Life in a Time of Corona: Accommodations on “Re-Opening”

Mr. Murdoch, what are your orders?

Full ahead and no course change, Mr. Hichens.  Let’s see if Titanic lives up to her press!

It’s abundantly clear that the social distancing effort will be abandoned and the process of “re-opening” will move ahead, damn the cost.  The question now is this:  what accommodations should we make to live in a society which demands that life returns to pre-pandemic patterns despite the ongoing presence of the virus that disrupted those patterns in the first place?

My family’s personal adjustments will be driven by what we decide because there is no longer any meaningful public health guidance from the government.  The incompetency is glaring and stunning, all the money that we have invested over decades in a federal public health infrastructure to help manage such events completely pissed away.  After ignoring and downplaying the virus so that the impact was worsened, the President finally issued a framework for managing a return of societal functions over a two week period of virus metric declines.  Only a day later, he undermined it with a series of tweets to “Liberate” three separate states from social distancing and lockdown measures.  That none of these three states even came close to meeting the new guidelines was irrelevant.

The majority of states are now moving ahead with “re-opening” despite any lack of control of the virus that even meets the President’s own metrics.  Neither is there any meaningful testing to ascertain the spread of the virus until it shows up to burn through through a locality’s hospitals.  Indeed, the President has effectively removed any public health aspect from this process by shelving the guidelines set out by the CDC.  The guidance for a public health pandemic is now managed solely by political and economic criteria.

What is happening is, in a sense, a darkly hilarious irony.  A verbose and gun-toting minority – in their fear of any potential abridgment of their preferred freedoms under the Bill of Rights – embraces and lifts up a Chief Executive who has actively transferred all responsibility for management and action for a national crisis to the states, resurrecting a style of government which existed last under the post-revolutionary Articles of Confederation.

You remember that one?  Yeah, that one.

The one without a Bill of Rights.

Because things can’t get any more local than the molecular level of the family, what might we consider?  The important point to remember is that we must somehow lessen our risk and decrease our exposure to the virus if we cannot socially distance or isolate ourselves.

First, consider how to manage with elderly parents and other relatives.  What are the contact and exposure rules if you have to visit or take them to appointments?  What is the status of their paperwork and executors?  What is the default plan in the event of your own illness?

Second, make sure that the personal affairs are in order.  Take to heart the philosophy of The Next Man Up.  Assure that the wills and various powers of attorney are in order should they have to be utilized.  This also means considering the inclusion of secondary executors and decision-makers.  Note the critical passwords and pass that information to your executor.  While the virus most impacts the elderly and immune-compromised,  there are all age levels in the ICU and even children are being affected with their own issues.

Third, make a re-usable mask part of the daily routine.  The notion of a truly disposable mask is dead as even healthcare providers are having to extend their usage for lack of availability.  I don’t know enough about the availability of gloves but anticipate that I will save those for high traffic public areas such as grocery stores.

Fourth, assure that there is hand sanitizer in every vehicle and use it after each venture out of the vehicle.  That also means finding an alternative source for hand sanitizer and re-using the existing bottles if the replacement sanitizer comes in large quantity containers.

Fifth, consider the use of a small notebook in the glove compartment to note where I’ve been on different days in the event that I contract Covid-19 and contact tracing efforts are made.

Sixth, broaden the family’s food supply chain so that there’s not a complete dependence on the grocery store.  If possible, plant a garden or join a CSA to provide a wider access to a dependable source of food.  Even within the grocery store, consider widening your preferential supply chain by purchasing food items not being purchased by everyone else.

Seventh, what is the process for returning home from work or another outside exposure?  This is a real thing for healthcare workers in hard-hit areas because they don’t want to expose their own families.  What processes should you adopt within the household?  It might range from disrobing in the garage and leaving clothing in the laundry room prior to a shower, to a simple hand-washing upon returning home.

Eighth, decide whether the trip or errand is worth the exposure.  Do a more thorough job of planning so that only one trip is required instead of multiple return trips.  If it isn’t necessary, is it sufficiently important enough to justify the exposure?  Visiting a movie theater might not be worth the risk, but traveling out of state to take a kid to college for the first time?  That would likely be worth the risk with proper precautions.  Assuming that it happens, of course.

Ninth, reconsider the shopping habits.  In this environment, ignore the economic establishment thinking that the public is hoarding cash and ratchet down the discretionary spending to what is necessary.  If you do have money available for discretionary spending, then give serious thought to directing it to the food banks that are now serving a significant portion of our citizenry.  Consider another charity or simply rebuild your own finances to your comfort level.  If you shop online to avoid exposure in a bricks-and-mortar store, decide if Amazon is the go-to site or if it’s possible to spread that cash to other online stores instead of further enriching Jeff Bezos.

This is meant to be a point-of-departure for the planning moving forward instead of an exhaustive and comprehensive list.  Consider your own circumstances and risk tolerances.  But do it now so that you are ready for when the re-opening takes place.

Declining Elders: You Should Probably Start Writing This Down…

To die of old age is a death rare, extraordinary, and singular…a privilege rarely seen.

– Montaigne, Of Age, 1575

Getting old isn’t for sissies.

– The PracticalDad’s grandmother (circa 1990)

You should probably start writing this down…

– BH, The PracticalDad’s wife (circa Autumn, 2014)

American Elderhood is terra incognita.  Our parents are living longer and yet the tide of financial assets to support them in their elderhood is ebbing, as is our own.  The structure of the family is imperceptibly changing as a result and it is up to us in the moment to figure out how to manage.  The model that we’ve known for the past three generations, retiring at a relatively early age and spending our later years with a degree of material comfort, is ending.  And it’s not just happening in the United States.  The general unrest in France is wholly rooted in the question of retirement funding and the unrest in Chile is partially rooted in anger at the status of retirement and pension funding.

Not only has the lifespan increased, but the causes and nature of death for Americans have changed as well.  At the turn of the 20th century, 120 years ago, the American lifespan was approximately 50 years and it has since risen to almost 80 years, with a few years differential by gender.  In that same span, the causes of death have shifted as well.  Back then, the top three causes of death for our elders were pneumonia/influenza, tuberculosis and GI infections whereas today, they have been supplanted by heart disease and cancer.  This doesn’t touch upon accidental death more than a century ago and the statistical rise of Alzheimer’s today; their elders died young enough that Alzheimer’s wasn’t a consideration whereas our elders won’t get offed when the family buggy is whacked by a train at an unmarked crossing.

