Discussion about this post

User's avatar
Rick Beeman's avatar

Jane, you've named something essential here — that the slow unfolding of ageing's limits gives leaders permission to retreat into silos where urgency should demand convergence.

In the U.S., that fragmentation isn't just inefficient. It's been monetized. People have been commoditized.

The for-profit healthcare industry — insurers, private equity firms, pharmacy benefit managers — has built a trillion-dollar architecture of extraction that depends on advocates, policymakers, and communities never aligning long enough to challenge it.

The question I keep returning to: if political rivals can sit knees-to-knees on a plane to stand with a grieving community, what would it take for those of us who believe that growing old should not mean growing expendable to find that same plane?

People have always been exploited and devalued in the service of profit.

But every generation that bent the moral arc closer to justice did so by refusing to look away. Tutu said, "If you are neutral in situations of injustice, you have chosen the side of the oppressor." The ageing field has been neutral long enough. The people we serve cannot wait for us to find it convenient to stand together.

Anthony Cirillo's avatar

Having worked alongside aging systems, I've seen how fragmentation erodes what sustained alignment could achieve. Divide and conquer doesn't seem to do it. The place to start is shared accountability structures — agreed metrics, joint reporting, and funding incentives that reward collective impact over individual visibility. But when you have organizations like WHO that have for years been held in high regard and now come under false scrutiny from my government, it is hard to settle on standards. Our Dept of Health and Human Services has now divided the country. Their recommendations are without scientific rigidity and hospital, physician, consumer groups and states are issuing their own guidelines. We are moving further apart here than together.

3 more comments...

No posts

Ready for more?