Posts Tagged ‘institutional care’

The price of longevity is degradation of the elderly

October 7, 2012

The care of the elderly passing from family members to institutions is one of the apparently irreversible  developments in all cultures today. It is not just a phenomenon of “Western” civilization but is a trend across the globe. As “joint families” have given way to nuclear families and as couples have both gone out “to work” and as the elderly desire greater independence and as people live longer, the responsibility for the care of the elderly has passed to institutions from ever-more burdened children or relations.

But a model for institutional care – whether by private players or the State – which works without the degradation of the elderly has yet to be found. I suppose the fundamental reasons are that

  1. to die quietly and with some dignity and with as little discomfort as possible is only of value to the dying,
  2. those who are “in care” have limited opportunities to make themselves heard, let alone to complain,
  3. those “in care” are no longer worth very much to the society they live in and are only seen as a cost,
  4. even for the relatives and children of those in institutional care, the elderly are seen primarily as “duties”  and they would rather not complain if the only solution is a responsibility devolving upon themselves, and
  5. for institutions providing care there is always a  financial benefit to not providing care and they get no “extra bonus” when they do provide care.

(more…)

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