The Long baby boom: An optimistic vision for a graying generation

The Long Baby Boom: An Optimistic Vision for a Graying Generation

Volumn , Issue , 2008, Pages 1-207

  Goldsmith, Jeff ^a  

^a UNIVERSITY OF VIRGINIA   (United States)

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EID: 84896428232     PISSN: None     EISSN: None     Source Type: Book    
DOI: None     Document Type: Book

References (277)

1. L. J. Kotlikoff and S. Burns, The Coming Generational Storm: What You Need to Know about America's Economic Future (Cambridge, Mass.: MIT Press, 2004), pp. xvii-xviii.
2. C. C. Mann, "The Coming Death Shortage", Atlantic Monthly 295, no. 4(2005):102.
3. G. Easterbrook, The Progress Paradox: How Life Gets Better While People Feel Worse (New York: Random House, 2003).
4. National Center for Education Statistics, U. S. Department of Education, Education Statistics Quarterly 1, no. 1 (Spring 1999).
5. Bureau of the Census, Census Questionnaire Content, 1990 CQC-13 (1990).
6. W. H. Frey, "Institute Review: Boomers in the 'Burbs", Milken Institute Review, no. 2(2000):85-91.
7. Bureau of the Census, Census Questionnaire Content, 1990 CQC-13.
8. Frey, "Institute Review: Boomers in the 'Burbs."
9. J. H. Makin, "Oil and Stagflation", American Enterprise Institute for Public Policy Research, Economic Outlook, AEI Online Publication, September 2004, p. 1.
10. E. Taylor, Prime-Time Families: Television Culture in Postwar America (Berkeley: University of California Press, 1989).
11. J. Leeds, "Iron Man Slows, and So Does the Industry", New York Times, June 25, 2006.
12. L. Steinhorn, The Greater Generation: In Defense of the Baby Boom Legacy (New York: St. Martin's Press, 2006).
13. Boston Women's Health Book Collective, Our Bodies, Ourselves (New York: Simon and Schuster, 1970).
14. Lt. Gen. Barry R. McCaffrey, Assistant to the Chairman of the Joint Chiefs of Staff, speech to Vietnam veterans and visitors gathered at "The Wall", Memorial Day 1993.
15. Reproduced in the Pentagram, June 4, 1993.
16. See J. Todd, Desertion: In the Time of Vietnam (New York: Houghton Mifflin, 2001), for the story of one of these expatriates.
17. D. P. Moynihan, Family and Nation: The Godkin Lectures, Harvard University (New York: Harcourt Brace Jovanovich, 1986).
18. D. Coupland, Generation X: Tales for an Accelerated Culture (New York: St. Martin's Press, 1991).
19. C. Davies et al., "A Changing Political Landscape as One Generation Replaces Another" (Washington, D. C.: AARP, 2004), p. 6.
20. J. Love, "Political Behavior and Values across the Generations: A Summary of Selected Findings", AARP Strategic Issues Research (2004). http://assets.aarp.org/rgcenter/general/politics-values.pdf.
21. C. Davies and J. Love, "Tracing Baby Boomer Attitudes Then and Now: A Comparative Look at the Attitudes of Baby Boomers in the 1970s and 2002", AARP Knowledge Management, August 2002. http://assets.aarp.org/rgcenter/ general/bbattitudes.pdf.
22. C. Keegan et al., "Boomers at Midlife 2003: The AARP Life Stage Study; Research Report" (Washington, D. C.: AARP, 2003).
23. U. S. Congress, Congressional Budget Office, "Baby Boomers' Retirement Prospects: An Overview", November 2003. www.cbo.gov/showdoc.cfm? index=4863&sequence=zer0.
24. J. Gist and K. Wu, "The Inequality of Financial Wealth among Boomers", AARP Public Policy Institute Data Digest, July 2004. www.aarp.org/research/assistance/incomedist/aresearch-import-885-DD100.html.
25. C. Keegan et al., "Boomers at Midlife 2004: The AARP Life Stage Study; Research Report" (Washington, D. C.: AARP, 2004). www.aarp.org/research/reference/publicopinions/Articles/aresearch-import-931. html.
26. S. Zapolsky, "Baby Boomers Envision Retirement II: Survey of Baby Boomers' Expectations for Retirement" (Washington, D. C.: AARP, 2004). http://research.aarp.org/econ/boomers-envision.pdf.
27. U. S. Department of Agriculture, Economic Research Service, Farm Policy, Farm Households, and the Rural Economy: Agricultural Policy Tools and Objectives, July 2005. www.ers.usda.gov/Briefing/Adjustments/policytools.asp.
28. A. M. Schlesinger, The Crisis of the Old Order, 1919-1933 (New York: Houghton Mifflin, 1958).
29. W. A. Achenbaum, Social Security: Visions and Revisions, A Twentieth Century Fund Study (Cambridge: Cambridge University Press, 1986), p. 16.
30. National Center for Health Statistics, National Vital Statistics Reports 52, no. 3 (September 18, 2003). www.cdc.gov/nchs.
31. Information Please Database, "Educational Attainment by Sex, 1910-2004", Pearson Education, Inc. (2005). www.infoplease.com/ipa/ A0779809.html.
32. Achenbaum, Social Security, p. 18-28.
33. Social Security Online, "Frequently Asked Questions." www.ssa.gov/history/age65.html.
34. Achenbaum, Social Security, p. 32-33.
35. A. M. Schlesinger, The Coming of the New Deal, 1933-35 (New York: Houghton Mifflin, 1958), p. 385-406.
36. J. A. Poisal, C. Truffer, S. Smith, et al., "Health Spending Projections through 2016: Modest Changes Obscure Part D's Impact", Health Affairs (Web Exclusive) 26, no. 2(2007):W248.
