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Economics of Aging
The improved economic status of America's elderly populations is a 20th-century success story. Today, the economic status of older Americans closely resembles that of other adult populations; some are very well off, many are comfortable, many live modestly, and some have very low incomes.
This entry begins by discussing the evolution of the nation's retirement income security system. The economic status of today's older Americans is then described, paying special attention to the diversity of circumstances among today's elders. The likely contours of the economic status of tomorrow's elderly populations are the discussed briefly, and it is concluded that, as in the past, diversity of circumstances will characterize the income position of tomorrow's older populations. It is suggested that, as is the case today, the economic well-being of the vast majority of older Americans—especially the most vulnerable—will depend especially on maintaining sound universal social insurance protections. While mindful that health insurance protections have critical implications for the economic well-being of older Americans, this entry focuses primarily on sources of cash income and their impact on economic status.
The Evolution of the Old-Age Retirement Income Support System
Retirement and retirement income systems are relatively new and evolving institutions. Paradoxically, industrialization created both the need and the opportunity for the nation's “old-age retirement income support system.” Improvements in nutrition, sanitation, and public health led to more people reaching old age and living longer once they were there. A growing economy raised living standards, providing new opportunities for leisure as well as for the expansion of public and private income and health protections for older Americans. Movement from agricultural and small-scale production to manufacturing production raised wages even as it increased insecurity. Workers became subject to the vagaries of economic cycles. Employers, often interested in workers who could keep up with the speed and dexterity demands of new technologies, required orderly means of turning over their workforces. Unions wanted employment opportunities in the growing manufacturing economy for younger members.
American workers and their families needed protection against many identifiable risks—risks related to disabling industrial accidents, deaths of workers, and old age as well as risks related to outliving one's savings or seeing retirement incomes eroded by inflation. Then, as is the case now, pensions—both public and private—provided a partial solution to the needs of working persons while simultaneously addressing the interests of employers and unions. By the mid-1950s, “retirement” had emerged as a new institution and as a normative expectation of older Americans.
Although income from employer pensions, employment, assets, and welfare is important, Social Security—the Old-Age, Survivors, and Disability Insurance (OASDI) program—is the heart and soul of the nation's retirement income system. Based on the social insurance approach to economic security, the program is designed to provide universal protections for the American public against selected risks. In exchange for making modest payments through regular employer and employee payroll tax contributions over the course of their work lives, working Americans earn for themselves and their families the right to benefits when earnings are lost as a result of retirement, long-term severe disability, or death. Because social insurance, unlike private insurance or private pensions, is designed to provide widespread basic protection, the system provides proportionally larger benefits to low-wage workers, even though high-wage workers generally receive larger monthly benefit amounts. Social Security was intended as a supplement to personal savings, employer-provided pensions, and (for some) earnings from continued work during their old-age years—not as the sole source of income that it often is.
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- Aging and the Brain
- Alzheimer's Disease
- Apolipoprotein E
- Consortium to Establish a Registry for Alzheimer's Disease
- Creutzfeldt–Jakob Disease
- Delirium and Confusional States
- Imaging of the Brain
- Lewy Body Dementia
- Mental Status Assessment
- Mild Cognitive Impairment
- Neurobiology of Aging
- Neurological Disorders
- Pick's Disease
- Stroke
- Syncope
- Vascular Dementia
- Vascular Depression
- Diseases and Medical Conditions
- Accelerated Aging Syndromes
- Anemia
- Aneurysms
- Arrhythmias
- Arthritis and Other Rheumatic Diseases
- Calcium Disorders of Aging
- Cancer
- Cancer Prevention and Screening
- Cancer, Common Types of
- Cataracts
- Cellulitis
- Congestive Heart Failure
- Diabetes
- Ear Diseases