Death was a quicker process back then and consequently, far less expensive.  Eldercare is challenging with a varied set of demands that range from assistance in ordering and managing medications to getting a declining Elder to appointments, and even attending the appointment with her.  Factor in the degradation of mental and/or emotional status that might accompany the decline and it can be highly problematic for both Elder and adult child.  My own parents were a microcosm of this disparity.  My father succumbed to a relatively short four-month course of cancer while my mother passed after a several year affliction with Alzheimer’s.  And it was early in that latter illness that BH made her suggestion:  You should probably write this down…

The suggestion was god-sent although it wound up being a far different thing at the end than at the outset.  It wasn’t a consideration for my father’s illness as his disease course was relatively fast and straightforward and he was in full possession of his faculties up to the moment of his death.  But contending with a lengthy and convoluted process like Alzheimer’s involved not just medical, but logistical and legal issues that made it the singularly most important tool in the endeavor, serving as a resource and stay against the confusion that arises out of contending with a stressful, prolonged and complex situation.  My exercise in this lasted for more than two and a half years and in the end comprised 63 typed, single-space pages with entries that only ended upon the day of her death.  But having done it and finally reflected upon it, there are some points that can be taken from the document and the process.

First, understand precisely what it is…and what it isn’t.  I referred to my notes as a journal at the outset and that, in retrospect, was a poor descriptor.  Journaling is now a practice in which someone engages to record their feelings and/or thoughts and is recommended for self-help and exploration.  Keeping notes for the process of Eldercare is wholly for informational purposes and you should expect that you will likely share at least a portion of the document with a sibling or spouse.  Full disclosure:  managing a parent with Alzheimer’s tinged with paranoid dementia led to instances of personal distress that are best left unrecorded for others.  To put it in terms of professional journalism, you are writing to cover the essential questions:  who, what, when, where, why and how.  If you are compelled to actually maintain a journal for reasons of self-care, keep it completely separate from the log notes and never mingle the two.

Second, decide if it’s even necessary and if so, whether it’s even the appropriate time to start the log notes.  It might not even be necessary, as in the case of my father.  But if you do deem it necessary to begin keeping log notes, there isn’t necessarily any hard and fast rule about when to begin.  It doesn’t just tick over automatically, such as the arrival of the first AARP magazine at age 50 or Medicare at age 65.  There should be a defining instance that drives the start of the process, and for the logkeeper, it will indeed be a process.  In my mother’s situation, it was a spate of mutually frustrating incidents for both my mother and I that led to my wife’s suggestion.  This was confirmed in conversation with my sister, who was also noting separate incidents.  Every entry that I made noted the date, except for the first entry which referenced an entire two month period followed by a synopsis of events.

Third, understand that this is something that perhaps shouldn’t be shared with the Elder.  Pride is a driving factor for many people and is especially so for an elderly parent who has raised you and saw you into your own adulthood.  It can be physically dangerous for them as they are unwilling to accept that their debility can pose significant risk, particularly in regards to the driver’s license.  Hell, I can attest to this in my own debility as my toddler grand-daughter will sometimes yell “Pop!  Cane!” if she sees that I don’t have it when we venture out somewhere.  Sweetpea, I love you to death, but please…do I have to?

The point is that while it is an invaluable tool for you, consider what their response would be were they to know.  I have met adult children who openly carry a notebook for the appointments and the elder is fully accepting.  In my mother’s case, her knowledge that I was taking prolific notes would have disastrously exploded in my face.

Fourth, establish ground rules on making entries.  What prompts an entry and what are your rules on maintaining it?  Mine had weeks between some entries just because there was nothing materially new to write.  If one daily phone call is just like another ad infinitum, what’s the point?  At other times, she simply refused to speak with me; there were a few instances when I made notes that I had at least attempted contact just for informational purposes.  But if there was a new thread of conversation, concern, allegation or news, then it was worthy of an entry.  Likewise, any interaction with another individual – doctor/nurse, lawyer, social worker – led to an entry just to help keep straight the growing cast of characters as well as their input.

The other two comments here are the need to stay current and disciplined in the process to minimize the confusion.  There were instances when I had to refer back to texts with wife and sibling to jog the memory, but that was the exception to the rule.  I also kept a small notebook in the glove compartment in the event that I needed to take a few notes after leaving her.  Finally, consider the depth of information that you are planning to retain.  I rarely wrote anything pertaining to exact medical findings – blood pressures, etc. – because that’s the purpose of the medical record.  If there was a material change in the physical or mental status and especially if it lead to some new circumstances, then I’d make the entry.  But I never saw the point of writing every last piece of data.

Fifth, expect to share this information with family.  When there are siblings involved, communication is critical to keep a bad situation from getting worse.  One of today’s boons is the technology that allows almost instant communication; texts were a lifeline with both my sibling and wife and there were occasions when we literally blew up the text feed.  But texts aren’t a great way to fully capture the gist of an extended conversation with the elder or a doctor/lawyer.  It wasn’t uncommon to follow a brief text with a lengthier email, followed by the log entry and towards the end, I simply did the log entry and then cut and pasted it into the necessary email.

It’s only been in the past two weeks that I’ve come to realize this:  Google Docs could have made my life much easier.  There are potentially thorny questions, such as who has administrative access and what are the family repercussions of limiting access; but with one sibling who was in lockstep agreement on where we were headed with our mother, it would have made life a bit easier.

Sixth, make certain that the information is backed up or printed.

If you’re a Philadelphia Eagle fan, you’re familiar with Coach Doug Pederson’s philosophy of the Next Man Up.  In the worst case scenario of your death, the document should serve as a reliable guide to what has occurred so far with your elder, making your successor’s work at least that much easier.

The last entry in my own log notes simply covers the final hours prior to Mom’s early morning demise.  There were separate notes for the logistical and legal activities that arose after the fact but it just seemed appropriate to keep them apart so they have no part of the log.  The binder then went into the bookcase and it wasn’t until many months later that I was able to read any part of it without anxiety or nausea.  There are a few entries from the month prior to her death that still affect me deeply.  But I have pulled it occasionally to read just to remind myself of certain things, and to see what can be taken from it for when my own family might be responsible for me.

And for the record, when the grand-daughter reminds me to take the cane, I take the cane.




As Eldercare Comes Home

When not overshadowed by President Trump’s perfect Ukraine phone call, the national conversation in this Presidential election cycle pertains to higher education funding and healthcare.  But the issue that is approaching steadily from behind is how we’re going to manage our rapidly growing population of senior citizens.