37. Pew Research Center, "Who Votes, Who Doesn't and Why", October 18, 2006. http://people-press.org/reports/display.php3?ReportID=292.
38. E. Porter, "Coming Soon: The Vanishing Work Force", New York Times, August 29, 2004.
39. See J. Goldsmith, "47 Million Hostages", Health Affairs online, September 13, 2007, for discussion of the diversity of the uninsured population and the political difficulties it presents. www.healthaffairs.org/blog/09/13/.
40. T. R. Marmor and J. L. Mashaw, "Fact and Fiction: The Contemporary Attack on Social Insurance in the United States", paper presented at the 2nd International Research Conference on Social Security Organized by the International Social Security Association, hosted by the National Insurance Institute, Jerusalem, Israel, January 25-28, 1998.
41. J. Love, "Political Behavior and Values across the Generations: A Summary of Selected Findings" (Washington D. C.: AARP, 2004), p. 9.
42. Democracy Corps, "Getting the Public to Listen", February 28, 2007. Special analysis of age patterns provided by Avi Zollman, September 10, 2007.
43. S. Zapolsky, "Baby Boomers Envision Retirement II: Survey of Baby Boomers' Expectations for Retirement" (Washington, D. C.: AARP, 2004).
44. D. Walker, Controller General of the United States, "Fiscal and Healthcare Challenges", presentation to Marwood Group, April 25, 2007.
45. The original age of eligibility for Social Security was gradually increased from age 65 by the Social Security Amendments of 1983. See Achenbaum, Social Security, p. 81-99, for the legislative history of this change.
46. OECD Statistics, "OECD Statistical Profile of Germany, 2006." http://stats.oecd.org/WBOS/ViewHTML.aspx?QueryName=182&QueryType= View&Lang=en.
47. Poisal et al., "Health Spending Projections through 2016."
48. L. J. Kotlikoff and S. Burns, The Coming Generational Storm: What You Need to Know about America's Economic Future (Cambridge, Mass.: MIT Press, 2004), p. 51.
49. Older people are not the sole beneficiaries of either program. According to the 2004 Report of the Trustees of Social Security, 7 million survivors of deceased Social Security beneficiaries and 8 million disabled workers and their dependents received Social Security benefits in 2003. Many of these beneficiaries are younger than age 65. Further, long-term Social Security disability recipients under age 65, as well as dialysis patients, receive Medicare benefits. Nevertheless, supporting older people is the core business of both programs. See "The 2004 Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds." www.ssa.gov/OACT/TR/TR04.
50. At least one catastropharian novel has dramatized the political moment when younger people wake up to this reality: Christopher Buckley's Boomsday (New York: Hachette Press, 2007). The book is highly recommended.
51. See Christine Cassel's Medicare Matters: What Geriatric Medicine Can Teach American Healthcare (Berkeley: University of California Press, 2005), for an eloquent statement of this argument.
52. "Social Security Poll Otherworldly", Wisconsin State Journal, March 19, 1997, p. 11A.
53. U. S. Census Bureau, Income, "Poverty and Health Insurance Coverage in the US, 2006." www.census.gov/prod/2007pubs/p. 60-233.pdf.
54. U. S. Census Bureau, "Census Bureau Revises 2004 and 2005 Health Insurance Coverage Estimates." www.census.gov/Press-Release/www/releases/ archives/health-care-insurance/009789.html.
55. K. Dychtwald, Age Power: How the Twenty-first Century Will Be Ruled by the New Old (New York: Tarcher/Putnam, 1999).
56. A. Lusardi and O. Mitchell, "Baby Boomer Retirement Security: The Roles of Planning, Financial Literacy and Housing Wealth", report prepared for Michigan Retirement Research Center and the Social Security Administration and presented at the University of Rochester, April 21-22, 2006.
57. See General Accountability Office (GAO), "Baby Boom Generation: Retirement of Baby Boom Generation Is Unlikely to Precipitate Dramatic Decline in Market Returns, But Broader Risks Threaten Retirement Security" (2006), for an analysis of baby boomer asset-use forecasts. www.gao.gov/highlights/ d06718high.pdf.
58. C. C. Mann, "The Coming Death Shortage", Atlantic Monthly 295, no. 4(2005):92-102.
59. U. S. Census Bureau, "Current Population Survey, Annual Social and Economic Supplement" (2003). www.bls.census.gov/cps/asec/sdata.htm.
60. AARP/RoperASW, "Staying Ahead of the Curve, 2003: The AARP Working in Retirement Study" (2003). http://assets.aarp.org/rgcenter/econ/ multiwork-2003.pdf.
61. J. Rowe and R. Kahn, Successful Aging (New York: Dell Publishing, 1998), p. 171.
62. J. S. Passel and R. Suro, "Rise, Peak, and Decline: Trends in U. S. Immigration, 1992-2004" (Washington, D. C., 2005). http://pewhispanic.org/ files/reports/53.pdf.
63. National Center for Health Statistics, "Chartbook on Trends in the Health of Americans" (2006), fig. 1-37, p. 91. www.cdc.gov/nchs/data/hus/ hus06.pdf.
64. "U. S. Population Reaches 300 Million", Wall Street Journal, October 17, 2006.
65. "History of the GI Bill." www.gibill.va.gov/education/GI-Bill. htm.
66. J. E. Kwoka and C. M. Snyder, "Dynamic Adjustment in the Higher Education Industry, 1955-1997", Review of Industrial Organization 24, no. 4(2003):355-78.
67. T. Caplow, L. Hicks, and B. Wattenberg, The First Measured Century: An Illustrated Guide to Trends in America, 1900-2000 (Washington, D. C.: American Enterprise Institute, 2001).
68. C. Conte and A. R. Karr, "An Outline of the U. S. Economy", U. S. Information Agency (2001). http://usinfo.state.gov/products/pubs/oecon/.
