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nrashkind

Ageism Is Making the Coronavirus Pandemic Worse - The Atlantic - 0 views

  • Envision, for a moment, a world in which the rapidly spreading coronavirus is mostly infecting people under the age of 50
  • Imagine that the death toll is highest among children and that, as of today, the United States had reported more than 104,000 confirmed cases and at least 1,700 deaths, mostly among middle schoolers
  • If your imagined reaction differs from your current one, then we must ask some hard questions. Most crucial: Is the reality that elders are most likely to get ill and die from COVID-19 affecting the way countries—particularly the U.S.—are responding to the pandemic?
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  • I’m a geriatrician at UC San Francisco, whose medical center consistently ranks in the top 10 nationally and as the best on the West Coast
  • Our response to COVID-19 has been remarkable in its intensity and scope.
  • During my nearly 30-year medical career here, I’ve never witnessed anything like the system-wide mobilization I’ve seen in recent weeks. And yet some of what I’m seeing is also disturbing, especially because my geriatrics colleagues around the country say that elder-specific needs and medical science aren’t being adequately addressed at their centers either.
  • health-screening procedures for visitors were put into place at our children’s hospital at the start of March, while similar procedures weren’t implemented for our adult hospital until two weeks later.
  • Transgressions like these are minor in the face of global calamity
  • Let me be perfectly clear: I’m not witnessing the actions of malicious, underperforming people
  • On the contrary, UCSF leadership has been heroic and selfless, working around the clock to provide the best care possible to those with COVID-19 while protecting other patients and staff
  • Medical schools devote months to teaching students about child physiology and disease, and years to adults, but just weeks to elders; geriatrics doesn’t even appear on the menu of required training
  • Public responses to the coronavirus pandemic on social media have laid bare the not-so-subtle interplay between medical culture and American culture at large
Javier E

The Plan to End Boomers' Political Dominance - The Atlantic - 0 views

  • one of the great divides of modern politics: young versus old. In Britain, age is now a better predictor of voting intention than social class. Overall, the Boomers voted for Brexit in 2016 and the Conservatives in 2017; their Millennial children voted Remain and Labour.
  • The debate is also about so much more than abstract disagreements over policy and government funding.
  • Caring for the elderly, for example, becomes wrapped up in assertions of “just deserts”—I’ve worked hard all my life and paid my taxes—and fears about money-grubbing children selling off their parents’ houses. It is also, like taxes on inheritance, a subject that prods at many people’s deep desire to pass something on to their offspring.
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  • Perhaps some are jealous of what appear to be greater opportunities afforded to younger people, bemused by younger generations’ lifestyles, and fearful that their own values are seen as outdated.
  • The trouble was the sheer number of Boomers. As a big generation, the Boomers had achieved political and cultural dominance. They were no more self-interested than any other group, but they warped government priorities. And that was unfair to everyone else. Boomers, Willetts argued, were not okay.
  • Both sides claim that the other is being condescending. Some Boomers argue that the word itself has become a cover for ageism; Millennials roll their eyes and reply with the phrase that has come to encapsulate their weariness: “Okay, Boomer.”
  • Boomers have bent the gravity of politics toward themselves and their needs. They buy newspapers. They vote. They wield their spending power effectively. Their voice is loud. To build a fair and just society, the question then must be: On everything from elderly care to housing, how do you persuade them to vote against their own interests?
  • Generational arguments are essentially family dramas, with all the friction that implies.
  • the rage tends to come not from Millennials, who feel disadvantaged, but from the Boomers, who feel attacked.
  • “When we have all this power, we shouldn’t be surprised when younger people are rather resentful,” he said. “I’m surprised they are aren’t angrier.”
  • In Britain, for example, Boomers have opposed housebuilding, leaving the country with a chronic shortage that protects the value of their homes but traps younger people in the expensive private-rental sector. (In 1980, the average private tenant spent 10 percent of their income on rent. That figure is now 30 percent.
  • Boomers have successfully deterred politicians from devaluing the state pension, even as salaries and working-age benefits have stagnated. The result is that pensioner poverty has halved since 2000, whereas poverty among people of working age has risen
  • defensiveness can sometimes manifest as retaliatory accusations that younger generations have it easy. The intergenerational debate has spawned its own weird jargon: “Avocado toast,” for example, has become shorthand for the argument that Millennials splurge their salaries on good living, rather than saving for a home like their parents did
  • the problem is particularly acute in Britain, because of the country’s steep fall in home ownership in recent decades. The British rental sector is much more “mom and pop”—literally. “Something like 20 percent of Boomers have a second property that they rent out,” Willetts said. That means there is a direct transfer of wealth from younger renters to older asset-owners.
  • How, though, do you explain to otherwise reasonable retirement-age voters how much damage their demands are causing to their children’s generation—without completely alienating them? “In politics, you’re not a kamikaze pilot, you’re not on a suicide mission,” Willetts said. He told the Boomers that the houses they owned had been largely built in the 1960s and ’70s so their parents had somewhere to live; they now had a similar obligation to allow more building for their own kids. “That was the only argument that gave them pause,”
  • differences within generations do matter, though, because rich Boomers, the luckiest part of a lucky generation, will leave their money to their children, further entrenching inequality. If the value of assets is rising faster than incomes, we are heading for a society where wealth matters more, and earnings matter less. The problem will not resolve itself without intervention.
  • One obvious answer is to build more houses (bad news for the residents’ associations who want to preserve their unblocked views or quiet roads) and ease lending criteria for younger people, to make it easier for them to get mortgages.
  • Willetts has a more radical idea: Offer younger people £10,000 when they turn 30, money that they could put into a pension, use to start a business, combine into a down payment, or spend on education or training
Javier E

