August 24, 2010
By Jacqueline L. Angel
Longevity is clearly a blessing, but it presents the elderly and their children with practical problems. Preparing for a time when our parents are not able to get around as well as they used to is more important today than it has ever been.
People of all ethnicities are living longer than ever, and Latinos are part of that trend. Life is much different for Latino families than it was at the beginning of the 20th century, and that change forges a basic question: Who will care for elderly parents?
Old age for Latinos traditionally has been a different experience than it is for other groups. The model of extended families living together or in close proximity, with grandparents helping to care for their children's children and then being taken care of themselves as they needed assistance in old age, is still the desired model for Hispanics. Family is central to Latino cultural identity, and although grown children might wish to keep their elders at home, this might not always be possible.
The personal and financial burdens of caring for those with severe health and mobility problems are daunting, and institutionalized care for the elderly has become the norm in Mexico and the United States.
Not so long ago, developing countries like Mexico were faced primarily with health and social issues related to large populations of young people, while wealthy countries like the United States faced falling birth rates and the decline in the working-age population. Over the coming three decades, countries such as Brazil, Chile and Mexico will see the oldest part of their population at least double. This new demographic will have a significant effect on those countries' health care systems.
In the United States, meanwhile, demographers note that the Hispanic population is growing five to six times faster than the general population, making this the nation's largest ethnic group. By the middle of the next century, the nation's Hispanic population is expected to reach almost 100 million (24.5 percent of the total population).
Because the aging population of those of Mexican ancestry is poised in particular to explode in coming years, policymakers in the U.S. as well as the rest of the Americas are becoming increasingly aware of the burgeoning health care needs of older people and the costs associated with those needs.
The new federal health care law in the United States has clearly changed the financing landscape, but how it will directly affect older Americans and minorities, including the Mexican-origin population, is unknown. While it represents the only realistic means of covering any substantial fraction of those who lack health and/or long-term care insurance, there are numerous uncertainties about the specifics of the new program for younger and older Americans alike. Other factors will affect the lives of Mexican-origin families and individuals as they face the burdens of decline in health status and caring for children and the elderly simultaneously.
The desire to preserve Latino family structures and traditions is part of a cultural identity that has strong emotional meaning, and this factor has to be considered in any discussion of future approaches to care for the elderly.
As Latinos find it necessary to juggle work and children, can these traditions of family caring for older parents survive? Is the traditional desire to care for our aging parents in our home matched by the ability to do so?
To address these critical issues, scientists will engage in a forum for leading thinkers on Latino health and aging at the University of Texas. The conference aims to provide much-needed information for researchers and policy makers to improve the health and long-term care of older Latinos in the United States and in Mexico.
The findings will inform our understanding of the institutional and social factors influencing long-term care costs, an issue that affects all of us. The forum also will give us new insights in areas where health and social service coordination is needed for Hispanic families and other vulnerable populations.
Fortunately, the celebration of Hispanic heritage, culture and contributions next month is a good occasion to begin a conversation and reflection on this looming problem.
Angel is a professor of public affairs and sociology at the LBJ School of Public Affairs. Her most recent book, co-authored by husband Ronald Angel, is ‘Hispanic Families at Risk: The New Economy, Work, and the Welfare State.'
Source:
Austin American-Statestan
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