Youngest and I sat before the television screen, watching and commenting upon the potential candidates during the fourth Democratic debate on October 15.  It was the usual back-and-forth and the only recurrent question between us was why in the hell is Beto O’Rourke still here?  But out of nowhere, Senator Amy Klobuchar of Minnesota caught my attention with her comments that apart from the two principal issues, who was paying attention to other pertinent topics, such as the rapid growth of the aged population in the United States – what she referred to as The Silver Surge.  Perhaps it’s that Minnesota has a significantly larger and growing elder population; next year, Minnesota’s 65-and-above age cohort will exceed the 17-and-younger cohort for the first time in their history and by 2030, more than 20% of Minnesotans will be senior citizens.  They aren’t as far along as Maine, thank you Jesus, but they are well on their way.

Klobuchar is right.  The almost complete absence of political conversation means that any meaningful programs moving forward will not pertain to the elderly; we will have to manage via programs cobbled together at the state and local levels.  The reality is that the onus will devolve down to the granular level of the family unit.  I purposefully stated that the issue is approaching from behind because the adult children in a society with a declining middle class are looking forward generationally, attending to the needs of their own families and children.  Kids are very squeaky wheels requiring investment in time and money and their parents will hear very little from their own elders about their conditions until there is a significant health event which knocks the axle off the elder truck.  It’s generally a two-way silence; the adult children are simply trying to keep things afloat and the elders say little out of pride, fear or shame.

So once again, it’s up to the family to work this out.  Our society has become so complex that inattention can have potentially catastrophic results personally, medically and financially.  The obvious question then is where do we even start?

The good news is that old age doesn’t just happen overnight, like – *POOF* – Mom’s suddenly old.  Aging is a continuum and while there’s always a downward trend, the slope is typically longer and shallower until there’s one or more medical events that sharpen the decline before culminating in death.  Perhaps the first question to answer then is where are your elders on the continuum?  Are they poster elders for Senior Olympics or are they already doddering around on gimpy legs with a laundry list of daily medications required for simple survival?  Even then, how is their condition mentally versus physically?  The body itself might be in decent shape for elderhood but Alzheimer’s, while severely affecting mental capacity, is a physical malady.

The question of location on the continuum is important.  Once you have a sense of that location, you can begin to consider some of the aspects that must be covered as they move forward along it and with that, a sense of the time and criticality with which these aspects must occur be addressed.

What are some of these aspects?

The Conversations.  American Elderhood can be aptly described as terra incognita for our society.  We’ve been obsessed with youth and uncomfortable with the concept and practice of dying.  Medical advances have pushed the envelope of lifespan so that the fastest growing demographics are our elders; and remember that there is not just one age cohort for the elderly.  But that increase hasn’t been correspondingly matched by either assets to financially support the longer lifespan or an increase in individual mental and physical capacity to support it either.  There have to be multiple conversations with them to help plan so that their waning days are as comfortable and meaningful as possible.  Given the complexity and emotional discomfort that can accompany such discussions for both elders and adult children, it’s entirely likely that these won’t be completed quickly.  The time to start having the conversations is sooner than later.

The Overwatch.  Is it possible to develop meaningful, yet discrete and respectful, tabs on how our elders are doing?  It’s been difficult to even find a term for this situation; surveillance is laden with negative connotations and is disrespectful to them, not to mention potentially counter-productive.  The difference between a declining elder and a kid is that a kid with an offended sense of pride can’t blind you by tearing up your HIPAA forms.

The Siblings.  Do you have siblings and what are their circumstances?  Are they geographically nearby and what is their relationship with both the elders and you?  How are the lines of communication and is there a delineation of responsibility?  Most importantly, are they willing to acknowledge elder wishes even if they might not be in agreement with them?

The Finances.  How aware are you of their finances and are they capable of handling them?  If you have to step in, are measures in place to allow it?

The Documentation.  There is a considerable amount of paperwork involved with the elderly and much pertains to assuring that their rights are protected, particularly as they become less able to care for themselves.  Everybody knows about wills, but do you know where your elders have theirs and is it accessible?  Is there paperwork granting Power of Attorney not just for financial matters but healthcare matters as well?  Do you have the appropriate clearance to speak with the potentially numerous medical providers?

The Allies.  The demands upon you will increase as your elders age and you will likely have to depend upon the assistance of others in the eldercare system.  Have they reached the point of requiring your attendance at appointments and who can get them there?  What if they have a pre-existing relationship with another professional, such as their own lawyer or financial adviser?  Do you have a go-to person for help in navigating a complex medico-legal eldercare system?

The Systems:  Healthcare and Housing.  You’ve likely been spending your time dealing with the kids and haven’t had to seriously consider the complexity, opacity and cost of the healthcare system and elder housing structure.  Getting a crash course in navigating them is frustrating and fraught with peril.  What exactly is the Doughnut Hole – yeah, that’s actually a thing – and why must your elder leave their continuing care retirement community for somewhere further away for skilled care?

The System:  End of Life.  Even if your parent has been clear about everything – communication, paperwork and documentation, final wishes – getting him or her to that point at which final wishes can be honored can be problematic.  Most of us have little experience with death and the confluence of physical and emotional factors can create an immensely stressful situation.  Is there clarity about what the final wishes are?  How do you contend with the potentially large number of specialists who might be called in because of multiple systemic failures?  What are the resources available to you?  What exactly is hospice and when is the best time to get them involved?

What’s the aftermath?

These various aspects itemize neatly, as though each was a Lego block that stacked and nestled neatly together in a self-supporting structure.  But the reality is that each aspect is more like a thread that would be woven among the other threads in a tapestry.  Each can dramatically impact another aspect for better or worse and how one works out can be dependent upon how well another aspect was addressed.

Caring for your elders – parents or grandparents – can be a rewarding and fulfilling experience and there are those who count it as a privilege.  But it can still be problematic and there are moments when you are likely to find yourself pushed and exhausted and at times, bereft.  Understand in those moments that you aren’t alone and if you’re able to look up, there will be moments of amazing grace emanating from circumstances and people that will pull you through.

Much of what that’s written moving forward will not necessarily be an exhaustive What to Expect When You’re Expecting type of guide to everything about aging.  But it will be framed extensively by the experiences of being involved with an aging parent with Dementia, including the missteps and miscues.  All of the aspects mentioned can be drawn directly from personal experience and to the extent possible, these experiences will touched upon so perhaps something of value can come from them.





Inventory Management on the Other End

It shouldn’t be this way, but a fair part of being a parent is inventory management as you try to work through all of the stuff that comes into the home.  You are fortunate if you have links to other families with growing kids and are able to save money by sharing hand-me-down clothing.  It’s a great thing but the down side is that you can’t control when it arrives and so you suddenly find yourself working through one or more bags to ascertain what might work.  This process also involves corralling a resistant child who would rather have a tooth extracted than try on clothing.  Dad, it fits, it fits already! kvetches the youngster as he edges towards the door in the hope of escape.  But the process slows as the kids grow and reach their expected height and sense of style and the push to manage the inventory diminishes.  There does come a time in middle age however, when the necessity to manage the inventory again grows and you find yourself handling boxes, bags and paperwork except that this time it’s on the other end of the age spectrum.

