The Age of Dignity

October 27, 2014
Poo, director of the National Domestic Workers Alliance and recent winner of a MacArthur Fellowship, offers a critical examination of the current and near-future situation of the elderly and home care workers in the U.S., along with hopeful suggestions for improvement. In the first portion of this work, Poo combines statistics with the stories of individuals to give a multifaceted picture of the difficulties facing older Americans, their families, and their caregivers. With the population of Americans over the age of 85 now representing the country’s most rapidly growing demographic, she predicts that the demand for care workers and the challenges to our current “care labyrinth” will only increase. The book goes on to indict the U.S. medical system and government assistance programs for emphasizing the “delay of death, rather than the quality of life.” Meanwhile, elders’ family members, generally too busy to provide adequate care themselves, relegate the task to in-home care workers, many of them undocumented immigrants, who receive poor wages and virtually no benefits. For possible solutions, Poo looks abroad to programs like the “time dollar” currency credit of Japan, as well as to domestic programs like Naturally Occurring Retirement Communities. Overall, she makes a strong argument for a cultural and governmental shift toward valuing older citizens and providing them with opportunities for rich, full lives.

November 15, 2014
A fierce advocate for the rights of domestic workers examines two phenomena-a booming aging population in need of long-term care and the rising tide of undocumented immigrants-and finds not two problems but one great opportunity.National Domestic Workers Alliance director Poo is surprisingly optimistic in the face of what would seem to be tough problems for American society. With reams of statistics, she presents the facts about the coming increase in our aging population, and she points out that we can learn from other countries, namely Japan and Germany, that have already faced this situation and have been finding ways to cope with it. We can become a more caring nation by making certain cultural, behavioral and structural changes in our society, and Poo offers some specific models of change to build on. Some are technological developments; some are community-based projects; some are government programs currently being tested in a number of states. The author argues that just as the nation has built an infrastructure of roads and electricity, so can it build an infrastructure of care. The caregivers that the elderly must frequently most rely on are immigrants, "the invisible infrastructure" of our economy and our social fabric. Poo claims that we must create a way for undocumented caregivers to attain legal status, provide the training needed to raise the quality of care and improve their wages. She even outlines how the money could be raised to accomplish these goals. Her narrative is filled with stories of the lives and struggles of individual caregivers for the elderly that she has interviewed, and she provides photographs of her grandmother and other elderly women with their devoted caregivers. Three appendices provide further information on resources. This can-do book by an activist seeking to rouse the public into action has a lot to say to anyone who plans on getting old.

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January 1, 2015

As the baby boomer generation ages and life expectancy grows, the United States will continue to see a significant increase in elderly populations, which will require more caregivers and government support. Poo (director, National Domestic Workers Alliance; codirector, Caring Across Generations) successfully argues that now is the time to consider cultural, behavioral, and policy changes in how the elderly and those caregivers who support them are treated and regarded. In addition to providing background and statistical data on the increasing elderly population in America, the author thoroughly examines issues surrounding elderly caregivers, including the low wages they receive for an arguably demanding job, family members who care for their elders, immigrant populations frequently serving as caregivers and domestic workers, issues surrounding women being primary caregivers, and much more. Poo also discusses practical policy considerations that may address these issues and cultural attitudes or behaviors about these demographics, which she maintains should be further examined. Includes useful notes, appendixes, and photos. VERDICT Thoughtful, moving, and relatable, with numerous personal and professional anecdotes, Poo delivers a concise discussion recommended for readers interested in the social sciences or elder care.--Jennifer Harris, Southern New Hampshire Univ. Lib., Manchester

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