Table of Contents

Welcome
Introduction

Section I: How We Got Here

• The New Scale of Aging
• Where Are All the older Adults?
• Aging Care in the Present: A Holdover from the Industrial Age
• Attempting to Address the Problem: The New Home
• Dealing with Governmental Bureaucracy
• Confronting the Care System for older Adults in the United States
• Care for older Adults Meets the Changing World

Section II: What is Really Happening

• Benescence: The Chronic State of Well Being
• Delivering and Paying for the State of Benescence
• The Law of Interchangeable Interventions

Section III: Our Future Aging Experience

• We’re Not Bankrupt: The Law of Interchangeable Interventions as a Lens to See the Future of Aging
• Business Enters the Stage
• The New World of Aging
• Government Aging Policy
• Aging Revealed
• The New Aging at Home in the Neighborhood

About the Author

David Dunkelman, M.S., J.D. was the founding President and CEO of The Harry and Jeanette Weinberg Campus, one of the US’s largest and most multifaceted campuses for older people. The campus was the first such organization to be named a winner of the national Peter F. Drucker Award for Innovation in Nonprofit Management.

Among his many individual awards are the Community Leadership Award from the Foundation for Jewish Philanthropies, Buffalo (2013), and the Dr. Evan Calkins Meritorious Service Award for “lifetime contributions to the field of aging,” presented by the Western New York Network in Aging, Inc. (2007).

Using creative problem-solving techniques developed at the State University of New York at Buffalo, Dunkelman has consulted nationally with more than 25 communities, helping them to develop strategic approaches to facility and programmatic design for older people. He writes and speaks about aging in America.

Martha Dunkelman, Ph.D., is a writer and editor who has written numerous articles, reviews, and brochures, as well as serving as book editor for an online periodical. She has also written and edited materials for the Educational Testing Service and the College Board. She has spent many years in teaching and administration as a professor at Wright State University, the University at Buffalo, and Canisius College.

Reviews

“David and Martha Dunkelman’s important book about aging affects every American by addressing this critical question: How can more Americans age in health and dignity in their own homes or in places designed better to meet their needs for care and community? I hope their experiences and thoughtful recommendations will be read and followed by both policy makers and concerned citizens, who can use their ideas to implement changes we all know we need.”
- Hillary Rodham Clinton

"This groundbreaking book highlights the impact of the deluge of older people on our broken healthcare system. The current financing system is a significant barrier to change and improvement. David’s 30 years of experience provide some important insights about how America can meet the challenge. It offers a realistic and practical path out of the current stagnation and denial."
- Richard Berman, Former Director of the office of Health Systems Management, New York State, former member of The US Prospective Payment Commission; and a member of The National Academy of Medicine/National Academy of Sciences (formerly known as the Institute of Medicine