So precisely what do I mean by the other end?  If you have kids when you’re younger, the other end will be the kids as they come and go to college and you suddenly find the living room or garage again full of boxes and bags brought home from school for the summer as they have to vacate dorm rooms and campus apartments.  You turn around and Wham!, you’ve got a raft of debris filling the family space.  If you’ve had kids when you’re older, then the other end will consist not only of the kids returning but also the elders who are liable to be looking to lighten their own load.  About two years ago, my mother-in-law – actually a wonderful woman – showed up to visit and handed me a box of old tupperware containers with the comment This makes me happy, so just say thank you.  The saving grace in this little episode is that it was a ripple on the shore compared to the tsunami that arrived years ago when two elderly relatives on both sides of our family entered retirement facilities in the same summer, an event from which my garage has never fully recovered and has led to the requisite rental of a storage unit.  That summer’s nadir was the arrival of a one-horse plow fished at the last minute from the suburban backyard shed of an elderly grandmother, who had kept it out of a sentimental attachment to her North Carolinian farmer-father.  That it wound up at our house was a testament to the amount of items and the rapidity with which they had to be disposed.  My wife’s thought was just bring it north and we’ll figure out what to do with it.

Why go to the effort of trying to sort and manage it instead of just tossing it into a dumpster?  First, there is actually an emotional component to some of the items.  I began writing this article in my spare time three nights ago and last night, Eldest – now a college graduate – inquired about a half-completed quilt begun for her many years ago by her now-deceased great-grandmother.  It is presently wrapped and stored in our basement and I suspect that she’ll pull it and complete it herself.  But the other reality is that there are also heirloom and economic issues as well.  Our own children will become adults and anything that we can do to help get them established – and providing them with quality furniture checks off that box – is worth the effort.  They might not appreciate an heirloom solid cherry desk or bedroom suite now, but I expect that they will when they’re older and don’t have to fork over money for knock-off imported crap.  It’s not for nothing that we took in a 75 year old single owner Baldwin baby grand piano from a deceased family friend; Middle already loves the instrument and we’ve all agreed, even his siblings, that it will someday go to him when he is capable of taking it.  What that means for us is that we’ve had to rent a storage unit and take care of what and how we place furniture there in order to maintain it and prevent its ruin.  It also means an on-going review and debate of what we can and need to keep as we move forward. 

What are some of my criteria?

  • First, is there a story or something truly personal about it?  A hand-made wool Navaho blanket given as a wedding gift to my parents more than six decades ago…stays.  A half-completed quilt for a great-grandchild…stays.  A stack of blankets/towels/linens from Target…gone.
  • Is the item one that will actually have a perceptible use or value to myself or one of the kids within the next X number of years?  Toolbox full of old shipbuilding tools?  Gone.  Excellent condition baby grand piano?  Stays.
  • Is it better shared elsewhere if there’s historical or collectible value yet space is an issue?  Maybe that vintage Wehrmacht microscope with Zeiss optics and signed factory inspection papers is better served at a museum than in my attic (actually happened here).
  • In the alternative, can I better use the money from selling or donating it?
  • Can I properly store the item without causing it damage and would proper storage be cost-prohibitive?
  • Does my better half likewise agree with the decision?  If not, then it’s probably best to just suck it up and manage until the situation resolves itself either via change of circumstance or mind.
  • If you sit back and consider them, you’re likely to find that there are other decision criteria than what’s just listed above.  But the important thing is to understand that the time is likely to come when you’re going to be involved in helping to manage the inventory of elderly friends and relatives.  When it does, determine your criteria and then hew to it as closely as possible.

    Just what did happen to the horse-drawn hand plow?  After a few weeks sitting in the garage as we worked through the other items, my wife suggested that I contact a local state historical museum that specialized in early American agriculture and I did so, leaving multiple messages over several weeks with the director and receiving no response.  Several weeks after the last phone call, the plow went to the curb to the curiosity of neighbors and garbagemen.  Two weeks after that, the museum director called me back.

    But at least the plow was out of my garage.

    On Being Sandwiched

              As we were, so you are.

              As we are, so you will be.

                    – Sign in the crypt of the Capuchin Order, Rome, Italy

    You see some odd things as you travel and one of the oddest is the crypt of the Capuchin Friars in Rome.  It is a multi-room collection of the bones – some still full skeletons – of more than 3700 Capuchin Friars and others, assembled in various displays that in some ways are morbidly artistic.  The captioned quote is on a sign in one of the rooms and serves as a graphic reminder to the tourist of the fleeting nature of life.  I saw the sign during a family vacation several years ago and noticing it served as the cherry on a thoroughly bizarre day.  But the full import was lost on me until I became sandwiched between the youngsters and an elderly parent.

    For most people, life is a Bell Curve and the plateau for the total person – mental, physical, emotional – is typically reached during middle age.  When you have kids, you’re at or near the top of your game and can focus on raising them, bringing them along and preparing them for their own adulthood.  It is hard work, as the Wall Street Journal noted in a groundbreaking article some years agoseriously, when I first read the article years ago, I actually looked at the title and exclaimed “well, duh” – and when you have more than one young child, the work explodes on a seemingly exponential level.  But that work is also played out against a backdrop of anticipation, hope, love and at times, pure joy.  But there will come a time when the Bell Curve starts to slope downwards and while you are still approaching, at, or near the plateau, your own parents will start to descend that slope.  The parent’s decline can be gradual and it certainly doesn’t occur across all the phases – mental, emotional, physical – of the person.  But there can and probably will come a time when there’s a break in the elder parent’s descent and it goes beyond the capacity of one or both parents to manage it in the moment.  Falls that once would have left a bruise now leave a break and if the parent is sufficiently elderly, the break can create a cascade effect flowing further to the downside.  Middle-aged moments of forgetting what you needed from upstairs become senior moments of forgetting to turn off a gas range or even where you live when you take a walk.  These are the situations that bring the phone calls soliciting help from the elders and lead to an entirely new dimension of adulthood:  parenting your own parent.

