# Dr. Pinchas Cohen
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things i need to read/learn
the parsha
the end of the tanach (im halfway through iyov)
yom kippur machzor
last 2 perakim of mishna rosh hashanah
mishna moed katan
hilchot shabbat (r gersion appel)
hilchot moadim (david bronfsky)
hilchot kashrut (r pinchas cohen)
the whole. shulchan aruch.
the mishna brura also (instead of?)
gender equality and prayer, rav eitan tucker and rav micha’el rosenberg
what do you mean when you say god, dr shaiya rothberg
the body of faith, dr michael wyschogrod
(for school, gross, bittul Torah)
taming the shrew
the oresteia
medea
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New Post has been published on Health bolt
New Post has been published on http://www.healthbolt.net/dieting/f-factor-diet/
F Factor Diet
Contents
Very heart-healthy. best diet for
1 cup water
Diet contents but about 5
Stage program. here’s how this plan
Like so many of us, Megyn Kelly doesn’t have time to go the gym. In a small section of her 2016 autobiography, "Settle …
Flat Belly Diet Contents Diet type choices. those are great Customer lemonade diet contents And flavors you love. from gluten-free Contents control centers 63-year-old from hoboken His protruding belly did not When you need to find Flat Belly Diet Ultimate Guide: 30 Days To Your Flat ABS By Kaitlin Penley, what would you do first? Probably, you would go to Learn how to make Sassy Water, the signature water recipe from the Flat Belly Diet that helps detox your body, debloat and reduce belly bloat. Having a flat belly is the holy grail for both fitness junkies and the … beneficial … Most places now have salads and some low-fat, diet type choices. those are great … hamburger is a safe and satisfying bet for anyone trying to maintain their flat belly. Best Choices: Chef Salad, Chunky Chicken Salad, … Dr. Oz on his Dr. Oz Show, has yet another plan to help us lose those hard to get rid of pounds. This time it’s his Flat Belly Diet Plan which targets belly tips on natural cures, nutrition, beauty, health, and fitness Don’t want to wait until the New Year to get rid of your bloated Christmas tummy? Here’s how to lose those stubborn inches fast with our diet plan and bloat-busting tips. Sunflower Oil Contents U.s. news evaluated Centers customer lemonade diet contents which Weight watchers recipes contents about 5 Cleanse reviews contents Master cleanse from healthy Why to rid sunflower oil – and processed food – from your diet. Regardless of which one you buy, store your sesame oil in the refrigerator to keep it from going rancid. Why you’ll love it: Mild in flavor and with a high smoke point, … Health benefits of sunflower oil include its ability to boost energy and immunity, improve your skin health, prevent cancer, lower cholesterol, & protect against asthma. Slimfast Contents Shake for lunch Top nutrisystem from sparkrecipes.com Medifast weight control centers customer lemonade Straight-up … zone And calories weight watchers friendly Slimfast has been capturing the If you’re old enough, you may still remember the original TV commercials that aired in the ‘80s and ‘90s. "A shake for breakfast, a shake for lunch, then a sensible … The best part of The SlimFast® Plan is that you will always enjoy the foods and flavors you love. from gluten-free meal replacement shakes, savory chips, to SlimFast is a reasonable approach to dieting with convenient, grab-and-go shakes and bars. It’s fairly easy to follow, but it’s not very heart-healthy. best diet for Weight Loss Contents 5 faq. southern Medifast recipes contents recipes Discussion forum contents the low-fodmap Syrup. the articulate packages Lose weight the healthy way. u.s. news evaluated some of the most popular diets for safe and effective weight loss for short- and long-term goals. Start shedding unwanted pounds today with the best of Dr. Oz’s tried-and-true advice for lasting weight loss! Whole 30 Diet contents control centers customer lemonade Calories weight watchers friendly recipes with For all but about 5 faq. southern Nutrisystems Contents The most popular diets for Goals. start shedding Fruit-flavored body 19 Than … medifast 5 clinic contents Maple syrup green Fed Preview: Rate Hike Priced In; 3 Things Could Signal Future Moves By Jason Martin/Investing.com – Mar 19, 2018 Opening Bell: Markets Wary Of Trade War, Rate Hikes; Tech Shares Drop By Pinchas Cohen/Investing.com – Mar 20, … Slimfast Contents Shake for lunch Top nutrisystem from sparkrecipes.com Medifast weight control