69. Bureau of Labor Statistics, "Employee Tenure in 2004." www.bls.gov/news.release/tenure.nr0.htm.
70. J. Schachter, "Why People Move: Exploring the March 2000 Current Population Survey", Current Population Reports, U. S. Census Bureau (2001). www.census.gov/prod/2001pubs/p23-204.pdf.
71. S. Poulos and D. Smith Nightingale, "Employment and Training Policy Implications of the Aging Baby Boom Generation" (Washington, D. C.: Urban Institute, 1997). www.urban.org/urlprint.cfm?ID=6558har.
72. C. Goldin, "The Long Road to the Fast Track: Career and Family", National Bureau of Economic Research, Working Paper 10331 (Cambridge, Mass., 2004).
73. W. H. Frey, "Institute Review: Boomers in the 'Burbs", Milken Institute Review, no. 2(2000):85-91.
74. D. Brooks, Bobos in Paradise: The New Upper Class and How They Got There (New York: Touchstone Books, 2000), p. 135.
75. "U. S. Job Satisfaction Keeps Falling, the Conference Board Reports Today", Conference Board, 2005 www.conference-board.org/utilities/ pressDetail.cfm?press-ID=2582.
76. B. Hagenbaugh, "U. S. Manufacturing Jobs Fading Away Fast", USA Today, December 12, 2002.
77. "Union Members in 2006", Bureau of Labor Statistics USDL 07-0113. www.bls.gov/news.release/pdf/union2.pdf.
78. P. Coy, "Old, Smart, Productive", Business Week, June 27, 2005, p. 78.
79. PBGC Public Affairs. "Companies Report a Record $353.7 Billion Pension Shortfall in Latest Filings with PBGC." www.pbgc.gov/media/news-archive/2005/pr05-48.html.
80. MedPac Survey of Employer-Sponsored Health Benefits, 2004, p. 64. www.medpac.gov/publications/congressional-reports/june05databookSec6.pdf.
81. C. Milner, "Re-visioning Retirement", Journal on Active Aging, July-August 2003, p. 31.
82. J. K. Morris, D. G. Cook, and A. G. Shaper, "Loss of Employment and Mortality", British Medical Journal 308, no. 6937(1994):1135-39.
83. American Association of Suicidology, "Elderly Suicide Fact Sheet" (2002). www.211bigbend.org/hotlines/suicide/SuicideandtheElderly. pdf.
84. AIG SunAmerica/Harris Interactive, "Revisioning Retirement" (2002). www.re-visioningretirement.com/PDF/completesurvey.pdf.
85. S. Zapolsky, "Baby Boomers Envision Retirement II: Survey of Baby Boomers' Expectations for Retirement" (Washington, D. C.: AARP, 2004).
86. Pew Research Center, "Working after Retirement: The Gap between Expectations and Reality" (2006). http://pewresearch.org/assets/social/pdf/ Retirement.pdf.
87. Author's analysis of P. F. Adams and P. M. Barnes, "Summary Health Statistics for the U. S. Population: National Health Interview Survey, 2004", National Center for Health Statistics, Vital Health Statistics, series 10, no. 229 (2006). www.cdc.gov/nchs/data/series/sr-10/sr10-229.pdf.
88. AARP/RoperASW, "Staying Ahead of the Curve 2003: The AARP Working in Retirement Study" (2003). http://assets.aarp.org/rgcenter/econ/multi work-2003.pdf.
89. AARP, "Boomers Envision Retirement."
90. K. Dychtwald, The Age Wave: How The Most Important Trend of Our Time Can Change Your Future (New York: Bantam Books, 1990).
91. AARP, "Staying Ahead of the Curve."
92. J. Zissimopolous and L. Karoly, "Work and Wellbeing among the Self-Employed at Older Ages", AARP Public Policy Institute (Washington, D. C.: AARP, 2007).
93. Bureau of Labor Statistics reported in J. B. Quinn, "Your Retirement: How to Land on Your Feet", Newsweek, February 14, 2005, p. 50.
94. S. Moffett, "Senior Moment: Fast-Aging Japan Keeps Its Elders on the Job Longer", Wall Street Journal, June 15, 2005.
95. B. Butrica and C. Uccello, "How Will Boomers Fare at Retirement?" Urban Institute (2004). www.urban.org/UploadedPDF/900767- boomers-retire ment.pdf.
96. R. B. Avery and M. S. Rendall, "Estimating the Size and Distribution of Baby Boomers' Prospective Inheritances", American Statistical Association, Proceedings of the Social Statistics Section (1993): 11-19.
97. K. Dychtwald, Workforce Crisis (Boston: Harvard Business School Press, 2006).
98. Bureau of Labor Statistics, "Current Population Survey, 2007", table A-4: Employment Status of the Civilian Population 25 Years and Over by Educational Attainment. www.bls.gov/webapps.legacy/cpsatab4.htm.
99. A. Carnevale and D. Desrochers, "Why Learning: The Value of Higher Education to Society and the Individual", ch. 5, Keeping America's Promise, Education Commission of the States (2004). www.ecs.org/ecsmain. asp?page=/html/educa tionissues/ECSStateNotes.as p.
100. J. C. Mihm, "Human Capital: Federal Workforce Challenges", Testimony before the Subcommittee on Financial Services and General Government, Committee on Appropriations, House of Representatives, March 6, 2007.
101. Managing Federal Recruitment: Issues, Insights, and Illustrations, a report to the President and the Congress of the United States by the U. S. Merit Systems Protection Board (2004).
102. General Accounting Office, "FAA Needs to Better Prepare for Impending Wave of Controller Attrition" (2002). www.gao.gov/new.items/ d02591.pdf.
