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Ronald Angel - Who Will Care for Us?: Aging and Long-Term Care in a Multicultural America

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An important contribution to the on-going national dialogue concerning the need for planning for an increasingly aged population and its impact on our social, political, medical, economic institutions.--Wisconsin Bookwatch Based on their assessments of the levels of need for the long-term care among African-American, Latino, and non-Latino white older persons, the authors offer viable and attractive possible alternatives to institutionalization in the long-term care of the elderly.--Nurse Practitioner A major contribution. Should be a part of every course on social gerontology, long-term care, the demography of aging, or formal/informal support networks of the elderly.--Robert Joseph Taylor, Institute for Social Research, University of Michigan America is getting older. By the year 2010, almost one in five Americans will be 65 years of age or older.The combined forces of low fertility and longer life spans among all racial and ethnic groups have resulted in a disproportionate increase in the number of individuals over 65 and an even faster increase in the proportion of those individuals over eighty-five. As a result, the nation faces an unprecedented challenge in addressing the economic, medical, and long-term care needs of this older population at the same time that it assures the welfare of the young. The growth of the cost of the long-term care of the elderly is one of the major forces behind recent increases in Medicaid expenditures, and any reformed health care financing system will have to find ways of providing high quality long-term care to older Americans at a reasonable cost. In a racially and culturally diverse nation like the United States, official policy regarding the care of the elderly simply cannot be based on the assumption that the elderly are a culturally and socially monolithic population. The cultural, social, and economic situations of the elderly simply differ too greatly and the familys role in their care is affected by important cultural and social factors. In Who Will Care for Us? Ronald J. and Jacqueline L. Angel argue that policies based on the assumption of a homogenous population will fail to take advantage of the opportunities that ethnic and cultural diversity offer for the long-term care of the elderly. The authors examine the great racial and ethnic diversity among the elderly in the contemporary U.S. in terms of living arrangements, economic well-being, and reliance on formal and family-based sources of support. Based on their assessments of the levels of need for long-term care among black, Hispanic, and non-Hispanic white older persons, they offer viable and attractive possible alternatives to institutionalization in the long-term care of the elderly.

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title Who Will Care for Us Aging and Long-term Care in Multicultural - photo 1

title:Who Will Care for Us? : Aging and Long-term Care in Multicultural America
author:Angel, Ronald.; Angel, Jacqueline Lowe.
publisher:New York University Press
isbn10 | asin:0814706835
print isbn13:9780814706831
ebook isbn13:9780585282350
language:English
subjectAged--Long-term care--United States, Minority aged--Long-term care--United States, Aged--United States--Social conditions, Minority aged--United States--Social conditions, Pluralism (Social sciences)--United States.
publication date:1999
lcc:HV1461.F56513 1999eb
ddc:362.6
subject:Aged--Long-term care--United States, Minority aged--Long-term care--United States, Aged--United States--Social conditions, Minority aged--United States--Social conditions, Pluralism (Social sciences)--United States.
Page iii
Who Will Care for Us
Aging and Long-Term Care in Multicultural America
Ronald J. Angel
and
Jacqueline L. Angel
Picture 2
New York University Press
New York and London
Page iv
NEW YORK UNIVERSITY PRESS
New York and London
1997 by New York University
All rights reserved
Library of Congress Cataloging-in-Publication Data
Angel, Ronald.
Who will care for us? : aging and long-term care in a
multicultural America / Ronald J. Angel and Jacqueline L. Angel.
p. cm.
Includes bibliographical references (p. ) and index.
ISBN 0-8147-0629-0 (acid-free paper)
1. AgedLong-term careUnited States. 2. Minority agedLong
term careUnited States. 3. AgedUnited StatesSocial
conditions. 4. Minority agedUnited StatesSocial conditions.
5. Pluralism (Social sciences)United States. I. Angel,
Jacqueline Lowe. II. Title.
HV1461.F56513 1996
362.6dc20 96-25333
CIP
New York University Press books are printed on acid-free paper, and their binding materials are chosen for strength and durability.
Manufactured in the United States of America
10 9 8 7 6 5 4 3 2 1
Page v
For Barbara H. Maxwell, whose commitment
to future generations gave meaning
to her own life.
Page vii
Contents
List of Tables and Figures
xi
Preface: Ethnicity and Aging in the Contemporary World
xiii
One
The Social Transformation Of Old Age
1
Picture 3
The Institutional Challenge
4
Picture 4
A Heterogeneous Older Population
7
Picture 5
The Changing Social Context of Aging
9
Picture 6
The Declining Significance of Marriage
12
Picture 7
The Loss of Women as Full-Time Care Givers
16
Picture 8
Cultural Change and Options in the Care of the Elderly
19
Two
A Longer and Better Life: Who has Benefited Most from Improvements in Health?
23
Picture 9
The Differential Prevalence of Chronic Conditions
26
Picture 10
The Meaning of Health and Functional Status
28
Picture 11
Disability and the Social Environment: Active Life Expectancy
35
Picture 12
The Health of Mexican American and Black Elderly: Some Recent Findings
38
Picture 13
A Longer and Better Life?
44
Three
Group Differences in Income and Wealth in Old Age: The Role of Public and Private Pensions
46
Picture 14
Employment Status and Retirement Income
52
Picture 15
Social Security
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