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I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A

I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A. THE LONGEVITY REVOLUTION. Rosalyn Carter Institute for Caregiving Americus, Georgia October 24, 2008. THE LONGEVITY REVOLUTION. 30 Years  Advantage  Disabilities  Quality of Life 17% of Increase: 65+.

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I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A

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  1. I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A THE LONGEVITY REVOLUTION

  2. Rosalyn Carter Institute for Caregiving • Americus, Georgia • October 24, 2008 Inst for Caregiving

  3. Inst for Caregiving

  4. THE LONGEVITY REVOLUTION • 30 Years •  Advantage •  Disabilities •  Quality of Life • 17% of Increase: 65+ Inst for Caregiving

  5. THE LONGEVITY REVOLUTION • Great Human Achievement • But • Grave Concerns of Some • Economists, Policy-Makers, • Politicians and Pundits Inst for Caregiving

  6. CONCERNS • Can’t Afford Old People • Economic Stagnation • Intergenerational Conflicts Inst for Caregiving

  7. SOME SPECIFIC CHALLENGES • Chronic Illness (The New Longevity 65+) • Entitlements • Ageism Inst for Caregiving

  8. CAN WE AFFORD OLD AGE • Health and Longevity •  Wealth • vs. • Economic Stagnation Inst for Caregiving

  9. HEALTH  WEALTH • Follow the Individual Through Life • Silver Industries Inst for Caregiving

  10. “SILVER INDUSTRIES”OR THE MATURE MARKET • Financial Services • Legal Services • Healthcare Services • Housing and Living Arrangements • Travel and Hospitality Inst for Caregiving

  11. INTERGENERATIONAL CONFLICTS • None • U.S. • and • France Inst for Caregiving

  12. INADEQUATE ATTENTION • Structural Reform • Trained Workforce • Health Promotion and Disease Prevention • Chronic Disease Management • Research and Development • Caregiving • Drug Safety Inst for Caregiving

  13. HEALTH CARE EXPENDITURES PER CAPITAIN SELECTED COUNTRIES, 2002 * The U.S has the highest expenditures but the lowest life expectancy and highest infant mortality compared with these 3 countries. Inst for Caregiving

  14. TRAINED WORKFORCE • PEOPLE WANT TO STAY AT HOME AS LONG AS POSSIBLE • Paid Home Health Aides • ↓ • Nursing Shortages Inst for Caregiving

  15. AGEISM • No Minimum Wage for Home Health Aides • 9 of 10 Nursing Homes – Do Not Meet Federal Standards for • Personnel • Clinical Trials – No FDA Requirement to Include Older Persons • Post-Marketing – Drug Safety Inst for Caregiving

  16. ART OF CAREGIVING • FAMILY • PAID Inst for Caregiving

  17. TO REMAIN AT HOME • AGING IN PLACE • AS LONG AS POSSIBLE • BEACON HILL • NORCs (5000) Inst for Caregiving

  18. LONG TERM CARE • ABSENT IN AMERICA • GERMANY • JAPAN Inst for Caregiving

  19. THEUNPLANABLE • DEMENTIA • FRAILTY • 40% RISE IN THOSE NEEDING DAILY CARE BY 2020 Inst for Caregiving

  20. HELP • THE FEDERAL FAMILY AND MEDICAL LEAVE ACT • 12 UNPAID WEEKS OFF Inst for Caregiving

  21. RECORD • MEDICAL – HISTORY • EMERGENCY CONTACTS • MEDICATIONS • INSURANCE FUNDS Inst for Caregiving

  22. CHALLENGE PAID CAREGIVERS • CERTIFICATION • TRAINING • PAY AND BENEFITS • CAREER LADDER • ORGANIZATION • DIGNITY Inst for Caregiving

  23. FAMILY CHALLENGES • JOBS/CAREER • EXHAUSTION • RESPITE • COST OF PAID HELP • OTHER NEEDS AND WANTS Inst for Caregiving

  24. FAMILY/PAID • MUST WORK TOGETHER Inst for Caregiving

  25. FAMILY/PAID • NEED TO UNDERSTAND AND COMMUNICATE • WITH EACH OTHER AND WITH • DOCTORS AND NURSES Inst for Caregiving

  26. BUT • BETTER TRAINING • AFFORDABILITY Inst for Caregiving

  27. CNAs • HOME HEALTH AIDES • MEDICAID PAY • 75 HOURS TRAINING REQUIRED Inst for Caregiving

  28. DIFFERENT TRAINING • CNAs-TRAINING • DEMENTIA • ELDER ABUSE • SOCIALIZATION AND INTERACTION • FAMILY • NOT SO: HOME HEALTH AIDES Inst for Caregiving

  29. 2006 OFFICIAL POVERTY DATAFor All People Over 65Per Individual • Poverty Line for 65+ Percentage of the 65+ population below the poverty • line 9.42%: • $9,669/Year or Less • About $185/Week or Less • About $26/Day or Less • Poverty: Percentage of the 65+ Population below 125% of Poverty line: 16.65%: • $12,086/Year or Less • About $232/Week or Less • About $33/Day or Less • Poverty: Percentage of the 65+ Population below 150% the poverty line: 22.35% • $14,503/Year or Less • About $279/Week or Less • About $39/Day or Less • Source: U.S. Census Bureau 2006 “Official Poverty Tables” accessed August 2007 from http://pubdb3.census.gov/macro/032007/pov/toc.htm. The Census • Bureau 2006 Official Poverty Tables are derived from the 2007 Current Population Survey (March Supplement). Inst for Caregiving

  30. THE SOCIAL SECURITY VANISHING ACTWHAT THE 2006 COST-OF-LIVING ADJUSTMENT IS UP AGAINST Inst for Caregiving

  31. HUMAN RIGHTS OF OLDER PERSONS • YALE LAW SCHOOL Inst for Caregiving

  32. THE FUTURE • BOOMERS: TRANSFORMATIVE BUT AT RISK • GENOMICS AND REGENERATIVE MEDICINE Inst for Caregiving

  33. INTERNATIONAL LONGEVITY CENTER • www.ilcusa.org • 60 East 86 Street • New York, NY 10028 Inst for Caregiving

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