Life Is Worse for Older People Now - The Atlantic - 0 views

  • A major reason older people are still at risk is that vaccines can’t entirely compensate for their immune systems. A study recently published in the journal Vaccines showed that for vaccinated adults ages 60 and over, the risk of dying from COVID versus other natural causes jumped from 11 percent to 34 percent within a year of completing their primary shot series
  • A booster dose brings the risk back down, but other research shows that it wears off too. A booster is a basic precaution, but “not one that everyone is taking,”
  • Unlike younger people, most of whom fully recover from a bout with COVID, a return to baseline health is less guaranteed for older adults. In one study, 32 percent of adults over 65 were diagnosed with symptoms that lasted well beyond their COVID infection
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  • For every COVID death, many more older people develop serious illness. Risk increases with age, and people older than 70 “have a substantially higher rate of hospitalizations” than those ages 60 to 69,
  • Where America has landed is hardly a new way of life but rather one that is simply more onerous. “One way to think about it is that this is a new risk that’s out there” alongside other natural causes of death, such as diabetes and heart failure,
  • The antiviral Paxlovid was supposed to help blunt the wave of old people falling sick and ending up in the hospital—and it can reduce severe disease by 50 to 90 percent. But unfortunately, it is not widely used; as of July, just a third of Americans 80 or older took Paxlovid.
  • The reality is that as long as the virus continues to be prevalent, older Americans will face these potential outcomes every time they leave their home. That doesn’t mean they will barricade themselves indoors, or that they even should. Still, “every decision that we make now is weighing that balance between risk and socialization,”
  • Persistent coughs, aches, and joint pain can linger long after serious illness, together with indirect impacts such as loss of muscle strength and flexibility, which can affect older people’s ability to be independent, Rivers said. Older COVID survivors may also have a higher risk of cognitive decline. In some cases, these ailments could be part of long COVID, which may be more prevalent in older people.
  • Before the pandemic, the association between loneliness and higher mortality rates, increased cardiovascular risks, and dementia among older adults was already well established. Increased isolation during COVID amplified this association.
  • Even older adults who have weathered the direct and indirect effects of the pandemic still face other challenges that COVID has exacerbated. Many have long relied on personal caregivers or the staff at nursing facilities. These workers, already scarce before the pandemic, are even more so now because many quit or were affected by COVID themselves
  • “Long-term care has been in a crisis situation for a long time, but it’s even worse now,” Muramatsu said, noting that many home care workers are older adults themselves
  • Older people won’t have one single approach to contending with this sad reality. “Everybody is trying to figure out what is the best way to function, to try to have some level of everyday life and activity, but also keep your risk of getting sick as low as possible,”
  • Again, many of these people did not have it great before the pandemic, even if the rest of the country wasn’t paying attention. “We often don’t provide the basic social support that older people need,” Kenneth Covinsky, a clinician-researcher at the UCSF Division of Geriatrics, said. Rather, ageism, the willful ignorance or indifference to the needs of older people, is baked into American life.
  • It is perhaps the main reason older adults were so badly affected by the pandemic in the first place, as illustrated by the delayed introduction of safety precautions in nursing homes and the blithe acceptance of COVID deaths among older adults. If Americans couldn’t bring themselves to care at any point over the past three years, will they ever?
Javier E