    The slang term for the situation is being sandwiched because of the pressure that’s felt from being responsible for both sides.  While it makes sense on one level, it’s also deceptive.  What’s really happening is that you’re simultaneously being stretched as the demands of each surrounding generation pull you in one direction and then in another.  If you’ve waited to have children until you’re older, then the stretch is even more pronounced as you might find yourself visiting both pediatrician and geriatrician in the same week.  Trying to juggle making an appointment for the kid with the work schedule?  Now toss in having to make an appointment for your infirm father and the tension from the stretch becomes palpable.  As the American family has gone nuclear and mobile, creating physical distance between the adult generations, the response has been a budding growth industry for assisting the elderly when the adult children are absent.  The elderly with sufficient assets can enter full-spectrum retirement communities able to meet their needs as they age; the parents can purchase a cottage and if and when the need arises, they can then shift to an apartment and later, be assured of a bed in assisted-living or skilled care.  Want to stay at home?  Purchase a chairlift for the stairs or modify the bathtub to account for increasing issues with balance.  Hire a person to come visit for periods of time to combat the cumulative effects of isolation upon the mental faculties. 

    There’s a downside to this however and my wife noted it, in of all places, a commercial for  The gist of the commercial was that another market segment for discount travel was for those who needed to get to elderly relatives quickly and inexpensively, because emergencies don’t allow the luxury of planning six months ahead for the best rates.  In the commercial, an elderly woman was hiring someone to do repair work and the contractor was then coaxing her out of her social security number.  That came on the heels of a recent phone conversation between my wife and her own mother, who’d related how an upset elderly neighbor had visited, frustrated that she had allowed herself to divulge her bank account information and number to an unknown person on the phone.  This isn’t to necessarily imply that all businesses oriented towards the elder market are shady, because they aren’t.  But it is a real and added concern for the adult children because they don’t want to see their parents manipulated and gulled.

    There is a common factor amongst the previous two paragraphs and it’s one of which I am highly mindful as I look ahead:  assets.  We’ve predicated our family structure and society upon a model that requires assets for optimal performance.  Americans are living longer and encountering aging issues that didn’t exist before simply because people died before they could reach the point at which the issues became relevant in the aggregate.  But the American family isn’t in the same situation as it was during our grandparent’s generation.  The costs of healthcare and higher education are disproportionately higher relative to family income than two decades ago, yet the family and individual now must bear a greater burden than before…and on a family income that is, in the aggregate, declining.  The private assets simply aren’t there to support such a model for more than another generation and it’s already leading to generational warfare between the likes of AARP and the Millenials as squabbling begins for the allocation of public assets.  While raising children can bring the emotions of anticipation, hope and joy, what I honestly feel as I look forward isn’t tension, but foreboding.  On a personal level, is this something I can expect?  Debility and dementia?  Frustration and fear because I might be increasingly incapable of navigating a technological system that’s opaque to an elder American for its complexity?  Hell, I have difficulty figuring out the new smartphone already…what’s going to happen when I’m three-quarters deaf and expected to walk through an automated phone registration system for some program or another?  As my late grandmother used to say, being old ain’t for sissies.

    That leads to the last aspect of being stretched.  The model for aging in America will have to change and as we grope our way forward to whatever that new model is going to be, it’s incumbent upon me to figure out how to model an appropriate behavior upon which my own children can draw as they move into adulthood.  My own parents dealt with their parents from a nuclear family’s distance of 225 miles, although one parent had a sibling nearby to her mother.  Until the bitter end, it was managed via phone calls and the occasional visit to handle business and it’s not terribly far removed from the way that many of their peers managed as well.  But the stresses of American society are such that it’s not so operative anymore and it will be better for all involved if the kids are more closely attuned to their parents’ situation, even if they aren’t necessarily living down the street.  How often can I make medical appointments?  How do I honor a parent’s desire for independence and yet assure safety for the parent and others?  What arrangements must I make if I’m responsible yet want to take a week vacation with the family?  How do I manage my own frustrations as ancient issues resurface after decades of living on my own as an adult?  What must I do to prepare so that I can be on good relations and make their own way easier as they eventually move into this role?

    I’m a parameters guy.  I don’t believe that there’s any one perfect way of addressing any situation.  You determine the parameters within which you have to work and then figure out a mechanism that’s best for the given set of parameters and even then, it’s not going to be perfect.  But I’m mindful that the parameters within which our country has operated are changing and doing so rapidly and that simply is creating additional pressure because we’re now in the position of not just being sandwiched between generations, but being sandwiched between systems.

    Managing the Decline

    We live in an increasingly gender-neutral society as customary roles continue to change, in some ways slowly and in some ways, not.  We’re now more than two decades into the stay-at-home-dad scenario and it’s gone from a notable phenomenon to a far more widespread and mundane situation.  If you aren’t certain about that, pay attention to that faithful barometer of social change, the television commercial.  We’ve moved from the standard means-well-but-clueless-in-the-household-Dad across a broad range of products to considerably more commercials where Dad is actively engaged in managing the household and interacting with the kids.  The former still exists but it’s not as prevalent as it once was.  But as this continues to progress, men had better get used to the fact that there’s liable to be a point in their middle-aged lives when they’ll not only be responsible for managing the rise of their children but also the decline of their parents.

    There are most certainly cultural influences.  China’s society is one in which the son is responsible for the ultimate care of the parents and that – coupled with their long-standing one child policy – has led to a profound imbalance in the male/female ratio as newborn girls were given up for adoption so that the parents could have another shot at having a son.  But American culture has historically been predicated upon the daughter having principal responsibility for the care of her aging parents.  The model with which we’ve been familiar through our lives has been, until relatively recently, one in which the man worked and the woman was responsible for the household responsibilities and that extended to caring for their aging parents.  It’s been stretched considerably with the rise in mobility and the nuclear family, and even further by the movement of the woman into the workplace.  This has been offset by the growth of local and state government programs to provide increased assistance for the elderly and the great majority, if not all, of American counties have some semblance of an Office of Aging to act as a portal to the panoply of programs designed for the aging American.  But we’re now at a new point in American history in which the promises made to all of the various layers and segments of our society are far outstripped by the resources available to meet them; the former Comptroller General under Presidents Bush and Clinton, David Walker, recently noted that the actual federal debt is triple what is reported due to the unfunded liabilities taken on by the government.  These unfunded liabilities would include especially the promises made to the elder generation – Social Security – and Medicare.  It is simply unsustainable.

