
Since 1945, new medical techniques have extended active life for many Americans, while
the proportion of older people in the population has increased and earlier systems of elder
care have eroded. These changes have given older Americans new choices and powers,
but a continuing cultural privileging of youth still marginalizes and endangers the aging.
The 1950s and 1960s saw efforts to develop ethical and affordable ways of housing
and caring for seniors outside of families. With
Social Security
providing reliable
retirement
income, elders began moving away from established family
homes
into new
Sunbelt
apartment, retirement communities, some of which actively discouraged younger
families from locating nearby. Even without relocating, many elders still had fewer
family
members to care for them. Family size was shrinking, either by design as safe,
reliable birth control became available, or, especially among poorer or newer Americans,
through the exigencies of
mobility,
immigration
and high mortality. Moreover, more
frequent
divorce
and remarriage could multiply the size of the kin group, making young
families responsible for more elders than ever before.
Elders have increasingly used new political and cultural powers based on their
numbers in the population to claim care from the whole society. Since the 1970s, activist
organizations, like the
American Association of Retired Persons (AARP)
, the
American Society on Aging, and the Gray Panthers, eventually supported by the large
and aging postwar
baby-boom
generation, have lobbied successfully for Social Security
benefits, medical rights and legal protections for older Americans.
Wide-spread anxiety including feminist concern, about intrusive and expensive
healthcare,
the disproportion of poor women among the elderly unethical nursing-home
practices and indignities surrounding
death
in hospitals have spurred movements for
ublic regulation of care facilities, greater physical independence for elders and respect
for age itself, and hospice and homecare programs for the terminally ill. The 1990s
especially saw a revitalized Right-to-Die movement, dramatized by the assisted-suicide
campaign of Dr Jack Kevorkian.
Wealth and family background strongly shape the expectations of aging. Affluent,
especially
white,
elders seek “independence,” and plan their finances, activities and
choice of retirement home so as to avoid “burdening” their children. Their wealth and
leisure time has supported new consumer
markets
in special safety equipment, exercise
plans and machines, medical innovations and
plastic surgery
. By contrast, less affluent
seniors, including many non-whites, more often seek to avoid sundering
community
ties,
and tend to rely on their children, neighbors and church community to assist and protect
them. This preference varies less with wealth among non-white seniors than among
whites; Asians in particular are shocked by the isolation of the elderly.
Neither has offered a perfect solution. While independent seniors can suffer from
isolation or emptiness, seniors who stay rooted in their communities also sometimes
endure neglect, danger, or financial loss in securing needed care. The new opportunities
for American seniors have not erased the society’s persistent discomfort and impatience
with the late stages of human life.
Encyclopedia of Contemporary American Culture 830