Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life.
Aronson, Louise
Primary Category:
Literature /
Nonfiction
Secondary Category:
Literature /
Genre: Treatise
-
Annotated by:
- Carter, III, Albert Howard
- Date of entry: Sep-09-2019
- Last revised: Oct-07-2019
Summary
Louise
Aronson, a geriatrician, argues that we should create Elderhood as the third
era of human aging, joining the earlier Childhood and Adulthood. This new concept
will allow us to re-evaluate the richness of this later time, its challenges as
body systems decline, and, of course, the choices of managing death. This
important and valuable book is a polemic against modern medicine’s limits, its reductive
focus, and structural violence against both patients and physicians. She argues
for a wider vision of care that emphasizes well-being and health maintenance
for not only elders but for every stage of life.
Instead,
Aronson says we need to bring back the human element, putting care of people at
the center, not science. She calls for a new paradigm with ten assumptions (p.
378). Number 2 reads: “Health matters
more to both individuals and society than medicine.” Number 9 claims, “As an institution, medicine
should prioritize the interests of the people over its own.”
Many practical changes would follow, from redesigned “child-proof” drug containers to buildings and public spaces that are more congenial to older people—and, in fact, to everyone else. We should change our attitudes about old age. For example, we might use the adjective “silver” for a medical facility that is friendly to and usable by older people. Changing our attitudes about aging can help all of us imagine more positive futures for each one of us and for all of our society.
Aronson
argues that contemporary society favors youth and values of action, speed, and
ambition, while it ignores—even dislikes—aging, older people, and the elderly.
She says ageism is more powerful than sexism or racism—as bad as those are. Medical
schools ignore the elderly, focusing on younger patients, especially men, and
medical students perceive geriatrics as boring, sad, and poorly paid. Primary
care, in general, seems routine and dull. By contrast, medical treatments,
especially high-tech, are exciting and lucrative. In medical schools a “hidden
curriculum” focuses on pathophysiology, organ systems, and drugs, ignoring
patients’ variability as well as their suffering and pathos. Further, business
and industrial models make “healthcare” a commodity, and nowadays “doctors
treat computers, not people” (p. 237). Aging has become “medicalized” as a
disease. Medicine fights death as an enemy, often with futile treatment that
may extend a dying process.
Many practical changes would follow, from redesigned “child-proof” drug containers to buildings and public spaces that are more congenial to older people—and, in fact, to everyone else. We should change our attitudes about old age. For example, we might use the adjective “silver” for a medical facility that is friendly to and usable by older people. Changing our attitudes about aging can help all of us imagine more positive futures for each one of us and for all of our society.
Publisher
Bloomsbury Publishing
Place Published
New York
Edition
2019
Page Count
450
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