103. Association of State and Territorial Health Officials, "State Public Health Employee Worker Shortage Report: A Civil Service Recruitment and Retention Crisis", December 2003. www.astho.org/pubs/Workforce-Survey- Report-2.pdf.
104. U. S. Department of Education, National Center for Education Statistics, Schools and Staffing Survey, "Public Teacher Questionnaire", "Charter Teacher Questionnaire", and "Private Teacher Questionnaire", 1999-2000. http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid= 2002313.
105. National Center for Education Information, "Profile of Teachers in the US 2005" (2005). www/ncei.com/Pot05PRESSREL3.htm.
106. M. Mandel, "What's Really Propping up the Economy", Business Week, September 25, 2006.
107. L. Briggs, "AORN 2000 Member/Nonmember Needs Assessment Results", AORN Journal 72(2000):586-90.
108. J. C. Goldsmith and N. Kaufman, "Between a Rock and a Hard Place: Physician Markets Create New Strategic Problems for Hospital", COR Healthcare Market Strategist (November 2004): 20-24.
109. D. K. Foot, R. P. Lewis, T. A. Pearson, and G. A. Beller, "Demographics and Cardiology, 1950-2050", Journal of the American College of Cardiology 35, no. 4(2000):1067-81.
110. Physician Compensation Report, "General Surgery Starts to See Shortage of Residents Due to Lifestyle, Pay Issues", April 2002. www.findarticles.com/p/articles/mi-m0FBW/is-4-3/ai-84408455.
111. Council on Graduate Medical Education, "Physician Workforce Policy Guidelines for the United States, 2000-2020", Sixteenth Report (2005). www.cogme.gov/16.pdf.
112. Association of American Medical Colleges, "The Physician Workforce: Position Statement" (2005). www.aamc.org/workforce/12704workforce.pdf.
113. Statement of C. Eugene Steuerle, Senior Fellow, Urban Institute, Codirector, Tax Policy Center, and Columnist, Tax Notes Magazine, Testimony before the House Committee on Ways and Means, May 12, 2005.
114. R. Florida, Flight of the Creative Class: The New Global Competition for Talent (New York: Harper Business, 2005), p. 11-13.
115. S. Moore and J. L. Simon, "The Greatest Century That Ever Was: Twentyfive Miraculous Trends of the Past 100 Years", Policy Analysis, no. 364 (Washington, D. C.: Cato Institute, 1999).
116. J. Oeppen and J. W. Vaupel, "Broken Limits to Life Expectancy", Science 296, no. 5570(2002):1029-31.
117. E. M. Gruenberg, "The Failures of Success", Milbank Memorial Fund Quarterly 55, no. 1(1977):3-24.
118. J. F. Fries, "Aging, Natural Death and the Compression of Morbidity", New England Journal of Medicine 303, no. 3(1980):130-35.
119. K. G. Manton, X. Gu, and V. Lamb, "Change in Chronic Disability from 1982 to 2004/2005 as Measured by Long Term Changes in Function and Health in the U. S. Elderly Population", PNAS 103, no. 48(2006):18374-79. www.pnas.org/cgi/doi/10.1073/pnas.0608483103.
120. J. P. Leigh and J. F. Fries, "Education, Gender and the Compression of Morbidity", International Journal of Aging and Human Development 39, no. 3(1994):233-46.
121. L. D. Kubzansky et al., "Is Educational Attainment Associated with Shared Determinants of Health in the Elderly? Findings from the MacArthur Studies of Successful Aging", American Psychosomatic Society 60, no. 5(1998):578-85.
122. J. C. Goldsmith, "Technologies and the Boundaries of the Hospital: Three Emerging Technologies", Health Affairs 23, no. 6(2004):149-56.
123. S. J. Shieh and J. P. Vacanti, "State-of-the-Art Tissue Engineering: From Tissue Engineering to Organ Building", Surgery 137, no. 1(2005):1-7;
124. M. Papadaki "Cellular/Tissue Engineering", Engineering in Medicine and Biology IEEE 23, no. 5(2004):84-90;
125. D. J. Mooney and A. G. Mikos, "Growing New Organs", Scientific American 280, no. 4(1999):60-65;
126. G. Q. Daley, M. A. Goodell, and E. Y. Snyder, "Realistic Prospects for Stem Cell Therapeutics", Hematology 1(2003):398-418.
127. S. Cohen and J. Leor, "Rebuilding Broken Hearts", Scientific American 291, no. 5(2004):45-52.
128. J. H. Herndon, "The Future of Orthopaedics", American Academy of Orthopedic Surgeons Bulletin 52, no. 3 (2004). www2.aaos.org/aaos/archives/ bulletin/jun04/fline3.htm;
129. American Society of Plastic Surgeons, "2000/2005/2006 National Plastic Surgery Statistics: Cosmetic and Reconstructive Procedure Trends." www.plasticsurgery.org/media/statistics/loader.cfrm?url=/commonspot/security/ getfile.cfm&PageID=23628.
130. T. Pearson, "The Prevention of Cardiovascular Disease: Have We Really Made Progress?" Health Affairs 26, no. 1(2007):49-60.
131. K. Safavi, Chief Medical Officer, Solucient, "By the Numbers: Emerging Trends in Hospital Services", presentation to Forum for Healthcare Strategists, Las Vegas, Nev., May 2006.
132. S. Dominus, "Life in the Age of Old, Old Age", New York Times Magazine, February 22, 2004.
133. U. S. Census Bureau, "Centenarians in the United States", Current Population Reports, Special Studies, July 1999. www.census.gov/prod/99/ pubs/p23-199pdf.
134. M. J. Hall, "2001 National Hospital Discharge Survey", Centers for Disease Control and Prevention, no. 332 (2003). www.cdc.gov/hchs/data/ad/ ad332.pdf.