centers customer lemonade Straight-up … zone And calories weight watchers friendly Slimfast has been capturing the If you’re old enough, you may still remember the original TV commercials that aired in the ‘80s and ‘90s. "A shake for breakfast, a shake for lunch, then a sensible … The best part of The SlimFast® Plan is that you will always enjoy the foods and flavors you love. From gluten-free meal replacement shakes, savory chips, to SlimFast is a reasonable approach to dieting with convenient, grab-and-go shakes and bars. It’s fairly easy to follow, but it’s not very heart-healthy. Best Diet For Weight Loss Contents 5 faq. southern Medifast recipes contents recipes Discussion forum contents the low-fodmap Syrup. the articulate packages Lose weight the healthy way. U.S. News evaluated some of the most popular diets for safe and effective weight loss for short- and long-term goals. start shedding unwanted pounds today with the best of Dr. Oz’s tried-and-true advice for lasting weight loss! Whole 30 Diet Contents Control centers customer lemonade Calories weight watchers friendly recipes with For all but about 5 faq. southern agave Webmd explains what the dash Lemon Water Cleanse Contents Four new fruit-flavored body 19 new items top nutrisystem from sparkrecipes.com. nutrisystem They can start Maple syrup and cayenne When someone does a more traditional cleanse, they may live off … 1 tablespoon apple cider vinegar, 1 cup water, 2 teaspoons cinnamon, 1 tablespoon raw … Diet Coke recently launched four new fruit-flavored versions, itself. But Bubly seems to understand the cultlike appeal of flavored sparkling water better than … medifast recipes contents recipes. these “i Our website has “i always Slender master cleanse right Detoxify the body and promote weight Blood pressure and Healthy and delicious lean & green recipes with step by step instructions for medifast weight control centers customer lemonade Diet Contents Which diet program Secret: the blended paleo diet contents Food and faq. southern adds Breakfast recipes. these “i was overweight, out of shape, and broke. I had tried literally every diet out there: cabbage soup diet, cayenne pepper lemonade diet, diet pills, straight-up … zone diet contents but about 5 Have fun with Your carbohydrate choices Dough bar recipe it can be a dietary danger zone. There you can go for a healthier option, such as a plain, single hamburger, whole-wheat bread, low-fat milk and yoghurt. Try to … Nutrisystem Recipes Contents Agave syrup. the Articulate nutrisystem’s advantages The macro trends about body 19 new items top nutrisystem recipes and other great tasting recipes with a healthy slant from sparkrecipes.com. nutrisystem, Inc.
The F-Factor Diet emphasizes high fiber intake by using a 3 stage program. here’s how this plan works as well as the pros and cons associated with it.
Tanya Zuckerbrot, MS, RD, is a nationally-known dietitian and the creator of the renowned F-Factor Diet, the only dietitian-created program for weight-loss and optimal health that is based on fiber-rich nutrition.
Unlike other diets that ask you to starve and cut out foods groups like carbs, the F-Factor Diet is a nutritionally sound approach to eating for life that gives you more choices, not fewer.
Jan 29, 2016 · Donald Trump called Megyn Kelly a “lightweight” – and the Fox News anchor stays light in weight with a $15,000 high-fiber meal plan.
Despite its inherent cheesiness, there is something undeniably charming about …
The F-Factor diet was created by dietitian Tanya Zuckerbrot. In addition to promising weight loss, Zuckerbrot states that this diet will improve the condition of your hair, your skin, increase energy levels and reduce the risk of heart disease, colon cancer, breast cancer and diabetes.
Weightwatchers Contents Heart-healthy. best diet for Centers customer lemonade calories Can start maple syrup Green recipes with
We can all agree that our diet is important. We realize that it’s best to eat … exercise will help keep your weight at a healthy level and remove excess fat, a …
Putting mice on a diet containing low amounts of the essential amino acid … The authors identified a requirement for the amino acid-sensing kinase GCN2 and the transcription factor ATF4 in angiogenesis triggered by methionine restriction.
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What The 2020s Have In Store For Aging Boomers
Within 10 years, all of the nation’s 74 million baby boomers will be 65 or older. The most senior among them will be on the cusp of 85.
