This paper examines the evolution of aging social policy in the United States over the past century, tracing how older Americans shifted from an economically disadvantaged group to an advantaged demographic and, most recently, to political "contenders" competing for limited public resources. It explores the political behavior of aged voters, the challenges of aging in place under ADA frameworks, and the foundational values embedded in landmark legislation such as the Social Security Act of 1935 and the Affordable Care Act of 2010. The paper also analyzes competing Republican and Democratic visions for Medicare and federal entitlements, framing the budget debate as fundamentally a clash of values about the role of government.
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The number of citizens above the age of 65 has expanded dramatically over the past 100 years. In 1900, the average life expectancy was just 47.3 years, but a child born in 2008 could expect to live an average of 30.8 additional years. From an economic perspective, the seniors alive 100 years ago were largely dependent on others for their survival, and this reality triggered policy changes that provided many advantages, including a safety net for retirees.
After World War II, the economy became robust enough that the aged began to experience a longer life expectancy and greater economic wealth. This resulted in the emergence of a politically powerful demographic capable of influencing public policy on its own. This process has been viewed as cyclical: public policies strengthened a specific demographic, and that demographic in turn protected and strengthened the policies that benefited them. At the beginning of the 21st century, however, the economic realities facing the United States once again forced the aged to compete with younger citizens for a piece of the economic pie. For this reason, the aged of the 21st century are being called contenders.
During the past 100 years, the aged have transitioned from disadvantaged to advantaged, and most recently to contenders. The contender status implies that the aged are in direct economic competition with other demographic groups for limited resources. This shift suggests that the privileged status the aged once enjoyed is being moderated by the right of children and younger citizens to share in the American dream.
The theory that aged Americans have transitioned through advantaged status to contender is supported by the fact that, as a voting bloc, they have had the highest rates of electoral participation since 1988. However, they represented only 16% of voters in the 2008 general election — suggesting that the attention politicians lavish on seniors is disproportionate to their share of available votes. This disproportionate attention stems in part from the perception that aged voters are more responsive to campaign messages, more accessible, and more predictable, because they are viewed as "program constituents." In other words, aged voters will vote to protect the policies that provide them with economic advantages, such as Social Security, Medicare, and other retirement programs.
In the 2010 midterm and 2012 general elections, aged voters predominantly supported Republican candidates, while voters under the age of 40 largely supported Democrats. This has been interpreted as a response to passage of the Patient Protection and Affordable Care Act of 2010 (ACA) and its characterization by the Republican Party. The negative framing — including allegations of "death panels" and cuts to Medicare — has been blamed for the sharp increase in Republican support among voters aged 65 and over. This pattern suggests that aged voters are indeed contenders in the 21st century, actively fighting back against perceived threats to the programs they depend on.
"ADA gaps and community-based aging policy needs"
Franklin Roosevelt stated that "…poverty in old age should not be regarded as a disgrace or necessarily as the result of a lack of thrift or energy…it is merely a byproduct of modern industrial life." While this sentiment may have lessened the moral burden the aged carried because of their poverty, it did little to alleviate that poverty in the short term. What the statement did communicate to the general public was the New Dealers' intent to attack the problem head on by reforming public policy toward the aged.
Until enactment of the Social Security Act of 1935 (SSA), the aged were widely viewed as "non-redeemable" — that is, incapable of earning their own way in life. This unique status helped the New Dealers pass the SSA because it appealed to the broadly held belief that the aged did not deserve to live in poverty. Imagined alternatives, such as leaving the aged entirely to their own devices or institutionalizing them, made most citizens uncomfortable — if not for the sake of the aged, then out of concern for their own future. The goal of the SSA was to provide enough support to reduce poverty among the aged while also granting them a measure of self-sufficiency and, by extension, self-respect.
"Demographic growth straining Medicare and ACA provisions"
"Republican vs. Democratic visions for entitlement programs"
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