By Robert H. Binstock (auth.), Charles M. Gaitz M.D., George Niederehe Ph.D., Nancy L. Wilson M.A. (eds.)
The 17th annual symposium backed by means of the Texas study Institute of psychological Sciences used to be held October 23-26, 1983, in Houston, Texas. The subject matter used to be getting older 2000: Our overall healthiness Care future. This quantity on social, mental, monetary, and moral features and a significant other quantity (Volume I) on biomedical elements comprise edited models of the shows by means of approximately eighty audio system. Their papers have been directed at practitioners, researchers, and clinical educators who may be lively and effective within the yr 2000, and we fascinated with those that might effect the evolution of care of aged folks in the course of the subsequent 17 years. We selected subject matters that may be of specific curiosity to lecturers and present planners within the disciplines inquisitive about supply of future health and social providers. We think that having a middle of extra certified and higher expert practitioners can assist the inhabitants of elderly people in achieving the next point of actual and psychological healthiness, lifestyles pride and happiness, locate higher coping suggestions and keep watch over of environmental stresses, and accomplish own and social objectives. Our ambitions whereas getting ready for the symposium we knew that the prestige ofthe paintings in 1983 evidently often is the base from which we'd paintings, yet we requested our audio system to offer precedence to destiny making plans and directions.
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Additional info for Aging 2000: Our Health Care Destiny: Volume II: Psychosocial and Policy Issues
A more realistic view of disease-specific mortality patterns involves consideration of the multiple conditions reported on death certificates for the morbid process leading to death. , "underlying") cause of death. There is both empirical and theoretical justification for this broadened perspective, especially in light of the fact that chronic degenerative and multiple disease processes often lead to death at advanced ages. By examining changes over time in the George C. Myers and Kenneth G. Manton 28 Table 3-l.
As indicated by my earlier discussion of the capacity of older persons to pay for their health care, about two-thirds of the elderly in the United States will not be able to pay for the more costly health care procedures out of 12 Robert H. Binstock their own pockets. The moral and ethical implications of unequal health care on the basis of income status pose issues that are applicable, of course, to all age groups in society. In the context of this chapter I will not dwell on these prospects, their implications, or the moral and ethical arguments that can be mobilized.
Unfortunately, the optimistic argument presented by Fries (1980), predicting the compression of morbidity in old age, has been responsibly and effectively demolished (Schneider and Brody, 1983). Ironically, an unintended consequence of improvements in longevity has been extension of the life span into the pathways of long-term, chronic, disabling conditions that rob life of its quality. The age-specific prevalence of long-term chronic diseases and other disabling conditions, particularly organic brain syndromes such as Alzheimer's disease, rises exponentially in the last decades of life, particularly in the late 70s and 80s (Gruenberg, 1977).
Aging 2000: Our Health Care Destiny: Volume II: Psychosocial and Policy Issues by Robert H. Binstock (auth.), Charles M. Gaitz M.D., George Niederehe Ph.D., Nancy L. Wilson M.A. (eds.)