chewing because of the pressure on the tooth and the damaged or exposed nerves beneath it.

What Do I Do If I Have a Fractured or Broken Tooth?

Cracked or broken teeth cannot be treated at home. Only a dentist can analyze the tooth and nerves and assess the extent of the damage and the necessary steps to repair the problem. 

If you have a broken tooth and are bleeding, the following steps are recommended until you can see your dentist:

  1. Rinse your mouth with warm water.
  2. Apply gauze on any bleeding areas until the bleeding stops. 
  3. Apply a cold pack to your cheek or lips over the broken tooth.
  4. Over-the-counter pain relievers like ibuprofen or acetaminophen can sometimes help overcome pain.

What Can You Expect from Treatment?

There are several types of tooth fractures and breaks, each requiring different treatments. These include:

  • Craze lines: These minor cracks are surface cracks that only affect your enamel – the outer white surface of your tooth. These cracks are so shallow they rarely need treatment. 
  • Chips: Minor chips don’t always need treatment. However, your dentist may suggest repairing the damage with filling material to prevent it from worsening.

Chipped teeth make up most dental accidents and injuries.

  • Cracked tooth: This fracture extends from the chewing surface toward your tooth’s root. If the damage doesn’t extend to the tooth’s root, it’s possible to save the tooth before the crack worsens with a root canal and crown. 
  • Severe breaks: A serious break goes deep enough to expose your tooth’s nerve. It’s almost certain to hurt and, usually, the broken part of your tooth will bleed. Frequently, a fractured tooth will need to be removed and replaced.
  • Decay-induced break: If you have a decay-induced break, your tooth has broken or crumbled because a cavity has weakened it from the inside out. Your dental professional will evaluate your cavity and recommend the best tooth restoration. If the decay is extensive and goes down to the bone, your tooth may have to be removed.

If you have a fractured or broken tooth, seeing a dental professional as soon as possible is important. It’s also important to have the coverage of the comprehensive Dental Plan from NCRGEA and AMBA. This plan lets you see any dentist you want with significant savings by seeing one of the thousands of in-network nationwide providers. This Dental Plan covers exams, x-rays, root canals, dentures, and more! Sign up today – acceptance is GUARANTEED! – at www.AMBAdentalvision.com/NCRGEA or call 800-956-1228 M-F 9am-6pm ET.

Source: https://my.clevelandclinic.org/health/treatments/10923-dental-crowns/recovery-and-outlook
https://www.aae.org/patients/root-canal-treatment/saving-natural-tooth/ https://www.aae.org/patients/dental-symptoms/traumatic-dental-injuries/

2024 Public Service Week

Governor Cooper has proclaimed May 5-11, 2024 as Public Service Week in the great state of North Carolina. The purpose of celebrating this week is to admire and honor the people who deliver public service and make everyday chores possible for us.

In North Carolina, public service employees have been and remain the main contributors to the many accolades our state has received. They are professional, dedicated, and knowledgeable and can be depended on to keep our state and its many communities running smoothly.

So, this week, join NCRGEA in raising a glass to the people employed in the public sector and shine the spotlight on their work.

President’s Message

by Dr. Michael Taylor | Spring 2024 Living Power Magazine

Desire to Serve Others

The Japanese have a concept called IKIGAI (ee-kee-gay), which loosely translates into the happiness of always being busy doing something you love. IKIGAI combines your passion (what you love doing) with your vocation (what you are good at), with what the world needs (the job market), and finally, what you can get paid to do!

As retirees, we all followed different paths into the public sector. Maybe it was a family history of public service or perhaps somebody who inspired us. A teacher told me a kind and caring high school teacher inspired her to spend a career in the classroom. As retired public servants, we are fortunate because there were so many opportunities in the public sector that allowed us to find a calling that fits our passion and our mission.

One size does not fit all when it comes to our enthusiasm for public service, so the Japanese concept of IKIEGA sounds right. In the days of black-and-white TV, Frank Lovejoy was the lead detective in a crime drama called “Naked City.” No, it was not a show about a nudist colony; instead, it was a story about crime in a city with eight million people. The show opened with, “There are eight million stories in the naked city.” There are that many stories and more about why our members devoted their careers to public service.

One association member, who served in county government, explained it this way: “This was an opportunity to make a difference in people’s lives and to help provide them with opportunities to be successful. And not just individuals, but the job impacted the quality of life in entire communities.”

Another retiree, who worked in technology in county government, was inspired by her father to go into public service. She explains she was a second-generation public servant. “My father was a postmaster, and I grew up watching his devotion to serving the public.”

Family played a role in the decision of another NCRGEA member who was a social worker. “Having experienced a challenging childhood with divorced parents and relocation of the family at a critical age for me, I felt the best way to help children and families in crisis was through social work. The reward was certainly not financial but absolutely the satisfaction of enhancing healthy families.”

Still, another member who retired from the community college system explained it this way. “I have loved every aspect of my career because I was helping to build something or helping people have a better quality of life.”

And finally, a public education retiree noted his grandfather was a Chief of Police, and his mother was a first-grade teacher. He explained, “Those of us who began work in the sixties understood the theme of the time was more about ‘we’ than ‘me.’

That’s what public servants do; they aspire to help the ‘we,’ WE wanted to help.”

President’s Path

As for me, the road began as a student at Lenoir Community College in Kinston, where a group of dedicated and hard-working faculty and staff convinced a kid who graduated from high school in half of the class that made the top half possible, he was capable of so much more. Not only did I get my first degree there, but the desire to be like those who inspired me. This led to a 32-year career in our great community college system.

NCRGEA has over 65,000 members. If I could talk to all of you, I am certain I would hear many different stories about the roads you followed into public service. Yes, different stories, but somewhere in each of those stories would be the same passion to serve others, to make a difference. As one person I spoke with said, “My job was a higher calling.”