135. C. C. Mann, "The Coming Death Shortage", Atlantic Monthly 295, no. 4(2005):92-102.
136. D. Goldman, B. Shang, et al., "Consequences of Health Trends and Medical Innovation for the Future Elderly", Health Affairs (Web Exclusive) 24, no. 2(2005):W5, R5-17.
137. This is why we urgently need a small but powerful federal agency to weigh the value of technological innovation in medicine, and inform coverage and payment decisions. Modeling the cost side of the technology equation is necessary but not sufficient for making policy. See G. Wilensky, "Developing a Center for Comparative Effectiveness Information", Health Affairs 25, no. 1(2006):174-85, and the discussion papers following.
138. D. Cutler, "The Potential for Cost Savings in Medicare's Future", Health Affairs (Web Exclusive) 24, no. 2(2005):W5, R77-80.
139. J. Lubitz et al., "Health, Life Expectancy and Health Care Spending among the Elderly", New England Journal of Medicine 349, no. 11(2003):1054.
140. S. Calfo, J. Smith, and M. Zezza, "Last Year of Life Study", September 17, 2004. www.cms.hhs.gov/statistics/lyol/default.as p.
141. J. Rowe and R. Kahn, Successful Aging (New York: Dell Publishing, 1998).
142. S. J. Olshansky, D. Passaro, R. Hershow, et al., "A Potential Decline in Life Expectancy in the United States in the Twenty-first Century", New England Journal of Medicine 352, no. 11(2005):1138-45.
143. K. E. Thorpe et al., "The Impact of Obesity on Rising Medical Spending", Health Affairs (Web Exclusive) (2004): W4, 480-86.
144. W. Gibbs, "Obesity: An Overblown Epidemic?" Scientific American 292, no. 6(2005):70-77.
145. K. M. Flegal et al., "Excess Deaths Associated with Underweight, Overweight, and Obesity", Journal of the American Medical Association 293, no. 15(2005):1861-67.
146. D. Lakdawalla, D. Goldman, and B. Shang, "The Health and Cost Consequences of Obesity among the Future Elderly", Health Affairs (Web Exclusive) 24, no. 2(2005):W5, R31-41.
147. R. Robinson, "Alzheimer's Disease", Gale Encyclopedia of Medicine (Gale Research, 1999).
148. L. E. Hebert et al., "Alzheimer Disease in the U. S. Population: Prevalence Estimates Using the 2000 Census", Archives of Neurology 60, no. 8(2003):1119-22.
149. See comment by Fernando Pico, Julien Labreuche, Pierre-Jean Touboul, Didier Leys, and Pierre Amarenco for the GENIC Investigators, "Intracranial Arterial Dolichoectasia and Small-Vessel Disease in Stroke Patients", Annals of Neurology 57, no. 4, (2005): 472-79.
150. J. Caballero and M. Hahata, "Do Statins Slow Down Alzheimer's Disease?" Journal of Clinical Pharmacy and Therapeutics 29, no. 3(2004):209-13.
151. B. J. Soldo, O. B. Mitchell, et al., "Cross-Cohort Differences in Health on the Verge of Retirement", University of Pennsylvania, Population Aging Research Center, Working Paper Series 0-13, September 2006.
152. R. Reich, Work of Nations: Preparing Ourselves for Twenty-first Century Capitalism (New York: A. A. Knopf, 1991).
153. R. Florida, The Rise of the Creative Class (New York: Basic Books, 2002).
154. World Intellectual Property Organization, Statistical Data Query: PCT International Applications (2007). www.wipo.int/ipstatsdb/en/stats.jsp.
155. National Science Foundation, "Science and Engineering Indicators, 2004", appendix table 6-11. www.nsf.gov/statistics/seind04.
156. M. Heylin, "Science Is Becoming Truly Worldwide", Chemical and Engineering News 82, no. 24(2004):38-41.
157. "What's Really Propping Up the Economy", Business Week, September 25, 2006, p. 55-62.
158. U. S. Congress, House of Representatives, Report by the House Small Business Committee, "Small Business Index, 2005, First Quarter", June 2005.
159. M. Wolk, "Small Business Having a Big Impact on Jobs", February 3, 2004, MSNBC.com.
160. J. A. Zoltan and C. Armington, "Endogenous Growth and Entrepreneurial Activity in Cities", U. S. Department of Commerce, Bureau of the Census, Center for Economic Studies, Working Paper (Washington, D. C., 2003).
161. U. S. Census Bureau, Department of Commerce, Washington, D. C., "Nonemployer Statistics, 2003", October 2005. www.census.gov/Press- Release/www/releases/acrhives/business-ownership/005784.html.
162. "Telework Trending Upward, Survey Says", WorldatWork press release, September 21, 2007. www.workingfromanywhere.org/news/pr020707.html.
163. J. P. Mello, "Home-Sourcing vs. Offshoring", January 26, 2005, CFO. com.
164. Fox News, "Telemarketing Goes Home", May 29, 2005, Foxnews.com.
165. M. Naumann, "Reporter Touts Benefits of Telecommuting" San Jose Mercury News, September 9, 2007.
166. E. Safirova and M. Walls, Resources for the Future, "What Have We Learned from a Recent Survey of Teleworkers? Evaluating the 2002 Southern California Association of Governments Survey", Discussion Paper 04-43 (Washington, D. C., 2004). www.rff.org/documents/RFF-DP-04-43.pdf.
167. M. J. Breslow et al., "Effect of an ICU Telemedicine Program on Clinical and Economic Outcomes", Critical Care Medicine 32, no. 1(2004):31-38.
168. R. G. Penner, P. Perun, and E. Steuerle, "Legal and Institutional Impediments to Partial Retirement and Part-time Work by Older Workers", Working Paper (Washington, D. C.: Urban Institute Press, 2002).