    While there are going to be increasing concerns and issues about the funding, the costs of providing care to an aging population continue to mount.  These costs are not at an outrageously disproportionate rate like college tuition, but they are increasing slowly and steadily and having an impact upon the family.  According to a report published by Genworth Financial, the median hourly rate for a homemaker service worker – who assists with non-medical and “hands-off” activities for the elderly and can help to maintain their independence – is $20 and the five year compounded rate of 1.61%.  Note that this is for the most basic assistance available to an elderly person and has the lowest rate of cost growth.  When you reach the higher levels of care, such as a semi-private nursing home room, the cost has risen over the past five years by a compounded rate of 3.57%.  And that cost is not being borne solely by the elder and the governmental programs.  A survey of more than 1400 households involved in caregiving for an elder found that fully 46% of those households were spending more than $5000 annually in their funds to assist their elders.  So once again, costs are increasing and the sandwiched generation is being pulled from yet another direction.  Paul Krugman can wax eloquently about existential American despair in the op-ed pages of the Times, but this type of issue goes to the heart of the matter.  The American middle class is beset not only by decreasing incomes on one side, but increasing costs and responsiblities on the other as more costs are offloaded back to them.  This middle class generation was raised in a particular environment – employers with a set of benefits, a belief in the value of education, and an activist government – and they’re watching it vanish as costs are shifted back to them and most importantly, their children.  Healthcare benefits?  Higher tuition?  Jobs that enable their children to take their own place as productive adults?  Nope to all of that.  And when you consider that the writing is on the wall for future government spending, then there’s really nothing existential about it.

    So what does this mean going forward?  An understanding that the old model of following the job and then monitoring the elders from a distance and managing via a cobbled-together network won’t be as operative as it once was.  State and local programs will be constrained and there’s a greater likelihood that the facilities available to help care for invalided parents will be less than optimal and perhaps, households will shift to more of an integrated and intergenerational model with the elders close by to assist with the children and in turn be assisted by their children and growing grandchildren as they become increasingly infirm.  My own perspective is also framed by an understanding that even if we don’t realize it, our children are watching us and taking their lessons from our actions and inactions alike.  That means that I try to model a more hands-on and involved approach with my own parent, even if the roles are increasingly reversed and frustrating in their own way.  If we can’t – and honestly shouldn’t – look to government and the private sector to handle everything, then we have to be prepared to step in and manage ourselves as best as we are able.  And if the parents are ultimately living longer, then the simple truth is that the men are going to have to move beyond their comfort zone and take on the additional burdens because their own mates are going to be similarly pressed; but if men can take on the kids – and we are most certainly able – then we can likewise take on the elders.

    Kids and the Public Use of Cellphones

    Tonight was an interesting evening since my better half and I had dinner at the restaurant at which both Eldest and Middle work.  The fact that they literally work side by side as head hostess and host is fascinating enough as she will be training him, but when they were out of sight doing their jobs, I took the opportunity to watch the other diners; I am a natural observer spawned by spending childhood vacation evenings seated on boardwalk benches because my folks wouldn’t pay for ride tickets.  But what grabbed my attention was visual proof of the cellphone spread discussed in multiple newspaper and magazine articles.

    Across the way from our outside table was a large group of almost a dozen people, mixed between girls in their mid-teens and middle-aged men.  I’m 99.999% certain that they were father/daughter combinations but knowing that there’s a large swingers group that meets for a monthly social hour at this restaurant – and boy howdy, ain’t that an educational conversation with the kids – I’ll hold the .001% in reserve.  What was notable however was the prevalence of smartphones and cellphones in active use amongst the group and not just among the girls.  The girls would share their smartphones back and forth, taking selfies and ostensibly trolling the web as they waited.  But I was surprised to see multiple adults also pull their devices to answer and/or make calls, or likewise swipe their screens.  It’s not uncommon for large groups seated in restaurants to break into smaller conversational nodes because the ambient noise makes it difficult for one end of the table to hear the other, but this scene was played out amongst other tables which had far fewer diners.  It was honestly depressing to see people turn away from one another to answer texts or swipe screens to follow whatever on the available wi-fi network.

    So how does affect the family and kids?  There have certainly been moments in our household when any one of us – and even Youngest now has a basic phone – has reached into a pocket to glance at something incoming; it happened to me yesterday in a meeting.  But that’s a function of the press of other responsibilities and commitments and even teens with jobs and activities have them.  But pulling out the phone to glance and then replacing it isn’t the same thing as the wholesale process of ignoring your table companions, a tacit insult if ever there was one.  We’ve been clear since kids’ cell phones were first introduced into the house that they had no place at the family dinner table and we’ve tried to hold the line on that, even if one of them still will periodically pull it out to respond quickly to something that’s incoming.  It’s an ongoing and chronic occurrence but at least it’s not a wholesale conversation and when a comment is made about it, there’s no rancorous response.  I know of families who require that all cell phones be removed before dinner in order to maintain balance and assure that there’s an opportunity to engage in even a short period of uninterrupted conversation, free of distraction.  The flip side to this is that you have to be willing to purposefully put away your own device so that you’re abiding by the rule as well.  There have been moments in my parenting experience when I’ve responded to but you don’t follow that rule with the I’m your father, I don’t always have to response but it seems to me that this is one of those rules that should be universally respected.  The sole exceptions in the household are my Better Half, who is a physician and subject to any number of situations requiring immediate attention and the common awareness of everyone that there’s an illness in a member of the extended family, particularly the elderly relatives.  If those aren’t operative however, then the usual reminder is to put the devices away.

    There’s value in upholding the rules about cellphones here.  There’s tremendous value in knowing how to hold and maintain a conversation with another person as well as like value in being able to follow a thought process without distraction.  The challenges facing our country are numerous, deep and varied and if the kids aren’t capable of thinking with clarity, depth and focus, then the situations will grow insoluble, at least in a manner that’s satisfactory to a democracy with a functioning constitution.

    Re-setting the Home Page

    As schools across the country struggle with budget issues, the majority are looking squarely at one line item for control – paper.  So information is now being made available via other means and it’s probably in your best interest to reset the browser’s home page to the school district website.  Kids still come home from school on the first day with a backpack full of paperwork and parents are used to sitting down and culling through the chaff to get to those single pieces of wheat which really do concern them, but it’s afterwards that the paper usage is being truly controlled to save money.  The upshot is that if you expect to see the information in the kids’ backpacks, then you’re liable to miss something important.

    It was at a different event the other evening that someone shared a statistic that her spouse had picked up at a local school district staff meeting: if the district could cut it’s paper cost by 10%, the savings would be sufficient to fund the salaries and benefits of two additional teachers.  So the hunt for eliminating paper usage continues in an era of budgetary constraints and it’s showing up here – or not, actually – in the household.  School calendars sent to each household with a full complement of activities and events?  Gone.  Paper reminders from advisers?  Gone.  School planners for each student?  Actually not, since the much-smaller and less costly planner was a train-wreck for kids who don’t have the capacity to write in very small print; this led to the re-introduction of the older and larger planners.  If the schools are going to stress planning skills, then they have to at least give them something with which to work and the less-costly alternative was simply not functional.

