Debates on policy concerning medical care and social welfare of the elderly become ever more pressing, and many of the assumptions on which they are based are now open to question. This study sets out to provide a historical perspective on the economic, medical, class and gender relations of the elderly, which until now have received relatively little attention. In particular, the position of the elderly is linked to the fundamental issues of health, disability and medical care. With attention currently focused on the setting of the retirement age, community and family care, and pensions, as well as wider debates on the rights of the elderly, this volume aims to supply a historical context for such issues.

With the help of medicine and technology we are living longer than ever before. As human life spans have increased, the moral and political issues surrounding longevity have become more complex. Should we desire to live as long as possible? What are the social ramifications of longer lives? How does a longer life span change the way we think about the value of our lives and about death and dying? Christine Overall offers a clear and intelligent discussion of the philosophical and cultural issues surrounding this difficult and often emotionally charged issue. Her book is unique in its comprehensive presentation and evaluation of the arguments—both ancient and contemporary—for and against prolonging life. It also proposes a progressive social policy for responding to dramatic increases in life expectancy. Writing from a feminist perspective, Overall highlights the ways that our biases about race, class, and gender have affected our views of elderly people and longevity, and her policy recommendations represent an effort to overcome these biases. She also covers the arguments surrounding the question of the "duty to die" and includes a provocative discussion of immortality. After judiciously weighing the benefits and the risks of prolonging human life, Overall persuasively concludes that the length of life does matter and that its duration can make a difference to the quality and value of our lives. Her book will be an essential guide as we consider our social responsibilities, the meaning of human life, and the prospects of living longer.

This book examines different settings where elderly die, including hospitals, family homes and palliative set-ups. The discourse is set in the backdrop of international attempts to restructure and reconfigure the health delivery system for ageing population.

When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Three-quarters of deaths in the U.S. today occur to people over the age of 65, following chronic illness. This new experience of "predictable death" has important consequences for the ways in which societies structure their health care systems, laws, and labor markets. Dying in Old Age: U.S. Practice and Policy applies a sociological lens to the end of life, exploring how macrosocial systems and social inequalities interact to affect individual experiences of death in the United States. Using data from the National Health and Aging Trends Study and Pew Research Center Survey of Aging and Longevity, this book argues that predictable death influences the entire life course and works to generate greater social disparities. The volume is divided into sections exploring demography, the circumstances of dying people, and public policy affecting dying people and their families. In exploring these interconnected factors, the author also proposes means of making "bad death" an avoidable event. As one of the first books to explore the social consequences of end of life practice, Dying in Old Age will be of great interest to graduate and advanced undergraduate students in sociology, social work, and public health, as well as scholars and policymakers in these areas.

This innovative and informative new text bridges the fields of gerontology and thanatology.