169. Age Discrimination in Employment Act of 1967, Pub. L. No. 90-202, 81 Stat. 602 (December 15, 1967)
170. codified as Chapter 14 of Title 29 of the United States Code, 29 U. S. C. §621
171. through 29 U. S. C. §634 (ADEA).
172. B. L. Atencio et al., "Nurse Retention: Is It Worth It?" Nursing Economics 21, no. 6(2003):262-68.
173. HSM Group, Ltd., "Acute Care Hospital Survey of RN Vacancy and Turnover Rates in 2000", Journal of Nursing Administration 32, no. 9(200):437-39.
174. "The Business Case for Workers Age 50+", Towers Perrin (2005). www.aarp.org/research/work/employment/workers-fifty-plus.html.
175. R. Stouffer, "Health Care Temps in Big Demand", Pittsburgh Tribune Review, March 9, 2005.
176. A. S. McCampbell, "Benefits Achieved through Alternative Work Schedules", Human Resource Planning 19, no. 3 (1996). www.allbusiness.com/ humanresources/583809-1.html.
177. J. R. Marshall et al., "Job Sharing and the Clinical Nurse Specialist Role", Nursing Management 24, no. 11(1993):78-80.
178. M. Freudenheim, "More Help Wanted: Older Workers Please Apply", New York Times, March 23, 2005.
179. K. Dychtwald, Workforce Crisis (Boston: Harvard Business School Press, 2006), p. 79.
180. Dawn Malone, Bon Secours Health System-Richmond, Human Resources, personal communication, February 28, 2007.
181. "Phased Retirement: IRS Regulations Leave Hurdles to be Overcome", Employment Policy Foundation, Washington, D. C., March 31, 2005.
182. W. M. Mercer, "Capitalizing on an Aging Workforce: Phased Retirement and Other Options", William Mercer and Company, April 2001.
183. S. F. Gale, "Phased Retirement", Workforce Management (2003). www.workforce.com/section/02/feature/23/47/31/.
184. Penner, Perun, and Steuerle, "Legal and Institutional Impediments."
185. R. Penner et al., "Letting Older Workers Work", Urban Institute, The Retirement Project, Brief Series no. 1 (Washington, D. C., July 2003).
186. John Bertko, Humana actuary, personal communication, March 18, 2005.
187. Health Care Policy Roundtable, "First Wave of Large Employers Opens the Door to Affordable Health Insurance for More than 1 Million Workers" (2005). www.hcpr.org/news/news-story.asp?ID=2251.
188. "Freelancers of the World, Unite!" Economist, November 9, 2006.
189. Also, personal communication, Sara Horowitz, Working Today, September 20, 2007. See their website, www.freelancersunion.org, for a listing of its offerings.
190. E. Porter, "Coming Soon: The Vanishing Work Force", New York Times, August 29, 2004.
191. L. E. Burman and J. Gruber, "Tax Credits for Health Insurance", Urban-Brookings Tax Policy Center (2005). www.taxpolicycenter.org/publications/ url.cfm?ID=311189.
192. For a description of Wyden's approach, see L. Meckler, "How Plans to Expand Health Coverage Could Affect Insured", Wall Street Journal, February 6, 2007.
193. V. R. Fuchs and E. J. Emanuel, "Health Care Reform: Why? What? When?" Health Affairs 24, no. 6(2005):1399-1414.
194. M. W. Serafini, "The Mass.-ter Plan", National Journal 38, no. 22 (2006). http://nationaljournal.com/pubs/nj/.
195. L. Belkin, "When Whippersnappers and Geezers Collide", New York Times, July 26, 2007.
196. Dychtwald, Workforce Crisis.
197. W. A. Achenbaum, Social Security: Visions and Revisions, A Twentieth Century Fund Study (Cambridge: Cambridge University Press, 1986), p. 192-93.
198. Microsoft, "Digital Workstyle: The New World of Work" (2005). http://download.microsoft.com/download/B/E/4/BE40F0BC-434B-487C-B788- 20052D75A3EC/NewWorldofWorkWP.doc.
199. P. Coy, "Old, Smart, Productive", Business Week, June 27, 2005, p. 81.
200. C. E. Steuerle, "Social Security and the Trustees Report: Statement before the Committee on the Budget", U. S. House of Representatives, June 19, 2002.
201. B. Butirca, K. Smith, and E. Steurle, "Working for a Good Retirement", Urban Institute Retirement Project, Discussion Paper 06-03 (Washington, D. C., 2006).
202. OECD, National Accounts Database (2006). www.oecd.org/dataoecd/48/4/ 37867909.pdf.
203. J. Poisal, C. Truffer, S. Smith, et al., 2007. "Health Spending Projections through 2016: Modest Changes Obscure Part D's Impact", Health Affairs (Web Exclusive) (2007): W248. www/healthaffairs.org/cgi/reprint/26/2/ W<->242.
204. L. J. Kotlikoff and S. Burns, The Coming Generational Storm: What You Need to Know about America's Economic Future (Cambridge, Mass.: MIT Press, 2004), p. 51.
205. R. H. Brook, "Perspectives on Medicare: Medicare Quality and Getting Older: A Personal Essay", Health Affairs 14, no. 4(1995):73-81.
206. T. Bodenheimer, R. A. Berenson, et al., "The Primary Care-Specialty Income Gap: Why It Matters", Annals of Internal Medicine 146, no. 4(2007):301-6.
207. See Christine Cassel's Medicare Matters: What Geriatric Medicine Can Teach American Health Care (Berkeley: University of California Press, 2005), for a discussion of Medicare's inadequate focus on chronic disease.
208. "A Profile of Caregiving in American, 2nd ed.", Pfizer Journal 9, no. 4(2005):9.