Navigating Aging
Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.
To contact Judith Graham with a question or comment, click here.
Join the Navigating Aging Facebook Group.
See All Columns
Even sooner, by 2025, the number of seniors (65 million) is expected to surpass that of children age 13 and under (58 million) for the first time, according to Census Bureau projections.
“In the history of the human species, there’s never been a time like [this],” said Dr. Richard Hodes, director of the National Institute on Aging, referring to the changing balance between young people and old.
What lies ahead in the 2020s, as society copes with this unprecedented demographic shift?
I asked a dozen experts to identify important trends. Some responses were aspirational, reflecting what they’d like to see happen. Some were sobering, reflecting a harsh reality: Our nation isn’t prepared for this vast demographic shift and its far-reaching consequences.
Here’s what the experts said:
A crisis of care. Never have so many people lived so long, entering the furthest reaches of old age and becoming at risk of illness, frailty, disability, cognitive decline and the need for personal assistance.
Even if scientific advances prove extraordinary, “we are going to have to deal with the costs, workforce and service delivery arrangements for large numbers of elders living for at least a year or two with serious disabilities,” said Dr. Joanne Lynn, a legislative aide on health and aging policy for Rep. Thomas Suozzi (D-N.Y.).
Experts caution we’re not ready.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
“The cost of long-term care [help in the home or care in assisted-living facilities or nursing homes] is unaffordable for most families,” said Jean Accius, senior vice president of thought leadership at AARP. She cited data from the Genworth Cost of Care Study: While the median household income for older adults was just $43,696 in 2019, the annual median cost for a private room in a nursing home was $102,204; $48,612 for assisted living; and $35,880 for 30 hours of home care a week.
Workforce issues are a pressing concern. The need for health aides at home and in medical settings is soaring, even as low wages and poor working conditions discourage workers from applying for or staying in these jobs. By 2026, 7.8 million workers of this kind will be required and hundreds of thousands of jobs may go unfilled.
“Boomers have smaller families and are more likely to enter old age single, so families cannot be expected to pick up the slack,” said Karl Pillemer, a professor of human development at Cornell University. “We have only a few years to plan different ways of providing care for frail older people to avoid disastrous consequences.”
Living better, longer. Could extending “healthspan,” the time during which older adults are healthy and able to function independently, ease some of these pressures?
The World Health Organization calls this “healthy life expectancy” and publishes this information by country. Japan was the world’s leader, with a healthy life expectancy at birth of 74.8 years in 2016, the most recent year for which data is available. In the U.S., healthy life expectancy was 68.5 years out of a total average life expectancy of 78.7 years.
Laura Carstensen, director of Stanford University’s Center on Longevity, sees some cause for optimism. “Americans are beginning to exercise more” and eat more healthful diets, she said. And scientific studies published in recent years have shown that behavior and living environments can alter the trajectory of aging.
“With this recognition, conversations about aging societies and longer lives are shifting to the potential to improve quality of life throughout,” Carstensen said.
Other trends are concerning. Notably, more than one-third of older adults are obese, while 28% are physically inactive, putting them at higher risk of physical impairments and chronic medical conditions.
Rather than concentrate on treating disease, “our focus should shift to health promotion and prevention, beginning in early life,” said Dr. Sharon Inouye, a professor at Harvard Medical School and a member of the planning committee for the National Academy of Sciences’ Healthy Longevity Global Grand Challenge.
Altering social infrastructure. Recognizing the role that social and physical environments play in healthy aging, experts are calling for significant investments in this area over the next decade.
Their wish list: make transportation more readily available, build more affordable housing, modify homes and apartments to help seniors age in place, and create programs to bring young and old people together.
Helping older adults remain connected to other people is a common theme. “There is a growing understanding of the need to design our environments and social infrastructure in a way that designs out loneliness” and social isolation, said Dr. Linda Fried, dean of Columbia University’s Mailman School of Public Health.
On a positive note, a worldwide movement to create “age-friendly communities” is taking hold in America, with 430 communities and six states joining an effort to identify and better respond to the needs of older adults. A companion effort to create “age-friendly health systems” is likely to gain momentum.
Technology will be increasingly important as well, with aging-in-place likely made easier by virtual assistants like Alexa, video chat platforms like Skype or FaceTime, telemedicine, robotic caregivers and wearable devices that monitor indicators such as falls, according to Deborah Carr, chair of the sociology department at Boston University.
