Old Age in America

Abstract

To the Editor: I read with interest the initial contributions to the Symposium on Geriatrics published in the July 2003 issue of Mayo Clinic Proceedings.1Tefferi A LaRusso NF The “age” factor in adult medicine?.Mayo Clin Proc. 2003; 78: 913Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar, 2Fleming KC Evans JM Chutka DS A cultural and economic history of old age in America.Mayo Clin Proc. 2003; 78: 914-921Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar I appreciate the importance of exploring the process of aging in America and highlighting the history of our views and treatment of older adults as a foundation for our present, while posing questions for the future. This “future” includes more actively defining the roles of health care providers, family, private and public agencies, and social contacts in supporting this population. In the same issue of the Proceedings, Loefler's discussion of health, science, and religion in contemporary American culture3Loefler I Health, science, and religion in contemporary American culture.Mayo Clin Proc. 2003; 78: 893-895Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar is a poignant observation on the relevance of spirituality and religion to longevity. One aspect to consider is expanding our individual understanding of elder diversity in our culture, aside from noting socioeconomic differences. What can we learn from the traditions of other nations in which elderly people are often viewed from a different philosophical standpoint and are considered an integral part of the core family unit to the end of life, regardless of ability or disability? How can we incorporate some of the positive quality-of-life aspects of these traditions into our society and daily life? It would certainly behoove us to examine detrimental elements in our lifestyle and in the rearing and education of future generations regarding the process of aging and our acceptance of our elders. How we define the context of our human responsibilities and commitments to older adults now will shape the political platforms and legislative decisions regarding health care, health insurance, and prescription coverage for the elderly population in the future. The “common wisdom” about aging and long-term care described by Fleming et al2Fleming KC Evans JM Chutka DS A cultural and economic history of old age in America.Mayo Clin Proc. 2003; 78: 914-921Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar will continue to be challenged in years to come. Keep in mind, most of us reading this symposium comprise the future geriatric population that will be affected.