At facility with 40 covid-19 deaths, dcotor blames society for warehousing seniors. - T... - 0 views

  • “It’s also important to see what we, as society, could do differently, because this will not be the last untreatable virus to decimate our elders,” he said. “When we, as a society, see that it’s appropriate to warehouse our elders, and to put them in small spaces, to underpay their staff so that there are chronic staffing shortages . . . we are going to see this over and over again. We all opted for this type of environment for our elders. And as a result, this virus spread through a publicly funded nursing home . . . like wildfire.”
  • Without improvements, he warned, “a publicly funded nursing home is a virus’s dream.”
rerobinson03

Opinion | I'm a Vaccinated Transplant Recipient. I Don't Have Antibodies. Now What? - T... - 0 views

  • What is receiving considerably less attention, however, is that not everyone who is vaccinated will develop antibodies, and many of those who don’t are at high risk for the most severe consequences of Covid-19. As a kidney transplant recipient, I am one of those people.
  • Vaccinated people may still catch and transmit the virus, which for most people isn’t dangerous, but the situation is different for the immunocompromised. The New York-Presbyterian and Columbia University team reports that some fully vaccinated transplant patients who contracted the coronavirus required hospitalization, and one was intubated.
  • In 2016, more than 4 percent of the U.S. population reported being told by a health professional that they were immunocompromised in some way. While studies show some are able to develop antibodies, the future for many of us is uncertain.
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  • The pandemic exposed society’s ageism and ableism, with many people in the beginning months arguing that only the sick and the elderly were at risk.
  • After a year of remote working, it’s clear that my privileged, overwhelmingly liberal corner of the world is able to accommodate the vulnerable and organize inclusive events.
Javier E

With his sudden U-turn over Christmas, Boris Johnson caps a year of debacles | Boris Jo... - 0 views

  • The coronavirus crisis could not have been more cunningly engineered to expose Mr Johnson’s flaws. He was made prime minister not because anyone thought that he was a cool and decisive head with the leadership skills and moral seriousness required to handle the gravest public health emergency in a century.
  • He was put there because he was a successful representative of the entertainer branch of populist leadership that prospered in the pre-virus era. “We elected him to be a ‘good times’ prime minister,” comments one senior Tory. “His curse is to be prime minister in bad times.”
  • The wrong criticism of his performance is to say that he has made mistakes. Confronted with a novel disease for which the country was unprepared, any prime minister would have made errors. The correct criticism is that he has failed to learn from his mistakes and egregiously repeated them.
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  • From supply failures of essential equipment to the summer exams debacle to the care homes scandal, another pattern of the crisis has been attempts to swerve culpability for all the things that have gone wrong by blaming anyone else but ministers.
  • One former Tory cabinet minister remarks: “There’s bound to be a public inquiry. We will be held to account for the fact that our deaths are higher and our recession is deeper.”
  • The pattern is one of resisting taking the necessary steps at the time when they would have been most effective and then being compelled to implement them late and with more damaging effect
  • Given his lack of dedication to detail and the hard grind of delivering competent government, he needed a capable cabinet. Feebly fearful of having any substantial figures around the top table who might challenge him, he instead surrounded himself with a cabinet characterised by Tory MPs as “lightweight”, “talentless”, “loyalist duds” and “nodding dogs”.
  • Another persistent pattern during this plague year has been to over-promise and under-deliver. We were going to have a “fantastic” this and a “world-beating” that and a “moon-shot” the other. We would have settled for a test, trace and isolate programme that worked.
  • Optimism can be a positive trait in a politician, but wishful thinking is a fatal characteristic in an epidemic. So is deceptive messaging to the public.
  • That misjudgment, like all the other ones, flows from his personality. Just below the surface of his performative face lurks an insecure character who trusts no one and yearns to be loved by everyone. He hates being the bearer of bad news and tough choices.
Javier E

Opinion | Why Aren't More People Getting Married? Ask Women What Dating Is Like. - The ... - 0 views

