Can You Age Gracefully in America?
09/10/2024
The baby boomer generation has fundamentally changed the meaning of “retirement.” Many of us have abandoned the notion of traditional retirement and reinvented ourselves. Some of us have started new careers or followed entirely different paths from our previous lives. We’re not necessarily denying the aging process — we’re just looking at it with a fresh perspective.
Now our generation is creating a whole new challenge for America. In a January 2024 research paper, the Retirement Income Institute reported that this year “marks the beginning of the ‘Peak 65® Zone,’ the largest surge of retirement age Americans turning 65 in our nation’s history. More than 4.1 million Americans will turn 65 each year through 2027, which is more than 11,200 every day. By the year 2030, all baby boomers will be age 65 or older.”
Is the country ready for the older boomer surge? Do we have the national will to accommodate our aging society? What are we doing now to prepare for it?
There may be no easy answers, but at least one group is considering the questions. The “Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities” (ICC) has submitted “A Strategic Framework for a National Plan on Aging” to Congress. Here’s how the ICC describes it:
“The Strategic Framework lays the groundwork for a coordinated effort — across the private and public sectors and in partnership with older adults, family caregivers, the aging services network, and other stakeholders — to create a national set of recommendations for advancing healthy aging and age-friendly communities. The national plan on aging will advance best practices for service delivery, support development and strengthening of partnerships within and across sectors, identify and propose solutions for removing barriers to health and independence for older adults, and more.”
As with many visionary plans, this one looks great on paper. However, an attempt to implement or coordinate a national plan on anything implies broad consensus and agreement on funding at the federal level — and cooperation across states as well. Given the current political realities, such a plan probably has little chance of gaining traction.
Today’s aging reality
Lofty goals for a national plan aside, there is a harsh reality to aging in America today.
More than 17 million U.S. adults age 65+ (roughly 1 in 3) are economically insecure, living at or below 200 percent of the federal income poverty level, according to the National Council on Aging (NCOA). The organization also says millions of older adults are struggling to meet their monthly expenses even though they are not considered “poor.” Here are some additional sobering data points reported by the NCOA:
- About one in four adults age 65+ scrimp on food, utilities, clothing, or medication due to health care costs
- In 2022, nearly 7 million older Americans were food insecure
- In 2022, just over half of adults ages 55 to 74 had retirement savings.
Social Security, Medicare, and Medicaid help blunt the economic and health challenges of aging in America but they are only partial solutions. One could legitimately say we could be on the cusp of an aging crisis.
A real story
I watched someone I knew go through the aging process over a number of years. A widow, she lived independently in an apartment in her nineties. For help, she relied on a family caregiver, supplemented by aides from a home health care agency. The aides left a lot to be desired.
Remarkably, she had no major chronic illnesses or dementia, but by the age of 98, she needed around-the-clock care. That’s when she moved into an assisted living facility. It was adequate but did not seem worth the cost, which was in the vicinity of $9,000 per month. She paid for it with her retirement savings, Social Security benefits, and a modest pension. It didn’t take long for her savings to be drastically reduced.
She lived there until her body basically wore out. She died a few months after her 100th birthday. I can only imagine how much more difficult it would have been for her if she were afflicted with any kind of serious condition or illness.
To her credit, she maintained a positive mental attitude until the end. She never complained about aging; she used to say, “It’s hell to grow old,” but always with a knowing smile on her face and a twinkle in her eye.
Tomorrow’s aging challenge
It shouldn’t be “hell to grow old” in America. We are the world’s richest country, but when it comes to the social services and health care we provide to our aging citizens, we are behind many other countries.
I’m not sure our country is ready to cope with the deluge of the “Peak 65 Zone.” To care for an aging population, we will need a federal and state commitment. We’ll need the availability of quality home healthcare services and long-term care facilities that are affordable. We’ll need a healthcare system that can handle the requirements of older people. We’ll need a society that rejects ageism — a society that cares about and for the elderly.
I don’t think it is asking too much to be able to age gracefully in America. Taking care of older Americans should be a national priority deserving of attention from everyone who expects to grow old too.
This post first appeared on Medium in "Crow's Feet." You can read the original post here: https://medium.com/crows-feet/can-you-age-gracefully-in-america-32fbddbb43db?sk=dcd6870b65ddd5e289264c3907c15a59
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