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5th Annual
    Thomas Geriatric Health Symposium
   “Barriers to Community Participation”

    Idaho State University, October 19, 2012

      Keynote Speaker: Lorie Eber,
      JD
Gerontologist, Certified Personal Trainer, Speaker,
Author, Boomer Blogger on Healthy Living, Healthy Aging
& Elder Care
THE BABY BOOMERS
ARE TURNING 65


How They Will Change Everything
What Age is “Old?”

Generation            Age Now      Age Considered
                                   “Old”
Greatest Generation        88-98          81
Baby Boomers               48-66          77
Gen X                      32-48          71
Gen Y                      11-31          62
How Do You Feel About
       Aging?
% of Population That is Aging
100 Year-Old Bride: Video




 http://www.youtube.com/watch?v=qIyTVH_ldHY
WHAT IS YOUR AGING 1Q?
What’s Your Aging IQ?
1. Families don’t usually bother with
older relatives.


         True or False
Most Live in the Community
   3.1% living in skilled nursing

   2.5% live in assisted living
What’s Your Aging IQ?
2.   Most older people are depressed.


         True or False
Most Older People Are Happy
   Many studies show that older people
    are happier than younger people.
    Video




        http://www.youtube.com/watch?v=RI-l0tK8Ok0
What’s Your Aging IQ?
3. People 65 and older take more
medications than younger people.


        True or False
Polypharmacy
 13% of population is 65+, but
  accounts for 33% of prescription drug
  usage
 Average 75 year-old takes 5
  prescription meds
 90% of Medicare recipients take
  prescription meds
AGEISM
Society is Ageist
   What is ageism?

prejudice or discrimination against a
particular age-group, especially the
elderly

          Are you guilty?


                                        15
Examples of Ageism
 Media Portrayals
 Employment Discrimination
 Negative Attitudes
 Making elderly invisible
React
React
This is how older people see themselves
Famous Faces




               23
Famous Faces




               24
2010 Census Bureau—Special
Populations
Changes from 2000-2010


DEMOGRAPHICS
Fast Facts on 65+
   More people 65+ than in any previous
    census

   65+ is increasing at faster rate and
    becoming a higher percentage of total
    population

   Men are catching up with women
65+ is Growing Faster Than Total
           Population
Population   Increase from 2000-2010   % Change from 2000-
  Group                                       2010


   65+          35 to 40.3 million           +15.1%




  Total       281.4 to 308.7 million         +9.7%
Population
65+ is Larger % of Total
        Population
Year      Number        % of Total Population



2000      35 million           12.4%




2010     40.3 million          13.0%
65+ Population
% Change in 65+ Age Groups
Men are Catching Up
              2000 to 2010

   Percentage of men 65+ grew by
    20.5%

   Percentage of women 65+ grew by
    11.3%
2008 Census Bureau
Projections
72 million
            baby boomers
             (1946-1964)
Woodstock
Impact of Aging Boomers
   One in five US residents will be age
    65 or older in 2030
Changing Pyramid
Increasing Diversity
        of the Aging Population

   US is becoming more racially and ethnically
    diverse

   The current MINORITY population
    (everyone other than non-Hispanic whites)
    will become the MAJORITY by 2042
Diversity of Aging Population
(65+) (shown as %of US population)
 30
 25
 20
 15
 10
  5
                           2010
  0
                           2050
CULTURAL IMPACT
How Are Boomers Changing
             Aging?
   Video of Lissa Rinna advertising
    Depends




       http://www.youtube.com/watch?v=KfqwmTQO6LY
Driving Kid’s Cars
•   Honda Element
•   Toyota Matrix
•   Pontiac Vibe
•   Dodge Neon
A New Message
A New Slogan
A New Look
What Boomers Won’t Do
 Move to “The Villages” and golf their
  lives away
 Go to the Senior Center for lunch or
  bingo
 Watch TV all day
What Boomers Might Do
   Live in multi-generational households

   Move to city centers and urban
    villages

   Make health and wellness a priority

   Delay retirement

   Travel and volunteer
SOCIAL IMPACT
Inter-Generational Tension
 Medicare
 Social Security
 Keeping younger people out of the
  workplace
“How We Need to Learn to Say
     No to the Elderly”




http://www.thedailybeast.com/newsweek/2012/06/24/david-
frum-on-how-we-need-to-learn-to-say-no-to-the-elderly.html
Say No to the Elderly

6/24/10 The Daily Beast by David Frum

   “They’re the worst drivers—and we’re
    too scared to tell them so. If we don’t
    push back, they’ll steal our benefits
    and bankrupt the county.”
http://nationaljournal.com/features/restoration-calls/my-father-the-
parasite-20121004?page=1
“Leeches”
10/6/12 National Journal by Jim
Tankersley

