Are we living too long?

 No such thing as living too long? You might want to reconsider............

Rolf Zinkernagel, a Swiss immunologist who won the Nobel Prize in Physiology or Medicine in 1996, believes that the lifespan of human beings has far exceeded what it was intended to be: “I would argue that we are basically built to reach 25 years of age. All the rest is luxury.” Wealthy older people spend a lot of time and money maintaining their health and postponing death. Dinner-party conversations center on colonoscopies, statins (drugs which reduce blood cholesterol), and new diets. Many Americans who are not doctors subscribe to the New England Journal of Medicine. I have noticed a similar trend in well-off, older acquaintances of mine: health, and its maintenance, has become their hobby.

All quite laudable, but let’s take this trend to its logical conclusion. What are the consequences for society if average life expectancy rises to 100 years, or even more? We face the prospect of an army of centenarians cared for by poorly paid immigrants. The children of these centenarians can expect to work well into their 70s, or even 80s. The world of work will alter drastically, with diminishing opportunities for the young.

What if powerful new therapies emerge which can slow down the aging process and postpone death? Undoubtedly it will be the rich and powerful who will avail themselves of them. Poor people in Africa, Asia, and South America will continue to struggle for simple necessities, such as food, clean water, and basic healthcare. There will be bitter debates about whether the state should fund such therapies. The old are a powerful lobby group and, compared to the young, are far more likely to vote, and thus hurt politicians at the ballot box. Politicians and policymakers mess with welfare provision for the old at their peril. The baby boomers of rich Western countries are now in their 60s and 70s and are aiming for a different kind of old age than their parents. They demand a retirement that is well-­funded, active, and packed with experience. They are unfettered by mortgage debt and are the last generation to receive defined benefit pensions. The economic downturn of the last several years has only strengthened their position. They are passionate believers in the compression of morbidity.

But this vision of aging is wishful thinking. Many now face an old age in which the final years are spent in nursing homes. There are several societal reasons for this: increased longevity, the demise of the multi-generational extended family, and the contemporary obsession with safety. None of us wants to spend the end of our life in a nursing home; they are viewed (correctly) as places which value safety and protocol over independence and living.

https://www.saturdayeveningpost.com/2019/04/are-we-living-too-long/

As modern medicine extends the human lifespan, quality of life is not keeping up, raising thorny ethical dilemmas

Biophysicists have calculated that, with maximal improvement in health care, the biological clock for humans must stop between 120-150 years. Biotechnology firms such as Calico, Biosplice and Celgene are putting this to the test by scrambling to extend our normal lifespan as far as they can. However, a basic problem, at least thus far, is that a sustained quality of life has not been extended to keep up with our expanded longevity.

As people get older, they are not gaining economic security, maintaining their usual level of independence, extending their social relationships, or avoiding chronic illnesses. For instance, about 85 per cent of older adults in the United States have at least one common chronic illness such as diabetes, heart disease, arthritis or Alzheimer’s. Thus, many routine tasks such as bathing, making the bed, doing errands, shopping, picking up items off the floor, or walking without falling cannot be performed without help. In short, as we live longer we are also unwell for longer.

Psychological depression, caused by physical illness plus associated medical expenses, often contributes to even more decline. Almost every day a new ache or pain, of uncertain duration, pops up and adds to ongoing maladies. Undesirable, but necessary, medical compromises gradually squeeze the vitality out of a chronically ill person.



Raises the question..................






o expand the hat 

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