One of my duties as President of NCRGEA is to pen a column for every edition of Living Power. This is my final column, as my two-year term as NCRGEA president is over in June. During these two years, I have had a chance to visit with many of you at district conferences (Winston-Salem, Hendersonville, Shelby, Durham, Fayetteville, Morehead City, Greenville, Concord, and Raleigh) and at our legislative days in Raleigh, and even on Zoom. It has been an honor to represent such a great group of people who have dedicated their careers to the service of others.

In thinking about the subject matter for this final column, I considered several topics, including all the changes at your association over the past two years, along with the challenges we face as an organization. But finally, I thought the best topic would be to consider exactly what we all shared during our careers: a desire to serve others.

AMBA’s May Recipe: Mediterranean-Style Salmon Burgers

Everybody loves a good burger, right? They’re delicious and can satiate even the biggest appetite. However, the trans-fats and high calories of traditional burgers have significant health concerns. No worries! AMBA has a fresh beef-free spin on this family favorite that delivers juicy flavors and heart-healthy omega fats and protein.

These salmon burgers will surely be a crowd-pleaser at the dinner table or a weekend get-together. You can serve them on a bun with arugula, tomatoes, onions, and Tzatziki sauce. Or, for a low-carb option, serve them on a bed of lettuce and sliced seasonal vegetables dressed with lemon and olive oil.

Ingredients

  • 1½ lb. skinless salmon fillet
  • 2 tsp Dijon mustard
  • 2-3 tbsp minced green onion
  • 1 cup parsley
  • 1 tsp ground coriander
  • 1 tsp ground sumac
  • ½ tsp paprika
  • ½ tsp black pepper
  • ½ cup breadcrumbs
  • 3 tbsp of extra virgin olive oil
  • A dash of kosher salt
  • One lemon

Directions to Make Mediterranean-Style Salmon Burgers

1) Cut salmon into bite-sized chunks. Place about ¼ of the salmon in the bowl of a large food processor. Add the Dijon mustard and run the processor until the mixture is pasty. Transfer to a large mixing bowl.

2) Place the remaining salmon in the food processor. Pulse a couple of times until it’s coarsely chopped into ¼-inch pieces. Be sure to maintain some texture without getting pasty. Add the finely processed salmon to the bowl.

3) Add the minced green onions and chopped parsley to the bowl—season with coriander, sumac, paprika, and black pepper. Add the kosher salt and mix until combined. Cover and chill for approximately 30 minutes.

4) As the salmon chills, slice a tomato and red onion. Line a sheet pan with parchment paper and a plate with paper towels.

5) Sprinkle the breadcrumbs on a plate. Divide the chilled salmon mixture into four equal portions and form into 1-inch-thick patties. Place each patty in the breadcrumbs and press to coat on each side. Place the breaded salmon patties on the lined sheet pan.

6) Heat 3 tablespoons of olive oil over medium-high. Lower each of the patties into the hot oil. Cook until lightly browned on the bottom, then flip. Cook for about 4 minutes or until the patty is medium-rare and lightly browned on both sides. Adjust heat as necessary during cooking.

7) Set cooked salmon burgers onto the paper towel-lined plate to drain. Sprinkle lightly with salt and a squeeze of fresh lemon juice. Spread with a bit of tzatziki sauce.

8) Layer on the arugula, tomato, and onion slices. Enjoy!

Why Emergency Medical Transportation Can Be So Expensive and How You Can Protect Yourself

People who have needed an ambulance frequently ask the same question when they receive the bill: “How is the cost of the ambulance so expensive?” Why should a short ride to a nearby hospital cost significantly more than an Uber ride? The reason is simple: an Uber ride only needs to get a passenger to their location. On the other hand, an ambulance ride is designed to provide vital assistance to someone experiencing a medical emergency and deliver them to the hospital. AMBA can help you understand why medical transportation can be so expensive and how to help avoid paying this out of your own pocket.

Labor, Training, Readiness, and Equipment

Emergency medical teams need hands-on experience in dealing with emergencies. In addition to the cost of training Emergency Medical Services personnel, having at least two people for every patient in an ambulance is often necessary.

People who receive ambulance transportation pay for the services they receive and the cost of making ambulances readily available.

All equipment and staff must also meet local and state regulatory requirements. The cost of this maintenance rapidly adds up. Treatment equipment to stabilize the trauma patient before reaching the hospital can include emergency ventilators, stretchers, cardiac monitors, infusion pumps, nebulizer machines, oxygen, and more.

What if the patient receives no additional care during the ambulance ride? Unfortunately, these services frequently don’t itemize the care or medications a patient may receive during an ambulance ride. Patients are charged for one of two types of care: essential life support or advanced life support.

In fact, the ride is the least expensive part of an ambulance trip. The mileage charge generally makes up the most minor portion of the final bill.

No matter the financial cost, the priority is to get trauma patients to the hospital as quickly and safely as possible. An Uber ride is no substitute for the care an experienced EMS team with vital, life-saving equipment can provide.

AMBA Can Help Protect You from the Cost of Emergency Medical Transportation

NCRGEA and AMBA can protect your savings with a Medical Air Services Association (MASA) plan. MASA provides lifesaving emergency transportation services. Services are paid in full, with no deductibles, co-pays, or dollar limits. MASA covers your ambulance or airlift in all 50 states and Canada, regardless of your age or medical condition.

Your care is the most important thing in a medical emergency. You can make the cost worry-free by signing up today. NCRGEA and AMBA make getting MASA easy. You can even sign up online. Learn more at www.AMBAmedtransport.com/NCRGEA or call 800-956-1228 Mon.-Fri 9am-6pm ET.