   “Baby boomers took the economic
    equivalent of a king salmon from their
    parents and, before they passed it
    on, gobbled up everything but the
    bones.”
Brief History of Medicare
 Established in 1965
 Medical coverage for 65+
 1972: expanded to cover disabled
 2003: prescription drug coverage
 2010: new health care law brings
  uncertainty
Brief History of Social
Security
 Established in 1935 because
  depression had wiped out savings
 Age 65 chosen because it was normal
  retirement age
 Funded by a tax on wages; 10 years
 96% of all workers are covered
 Expansions: disability, cost-of-living
  increases
Changes to Social Security

   1977: benefit computation
    change, reduced benefits paid

   1983: gradual increase in eligibility
    age from 65 to 67 years old
Why Shortfall in Social
Security?
 Not because life expectancy for those
  aged 65 has increased significantly
 One Factor: Baby boomers are at
  entitlement age
 Biggest Factor: proportion of those
  paying in versus beneficiaries claiming
  payments
Proportion of Workers Paying
into SS versus Beneficiaries
   Year      Workers Paying In: Beneficiaries

   1940                   159:1


   1945                   42:1

   1955                    8:1

   1960                    5:1

 1975-2009                 3:1

   2010                   2.9:1
Still a Safety Net
   Social Security provided at least half
    the income for 65% of the aged
    beneficiaries in 2010
Percentage of Federal Budget




     Social Security & Medicare = 36%
Projections of Entitlement
Spending
Projected Deficits
Social Security: Dire
            Predictions
   By 2023 incoming resources and trust
    fund resources will be insufficient to
    pay full benefits

   By 2036 trust fund may be exhausted
Something’s Gotta Give

   How can we solve this problem?
Proposed Solutions

 Raising eligibility age
 Cutting benefits
 Raising payroll taxes
 “privatizing” Social Security
 Imposing a “means test”
The Baby Boomers Will Change
         Everything!

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The Baby Boomers are Turning 65: How They Will Change Everything

