I think "dealing with" the elderly in a declining population is merely an exercise in innovation. Yes really.
For starters, retirement homes. They have a well deserved stigma but it doesn't have to be that way. My grandparents both went to extremely nice and comfortable senior living centers for their final years and ended up with a very good QOL because of it. They had the advantage of being able to afford them but still it's ultimately a much better and more efficient way to take care of elderly people than people insisting on staying in their own home. Naturally I think economics will drive people's behavior but I think building out senior living for every economic level will go a long way in spreading out finite care resources.
Also, and I admit this is even more grim than high density care facilities, end of life care is already seeing major changes. Hospice used to be a highly niche and quietly discussed topic. Most people demanded maximum health care treatment no matter how old or how terminal the condition. This is how we end up with elderly wiping out family fortunes in just a few years with very little to show for it as far as quality of those final years of life. I think going forward people will have more interest in intelligently planning when it's time to stop treatment and focus on being comfortable through the end. Heck even medically assisted suicide, once a forbidden topic in medical communities, is gaining legal traction. It could become common and even celebrated that thoughtful consideration of simply electing to leave the party at the proper hour is the preferred way to go. It doesn't have to be as flippant Soylent Green or Futurama style suicide booths, but we also don't have to delude ourselves into expending massive resources and physically suffer needlessly, either.
Anyway, this is all super grim to discuss but I tend to think declining population is not the senior citizen apocalypse people make it out to be. For one, I think we have a LONG way to go before it starts to dismantle the economy as we know it. Secondly as far as the senior care aspect we are an innovative species and will more likely just adapt to the times and likely end up doing a better job with managing people in their final years.
We certainly can't do much worse than we are today.
For starters, retirement homes. They have a well deserved stigma but it doesn't have to be that way. My grandparents both went to extremely nice and comfortable senior living centers for their final years and ended up with a very good QOL because of it. They had the advantage of being able to afford them but still it's ultimately a much better and more efficient way to take care of elderly people than people insisting on staying in their own home. Naturally I think economics will drive people's behavior but I think building out senior living for every economic level will go a long way in spreading out finite care resources.
Also, and I admit this is even more grim than high density care facilities, end of life care is already seeing major changes. Hospice used to be a highly niche and quietly discussed topic. Most people demanded maximum health care treatment no matter how old or how terminal the condition. This is how we end up with elderly wiping out family fortunes in just a few years with very little to show for it as far as quality of those final years of life. I think going forward people will have more interest in intelligently planning when it's time to stop treatment and focus on being comfortable through the end. Heck even medically assisted suicide, once a forbidden topic in medical communities, is gaining legal traction. It could become common and even celebrated that thoughtful consideration of simply electing to leave the party at the proper hour is the preferred way to go. It doesn't have to be as flippant Soylent Green or Futurama style suicide booths, but we also don't have to delude ourselves into expending massive resources and physically suffer needlessly, either.
Anyway, this is all super grim to discuss but I tend to think declining population is not the senior citizen apocalypse people make it out to be. For one, I think we have a LONG way to go before it starts to dismantle the economy as we know it. Secondly as far as the senior care aspect we are an innovative species and will more likely just adapt to the times and likely end up doing a better job with managing people in their final years.
We certainly can't do much worse than we are today.
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