Planning for Life

By Harry S. Margolis

Organized by the indefatigable Tim Driver, founder of RetirementJobs.com, the Age Friendly Foundation, and AgeFriendly.com, hundreds of aging professionals, academics, medical providers, journalists and government leaders met at the Seaport Hotel on October 23rd to discuss the future of aging in Massachusetts. Driver's incredible slate of presenters included Mayor Marty Walsh, Governor Charlie Baker, industry leaders, Boston Red Sox President Sam Kennedy, and Alexander Kalache, MD, Co-President of the International Longevity Centres Global Alliance.

There were a few common themes about the challenges of our increasingly older population voiced by speakers from many different perspectives:

• Inequity is a big problem; the wealthy can buy the care they need, there are some programs for the poor, and not much for the vast majority of Americans.
• We have over-medicalized elder care and invested too little in social supports; this is a very expensive approach.
• We operate too much in silos—health care professionals not talking to social service providers, who are not talking to private industry.
• Social isolation versus participation in community is a big determinant of our welfare as we age.
• Any solution will have to come through public-private partnerships.
• Workforce—if we don't expand and better train and compensate the workforce that provides care to seniors, nothing else will work.

Here are some of the highlights:

By Harry S. Margolis

Most people don't move when they retire, instead staying where they have lived all their lives and where they have the strongest personal and family connections. So, they must either hope that their towns and cities are good places to age in terms of the services they provide or work actively to improve those services. In my own town of Brookline, the Brookline Community Aging Network takes the latter approach, working actively "to ensure that older Brookline residents remain a vital part of the town's social, cultural, and civic life."

Others choose to move after they retire, whether year round or for part of the year. They may move for a better climate, often during the winter, for a lower cost of living, or to be near family members, especially grandchildren. But if you can move anywhere in the world, where should you move?

By Harry S. Margolis

Why don't people, especially seniors, plan to protect themselves and their families? The answer, which I learned at a program sponsored by the Boston Estate Planning Council about findings from the MIT Age Lab, can in part be explained by the acronym PRUNE. PRUNE stands for the types of information that have emotional impact on us, those that are: