Grand Challenges Of Our Aging Society

Aging populations are generating both challenges and opportunities for societies around the globe. Increases in longevity and improvements in health raise many questions. What steps can be taken to optimize physical and cognitive health and productivity across the life span? How will older people finance their retirement and health care? What will be the macroeconomic implications of an aging population? How will communities be shaped by the shift in age structure? What global interconnections will affect how each society handles the aging of its population? To address these questions, the National Academies organized a symposium, summarized in the present volume, to determine how best to contribute to an evidence-based dialogue on population aging that will shape policies and programs. Presentations in the fields of biology, public health, medicine, informatics, macroeconomics, finance, urban planning, and engineering approached the challenges of aging from many different angles. The presenters reviewed the current state of knowledge in their respective fields, identifying areas of consensus and controversy and delineating the priority questions for further research and policy development.

Aging populations are generating both challenges and opportunities for societies around the globe. Increases in longevity and improvements in health raise many questions. What steps can be taken to optimize physical and cognitive health and productivity across the life span? How will older people finance their retirement and health care? What will be the macroeconomic implications of an aging population? How will communities be shaped by the shift in age structure? What global interconnections will affect how each society handles the aging of its population? To address these questions, the National Academies organized a symposium, summarized in the present volume, to determine how best to contribute to an evidence-based dialogue on population aging that will shape policies and programs. Presentations in the fields of biology, public health, medicine, informatics, macroeconomics, finance, urban planning, and engineering approached the challenges of aging from many different angles. The presenters reviewed the current state of knowledge in their respective fields, identifying areas of consensus and controversy and delineating the priority questions for further research and policy development.

The Institute of Medicine (IOM) and the National Research Council (NRC) have had prominent roles in discussions of aging, disability, and technology for decades. In 1978, Aging and Medical Education (IOM, 1978) raised national awareness of the challenges to physicians posed by the aging of the U.S. population. Thirty years later, Retooling for an Aging America highlighted concerns for the entire health care workforce in view of the aging of the population, including the role of technology in caring for older populations. The 1988 report The Aging Population in the 21st Century examined social, economic, and demographic changes among older adults, as well as many health-related topics: health promotion and disease prevention; quality of life; health care system financing and use; and the quality of care- especially long-term care. In 1991, the landmark report Disability in America laid out a national agenda to prevent disability and improve the lives of people with disabling conditions. The 1997 report Enabling America: Assessing the Role of Rehabilitation Science and Engineering examined the knowledge base of rehabilitation science and engineering and proposed ways to translate scientific findings into interventions that produce better health. And the 2007 report The Future of Disability in America examined progress made since the earlier reports and looked at continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. All these reports were produced by committees appointed in accordance with guidelines of the National Academies and met multiples times to compile and review evidence, reach consensus on conclusions and recommendations, draft a report of the committee, and then modify that draft report in response to comments from outside reviewers. The IOM and NRC have also held several workshops related to aging, disability, and technology and published summary reports, such as Technology for Adaptive Aging and Grand Challenges of Our Aging Society. The IOM and NRC also convene groups that take a different approach to issues of pressing national and international importance. Often known as forums or roundtables, these groups meet regularly to foster dialogue and confront issues of mutual interest and concern among a broad range of stakeholders. They can convene workshops, initiate cooperative projects among members, commission independently authored articles, and generate ideas for independent consensus studies. In 2012 the IOM and NRC joined together to establish the Forum on Aging, Disability, and Independence to provide a neutral venue for broad-ranging discussions among the many stakeholders involved with aging and disability. The goals of the forum are to highlight areas in which the coordination of the aging and disability networks is strong, examine the challenges involved in aligning the aging and disability networks, explore new approaches for resolving problem areas, elevate the visibility and broaden the perspectives of stakeholders, and set the stage for future policy actions. Forum sponsors and members include federal agencies, health professional associations, private sector businesses, academics, and consumers. Fostering Independence, Participation, and Healthy Aging Through Technology summarizes this workshop.

"Grand challenges" represent a focused method of attacking the most deeply significant problems of a discipline, organization, or society itself. Since the concept was first introduced over a century ago, more than 600 governments, foundations, and professions subsequently adopted this language and approach, often to excellent effect. In 2012, the social work profession launched its own national initiative, with aim of using science, innovation, and new forms of collaboration to accelerate progress toward critically needed social solutions. There was also strong corollary interest in changing the profession itself, introducing new forms of practice and problem-solving. The American Academy of Social Work and Social Welfare served as the first home of the Grand Challenges initiative in social work; in 2017, as the initiative grew more complex, it became an independent organization"--

The United States is in the midst of a major demographic shift. In the coming decades, people aged 65 and over will make up an increasingly large percentage of the population: The ratio of people aged 65+ to people aged 20-64 will rise by 80%. This shift is happening for two reasons: people are living longer, and many couples are choosing to have fewer children and to have those children somewhat later in life. The resulting demographic shift will present the nation with economic challenges, both to absorb the costs and to leverage the benefits of an aging population. Aging and the Macroeconomy: Long-Term Implications of an Older Population presents the fundamental factors driving the aging of the U.S. population, as well as its societal implications and likely long-term macroeconomic effects in a global context. The report finds that, while population aging does not pose an insurmountable challenge to the nation, it is imperative that sensible policies are implemented soon to allow companies and households to respond. It offers four practical approaches for preparing resources to support the future consumption of households and for adapting to the new economic landscape.

Emerging and currently available technologies offer great promise for helping older adults, even those without serious disabilities, to live healthy, comfortable, and productive lives. What technologies offer the most potential benefit? What challenges must be overcome, what problems must be solved, for this promise to be fulfilled? How can federal agencies like the National Institute on Aging best use their resources to support the translation from laboratory findings to useful, marketable products and services? Technology for Adaptive Aging is the product of a workshop that brought together distinguished experts in aging research and in technology to discuss applications of technology to communication, education and learning, employment, health, living environments, and transportation for older adults. It includes all of the workshop papers and the report of the committee that organized the workshop. The committee report synthesizes and evaluates the points made in the workshop papers and recommends priorities for federal support of translational research in technology for older adults.

Aging comes with many challenges. It is well known that as a society we are living much longer thanks to improved living conditions and health care. While being able to reach old age is something to be thankful for, in many ways, there are several challenges facing the elderly, which we all need to pay more attention to. Often it is not until we start to age ourselves or we see a loved one struggling that we sit up and take notice, but as a society, we can do more to make life easier for our aging population. This book takes a clear-headed, cold-blooded, practical, and unemotional methodological approach to the myriad subjects that form the aging landscape, especially for the really old. This book observes older people and researches all of the aspects of elder-land, including frequent journeys into the medical complexes that have grown exponentially with the aging of the baby boomers. You will be taken down the road of things to come, and it is not all the golden years crap that you've heard about. We've all watched far too many people age badly and make some serious errors. For some of them, their mistake was simply living too long. We are constantly fed stories about people doing young things at an old age and are told that we can, too, if only we have the right attitude. The author thinks that's a bunch of baloney. Sure you could go skydiving at my age-once. But, if you survived you may never be able to walk again. The truth is that those people who do exceptional physical things at an advanced age are "EXCEPTIONAL!" Most of us need to keep our aging legs firmly planted on solid ground and get rid of the silly notions that we, too, can be exceptional. Most of us have been a victim of the advertising hype, but until we have gone through the emotional and psychological transformation of aging we really don't get it.

In sounding alarm about the population challenges we face in the next five decades, the essays here--written by a wide variety of experts--offer constructive proposals for meeting these challenges on both personal and public policy levels.