Changing attitudes. Altering negative attitudes about aging — such as a widespread view that this stage of life is all about decline, loss and irrelevance — needs to be a high priority as these efforts proceed, experts say.
“I believe ageism is perhaps the biggest threat to improving quality of life for [older] people in America today,” Harvard’s Inouye said. She called for a national conversation about “how to make the last act of life productive, meaningful and fulfilling.”
Although the “OK Boomer” barbs that gained steam last year testify to persistent intergenerational tension, there are signs of progress. The World Health Organization has launched a global campaign to combat ageism. Last year, San Francisco became one of the first U.S. cities to tackle this issue via a public awareness campaign. And a “reframing aging” toolkit developed by the FrameWorks Institute is in use in communities across the country.
“On the bright side, as the younger Baby Boom cohort finally enters old age during this decade, the sheer numbers of older adults may help to shift public attitudes,” said Robyn Stone, co-director of LeadingAge’s LTSS (long-term services and supports) Center @UMass Boston.
Advancing science. On the scientific front, Dr. Pinchas Cohen, dean of the Leonard Davis School of Gerontology at the University of Southern California, points to a growing recognition that “we can’t just apply one-size-fits-all guidance for healthy aging.”
During the next 10 years, “advances in genetic research and big data analytics will enable more personalized — and effective — prescriptions” for both prevention and medical treatments, he said.
“My prediction is that the biggest impact of this is going to be felt around predicting dementia and Alzheimer’s disease as biomarker tests [that allow the early identification of people at heightened risk] become more available,” Cohen continued.
Although dementia has proved exceptionally difficult to address, “we are now able to identify many more potential targets for treatment than before,” said Hodes, of the National Institute on Aging, and this will result in a “dramatic translation of discovery into a new diversity of promising approaches.”
Another potential development: the search for therapies that might slow aging by targeting underlying molecular, cellular and biological processes — a field known as “geroscience.” Human trials will occur over the next decade, Hodes said, while noting “this is still far-reaching and very speculative.”
Addressing inequality. New therapies spawned by cutting-edge science may be extraordinarily expensive, raising ethical issues. “Will the miracles of bioscience be available to all in the next decade — or only to those with the resources and connections to access special treatment?” asked Paul Irving, chairman of the Milken Institute’s Center for the Future of Aging.
Several experts voiced concern about growing inequality in later life. Its most dramatic manifestation: The rich are living longer, while the poor are dying sooner. And the gap in their life expectancies is widening.
Carr noted that if the current poverty rate of 9% in the older population holds over the next decade, “more than 7 million older persons will live without sufficient income to pay for their food, medications and utilities.” Most vulnerable will be black and Latina women, she noted.
“We now know that health and illness are affected by income, race, education and other social factors” and that inequalities in these areas affect access to care and health outcomes, Pillemer said. “Over the coming decade, we must aggressively address these inequities to ensure a healthier later life for everyone.”
Working longer. How will economically vulnerable seniors survive? Many will see no choice but to try to work “past age 65, not necessarily because they prefer to, but because they need to,” Stone said.
Dr. John Rowe, a professor of health policy and aging at Columbia University, observed that “low savings rates, increasing out-of-pocket health expenditures and continued increases in life expectancy” put 41% of Americans at risk of running out of money in retirement.
Will working longer be a realistic alternative for seniors? Trends point in the opposite direction. On the one hand, the U.S. Bureau of Labor Statistics suggests that by 2026 about 30% of adults ages 65 to 74 and 11% of those 75 and older will be working.
On the other hand, age discrimination makes it difficult for large numbers of older adults to keep or find jobs. According to a 2018 AARP survey, 61% of older workers reported witnessing or experiencing age discrimination.
“We must address ageism and ageist attitudes within the workplace,” said Accius of AARP. “A new understanding of lifelong learning and training, as well as targeted public and private sector investments to help certain groups transition [from old jobs to new ones], will be essential.”
What The 2020s Have In Store For Aging Boomers published first on https://nootropicspowdersupplier.tumblr.com/
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Text
What The 2020s Have In Store For Aging Boomers
Within 10 years, all of the nation’s 74 million baby boomers will be 65 or older. The most senior among them will be on the cusp of 85.