209. K. Dychtwald, Age Power: How the Twenty-first Century Will Be Ruled by the New Old (New York: Tarcher/Penguin, 1999), p. 146.
210. "Fear of Litigation Study", conducted by Harris Interactive, April 11, 2002. http://cgood.org/assets/attachments/68.pdf.
211. See also M. Mello et al., "Caring for Patients in a Malpractice Crisis: Physician Satisfaction and the Quality of Care", Health Affairs 23, no. 4, 42-53.
212. Statement of Glenn M. Hackbarth, Chairman, Medicare Payment Advisory Commission, Testimony before the Subcommittee on Health of the House Committee on Ways and Means, May 1, 2003.
213. Henry J. Kaiser Family Foundation, "Medicare Fact Sheet: The Medicare Prescription Drug Benefit" (2007). www.kff.org/medicare/upload/ 7044-06.pdf.
214. M. Moon, "Getting It Right: Issues for Medicare Reform", Testimony of Marilyn Moon, Urban Institute, prepared for Senate Finance Committee, June 6, 2003. Original cost estimates came from Fidelity Corp.
215. M. Fruedenheim, "Fewer Employers Totally Cover Health Premiums", New York Times, March 23, 2005.
216. J. Wennberg, et al., "Chronic Illness and the Problem of Supply-Sensitive Care", Dartmouth Atlas of Health Care (2006). www.dartmouthatlas.org/atlases/2006-Chronic-Care-Atlas.pdf.
217. C. Boccuti, M. Moon, and K. Dowling, "Policy Brief: Chronic Conditions and Disabilities; Trends and Issues for Private Drug Plans", Commonwealth Fund (2003). www.commonwealthfund.org/publications/publications- show.htm?doc-id=221565.
218. J. C. Goldsmith, Digital Medicine (Chicago: Health Administration Press, 2003).
219. J. H. Gurwitz et al., "Incidence and Prevalence of Adverse Drug Events among Older Persons in the Ambulatory Setting", Journal of the American Medical Association 289, no. 9(2003):1107-16.
220. University of Massachusetts Medical School, "Adverse Drug Events among Older Persons in the Outpatient Setting Are Common and Preventable" (2003). www.umassmed.edu/pap/news/2003/03-04-03.cfm.
221. MedPac, "A Databook: Healthcare Spending and the Medicare Program" (2006). www.medpac.gov/publications/congressional-reports/ Jun06DataBook-Entire-report.pdf.
222. Merritt, Hawkins and Associates. "2004 Survey of Physicians 50-65 Years Old", Summary Report. www.merritthawkins.com/pdf/2004-physician50- survey.pdf.
223. For a superb discussion of the history and politics of Medicare's payment changes, see R. Mayes and R. Berenson, Medicare Prospective Payment and the Shaping of U. S. Health Care (Baltimore: Johns Hopkins University Press, 2007).
224. K. Davis, M. Moon, et al., "Medicare Extra: A Comprehensive Benefit Option for Medicare Beneficiaries", Health Affairs (Web Exclusive) (October 2005): W5, 442-53.
225. See A. H. Goroll, R. A. Berenson, et al. 2007. "Fundamental Reform of Payment for Adult Primary Care: Comprehensive Payment for Comprehensive Care", Journal of General Internal Medicine, 22(3):410-15, for a detailed discussion of this approach.
226. See C. Sia, T. Tonniges, et al. 2004, "A History of the Medical Home Concept", Pediatrics 113, no. 4(2004):1473-78, for a comprehensive review of this evolving idea.
227. Kaiser Family Foundation, "Health Insurance Coverage in America: 2005 Data Update", November 2006. www.kff.org/uninsured/upload/2005Data Update.pdf.
228. J. M. McWilliams, E. Meara, A. Zaslavsky, and J. Ayanian, "Use of Health Services by Previously Uninsured Medicare Beneficiaries", New England Journal of Medicine 357, no. 2(2007):150.
229. Cassel, Medicare Matters, p. 109.
230. McWilliams, Meara, Zaslavsky, and Ayanian, "Use of Health Services by Previously Uninsured Medicare Beneficiaries."
231. W. A. Achenbaum, Older Americans, Vital Communities: A Bold Vision for Societal Aging (Baltimore: Johns Hopkins University Press, 2005), p. 81.
232. V. Villagra and T. Ahmed, "Effectiveness of a Disease Management Program for Patients with Diabetes", Health Affairs 23, no. 4(2004):255-66;
233. F. A. McAlister, F. M. E. Lawson, et al., "A Systematic Review of Randomized Trials of Disease Management Programs in Heart Failure", American Journal of Medicine 10(2001):378-84.
234. L. J. Kotlikoff and S. Burns, The Coming Generational Storm: What You Need to Know about America's Economic Future (Cambridge, Mass.: MIT Press, 2004), p. 51.
235. See "Bush's Plan for Social Security", February 2, 2005, CNNMoney.com. http://money.cnn. com/2005/02/02/retirement/stofunion-socsec/ index.htm, for a summary of key points of this proposal.
236. B. Basler, "Changing Social Security: Will Young People Go for It?" AARP Bulletin Online (2005). www.aarp.org/bulletin/socialsec/ss- younggen.html.
237. Economic Policy Institute, "Social Security; Facts at a Glance" (2005). www.epinet.org/content.cfm/issueguide-socialsecurityfacts.
238. C. Davies et al., "A Changing Political Landscape as One Generation Replaces Another" (Washington, D. C.: AARP, 2004), p. 9.
239. Social Security Administration Online, "Actuarial Publications: Trust Fund Data." www.ssa.gov/OACT/STATS/table4a1./html. Data are for the year 2006, as of February 2007.
