Reassessing the Demographic Imperative

For many years gerontologists have discussed the consequences of advances that have lengthened lives but have been less successful at improving the quality of those lives. While this debate continues, the resulting demographic shift in the age profile of the United States threatens to overwhelm our ability to care for those who most need assistance. In the absence of major policy changes or dramatic medical discoveries, or both, the need for institutional care among the population 85 and older will soon exceed the available resources