Some of the most important barriers to developing
good public-health policy on ageing are
pervasive misconceptions, attitudes and assumptions
about older people. Although there
is substantial evidence that older people contribute
to society in many ways, they are instead
often stereotyped as frail, out of touch, burdensome
or dependent. These ageist attitudes limit the way problems are conceptualized,
the questions that are asked, and the capacity
to seize innovative opportunities. As a
starting point for policy-making, they often lead
to great emphasis on cost containment.
These outdated stereotypes extend to the
way we often frame the life course, assuming it is
inevitably categorized into fixed stages. In highincome
settings, these are typically early childhood,
studenthood, a defined period of working
age, and then retirement. Yet these are social
constructs that have little physiological basis.
The notion of retirement is relatively new, and for
many people in low- and middle-income countries
it remains abstract. The idea that learning
is something that should occur only during the
early stages of life reflects outdated employment
patterns in which a person trained for a role and,
with luck, worked at it for life, sometimes with a
single employer.
One consequence of this rigid framing of
the life course is that the extra years that accrue
from longevity are often considered as simply
extending the period of retirement. However,
if these extra years can be experienced in good
health, then this approach to how they might be
used is very limiting. For example, the anticipation
of living longer might allow people to raise
children and then start a career at age 40 or even
60, to change career paths at any stage in life, or
perhaps to choose to retire for a while at 35 and
then re-enter the workforce. Retirement itself
may evolve into choices that are less stark.
Excerpts taken from: WHO (2015) World Report on Ageing and Health, page 10
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