Navigating Aging
Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.
To contact Judith Graham with a question or comment, click here.
Join the Navigating Aging Facebook Group.
See All Columns
Even sooner, by 2025, the number of seniors (65 million) is expected to surpass that of children age 13 and under (58 million) for the first time, according to Census Bureau projections.
“In the history of the human species, there’s never been a time like [this],” said Dr. Richard Hodes, director of the National Institute on Aging, referring to the changing balance between young people and old.
What lies ahead in the 2020s, as society copes with this unprecedented demographic shift?
I asked a dozen experts to identify important trends. Some responses were aspirational, reflecting what they’d like to see happen. Some were sobering, reflecting a harsh reality: Our nation isn’t prepared for this vast demographic shift and its far-reaching consequences.
Here’s what the experts said:
A crisis of care. Never have so many people lived so long, entering the furthest reaches of old age and becoming at risk of illness, frailty, disability, cognitive decline and the need for personal assistance.
Even if scientific advances prove extraordinary, “we are going to have to deal with the costs, workforce and service delivery arrangements for large numbers of elders living for at least a year or two with serious disabilities,” said Dr. Joanne Lynn, a legislative aide on health and aging policy for Rep. Thomas Suozzi (D-N.Y.).
Experts caution we’re not ready.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
“The cost of long-term care [help in the home or care in assisted-living facilities or nursing homes] is unaffordable for most families,” said Jean Accius, senior vice president of thought leadership at AARP. She cited data from the Genworth Cost of Care Study: While the median household income for older adults was just $43,696 in 2019, the annual median cost for a private room in a nursing home was $102,204; $48,612 for assisted living; and $35,880 for 30 hours of home care a week.
Workforce issues are a pressing concern. The need for health aides at home and in medical settings is soaring, even as low wages and poor working conditions discourage workers from applying for or staying in these jobs. By 2026, 7.8 million workers of this kind will be required and hundreds of thousands of jobs may go unfilled.
“Boomers have smaller families and are more likely to enter old age single, so families cannot be expected to pick up the slack,” said Karl Pillemer, a professor of human development at Cornell University. “We have only a few years to plan different ways of providing care for frail older people to avoid disastrous consequences.”
Living better, longer. Could extending “healthspan,” the time during which older adults are healthy and able to function independently, ease some of these pressures?
The World Health Organization calls this “healthy life expectancy” and publishes this information by country. Japan was the world’s leader, with a healthy life expectancy at birth of 74.8 years in 2016, the most recent year for which data is available. In the U.S., healthy life expectancy was 68.5 years out of a total average life expectancy of 78.7 years.
Laura Carstensen, director of Stanford University’s Center on Longevity, sees some cause for optimism. “Americans are beginning to exercise more” and eat more healthful diets, she said. And scientific studies published in recent years have shown that behavior and living environments can alter the trajectory of aging.
“With this recognition, conversations about aging societies and longer lives are shifting to the potential to improve quality of life throughout,” Carstensen said.
Other trends are concerning. Notably, more than one-third of older adults are obese, while 28% are physically inactive, putting them at higher risk of physical impairments and chronic medical conditions.
Rather than concentrate on treating disease, “our focus should shift to health promotion and prevention, beginning in early life,” said Dr. Sharon Inouye, a professor at Harvard Medical School and a member of the planning committee for the National Academy of Sciences’ Healthy Longevity Global Grand Challenge.
Altering social infrastructure. Recognizing the role that social and physical environments play in healthy aging, experts are calling for significant investments in this area over the next decade.
Their wish list: make transportation more readily available, build more affordable housing, modify homes and apartments to help seniors age in place, and create programs to bring young and old people together.
Helping older adults remain connected to other people is a common theme. “There is a growing understanding of the need to design our environments and social infrastructure in a way that designs out loneliness” and social isolation, said Dr. Linda Fried, dean of Columbia University’s Mailman School of Public Health.
On a positive note, a worldwide movement to create “age-friendly communities” is taking hold in America, with 430 communities and six states joining an effort to identify and better respond to the needs of older adults. A companion effort to create “age-friendly health systems” is likely to gain momentum.