    The godsend however, is that the information is now being made available online and readily available, provided that the parents are willing to keep up with it.  Site tabs lead to school lunch menus and athletic calendars, directories and a full gamut of district policies.  Student and district achievements are touted routinely.  But the real value of putting the district site on the browser homepage is in those announcements that make you appreciate the heads up, such as the announcement that Youngest’s school would be the site for after-school SWAT team training.  Had I not seen the article yesterday morning, I would have been mightily surprised when one of Youngest’s friends told me last night that the SWAT team was there during his after-school football practice, a tragic training necessity given the times in which we live. 

    So for the next number of years, the browser’s home page will be set to the school district’s site and the only question will be with what is it replaced when we’ve finally got the kids through the educational pipeline.  And for Middle, who might read this: whatever it is, it won’t be AARP.

    Traveling With the Kids:  IG2BTK Tour 2014


    It’s Good to Be The King.

    The site’s been silent recently since we just returned yesterday from a two week trip to Europe – Paris, London and Edinburgh – which was dubbed the It’s Good to Be The King 2014 tour.  This is the follow-up to the family’s 2011 European Collapse tour (here and here).  Just as I found that traveling with children changes as they age, it continues to change as they work their way through the teen years (Eldest is no longer a teen and Youngest might as well be for what it’s worth).  I clearly remember when traveling with kids meant assuring that there were sufficient diapers and plenty of activities planned to make the physical aspect of traveling easier for the youngsters.  But that’s progressed and while I love traveling with the family, there are moments when the changes are jarring. 

    So what’s worth noting with the teens and nascent adult?

    • Make sure that the kids understand that if breakfast is included in the cost of the room, then they’d better take advantage of the "free food" instead of sleeping in and then looking for a lunch because they’re hungry.  For that matter, make sure that the kids understand the difference between a continental breakfast – the serve yourself available at places such as Hampton Inn – and what is referred to as an english breakfast, which is prepared by a cook and brought by staff for an additional charge.  Likewise, keep water bottles refilled so that you don’t have to spend money needlessly on water.
    • Make sure that they understand that they are clearly prey for any number of grifters and beggars.  Paris was loaded with gypsies at public sites who approached with request for petition signatures; the catch was that if you signed the petition, you’d receive small useless token as thanks and a demand for money to pay for said token.  I first learned this schtick in New York City last year after signing a petition for some Buddhist about his temple.  He gave me some meaningless fabric flower petal and demanded $20 and when I refused, it got…unpleasant.  I’m fortunate that my paternal male line has a recessive asshole gene for such moments.  The kids learned to simply repeat no and keep on walking.
    • Press personal security.  Men’s wallets should be shifted to the front pocket and women’s purses should be held with the strap over the shoulder and the zipper compartment secured.  Since I carry a backpack during the travels, I kept it slung over the shoulder with the zippers secured towards the front so that they were near the hand grasping the strap in order to thwart anyone who might try to unzip it from the rear.
    • Make sure that the kids know what to expect from the weather and can pack accordingly, and likewise for any special events planned that might require better dress.  Since the last stop on the tour was Edinburgh, Scotland, I checked the expected weather in advance and found that the mid-June averages were a full 20 degrees less than here, akin to a mid-Spring day instead of summer.  Also decide whether you trust them to pack without a physical luggage check or if you just want to run through a checklist prior to departure.  The kids are old enough now that if they choose to ignore common sense in clothing choices, they can suffer well if they’re chilly. 
    • Expect moments of cognitive dissonance since the kids are now growing and are capable of far more than they were younger.  This was personally the case with Eldest, who is well into college and could legally order alcohol at meals.  Our traveling philosophy is that the kids should experience the local culture as much as possible but within the bounds of legality and this especially goes to the issue of alcohol.  What is the legal drinking age where you’re at?  It was 16 in Italy, so Eldest could have an occasional beer or wine at dinner during the Collapse tour in 2011 while Middle could only share ours.  But it’s 18 in France, England and Scotland and the wait staff throughout was assiduous in carding, so Eldest could again order at dinner – and not occasionally – while Middle was again stuck sharing ours.  My only caveat with Eldest was that she have something that wasn’t usually available here so if you’re going to have a beer, make sure that it isn’t a Budweiser.  The dissonance also struck in handling the processes since Eldest was much quicker in figuring out the Paris metrocard machines than I was, leading to an apology to her for being brusque because I couldn’t believe that she had it down quicker than me.
    • Security goes beyond the physical and to the cyber aspect as well.  Kids should be aware that while they can certainly share with their friends, such a prolonged trip isn’t something to be announced via Facebook or another social networking platform where literally anybody – and if the kid has more than 500 "friends", it’s anybody – can see that the house is wide open for pillaging and/or epic parties. 
    • Use any opportunity available for teaching the kids, whether it’s about politics, economics, history or simply life.  Our accommodations in London were a classic mix of the sixth level of Dante’s Inferno and John Cleese’s Fawlty Towers and as satisfying as yelling would be, I was cognizant that the kids were watching.  So the lessons were twofold:  first, that the person in front of you is liable to not be the person responsible for your dilemma so yelling is probably harmful since you become the enemy instead of the wronged customer; second, that you need to have a plan and know what you actually want when you find that one responsible party. Talk about the situation and pick it apart with the kids, and then share the results of any actions or conversations with them.  In other words, plan, execute and then do a post-mortem on the situation. 
    • Teach the kids to double-check that what they’ve purchased is actually what’s wrapped up by the sales staff.  Twice this trip, my wife and I found that items that we thought we were purchasing weren’t what actually came out of the package.  My wife was more upset since she was purchasing silk scarf whereas I was bringing home a bottle of scottish whiskey and cream.  I’ll certainly see through my disappointment, but it might not be as easy for a ten-year old who had her heart set on a special something.

    One of our principal family values is the exposure to other cultures and we’ll continue to travel as the opportunities arise – or we make them.  But all things change and the nature of the family vacation does as well with the aging and maturing of the kids.  Carpe diem.


    The Sandwiched Generation

    After a few rocky decades for the American father, things – as least as I can tell in the media barometer – seem to be leveling out.  We’ve gone from the tasteless Al Bundy and Homer Simpson to more functional father-models as demonstrated in NBC’s Parenthood and ABC’s Castle.   Television commercials show fully functional Dads overseeing bedtime activities and homework, as well as managing laundry.  A recent survey found that men are taking a far greater role in grocery shopping and cooking, a byproduct of more women working, fewer employment opportunities and greater interest spurred by the Food Network (a much-watched network on our television).  But all of that’s now happening on one end of the age spectrum, fathers and kids.  As these younger men age and the kids grow, the increasing family responsibility will begin to show itself on the other end of the age spectrum as they become responsible for one or both of their parents; they will be taking on what was historically taken on by the women in American society.

