From Publishers Weekly
"I am about to present a portrait of advanced old age," Jacoby (The Age of American Unreason) warns, "that some will find too pessimistic and negative." Her portrait of the emotional, physical, fiscal, and mental problems debunks popular myths about life in our 80s and 90s, "the worst years of lives." Jacoby locates American youth culture from colonial days, when, in 1790, "only about 2 percent were over sixty-five." By 2000, those over 65 were 12.4%, thanks to modern medicine and the benefits to well-being coincident to the economic prosperity of the 1950s and '60s. Jacoby cautions that marketing has deceived the public by suggesting that "cures for mankind's most serious and frightening diseases are imminent and that medical reversal or significant retardation of aging itself may not be far behind." As she attends to the "genuine battles of growing old," Jacoby is both moving and informative about Alzheimer's costs to the psyche and the purse of sufferer and caretaker, and eye-opening as she reframes impoverished old women as "a women's issue." She raises timely and "uncomfortable questions about old age poverty, the likelihood of dementia, end-of-life care, living wills, and assisted suicide." (Jan.)
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*Starred Review* As the older members of the baby boom generation approach 65, marketers are at the ready with an abundance of “age defying” products and services. But is aging as trouble free as marketers tout and aging consumers would like to believe? For her part, journalist Jacoby, herself in her 60s, admits to rage at the efforts to redefine old age without facing up to the unavoidable realities. For example, after age 65, the prevalence of Alzheimer’s doubles every five years. She focuses on distinctions between the young old (60s and 70s) and the old old (80s, 90s, and the few 100s) as well as the very different prospects for the elderly who are poor or minorities. Jacoby explores social, cultural, economic, and political changes in the concept of old age, from passage of the Social Security Act to extended life expectancy and retirement, from the activism of the Gray Panthers to the ravages of Alzheimer’s. Drawing on research, personal experience, and anecdotes, she offers an important reality check for Americans enamored of the images of healthy, active seniors featured in advertisements. --Vanessa Bush