- Eye Diseases
- Foot Problems
- Fractures in Older Adults
- Gastrointestinal Aging
- HIV and AIDS
- Hypertension
- Iatrogenic Disease
- Immune Function
- Incontinence
- Infections, Bladder and Kidney
- Infectious Diseases
- Kidney Aging and Diseases
- Men's Health
- Menopause and Hormone Therapy
- Metabolic Syndrome
- Musculoskeletal Aging: Inflammation
- Musculoskeletal Aging: Osteoarthritis
- Oral Health
- Osteoporosis
- Pneumonia and Tuberculosis
- Pressure Ulcers
- Sarcopenia
- Shingles
- Skin Neoplasms, Benign and Malignant
- Spinal Stenosis
- Systemic Infections
- Temperature Regulation
- Thyroid Disease
- Valvular Heart Disease
- Venous Stasis Ulcers
- Wound Healing
- Drug-Related Issues
- Function and Syndromes
- Mental Health and Psychology
- Agitation
- Alcohol Use and Abuse
- Anxiety Disorders
- Behavioral Disorders in Dementia
- Bereavement and Grief
- Control
- Delirium and Confusional States
- Depression and Other Mood Disorders
- Emotions and Emotional Stability
- Expectations Regarding Aging
- Life Course Perspective on Adult Development
- Loneliness
- Memory
- Mental Status Assessment
- Mild Cognitive Impairment
- Motivation
- Personality Disorders
- Positive Attitudes and Health
- Posttraumatic Stress Disorder
- Pseudodementia
- Psychiatric Rating Scales
- Psychosocial Theories
- Schizophrenia, Paranoia, and Delusional Disorders
- Selective Optimization With Compensation
- Self-Care
- Self-Efficacy
- Self-Rated Health
- Stress
- Subjective Well-Being
- Successful Aging
- Suicide and the Elderly
- Vascular Depression
- Nutritional Issues
- Physical Status
- Allostatic Load and Homeostasis
- Biological Theories of Aging
- Biomarkers of Aging
- Body Composition
- Body Mass Index
- Cardiovascular System
- Compression of Morbidity
- Fluid and Electrolytes
- Hearing
- Men's Health
- Multiple Morbidity and Comorbidity
- Normal Physical Aging
- Perioperative Issues
- Pulmonary Aging
- Skin Changes
- Skin Neoplasms, Benign and Malignant
- Sleep
- Surgery
- Temperature Regulation
- Therapeutic Failure
- Vision and Low Vision
- Women's Health
- Prevention
- Sociodemographic and Cultural Factors
- Active Life Expectancy
- Africa
- African Americans
- Age–Period–Cohort Distinctions
- Asia
- Asian and Pacific Islander Americans
- Australia and New Zealand
- Canada
- Caregiving
- Centenarians
- Compression of Morbidity
- Critical Perspectives in Gerontology
- Demography of Aging
- Disasters and Terrorism
- Disclosure
- Early Adversity and Late-Life Health
- Economics of Aging
- Education and Health
- Elder Abuse and Neglect
- Environmental Health
- Epidemiology of Aging
- Ethical Issues and Aging
- Ethnicity and Race
- Europe
- Expectations Regarding Aging
- Global Aging
- Health Communication
- Hispanics
- Homelessness and Health in the United States
- Latin America and the Caribbean
- Life Course Perspective on Adult Development
- Living Arrangements
- Loneliness
- Longevity
- Marital Status
- Mexico
- Midlife
- Migration
- Multiple Morbidity and Comorbidity
- Native Americans and Alaska Natives
- Negative Interaction and Health
- Oldest Old
- Quality of Life
- Rural Health and Aging Versus Urban Health and Aging
- Social Networks and Social Support
- Socioeconomic Status
- Stress
- Successful Aging
- Work, Health, and Retirement
- Studies of Aging
- Aging in Manitoba Longitudinal Study
- Cardiovascular Health Study
- Clinical Trials
- Critical Perspectives in Gerontology
- Duke Longitudinal Studies
- Epidemiology of Aging
- Established Populations for Epidemiologic Studies of the Elderly
- Government Health Surveys
- Health and Retirement Study
- Hispanic Established Population for Epidemiologic Studies of the Elderly
- Honolulu–Asia Aging Study, Honolulu Heart Program
- Longitudinal Research
- Longitudinal Study of Aging
- MacArthur Study of Successful Aging
- National Health Interview Survey
- National Long Term Care Survey
- Normative Aging Study
- Qualitative Research on Aging
- Twin Studies
- Systems of Care
- Advance Directives
- Advocacy Organizations
- Aging Network
- Assisted Living
- Caregiving
- Complementary and Alternative Medicine
- Continuum of Care
- Death, Dying, and Hospice Care
- Elder Abuse and Neglect
- Ethical Issues and Aging
- Geriatric Profession
- Geriatric Team Care
- Gerontological Nursing
- Health and Public Policy
- Health Care System for Older Adults
- Home Care
- Institutional Care
- Legal Issues
- Long-Term Care
- Long-Term Care Insurance
- Managed Care
- Medicaid
- Medicare
- Minimum Data Set
- National Institute on Aging
- Nursing Roles in Health Care and Long-Term Care
- Outcome and Assessment Information Set (OASIS)
- Palliative Care and the End of Life
- Patient Safety
- Pets in Health Care Settings
- Rehabilitation Therapies
- Self-Care
- Social Work Roles in Health and Long-Term Care
- Telemedicine
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