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Daniel Callahan - A World Growing Old: The Coming Health Care Challenges (Hastings Center Studies in Ethics)

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For much of the developed world, health care for a surging elderly population looms as one of the most daunting problems of the coming decade. In this book, contributors from diverse disciplinary backgrounds and countries discuss resource allocation for the elderly and debate plans for the years ahead. Essays focus on five general issues: the meaning of old age, the goals of medicine and health care for the elderly, the balance between the needs of the young and old, the pressures of other social priorities, and the role of families, especially the burden on women, in long-term care. In consideration of the difficult moral and practical issues involved, the editors conclude the volume with a special report containing policy recommendations from representatives of eight countries (the United States, Belgium, the Czech Republic, Germany, Hungary, the Netherlands, Sweden, and the United Kingdom). This important volume will be of interest to policymakers and a broad spectrum of health care professionals, as well as to anyone interested in the fate of the elderly or in coming health care challenges.

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title A World Growing Old The Coming Health Care Challenges Hastings - photo 1

title:A World Growing Old : The Coming Health Care Challenges Hastings Center Studies in Ethics
author:Callahan, Daniel
publisher:Georgetown University Press
isbn10 | asin:0878406328
print isbn13:9780878406326
ebook isbn13:9780585225487
language:English
subjectAged--Medical care--Social aspects, Aged--Medical care--Government policy, Aged--Medical care--Moral and ethical aspects.
publication date:1995
lcc:RA564.8.W69 1995eb
ddc:362.1/9897
subject:Aged--Medical care--Social aspects, Aged--Medical care--Government policy, Aged--Medical care--Moral and ethical aspects.
Page i
A World Growing Old
The Coming Health Care Challenges
Page ii
Hastings Center Studies in Ethics
A SERIES EDITED BY Mark J. Hanson and Daniel Callahan
Established in 1969, The Hastings Center, located in Briarcliff Manor, New York, is an independent, nonprofit, and nonpartisan research organization that examines ethical issues in medicine and the life sciences. The work of the Center is mainly carried out through research projects, the publication of the Hastings Center Report and IRB: A Review of Human Subjects Research, and numerous workshops, conferences, lectures, and consultations. The Hastings Center Studies in Ethics is a series intended to bring the ongoing research work of The Hastings Center to a wider audience.
Page iii
A World Growing Old
The Coming Health Care Challenges
Edited by Daniel Callahan Ruud H. J. ter Meulen Eva Topinkov
GEORGETOWN UNIVERSITY PRESS
WASHINGTON, D.C.
Page iv
Georgetown University Press, Washington, D.C. 20007
1995 by Georgetown University Press. All rights reserved.
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1995
THIS VOLUME IS PRINTED ON ACID-FREE OFFSET BOOK PAPER
Library of Congress Cataloging-in-publication Data
A world growing old : the coming health care challenges / edited by
Daniel Callahan, Ruud H. J. ter Meulen, Eva Topinkov.
p. cm.(Hastings Center studies in ethics)
ISBN 0-87840-591-7
1. AgedMedical careSocial aspects. 2. AgedMedical care
Government policy. 3. AgedMedical careMoral and ethical
aspects. I. Callahan, Daniel, 1930 . II. Meulen, R. H. J. ter
(Ruud H. J.), 1952 . III. Topinkov, Eva. IV. Series.
RA564.8.W69 1995
372.1'9897dc20 95-6447
Page v
Contents
Preface
vii
Introduction
Daniel Callahan, Ruud H. J. ter Meulen, and Eva Topinkov
ix
How We Care for the Elderly
Mark J. Hanson
1
The Meaning of Old Age: Scenarios for the Future
Harry R. Moody
9
Aging and the Life Cycle: A Moral Norm?
Daniel Callahan
20
Life Extension and the Meaning of Life
Paul van Tongeren
28
Will There Be a Scarcity of Resources? The Future Demand for Care by the Elderly
Anneke van den Berg Jeths and Mats Thorslund
39
Effects of Population Aging on Health Care Expenditure and Financing: Some Illustrations
Reiner Leidl
49
Caring for the Elderly: Priorities for an Aging Population
Mats Thorslund and Marti G. Parker
62

Page vi
Solidarity with the Elderly and the Allocation of Resources
Ruud H. J. ter Meulen
73
The Elderly and High-Technology Therapies
Bryan Jennett
85
The Meaning of Old Age Impeded by Chronic Disease
Gebhard Allert, Gerlinde Sponholz, Helmut Baitsch, and Frieder Keller
97
Family Caregiving for the Elderly: Are There Ways to Meet the Need?
Eva Topinkov
106
Adult Daughter Caregivers: Philosophical Analysis and Implications for Health Care Policy
Sarah-Vaughan Brakman
117
Institutional Care of the Elderly: Lessons from Hungary
Bela Blasszauer
127
From Generation to Generation: Why U.S. Health Care Reform Is So Difficult in the Twentieth Century
W. Andrew Achenbaum
137
What Do We Owe the Elderly? Allocating Social and Health Care Resources
Ruud H. J. ter Meulen, Eva Topinkov, and Daniel Callahan
148
Project Participants
169
Index
171

Page vii
Preface
This book is the outcome of a two-year research project entitled "Care for the Elderly: Goals, Resources, Priorities," organized jointly by The Institute for Bioethics, Maastricht, the Netherlands, and The Hastings Center, Briarcliff Manor, N.Y., USA. We would like to acknowledge the generous financial support of the following organizations:
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