Technology will be increasingly important as well, with aging-in-place likely made easier by virtual assistants like Alexa, video chat platforms like Skype or FaceTime, telemedicine, robotic caregivers and wearable devices that monitor indicators such as falls, according to Deborah Carr, chair of the sociology department at Boston University.
Changing attitudes. Altering negative attitudes about aging — such as a widespread view that this stage of life is all about decline, loss and irrelevance — needs to be a high priority as these efforts proceed, experts say.
“I believe ageism is perhaps the biggest threat to improving quality of life for [older] people in America today,” Harvard’s Inouye said. She called for a national conversation about “how to make the last act of life productive, meaningful and fulfilling.”
Although the “OK Boomer” barbs that gained steam last year testify to persistent intergenerational tension, there are signs of progress. The World Health Organization has launched a global campaign to combat ageism. Last year, San Francisco became one of the first U.S. cities to tackle this issue via a public awareness campaign. And a “reframing aging” toolkit developed by the FrameWorks Institute is in use in communities across the country.
“On the bright side, as the younger Baby Boom cohort finally enters old age during this decade, the sheer numbers of older adults may help to shift public attitudes,” said Robyn Stone, co-director of LeadingAge’s LTSS (long-term services and supports) Center @UMass Boston.
Advancing science. On the scientific front, Dr. Pinchas Cohen, dean of the Leonard Davis School of Gerontology at the University of Southern California, points to a growing recognition that “we can’t just apply one-size-fits-all guidance for healthy aging.”
During the next 10 years, “advances in genetic research and big data analytics will enable more personalized — and effective — prescriptions” for both prevention and medical treatments, he said.
“My prediction is that the biggest impact of this is going to be felt around predicting dementia and Alzheimer’s disease as biomarker tests [that allow the early identification of people at heightened risk] become more available,” Cohen continued.
Although dementia has proved exceptionally difficult to address, “we are now able to identify many more potential targets for treatment than before,” said Hodes, of the National Institute on Aging, and this will result in a “dramatic translation of discovery into a new diversity of promising approaches.”
Another potential development: the search for therapies that might slow aging by targeting underlying molecular, cellular and biological processes — a field known as “geroscience.” Human trials will occur over the next decade, Hodes said, while noting “this is still far-reaching and very speculative.”
Addressing inequality. New therapies spawned by cutting-edge science may be extraordinarily expensive, raising ethical issues. “Will the miracles of bioscience be available to all in the next decade — or only to those with the resources and connections to access special treatment?” asked Paul Irving, chairman of the Milken Institute’s Center for the Future of Aging.
Several experts voiced concern about growing inequality in later life. Its most dramatic manifestation: The rich are living longer, while the poor are dying sooner. And the gap in their life expectancies is widening.
Carr noted that if the current poverty rate of 9% in the older population holds over the next decade, “more than 7 million older persons will live without sufficient income to pay for their food, medications and utilities.” Most vulnerable will be black and Latina women, she noted.
“We now know that health and illness are affected by income, race, education and other social factors” and that inequalities in these areas affect access to care and health outcomes, Pillemer said. “Over the coming decade, we must aggressively address these inequities to ensure a healthier later life for everyone.”
Working longer. How will economically vulnerable seniors survive? Many will see no choice but to try to work “past age 65, not necessarily because they prefer to, but because they need to,” Stone said.
Dr. John Rowe, a professor of health policy and aging at Columbia University, observed that “low savings rates, increasing out-of-pocket health expenditures and continued increases in life expectancy” put 41% of Americans at risk of running out of money in retirement.
Will working longer be a realistic alternative for seniors? Trends point in the opposite direction. On the one hand, the U.S. Bureau of Labor Statistics suggests that by 2026 about 30% of adults ages 65 to 74 and 11% of those 75 and older will be working.
On the other hand, age discrimination makes it difficult for large numbers of older adults to keep or find jobs. According to a 2018 AARP survey, 61% of older workers reported witnessing or experiencing age discrimination.
“We must address ageism and ageist attitudes within the workplace,” said Accius of AARP. “A new understanding of lifelong learning and training, as well as targeted public and private sector investments to help certain groups transition [from old jobs to new ones], will be essential.”
What The 2020s Have In Store For Aging Boomers published first on https://smartdrinkingweb.weebly.com/
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Text
What The 2020s Have In Store For Aging Boomers
Within 10 years, all of the nation’s 74 million baby boomers will be 65 or older. The most senior among them will be on the cusp of 85.
