Aging. Harry R. Moody
Чтение книги онлайн.
Читать онлайн книгу Aging - Harry R. Moody страница 6
![Aging - Harry R. Moody Aging - Harry R. Moody](/cover_pre712664.jpg)
Our society’s response to population aging can best be summed up in the aphorism that generals prepare for the next war by fighting the old one over again. That is to say, in our individual and social planning, we tend to look back to past experience to guide our thinking about the future. Thus, when the railroad was first introduced, it was dubbed “the iron horse.” But it wasn’t a horse at all, and the changes that rail transport brought to society were revolutionary, beyond anything that could have been expected by looking to the past.
The same holds true for population aging. We cannot anticipate the changes that will be brought about by population aging by looking backward. Population aging is historically unprecedented among the world’s societies. Moreover, we should not confuse population aging with the process of individual aging. An aging society, after all, is not like an individual with a fixed lifespan. Why is it that people are so often fearful when they begin to think about the United States’ future as an aging society? Part of the reason is surely that many of us are locked into images of decline that are based on prejudice or outdated impressions of what individual aging entails. Because our social institutions have responded to aging as a problem, we tend to see only losses and to overlook opportunities in the process of aging.
An important point to remember is that the solutions to yesterday’s problems may not prove adequate for the challenges we face today, or for those we’ll face in the future. For example, Social Security has proven vital in protecting older Americans from the threat of poverty in old age. But Social Security was never designed to help promote second careers or new forms of productivity among older people. We may need to think in new ways about pensions and retirement in the future. Similarly, Medicare has proved to be an important, although expensive, means of guaranteeing access to medical care for older people, but it was never designed to address the problems of long-term care for older people who need help to remain in their own homes. Finally, as the sheer number of people ages 65 and older increases—from 52 million in 2018 to a projected 95 million by 2060—the United States as a society will need to consider which institutions and policies are best able to provide for the needs of this growing population (Mather et al., 2019).
Social gerontologist Matilda White Riley pointed out that our failure to think deeply about population aging is a weakness in gerontology as a discipline. Gerontologists know more about individual aging than about opportunity structures over the whole life course. By “opportunity structures,” we mean that the way society is organized or structured affects an individual’s chance or ability to gain certain resources or meet certain goals. A good example is the way the life course has been shaped, with transitions from education to work to retirement. These transitions do not seem to prepare us for an aging society in the future. In effect, we have a “cultural lag” in facing the future (Katz, 2005; Riley & Riley, 1994). We know that in this century, the age of leaving the workforce to retire has been gradually going down, whereas the age for leaving schooling has been going up. Riley pointed out that, if we were to project these trends into the future, sometime in the 21st century, people would leave college at age 38 and immediately enter retirement. This scenario, of course, is not serious. But it does make a serious point. We must not take current trends and simply project them into the future.
Part of the problem is that we have less knowledge than we ought to have about the interaction between individual lives and the wider society. During the 20th century, nearly three decades on average were added to human life expectancy. Now more than a third of adult life is spent postwork. People ages 65 and older are healthier and better educated than ever before. Yet we lack opportunity structures to integrate this older population into major institutions of society such as education or the workplace. We have yet to design a blueprint for an aging society of the future. And there are important questions to be asking about what such a blueprint might look like. Today, we grow old and experience aging and later life differently than our grandparents did, and in a way differently than will our children, so it does little good to look backward as we move into the 21st century.
Exhibit P.2 Demographic Transition
Source: Population: A Lively Introduction, 4th edition, by Joseph A. McFalls, Jr. Population Reference Bureau.
Exhibit P.3 Birthrates and Death Rates
Source: U.S. Census Bureau (2010).
Exhibit P.4 Distribution of the Projected Older Population by Age for the United States, 2010–2050
Source: U.S. Census Bureau (2010).
Note: Line indicates the year that each age group is the largest proportion of the older population.
Exhibit P.5The Dramatic Aging of the United States, 1900–2030
Source: U.S. Census Bureau. Adapted from Himes (2001).
Exhibit P.6 Projected Population of Adults Ages 65 and Over by Race in the United States, 2010–2050
Source: Figure 4 from U.S. Census Bureau (2014).
Note: Unless otherwise specified, data refer to the population who reported a race alone. Populations for each race group include both Hispanics and non-Hispanics, as Hispanics may be of any race.
The challenge is to change our way of anticipating and planning for the future by thinking critically about our underlying assumptions. This task of critical thinking may be more difficult in gerontology than in other fields because of the familiarity and deeply personal nature of aging. Revolutionary changes took place in the 20th century, but most of us tend to assume that aging and the human life course have remained the same. Despite our commonsense perceptions, however, history and the human sciences tell us that the process of aging is not something fixed, but is both changeable and subject to interpretation.
Taking a more critical and thoughtful stance, we