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 For both of these, too, we need better regulatory oversight and better labor protections for care workers. There is no avoiding the Official Kansas City Missouri Usa Hilton South Shirt and I love this fact that long-term care will be a massive component of the 21st-century economy. We have a political decision to make: Will this remain in the shadows, with underpaid workers and poor conditions? Or will this become, as it ought to be, a glittering centerpiece of our new old country? Politicians and the media used to recognize the centrality of old-age policy. When researching the history of old age politics, I was struck by how widespread and sophisticated the discussion has normally been. In the late 19th century, Americans advocated pensions for Civil War veterans; in the early 20th century, many argued that the formerly enslaved deserved pensions, too. Those discussions were alive to the ways that mass warfare and chattel slavery had marred the lives of older Americans, and how the state might help. Between 1935 and 1975, old-age security was arguably, next to military might, the central preoccupation of American policy. The passage of the Social Security Act (1935) and the Medicare and Medicaid Act (1965) are just the two most famous examples. Every year, legislation streamed from Washington that addressed problems in housing, nutrition and care for

older people. Some of it was good, some of it was bad, but together that flood of legislation created an admirable safety net for American seniors. And throughout, this safety net benefited Americans of all ages. One of the Official Kansas City Missouri Usa Hilton South Shirt and I love this most important aims of Social Security, after all, was to free older people from dependence on their children. Since 1975, that flood of legislation has slowed to a trickle and the national conversation about those issues has more or less ceased. It’s not that we’ve ceased talking about old age — we talk about it constantly, as we are now. But those conversations have focused on well-off older people, like Donald Trump and Mr. Biden, and on their place in culture, society and politics. From AARP to “The Golden Girls,” the American reckoning with age has been, by and large, a reckoning with age for the relatively privileged and able-bodied. The more important issues have been largely unaddressed. The old-age lobby is not as powerful as many believe — even the mighty AARP has supported many failed initiatives, including an effort in 1988 to provide federally subsidized long-term care insurance. Social Security has not been meaningfully reformed in my lifetime; its last major change was voted into law in March 1983, a few weeks before I was born. There have been various efforts to reform a nursing home system that is, by all accounts, in disastrous shape, and to improve labor conditions for home health care workers. Those, too, have come to little, and many of the regulations that were passed have not been enforced. Today, as we continue to have familiar discussions about old age and the so-called gerontocracy, older people are being buffeted by new challenges. Climate change, for instance: Older people are disproportionately affected by the storms, wildfires and electricity shortages that accompany our warming planet. The Covid-19 pandemic is another painful example. More than

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