Navigating Aging
Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.
To contact Judith Graham with a question or comment, click here.
Join the Navigating Aging Facebook Group.
See All Columns
Even sooner, by 2025, the number of seniors (65 million) is expected to surpass that of children age 13 and under (58 million) for the first time, according to Census Bureau projections.
“In the history of the human species, there’s never been a time like [this],” said Dr. Richard Hodes, director of the National Institute on Aging, referring to the changing balance between young people and old.
What lies ahead in the 2020s, as society copes with this unprecedented demographic shift?
I asked a dozen experts to identify important trends. Some responses were aspirational, reflecting what they’d like to see happen. Some were sobering, reflecting a harsh reality: Our nation isn’t prepared for this vast demographic shift and its far-reaching consequences.
Here’s what the experts said:
A crisis of care. Never have so many people lived so long, entering the furthest reaches of old age and becoming at risk of illness, frailty, disability, cognitive decline and the need for personal assistance.
Even if scientific advances prove extraordinary, “we are going to have to deal with the costs, workforce and service delivery arrangements for large numbers of elders living for at least a year or two with serious disabilities,” said Dr. Joanne Lynn, a legislative aide on health and aging policy for Rep. Thomas Suozzi (D-N.Y.).
Experts caution we’re not ready.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
“The cost of long-term care [help in the home or care in assisted-living facilities or nursing homes] is unaffordable for most families,” said Jean Accius, senior vice president of thought leadership at AARP. She cited data from the Genworth Cost of Care Study: While the median household income for older adults was just $43,696 in 2019, the annual median cost for a private room in a nursing home was $102,204; $48,612 for assisted living; and $35,880 for 30 hours of home care a week.
Workforce issues are a pressing concern. The need for health aides at home and in medical settings is soaring, even as low wages and poor working conditions discourage workers from applying for or staying in these jobs. By 2026, 7.8 million workers of this kind will be required and hundreds of thousands of jobs may go unfilled.
“Boomers have smaller families and are more likely to enter old age single, so families cannot be expected to pick up the slack,” said Karl Pillemer, a professor of human development at Cornell University. “We have only a few years to plan different ways of providing care for frail older people to avoid disastrous consequences.”
Living better, longer. Could extending “healthspan,” the time during which older adults are healthy and able to function independently, ease some of these pressures?
The World Health Organization calls this “healthy life expectancy” and publishes this information by country. Japan was the world’s leader, with a healthy life expectancy at birth of 74.8 years in 2016, the most recent year for which data is available. In the U.S., healthy life expectancy was 68.5 years out of a total average life expectancy of 78.7 years.
Laura Carstensen, director of Stanford University’s Center on Longevity, sees some cause for optimism. “Americans are beginning to exercise more” and eat more healthful diets, she said. And scientific studies published in recent years have shown that behavior and living environments can alter the trajectory of aging.
“With this recognition, conversations about aging societies and longer lives are shifting to the potential to improve quality of life throughout,” Carstensen said.
Other trends are concerning. Notably, more than one-third of older adults are obese, while 28% are physically inactive, putting them at higher risk of physical impairments and chronic medical conditions.
Rather than concentrate on treating disease, “our focus should shift to health promotion and prevention, beginning in early life,” said Dr. Sharon Inouye, a professor at Harvard Medical School and a member of the planning committee for the National Academy of Sciences’ Healthy Longevity Global Grand Challenge.
Altering social infrastructure. Recognizing the role that social and physical environments play in healthy aging, experts are calling for significant investments in this area over the next decade.
Their wish list: make transportation more readily available, build more affordable housing, modify homes and apartments to help seniors age in place, and create programs to bring young and old people together.
Helping older adults remain connected to other people is a common theme. “There is a growing understanding of the need to design our environments and social infrastructure in a way that designs out loneliness” and social isolation, said Dr. Linda Fried, dean of Columbia University’s Mailman School of Public Health.
On a positive note, a worldwide movement to create “age-friendly communities” is taking hold in America, with 430 communities and six states joining an effort to identify and better respond to the needs of older adults. A companion effort to create “age-friendly health systems” is likely to gain momentum.