  • Brad Wilcox of the Institute for Family Studies, who recently scoffed at “the notion that love, not marriage, makes a family,” has a forthcoming book titled “Get Married: Why Americans Must Defy the Elites, Forge Strong Families, and Save Civilization.” All of these scolds typically rely on the same batch of academic studies, now compiled by economist Melissa Kearney in her new book “The Two-Parent Privilege: How Americans Stopped Getting Married and Started Falling Behind,” which show that kids with two parents fare better on a variety of life outcomes than those raised by single parents, who are overwhelmingly women.
  • harping on people to get married from high up in the ivory tower fails to engage with the reality on the ground that heterosexual women from many walks of life confront: that is, the state of men today.
  • On the rare occasions that women are actually asked about their experiences with relationships, the answers are rarely what anyone wants to hear.
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  • In the late 1990s, the sociologists Kathryn Edin and Maria Kefalas interviewed 162 low-income single mothers in Camden, N.J., and Philadelphia to understand why they had children without being married. “Money is seldom the primary reason” why mothers say they are no longer with their children’s fathers. Instead, mothers point to “far more serious” offenses: “It is the drug and alcohol abuse, the criminal behavior and consequent incarceration, the repeated infidelity, and the patterns of intimate violence that are the villains looming largest in poor mothers’ accounts of relational failure.”
  • But it doesn’t take behavior this harmful to discourage marriage; often, simple compatibility or constancy can be elusive.
  • Ms. Camino, for her part, has dabbled in dating since her partner left, but hasn’t yet met anyone who shares her values, someone who’s funny and — she hesitates to use the word “feminist” — but a man who won’t just roll his eyes and say something about being on her period whenever she voices an opinion.
  • “There are women that are just out here trying, and the men aren’t ready,” she told me. “They don’t care, most of them.” Who, exactly, is Ms. Camino supposed to marry?
  • For as long as people have been promoting marriage, they have also been observing that a good man is hard to find
  • what was once dismissed as the complaint of “picky” women is now supported by a raft of data
  • The same pundits plugging marriage also bemoan the crisis among men and boys, what has come to be known as “male drift” — men turning away from college, dropping out of the work force, or failing to look after their health.
  • even this nod ignores the qualitative aspect of the dating experience — the part that’s hard to cover in surveys, or address with policy.
  • a senior fellow at the American Enterprise Institute who recently surveyed more than 5,000 Americans about dating and relationships, found that nearly half of college-educated women said they were single because they had trouble finding someone who meets their expectations, versus one-third of men.
  • For a variety of reasons — mixed messages from the broader culture about toughness and vulnerability, the activity-oriented nature of male friendships — it seems that by the time men begin dating, they are relatively “limited in their ability and willingness to be fully emotionally present and available,” he said.
  • Navigating interpersonal relationships in a time of evolving gender norms and expectations “requires a level of emotional sensitivity that I think some men probably just lack, or they don’t have the experience,
  • He had recently read about a high school creative writing assignment in which boys and girls were asked to imagine a day from the perspective of the opposite sex. While girls wrote detailed essays showing they had already spent significant time thinking about the subject, many boys simply refused to do the exercise, or did so resentfully
  • Mr. Cox likened that to heterosexual relationships today: “The girls do extra and the boys do little or nothing.”
  • educated women freeze their eggs because they’re unable to find a suitable male partner: Ms. Inhorn points to a large gap in the number of college-educated women versus college-educated men during their reproductive years — on the order of several million.
  • Ms. Inhorn’s book goes beyond these quantitative mismatches to document the qualitative experience of women who are actively searching for partners — the frustration, hurt and disappointment.
  • “Almost without exception,” she writes, “women in this study were ‘trying hard’ to find a loving partner,” mostly through dating sites and apps. Women in their late 30s reported “online ageism,” others described removing their Ph.D from their profiles so as not to intimidate potential dates; still others found that men were often commitment-averse.
  • Ms. Inhorn compiled a sort of taxonomy of cads, such as the “Alpha males” who “want to be challenged by work, not by their partners” or the “Polyamorous men” who claim “that their multiple attachments to women are all ‘committed.’” Her breakdown — table 1.1 in the book — reads like a rigorous academic version of all the complaints you’ve ever heard from your single female friends.
  • to truly address the decline in heterosexual marriage, we must attend to the details — to acknowledge the qualitative aspects of relationship formation
  • in particular, we should listen to the experiences of women who are attempting to find partners. We should care about the interior lives, not just the educational attainment or the employment status, of the men who could be those partners.
  • It requires taking the stories of single women seriously, and not treating them as punchlines — something for which there is little historical precedent, but which a handful of scholars are slowly beginning to do.
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