    The pace of my writing since the Spring – steady, but not prolific to begin with – has slowed considerably in the past few months.  Part of this can be attributed to the activities and presence of kids home from school as well as the completion of years-long backyard reclamation projects.  But what also took up considerable time was the reality that I was now officially a part of the sandwich generation; that phase in life in which I was not only responsible for the care of kids but also the care and oversight of an elderly parent.  Because I live much closer to that parent than my sister and my schedule is more flexible, the bulk of the oversight has fallen to me.  It’s an experience which I never considered having to do, but then again, most of my adult life has been spent in an alternative route that was inconceivable in my youthful ambitions.  On a societal level however, it’s also new because the onus of caring for the aging parents has fallen to the women, whether they be daughter or daughter-in-law.  The sons have typically deferred to the women because the matters fall to the purview of home management, a woman’s role and one in which most men felt utterly incompetent.  But that too, is going to have to change in several ways.

    First, roughly the past three American generations – three 20 year generational spans, dating back to 1950 – have lived and been raised in the nuclear family model of parents and their immediate children, sans grandparents.  That model broke onto the American scene in the early part of the 20th century with increasing industrialization and the rapid growth of the transport network, which allowed adult children to move for a supportable wage living with the knowledge that they could more easily get back to their own aging parents if necessary.  By the 1950s, the nuclear family was the standard model and one that worked for the country as the nation’s superpower status provided expanded economic opportunity.  My own upbringing was spent four hours away from where my own parents were raised, and my experience with extended family usually consisted of a semi-annual trek to the western part of the state to listen to my mother and her three siblings semi-playfully trashtalk one another around the evening poker table.  If and when things with the grandmothers were problematic, much could be handled via local relatives, the social services network via phone and a trip westwards to tie up loose ends.  I say grandmothers because the grandfathers did what men of that time did, die at a much earlier age, early enough that I neven met either of them. 

    This leads to the second point, which is the present disparity between the age of retirement and the age of death.  In 1950, when the nuclear family truly took flight, the average person retired at 67.3 years of age but the average age at death was 68.2 yearsCongratulations, here’s your watch for years of faithful service.  Now figure out who gets it because you’ve got about a half-year ’til you get to pass that l’il beauty on.  By 2000, the average person’s retirement age was 61.5 years and age at death, 77 years.  Congratulations, here’s your watch for years of faithful service.  Don’t sweat who gets it because you’ll probably have to replace it once before you die.  In three generations, we’ve gone from a retirement span of less than six months to more than 16 years – and the most recent comparable statistics for retirement age are thirteen years old – so there’s more time that the parents have to decline in their capabilities than existed in 1950.  Medicine has progressed sufficiently that people can live for prolonged periods with conditions and diseases that would have simply killed them in 1950.  Geriatrics, the final frontier…

    The third point is well known, the simple economic differences between the now retiring boomers and their 1950 peers.  The elderly are not a monolithic block, but composed of separate groups with their own generational experiences and economics.  The predecessors viewed Social Security as a supplemental income to their own savings, and many of them had pension plans that didn’t have the investment timeframes facing today’s surviving pension plans.  For a relatively period of time, they were financially comfortable before disease simply swept them away.  Today’s boomers grew up consuming instead of saving and for them, Social Security is a primary source of income instead of a supplemental source. There’s now a growing awareness of the pending shortfall in the Social Security program as America ages, and there are alternatives being batted around funding solutions.  But these would be unpopular with the wealthier citizenry and given the status of power due to wholly ineffective campaign financing regulations, passage of such measures is problematic. 

    This leads to the fourth point, which is the availability of resources to assist the elderly.  My parent has sufficient assets to permit living in what is comparable to a top-tier independent living community that provides for all levels of care, from independent apartments and cottages through assisted living to skilled care for end-of-live issues.  But this parent is a Depression-era child with that generation’s sensibilities of want and deprivation leading to a savings ethos to supplement the then-extant pensions.  The description of life there that I hear indicate a few problems on the horizon as their clientele dies and is replaced by younger occupants; remember that the elderly are not as monolithic as AARP would like you to believe.  Apartments now seem to be unoccupied for a longer period before being sold again, and empty apartments can now be rented to residents’ guests for short-term stays.  The food is still top-notch, but there’s an increasing use of chicken for protein and the once-monthly Prime Rib night is a memory.  Because it’s located in a rural area, the executive chef arranges for bulk purchase of greens and fruits from local farmers and seasonally, capable elderly volunteer to go to the cafeteria to help clean and prepare the produce by snapping beans or husking ears of corn. 

    So the younger elders aren’t as financially prepared as their predecessors.  The burden for the increased care falls upon the social net established over the past several decades by state and federal governments with a correspondingly larger demand upon the budget; but if the budget is constrained, then the result is that there’s fewer dollars per elderly recipient.  If the budget is cut, then the result is an even fewer amount of money per elderly recipient.  With deficits running in the range of $1 Trillion annually and entitlement programs such as Social Security and Medicare comprising the lion’s share of that budget, is there any real doubt that there’s going to have to be a significant restructuring of the programs?  Where else will the elderly be able to turn? 

    There are several things that already are – or will – come from this.

    • The average retirement age will rise, if it hasn’t already started to do so, as seniors defer retirement and remain in the workforce.  This puts pressure on the younger generations as there are fewer supportable wage jobs that permit the younger to leave their own parents’ houses and start their own households. 
    • The retirement center model, such as my parent’s, is a damaged concept as fewer elderly will be available to buy into them.  Fewer full service retirement communities will be built and those existing will have to either find new ways to deliver existing services or eliminate some of those services entirely.
    • There will be increased antagonism between the younger generations and the elderly as each begins to fight for existing resources.  I honestly don’t anticipate that the media will make an effort to downplay the hostility and some will even spur it since bad news and controversy sell.  Understand that there’s already some hard feelings by young adults because of the manner in which the Boomer generation has managed resources and parenting; this has the potential to harden those feelings even further by a considerable degree.
    • There has to be a wholesale renegotiation of the social contract between generations.  The younger have to recognize that the elderly do require assistance while the elderly have to be willing to manage on less in order to give the youngsters their own opportunities to pursue life, liberty and happiness.

     It’s common to refer to those who fought and won the Second World War as The Greatest Generation.  But each generation has it’s own demon with which to contend and this restructuring of our programs and resources – and the accompanying pain which it will incur – will be the demon for our youngsters.  My suspicion and my hope is that future generations will refer to our youngsters as The Greatest Generation, not for war, but for the sacrifices that they were forced to make to assure that all – including their foolish, selfish Boomer parents – received the care that they required.