How will the Baby Boomers age and die?

I love listening to life stories.  As a hospice chaplain, I loved sitting with our patients and their loved ones engaging in what many hospice teams call “life review.”  When did you meet your spouse?  When was Reggie born?  What is your favorite holiday?  When did you learn you were ill?  A few simple questions and the stories come pouring forth.

Of late, I’ve been listening to the life stories of Gen X individuals whose Baby Boomer mom or dad, stepmom or stepdad, died in the fall of 2010.  Each story is unique and beautiful, full of grace-filled surprises found in the midst of daily survival.  As they review the life of the parent who has died through the lens of caregiving and grieving, we catch a glimpse of how the first wave of the Baby Boomers is aging and dying. The tidal wave of elderly boomers has not hit us yet, but it is coming.

According to AgingStats.gov: “The baby boomers (those born between 1946 and 1964) will start turning 65 in 2011 … The older population in 2030 is projected to be twice as large as their counterparts in 2000, growing from 35 million to 72 million and representing nearly 20 percent of the total U.S. population.”

Baby boomers will live longer and in greater numbers than ever seen before with few youngsters to support them financially and physically.  What and who will ensure that the Baby Boomers have space and time to age gracefully?

The idea that our current healthcare system is less than adequate to support the needs and expectations of the “silver tsunami” of the Baby Boomers is far from new.  Debates continue on how Medicare and the long-term care system need massive overhaul, so I won’t enter that minefield.  My mind goes to the home.  I think of how as the boomers begin to age, they will need “informal” or “family” caregivers by the thousands.  “Informal caregiving” can be defined as “unpaid care given voluntarily to ill or disabled persons by their family and friends.” They assist a parent, friend or neighbor with completing normal activities of daily living ranging from driving, grocery shopping, taking medication, managing money, to even more personally vulnerable activities like bathing, dressing, using the toilet, or eating.

In past generations, a less debilitated spouse would be the primary informal caregiver, but there are a shockingly high number of single boomers.  According to a recent survey of the McKinsey Global Institute, by 2015, 46% of all boomers aged 65 and above will be unmarried, creating 21 million unmarried households.  For the same age group in 1985, there were only 10 million unmarried households.  In an age marked by high rates of divorce, either the role of an ex-spouse will change or an adult child will be forced to step up as the primary caregiver and decision maker for an aging parent.  The increased caregiving burden on the Gen X and Millenials of the future will demand creative work, family, financial, and practical solutions that just don’t exist yet.

According to the AARP, most informal caregivers provide an average of 21 hours of care per week, so basically a part-time job.  They paint a picture of informal caregiving where caregivers assume responsibility for their loved one’s day to day care, triage any health care crises, absorb financial burdens big and small, and tend to underestimate how much time and how stressful being a caregiver will truly be.    As a mother of three, these observations sounded a lot like caring for a toddler.  It shouldn’t have surprised me then when their data showed that a typical caregiver in the US is a 46-year-old woman who works outside the home.

That sounds a lot like me and my friends in a few years — we have jobs, kids, friends, hobbies and parents — and my anxiety rises as I think about 2030.  How will my life story be changing?

Rosalynn Carter once said, “There are four kinds of people in this world: those who have been caregivers, those who currently are caregivers, those who will be caregivers, and those who will need caregivers.”

The next 30 years will be defined by the quality of care we provide for our elders.  How will the Baby Boomers age and die?  How are we as their kids going to care for them well and honor their memory and legacy?  What kind of lives will we review?

Amy Ziettlow blogs at Family Scholars.

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  • http://TheBackSurgery.co.uk/ Back Pain Surgery

    This is going to a massive factor for healthcare in the coming years and one that I believe the health industry is ignoring. Age related diseases are going to rise to a huge degree with what is currently a fairly static capacity to treat.

  • Di Hill

    Caring for our seniors, (and I am one of them) is a big issue in Australia.  As a former nurse I am appalled at the condition of many aged care facilities, and I recognise the pain of family members who want better for their parents, aunts etc.  So much money goes to create better education and facilities for the younger members of society with limited $$$ spent on seniors.  A happy senior is less of a drain on the health system too.  All around the world it is a big issue.  