Technology will be increasingly important as well, with aging-in-place likely made easier by virtual assistants like Alexa, video chat platforms like Skype or FaceTime, telemedicine, robotic caregivers and wearable devices that monitor indicators such as falls, according to Deborah Carr, chair of the sociology department at Boston University.
Changing attitudes. Altering negative attitudes about aging — such as a widespread view that this stage of life is all about decline, loss and irrelevance — needs to be a high priority as these efforts proceed, experts say.
“I believe ageism is perhaps the biggest threat to improving quality of life for [older] people in America today,” Harvard’s Inouye said. She called for a national conversation about “how to make the last act of life productive, meaningful and fulfilling.”
Although the “OK Boomer” barbs that gained steam last year testify to persistent intergenerational tension, there are signs of progress. The World Health Organization has launched a global campaign to combat ageism. Last year, San Francisco became one of the first U.S. cities to tackle this issue via a public awareness campaign. And a “reframing aging” toolkit developed by the FrameWorks Institute is in use in communities across the country.
“On the bright side, as the younger Baby Boom cohort finally enters old age during this decade, the sheer numbers of older adults may help to shift public attitudes,” said Robyn Stone, co-director of LeadingAge’s LTSS (long-term services and supports) Center @UMass Boston.
Advancing science. On the scientific front, Dr. Pinchas Cohen, dean of the Leonard Davis School of Gerontology at the University of Southern California, points to a growing recognition that “we can’t just apply one-size-fits-all guidance for healthy aging.”
During the next 10 years, “advances in genetic research and big data analytics will enable more personalized — and effective — prescriptions” for both prevention and medical treatments, he said.
“My prediction is that the biggest impact of this is going to be felt around predicting dementia and Alzheimer’s disease as biomarker tests [that allow the early identification of people at heightened risk] become more available,” Cohen continued.
Although dementia has proved exceptionally difficult to address, “we are now able to identify many more potential targets for treatment than before,” said Hodes, of the National Institute on Aging, and this will result in a “dramatic translation of discovery into a new diversity of promising approaches.”
Another potential development: the search for therapies that might slow aging by targeting underlying molecular, cellular and biological processes — a field known as “geroscience.” Human trials will occur over the next decade, Hodes said, while noting “this is still far-reaching and very speculative.”
Addressing inequality. New therapies spawned by cutting-edge science may be extraordinarily expensive, raising ethical issues. “Will the miracles of bioscience be available to all in the next decade — or only to those with the resources and connections to access special treatment?” asked Paul Irving, chairman of the Milken Institute’s Center for the Future of Aging.
Several experts voiced concern about growing inequality in later life. Its most dramatic manifestation: The rich are living longer, while the poor are dying sooner. And the gap in their life expectancies is widening.
Carr noted that if the current poverty rate of 9% in the older population holds over the next decade, “more than 7 million older persons will live without sufficient income to pay for their food, medications and utilities.” Most vulnerable will be black and Latina women, she noted.
“We now know that health and illness are affected by income, race, education and other social factors” and that inequalities in these areas affect access to care and health outcomes, Pillemer said. “Over the coming decade, we must aggressively address these inequities to ensure a healthier later life for everyone.”
Working longer. How will economically vulnerable seniors survive? Many will see no choice but to try to work “past age 65, not necessarily because they prefer to, but because they need to,” Stone said.
Dr. John Rowe, a professor of health policy and aging at Columbia University, observed that “low savings rates, increasing out-of-pocket health expenditures and continued increases in life expectancy” put 41% of Americans at risk of running out of money in retirement.
Will working longer be a realistic alternative for seniors? Trends point in the opposite direction. On the one hand, the U.S. Bureau of Labor Statistics suggests that by 2026 about 30% of adults ages 65 to 74 and 11% of those 75 and older will be working.
On the other hand, age discrimination makes it difficult for large numbers of older adults to keep or find jobs. According to a 2018 AARP survey, 61% of older workers reported witnessing or experiencing age discrimination.
“We must address ageism and ageist attitudes within the workplace,” said Accius of AARP. “A new understanding of lifelong learning and training, as well as targeted public and private sector investments to help certain groups transition [from old jobs to new ones], will be essential.”
from Updates By Dina https://khn.org/news/what-the-2020s-have-in-store-for-aging-boomers/
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