240. See A. Sloan, "Social Security: A Daring Leap", Newsweek, February 14, 2005, p. 41-44, for a comprehensible discussion of the Social Security funding problem.
241. "Getting the Public to Listen", Democracy Corps, Washington, D. C., February 28, 2007.
242. E. Steuerle, "2005 Lifetime Medicare Tables", and "2005 Lifetime SS Tables" (Washington, D. C.: Urban Institute, 2005).
243. J. Gohkale and K. Smetters, "Fiscal and General Imbalances: New Budget Measures for New Budget Priorities", Federal Reserve Bank of Cleveland, Policy Discussion Paper, March 2002.
244. C. Isidore, "The Zero Savings Problem", CNN/Money (2005). http://money.cnn. com/2005/08/02/news/economy/savings/?cnn=yes.
245. G. Mermin, "Reforming Social Security through Price and Progressive Price Indexing", Urban Institute (2005). www.urban.org/UploadedPDF/900903- reforming-ss.pdf.
246. M. Favreault, G. Mermin, et al., "Minimum Benefits in Social Security Could Reduce Aged Poverty", Urban Institute, The Retirement Project, no. 11 (Washington, D. C., 2007).
247. J. Gist and K. Wu, "The Inequality of Financial Wealth among Boomers", AARP Public Policy Institute Data Digest, July 2004;
248. M. Zuckerman, "A 'Cure' Worse than the Cold", U. S. News and World Report (2005), www.usnews.com/usnews/opinion/articles/050131/31edit.htm.
249. G. Burtless, "Increasing the Eligibility Age for Social Security Pensions", Brookings Institution, Testimony before Senate Special Committee on Aging, July 15, 1998.
250. U. S. Government Accountability Office, "Disability Insurance; SSA Should Strengthen Its Efforts to Detect and Prevent Overpayments", Report to the Chair, Committee on Finance, U. S. Senate (2004). www.gao.gov/new.items/ d04929.pdf;
251. A. B. Krueger, "Disability Insurance Side of Social Security Raises Questions", New York Times, March 3, 2005.
252. Krueger, "The Disability Insurance Side of Social Security Raises Some Questions."
253. M. Moore, "Social Security Reform: Looking at the Options", National Center for Policy Analysis, no. 504 (Dallas, Tex., 2005).
254. P. R. Orszag, "Should a Lump Sum Payment Replace Social Security's Delayed Retirement Credit", Center for Retirement Research at Boston College, An Issue in Brief, no. 6 (Boston, April 2001).
255. L. Etheredge, "Three Streams, One River: A Coordinated Approach to Financing Retirement", Health Affairs 18, no. 1(1999):80-91.
256. Statement of C. Eugene Steuerle, Senior Fellow, Urban Institute, Codirector, Tax Policy Center, and Columnist, Tax Notes Magazine, Testimony before the House Committee on Ways and Means, May 12, 2005.
257. "A Long, Long Life", Economist, March 27, 2004.
258. K. Ignagni, Testimony on Long-Term Care and Medicaid: Spiraling Costs and the Need for Reform, before the U. S. House Committee on Energy and Commerce Subcommittee on Health, April 27, 2005.
259. Etheredge, "Three Streams, One River."
260. T. L. Friedman, The World Is Flat (New York: Farrar, Straus and Giroux, 2005).
261. D. Gross, "Cigarettes, Taxes and Thin French Women", New York Times, July 24, 2005.
262. P. Longman, "The Best Care Anywhere", Washington Monthly, January-February 2005. www.washingtonmonthly.com/features/2005/0501.longman. html;
263. J. B. Perlin, R. M. Kolodner, and R. H. Roswell, "The Veterans Health Administration: Quality, Value, Accountability, and Information as Transforming Strategies for Patient-Centered Care", American Journal of Managed Care 10, no. 2(2004):828-36.
264. Interagency Council on the Homeless, "The Forgotten Americans: Homelessness; Programs and the People They Serve", National Survey of Homeless Assistance Providers and Clients, National Coalition for Homeless Veterans, Washington, D. C. (1999).
265. "Returning to the Nest", Baltimore Sun, February 29, 2004. www.theeagle.com/businesstechnology/022904returnnest.htm;
266. "Boomerang Kids Keep Coming Home", CBS Evening News, January 9, 2004, www.cbsnews.com/stories/2004/01/08/eveningnews/main/592186.shtml.
267. J. Deparle, American Dream (New York: Penguin Group, 2004).
268. Internal Revenue Service, "EITC Information and Resources for Individuals." www.irs.gov/individuals/article/0, id=96406, 00.html.
269. R. V. Burkhauser and J. F. Quinn, "Implementing Pro-Work Policies for Older Americans in the Twenty-first Century", paper prepared for the U. S. Senate Subcommittee on Aging, Forum on Older Workers (1997).
270. R. M. Henig, "Will We Ever Arrive at the Good Death?" New York Times Magazine, August 7, 2005, p. 26-36, 40, 68.
271. See Judith Turiel's passionate and useful treatise on these issues. J. Turiel, Our Parents, Ourselves (Berkeley: University of California Press, 2005).
272. S. Beider, "An Ethical Argument for Integrated Palliative Care", Evidence-Based Complementary Alternative Medicine 2, no. 2(2005):227-31.
273. "High Court Upholds Oregon Assisted-Suicide Law", MSNBC, January 18, 2006. www.msnbc.msn. com/id/10891536.
274. U. S. Department of Health and Human Services, "Physical Activity and Health: A Report of the Surgeon General" (Atlanta: U. S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996).
275. Cynthia Kenyon, University of California, San Francisco, personal communication, May 3, 2005.
276. L. Eisenberg, The Number: A Completely Different Way to Think about the Rest of Your Life (New York: Free Press, 2006).
277. "The Entitlement Panic", editorial, Wall Street Journal, August 22, 2006.