  • http://twitter.com/Hootsbudy John Ballard

    In my post-retirement work as a non-medical caregiver I come in contact with a good many people working in assisted living and long-term cafe environments who come from other countries. A sad number, especially from Africa and Asia, are often trained and experienced in fields that would be way better paid except their accreditation or licensing is not accepted in this country. Secondary and graduate level people are often working as CNAs, well below their skill levels. 

    When the conversation is about how old people are outsourced by their families for assisted or long-term care many regard the American system as both expensive and irresponsible. As far as I can determine most of the world regards caring for the elderly as the responsibility of families. A woman from Nigeria told me last week that in her country people are expected to stop work in their fifties and their families take care of their needs. I’m sure they contribute by helping with the grandchildren or household chores, but in the absence of formal alternatives when they decline, family care is the norm. 

    One of the casualties of the Affordable Care Act was the CLASS Act portion which unfortunately was not viable. Eventually, with Boomer decline forcing the issue, our society will have to come to terms with an expensive, aging and swelling population of really old and infirm seniors. Eighty may be the new sixty, but I can assure you that ninety is not the new anything. Ninety and beyond is for the most part still ninety. Statistical life expectancy may be improving but the human life span (different from statistics) has not changed from the start of human history. 

  • kathy Bradway

    I see cottage communites with adorable cottages that are easy to up keep and affordable, and we take care of each other up unitl the point where more care is needed. Then the community has some larger coattages with a care giver, that care giver wage is split by the residents. Still affordable. It maintains a sense of purpose for the members taking care of each other and their community. It is my goal to build one of these before I need senior living. I am 54 :)   

    • http://twitter.com/Hootsbudy John Ballard

      Good idea. I’ve read about that but I’m not sure if it has the momentum of a “trend.”
      I am aware of CCRTs (Continuing Care Retirement Communities) which an individual or couple can join if they have enough assets. Once in, they can start with a cottage or duplex, keep their car, and have a suburban lifestyle. As needed they can then graduate to smaller arrangements up to and including assisted living, followed by long-term/ Alzheimer’s care if needed. This is a trend and can be very expensive. And solid healthcare insurance or other arrangements (VA, for example) is a must. But in most case once accepted one never has to worry. If you outlive your assets a benevolence fund will carry you til you’re gone. 

  • http://www.facebook.com/people/Amy-Ziettlow/553632651 Amy Ziettlow

    Kathy, I love your creative thinking concerning cottage-style living and agree that the solutions to future caregiving dilemmas will be resolved by the neighborhood and not the polis, per se.
    John, I love your comment about how 80 may be the new 60, but 90 is still 90.
    Have either of you read “Aging Well” by Dr. George Vaillant?  It was a book based on the Harvard study that followed individuals from their teen years into their 80′s.  Fascinating study you might enjoy.

    • http://twitter.com/Hootsbudy John Ballard

      I’ve not read Dr. Vaillant’s book but my work over the last eight years (which included a continuing education course in gerontology at a local University) has given me lots of OJT. During three-plus years of senior care for [other] old people I have had 25-30 assignments, from single shifts or overnights to a two-month “live-in.” And they’re not all seniors, by the way. I’ve taken care of several men in their forties who will require lifetime assistance, two as the result of brain injuries and one on hospice who died with only me there at the time. 

      I came across a semi-annual resource book at the Home Instead office, New LifeStyles, listing ads and general information for metro-Atlanta. Very impressive and comprehensive. There is a website.

      http://www.newlifestyles.com/ 

      The “personal care” list goes on for pages and must have fifteen to eighteen hundred listings for the greater Atlanta area alone. 

      Looks to me like we ain’t gonna bend any healthcare dollars much this way but I could be wrong. Every time I see one of those television ads for a “free” motorized scooter I want to throw something at the screen. Somebody’s tax dollars are paying for expensive air time as well as corporate profits, sales commissions and the rest. And the expensive designer drugs hit me the same way. But don’t let me get started…

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