Author, Fred C. Pompel, treats age as a component of social inequality which gives rise to the three major themes of the text: diversity in the experience of individuals, differences in public policy, and variations across nations. Comparison of the United States with other nations is a central component of the book, providing a greater understanding of the larger forces that shape old age.
"Elana D. Buch's "Inequalities of Aging: Paradoxes of Independence in American Home Care" focuses on the topic of American home care and explores various contradictions and points of tension within the industry. It also raises awareness of the problematic inequality that exists in the American home care industry and argues for the creation of a more sustainable system."--
Thanks to advances in technology, medicine, Social Security, and Medicare, old age for many Americans is characterized by comfortable retirement, good health, and fulfilling relationships. But there are also millions of people over 65 who struggle with poverty, chronic illness, unsafe housing, social isolation, and mistreatment by their caretakers. What accounts for these disparities among older adults? Sociologist Deborah Carr’s Golden Years? draws insights from multiple disciplines to illuminate the complex ways that socioeconomic status, race, and gender shape the nearly every aspect of older adults’ lives. By focusing on an often-invisible group of vulnerable elders, Golden Years? reveals that disadvantages accumulate across the life course and can diminish the well-being of many. Carr connects research in sociology, psychology, epidemiology, gerontology, and other fields to explore the well-being of older adults. On many indicators of physical health, such as propensity for heart disease or cancer, black seniors fare worse than whites due to lifetimes of exposure to stressors such as economic hardships and racial discrimination and diminished access to health care. In terms of mental health, Carr finds that older women are at higher risk of depression and anxiety than men, yet older men are especially vulnerable to suicide, a result of complex factors including the rigid masculinity expectations placed on this generation of men. Carr finds that older adults’ physical and mental health are also closely associated with their social networks and the neighborhoods in which they live. Even though strong relationships with spouses, families, and friends can moderate some of the health declines associated with aging, women—and especially women of color—are more likely than men to live alone and often cannot afford home health care services, a combination that can be isolating and even fatal. Finally, social inequalities affect the process of dying itself, with white and affluent seniors in a better position to convey their end-of-life preferences and use hospice or palliative care than their disadvantaged peers. Carr cautions that rising economic inequality, the lingering impact of the Great Recession, and escalating rates of obesity and opioid addiction, among other factors, may contribute to even greater disparities between the haves and the have-nots in future cohorts of older adults. She concludes that policies, such as income supplements for the poorest older adults, expanded paid family leave, and universal health care could ameliorate or even reverse some disparities. A comprehensive analysis of the causes and consequences of later-life inequalities, Golden Years? demonstrates the importance of increased awareness, strong public initiatives, and creative community-based programs in ensuring that all Americans have an opportunity to age well.
Author, Fred C. Pompel, treats age as a component of social inequality which gives rise to the three major themes of the text: diversity in the experience of individuals, differences in public policy, and variations across nations. Comparison of the United States with other nations is a central component of the book, providing a greater understanding of the larger forces that shape old age.
There is a complex set of public policies and associated programs that constitute the social safety net in the United States. In Life-Course Implications of U.S. Public Policies, the authors encourage others to systematically consider the influence of policies and programs on lives, aging, and the life course, and how the consequences might vary by gender, race/ethnicity, sexual orientation, ability, and social class. The volume aims to foster an appreciation of how policy influences connect and condition the life course. Chapters examine issues relating to health, housing, food security, crime, employment, and care work, amongst other issues, and demonstrate how the principles of the life-course perspective and cumulative inequality theory can be used to inform contemporary public policy debates. Life-Course Implications of U.S. Public Policies will be a great resource for students of gerontology, sociology, demography, social work, public health and public policy, as well as policy makers, researchers in think tanks, and advocates, who are concerned with age-based policy.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Over the past three decades, the contours of American social, economic, and political life have changed dramatically. The post-war patterns of broadly distributed economic growth have given way to stark inequalities of income and wealth, the GOP and its allies have gained power and shifted U.S. politics rightward, and the role of government in the lives of Americans has changed fundamentally. Remaking America explores how these trends are related, investigating the complex interactions of economics, politics, and public policy. Remaking America explains how the broad restructuring of government policy has both reflected and propelled major shifts in the character of inequality and democracy in the United States. The contributors explore how recent political and policy changes affect not just the social standing of Americans but also the character of democratic citizenship in the United States today. Lawrence Jacobs shows how partisan politics, public opinion, and interest groups have shaped the evolution of Medicare, but also how Medicare itself restructured health politics in America. Kimberly Morgan explains how highly visible tax policies created an opportunity for conservatives to lead a grassroots tax revolt that ultimately eroded of the revenues needed for social-welfare programs. Deborah Stone explores how new policies have redefined participation in the labor force—as opposed to fulfilling family or civic obligations—as the central criterion of citizenship. Frances Fox Piven explains how low-income women remain creative and vital political actors in an era in which welfare programs increasingly subject them to stringent behavioral requirements and monitoring. Joshua Guetzkow and Bruce Western document the rise of mass incarceration in America and illuminate its unhealthy effects on state social-policy efforts and the civic status of African-American men. For many disadvantaged Americans who used to look to government as a source of opportunity and security, the state has become increasingly paternalistic and punitive. Far from standing alone, their experience reflects a broader set of political victories and policy revolutions that have fundamentally altered American democracy and society. Empirically grounded and theoretically informed, Remaking America connects the dots to provide insight into the remarkable social and political changes of the last three decades.
In the United States, older populations exhibit the highest levels of economic inequality of all age groups. Across all advanced societies, the inequalities observed in older populations stem from structural and individual processes that differentiate the life courses of women and men and yield distinctive patterns of economic inequality in adulthood and old age.Age and Inequality examines the structural and individual bases of inequality and aging in the United States, especially in recent decades. The interplay of the employment system with public and private social insurance systems operates to structure the shapes of work careers and the patterns of exit from these careers in late adulthood and old age.Gender inequality across the life course is an important element of age inequality. Labor market structure, state policies, and life course factors such as fertility and the division of household labor systematically differentiate men's and women's work careers.Aging and retirement in the twenty-first century raise concerns regarding public welfare and market policies affecting labor exits and income support systems over the next half century. Angela O'Rand and John Henretta consider the implications of the changing workplace and changing public policies for women and men.
"Aging Public Policy: Bonding the Generations" is presented in three parts. Part One describes the policy process as a response to human needs through the laws of our country. Part Two explores the national policy development on behalf of older persons. Part Three describes the major public policies on behalf of the elderly that include Social Security, Medicare, The Older Americans Act, institutional care, employment and retirement policies. The final chapter discusses the advocacy process in the field of aging.
