A special report from the Hastings Center asserts that our society must now look at the concept of good citizenship in an aging society – a view that goes beyond health care relationships. This concept is articulated by Nancy Berlinger and Mildred Z. Solomon in the introduction to the report “What Makes a Good Life in Late Life? Citizenship and Justice in Aging Societies.”
The report is a product of a two-year grant-funded initiative at The Hastings Center — an independent, interdisciplinary bioethics research institute in New York — to begin to determine how bioethics can better reflect and meet the needs of our aging society.
Berlinger, a research scholar at the center, and Solomon, president of The Hastings Center, are co-editors of the report, with Kate de Medeiros, the O’Toole family professor in the department of sociology and gerontology at Miami University.
The commentary features 16 essays by leading scholars and practitioners in architecture and design, bioethics, disability studies, economics, gerontology, health policy, housing studies, medicine, philosophy, political science, and urban planning.
Takeaways from the report include:
- Many older people face economic and other forms of insecurity that stem from changing social policies, not a personal failure to plan.
- Increasing numbers of older adults grapple with precarious financial, environmental, and social conditions in late life.
In “Precarious Aging: Insecurity and Risk in Late Life,” Amanda Grenier and Christopher Phillipson describe how economic insecurity accrues over the course of a person’s life due to factors such as declining access to pensions and inadequate coverage of the full cost of health care.
These social factors expose older people to risks they cannot mitigate on their own. Moreover, reductions in social welfare programs worsen these problems.
Grenier holds the Gilbrea chair in aging and mental health at McMaster University while Phillipson is a professor of sociology and social gerontology at the University of Manchester.
A general theme is that aging societies must respond to the challenges that older adults face in their communities.
Despite policies and programs that aim to help older adults age in a familiar environment, an older person’s housing may not align with his or her changing needs, write Jennifer Molinsky and Ann Forsyth in “Housing, the Built Environment, and the Good Life.”
Community planners, developers, policymakers, and others responsible for how communities plan and build should acknowledge what our aging society needs and work toward consensus around design and facilities that serve older as well as younger residents.
Molinsky is a senior research associate at the Harvard Joint Center for Housing Studies; Forsyth is a professor in the department of urban planning and design at the Harvard Graduate School of Design.
In “Age-Friendly Initiatives, Social Inequalities, and Spatial Justice,” Emily A. Greenfield, an associate professor in the School of Social Work at Rutgers University, recommends that local efforts to make communities more supportive of people as they age must embrace opportunities to reduce socioeconomic disparities that affect older adults and others in that community.
Source: The Hastings Report