The Global Old Age Care Industry

This book focuses on the emerging global old age care industry developing as a response to tackle the “old age care crisis” in richer countries. In this global industry, multiple actors are involved in recruiting, skilling and placing migrant care workers in different spheres of the receiving country's old age care system. This book delves into the analysis of these actors and the multiple levels influencing their activities. Accordingly, it examines the significance of old age care regimes and policies as well as intermediaries and promoters for initiating, shaping and perpetuating old age care arrangements based on migrant labor and the relationships within them. Particular emphasis is placed on the risks and implications of these arrangements for the well-being and the social protection of the different actors involved. The book analyzes these processes and structures from a global perspective including different countries and regions of the world.

This volume aims to provide an understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China; discuss implications of current developments and trends for the future of aged care in China; and propose policy options.

Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.

The United Nations World Assembly on Aging has made advancing health and well-being into old age a worldwide call for action. And this text at hand shows us what researchers worldwide are doing to answer that call. Here, three of America's most esteemed experts on aging lead a global team of contributors - each an expert in his or her country - to show us what the top challenges of each nation are, and what top research is being done there to meet those. While we cannot predict with absolute certainty all of the issues that will arise over the next 20 years, we can anticipate some and we must start now to prepare for these challenges, an expert from the U.S. Department of Health and Human Services warned at a recent UN World Assembly on Aging. Needed response to the global population shift is not just the responsibility of governments, but will be a product of wise, long-term decisions made by individuals and societies, she explained. In most nations globally, populations are graying and the number of people aged 65 and older is vastly increasing, creating a larger segment of senior citizens than the world has ever before seen. Across human history, the elderly accounted for no more than 3 percent of the world population. By the year 2030, the elderly are expected to make up about 25 percent of the world population. And while longevity is of course seen as a great success, longer lifespan for such masses also creates dilemmas. For example, the incidence of dementia has already increased significantly with an 11-fold increase in people aged 65 and older in the US since the turn of the century, and a similar increase in aged people in Scotland has researchers there scrambling to find treatments for what they expect will be a 75 percent increase in dementia over the next 25 years. Chronic diseases that come with aging are already taxing health care systems in the US and around the world to Japan, with most experts aware their current health systems would be overrun and lack enough staff and facilities to handle the needs of an elderly population multiplying largely in the coming two decades. Increases in psychological issues such as dealing with the depression often striking aged people are impending, too, as are social issues such as how families, and public policies, will deal with the changing shape of the family.

The world of senior care provision and care work is changing rapidly. Across Europe, brokering agencies for live-in care workers have become powerful players in reshaping welfare systems, transnational care chains and working conditions. This volume draws together the latest research on live-in home care for seniors in Europe, exploring processes of commodification and marketisation, the transnationalisation of care work, the private household as a workplace, and workers’ contestation of the live-in care arrangement. Together, they depict far-reaching challenges in care provision and care work. "A must-read for anyone wishing to understand the changes in the political economy of care in the 21st century. A compelling exploration of the emergence of care brokerage and agency intermediation in Europe with a variety of examples from different countries and care settings." - Professor Sabrina Marchetti, Ca’ Foscari University of Venice "Essential reading. Rich empirical and conceptual work provides an exhaustive account of the commodification, marketisation, transnationalisation and exploitation in the care industry, all in the context of global and local inequalities. This is a group of amazing critical analysts who dare to confront some of the key contradictions of our current painful social transformation in European terrains." - Professor Attila Melegh, Corvinus University Budapest "An encyclopaedic account of the commodification and marketisation of transnationally-brokered senior home care provision across Europe. It pays close attention to the economic and social inequalities, as well as state policies, that underlie this new migration industry, and the collective efforts to contest and improve conditions of work and care. Home Care for Sale documents the geography of care chains within a divided Europe - a geography that both complements and disrupts conventional understandings of international care chains between the Global North and South. A must-read for those interested in senior home care, social reproduction, migration, border studies and the workings and repercussions of neoliberal state policies." - Professor Géraldine Pratt, University of British Columbia

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

This book examines the increasing evidence of international retirement migration (IRM) to countries of the Global South. IRM to countries of the Global South points to the increasing global interconnectedness of aging in relatively affluent countries and raises critical questions about its interrelations with global inequalities. This book provides a critical analysis of these global interrelations and their intertwinements with global inequalities and addresses the complex and multi-layered dimensions and implications of this development. It highlights the (ambiguous) everyday lives of retirement migrants in the countries of destination, and the severe impacts on the destination countries that are marked by processes of recolonization, and the reproduction, enhancement and reconfiguration of social inequalities. The growing retirement industry that capitalizes on retirement migration exploiting global differences and structural disadvantages of countries in the Global South is another integral part of this book.

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.