  • 1. 5th Annual Thomas Geriatric Health Symposium “Barriers to Community Participation” Idaho State University, October 19, 2012 Keynote Speaker: Lorie Eber, JD Gerontologist, Certified Personal Trainer, Speaker, Author, Boomer Blogger on Healthy Living, Healthy Aging & Elder Care
  • 2. THE BABY BOOMERS ARE TURNING 65 How They Will Change Everything
  • 3. What Age is “Old?” Generation Age Now Age Considered “Old” Greatest Generation 88-98 81 Baby Boomers 48-66 77 Gen X 32-48 71 Gen Y 11-31 62
  • 4. How Do You Feel About Aging?
  • 5. % of Population That is Aging
  • 6. 100 Year-Old Bride: Video http://www.youtube.com/watch?v=qIyTVH_ldHY
  • 7. WHAT IS YOUR AGING 1Q?
  • 8. What’s Your Aging IQ? 1. Families don’t usually bother with older relatives. True or False
  • 9. Most Live in the Community  3.1% living in skilled nursing  2.5% live in assisted living
  • 10. What’s Your Aging IQ? 2. Most older people are depressed. True or False
  • 11. Most Older People Are Happy  Many studies show that older people are happier than younger people. Video http://www.youtube.com/watch?v=RI-l0tK8Ok0
  • 12. What’s Your Aging IQ? 3. People 65 and older take more medications than younger people. True or False
  • 13. Polypharmacy  13% of population is 65+, but accounts for 33% of prescription drug usage  Average 75 year-old takes 5 prescription meds  90% of Medicare recipients take prescription meds
  • 15. Society is Ageist  What is ageism? prejudice or discrimination against a particular age-group, especially the elderly Are you guilty? 15
  • 16. Examples of Ageism  Media Portrayals  Employment Discrimination  Negative Attitudes  Making elderly invisible
  • 17.
  • 18.
  • 19.
  • 20. React
  • 21. React
  • 22. This is how older people see themselves
  • 26. Fast Facts on 65+  More people 65+ than in any previous census  65+ is increasing at faster rate and becoming a higher percentage of total population  Men are catching up with women
  • 27. 65+ is Growing Faster Than Total Population Population Increase from 2000-2010 % Change from 2000- Group 2010 65+ 35 to 40.3 million +15.1% Total 281.4 to 308.7 million +9.7% Population
  • 28. 65+ is Larger % of Total Population Year Number % of Total Population 2000 35 million 12.4% 2010 40.3 million 13.0%
  • 30. % Change in 65+ Age Groups
  • 31. Men are Catching Up 2000 to 2010  Percentage of men 65+ grew by 20.5%  Percentage of women 65+ grew by 11.3%
  • 33. 72 million baby boomers (1946-1964) Woodstock
  • 34. Impact of Aging Boomers  One in five US residents will be age 65 or older in 2030
  • 36. Increasing Diversity of the Aging Population  US is becoming more racially and ethnically diverse  The current MINORITY population (everyone other than non-Hispanic whites) will become the MAJORITY by 2042
  • 37. Diversity of Aging Population (65+) (shown as %of US population) 30 25 20 15 10 5 2010 0 2050
  • 39. How Are Boomers Changing Aging?  Video of Lissa Rinna advertising Depends http://www.youtube.com/watch?v=KfqwmTQO6LY
  • 40. Driving Kid’s Cars • Honda Element • Toyota Matrix • Pontiac Vibe • Dodge Neon
  • 44. What Boomers Won’t Do  Move to “The Villages” and golf their lives away  Go to the Senior Center for lunch or bingo  Watch TV all day
  • 45. What Boomers Might Do  Live in multi-generational households  Move to city centers and urban villages  Make health and wellness a priority  Delay retirement  Travel and volunteer
  • 47. Inter-Generational Tension  Medicare  Social Security  Keeping younger people out of the workplace
  • 48. “How We Need to Learn to Say No to the Elderly” http://www.thedailybeast.com/newsweek/2012/06/24/david- frum-on-how-we-need-to-learn-to-say-no-to-the-elderly.html
  • 49. Say No to the Elderly 6/24/10 The Daily Beast by David Frum  “They’re the worst drivers—and we’re too scared to tell them so. If we don’t push back, they’ll steal our benefits and bankrupt the county.”
  • 51. “Leeches” 10/6/12 National Journal by Jim Tankersley  “Baby boomers took the economic equivalent of a king salmon from their parents and, before they passed it on, gobbled up everything but the bones.”
  • 52. Brief History of Medicare  Established in 1965  Medical coverage for 65+  1972: expanded to cover disabled  2003: prescription drug coverage  2010: new health care law brings uncertainty
  • 53. Brief History of Social Security  Established in 1935 because depression had wiped out savings  Age 65 chosen because it was normal retirement age  Funded by a tax on wages; 10 years  96% of all workers are covered  Expansions: disability, cost-of-living increases
  • 54. Changes to Social Security  1977: benefit computation change, reduced benefits paid  1983: gradual increase in eligibility age from 65 to 67 years old
  • 55. Why Shortfall in Social Security?  Not because life expectancy for those aged 65 has increased significantly  One Factor: Baby boomers are at entitlement age  Biggest Factor: proportion of those paying in versus beneficiaries claiming payments
  • 56. Proportion of Workers Paying into SS versus Beneficiaries Year Workers Paying In: Beneficiaries 1940 159:1 1945 42:1 1955 8:1 1960 5:1 1975-2009 3:1 2010 2.9:1
  • 57. Still a Safety Net  Social Security provided at least half the income for 65% of the aged beneficiaries in 2010
  • 58. Percentage of Federal Budget Social Security & Medicare = 36%
  • 61. Social Security: Dire Predictions  By 2023 incoming resources and trust fund resources will be insufficient to pay full benefits  By 2036 trust fund may be exhausted
  • 62. Something’s Gotta Give  How can we solve this problem?
  • 63. Proposed Solutions  Raising eligibility age  Cutting benefits  Raising payroll taxes  “privatizing” Social Security  Imposing a “means test”
  • 64. The Baby Boomers Will Change Everything!

Editor's Notes

  1. AARP May Apr/May 2012
  2. http://www.youtube.com/watch?v=qIyTVH_ldHY&playnext=1&list=PL69D4B327F063DA40&feature=results_videoTime: 2:14
  3. DeLee Lantz, PhD, SF psychologist
  4. About 1 million live in assisted living.
  5. DeLee Lantz, PhD, SF psychologist
  6. Mayo clinic, 7.7M views, on TV
  7. DeLee Lantz, PhD, SF psychologist
  8. http://www.freedigitalphotos.net/
  9. Merriam Webster
  10. Lauren Bacall
  11. Robert Redford
  12. The Older Population: 2010, US Census Bureau
  13. From 2008 census
  14. Projections from US Census Bureau 2010-2050
  15. US Census Bureau 2008
  16. 33 second video: Day of Our Lives, Melrose Place, Soap Talk, she’s 49; http://www.youtube.com/watch?v=J5-7vnuME_M
  17. 33 second video: Day of Our Lives, Melrose Place, Soap Talk, she’s 49
  18. 33 second video: Day of Our Lives, Melrose Place, Soap Talk, she’s 49
  19. 65 years old, no makeup, Sec of State
  20. 52 year old journalist for Daily Beast and Newsweek, speechwriter for George W. Bush, Harvard JD
  21. October 6, 2012; 3 things: economic opportunity has shrunk; generous benefits with no way to repay and pollution
  22. SS FAQ #7
  23. SSA
  24. CBO
  25. HI= hospital insurance
  26. Social Security Board of Trustees predictions, ABC article 4/23/12; 2011 SS Trustee’s Report