Tag: elderhood

Dr. Louise Aronson is a nationally recognized geriatrician, educator, and the bestselling author of Elderhood. As a professor of medicine at UCSF and a leading voice in aging and eldercare, Dr. Aronson challenges cultural and medical assumptions about growing older and advocates for a more nuanced, inclusive view of elderhood.

Recently on Varsity’s podcast, Roundtable Talk, host Derek Dunham and Dr. Aronson discussed why aging should be seen as a diverse, decades-long life stage. She highlighted the impact of ageism in healthcare, the value of intergenerational programs, and the need for better training and broader reforms to help older adults live fully.

The following are some fresh perspectives from the conversation. Check out the full episode here. 

WHAT INSPIRED YOU TO WRITE ELDERHOOD?

I wrote it in my 50s. I had had a good couple plus decades of career of seeing all the things that happened to older people, you know, for better and worse. I had aging parents. I had reached the stage of life where it occurred to me that this was going to happen to me as well. I didn’t see anything out there that quite had the empathy or the breadth I was going for. Then I came up with this notion of elderhood as a sort of equivalence to childhood and adulthood. And I thought that was a reframe that might be helpful for us both as individuals and as a society.

WHAT ARE SOME OF THE MOST DAMAGING CULTURAL NARRATIVES ABOUT AGING THAT YOU WISH YOU COULD REWRITE?

That old people don’t count or that we’re all the same after age 65. There’s some sort of primal fear that we’re not dealing with. I think when we equate old age with frailty and when we say being frail is inherently bad, we harm anyone who’s frail at any age. The people I know who live best in old age and die best in old age are ones who recognize their changes, adapt to those changes, and learn how to thrive within them.

WHAT DOES A MORE EMPOWERING AND INCLUSIVE VISION OF ELDERHOOD LOOK LIKE TO YOU?

It looks like an acknowledgement that it’s a many decades long, highly varied phase of life. I also think we need to empower people to embrace the difference instead of apologizing for the difference. It’s the only stage of life where people apologize all the time for existing, for not being able to do things.

WHAT ARE COMMON EXAMPLES OF AGEISM IN MEDICAL PRACTICE?

There’s people talking, using elder speak. Things like, “Oh dear. Let me help you with that, sweetheart,” which is just shocking and insulting and condescending. And then when the person doesn’t do well, they say they failed the treatment or they couldn’t tolerate the treatment.  Perhaps the most frequent one is either saying, “We’re not going to give you this because you’re 84,” or giving something dangerous to someone too frail to handle it.

QUOTES

“I realized that I really enjoyed taking care of older people for a series of reasons. One was you couldn’t really take care of the part without thinking about the whole.” (Dr. Aronson)

“I came up with this notion of elderhood as a sort of equivalence to childhood and adulthood. And I thought that was a reframe that might be helpful for us both as individuals and as a society.” (Dr. Aronson)

“It’s insulting. And when you see this in scientific studies, it absolutely lacks rigor, any evidence of truthfulness, and yet people do it all the time.” (Dr. Aronson)

“We harm our future selves because we create a self-creating, self-perpetuating fear.” (Dr. Aronson)

“It’s the only stage of life where people apologize all the time for existing, for not being able to do things.” (Dr. Aronson)

“Traits we all should have, but not all of us are lucky enough to get it. A sense of humor helps. So really basic things, because it’s very interesting.” (Dr. Aronson)

“There is just a baked-in bias that the people who need the services most are least important.” (Dr. Aronson)

“They blame old age for what was a failure to incorporate aging pharmacology and physiology into their treatment plan.” (Dr. Aronson)

“Training for all health professionals would be proportional to the amount of time they will be spending caring for that population.” (Dr. Aronson)

“Our system doesn’t give us what we want and needs to be totally restructured to prioritize health.” (Dr. Aronson)

NOTES

Dr. Louise Aronson is a geriatrician, educator, and bestselling author of Elderhood. A leading voice in redefining how we view aging, she brings decades of medical practice, personal insight, and cultural critique to her advocacy for older adults.

 Dr. Aronson is a professor of medicine at the University of California, San Francisco (UCSF), where she also directs the campus-wide Health Humanities Initiative. Her work integrates clinical care, education, and the humanities to advance eldercare.

Her book Elderhood reframes aging as a vital, complex life stage deserving the same recognition and nuance we give childhood and adulthood. She’s a thought leader on ageism in medicine and society, and frequently collaborates on innovations in intergenerational programs, healthcare reform, and policy.

Most people don’t plan to work with older adults—but it’s meaningful, intellectually rich, and deeply needed work.

The term “elderhood” positions aging as a legitimate, diverse, and multi-decade stage of life, much like childhood or adulthood.

Society often equates aging with decline, but many older adults thrive by adapting, staying engaged, and embracing their phase of life.

There’s a dangerous tendency to treat everyone over 65 as a monolith, despite the vast range of capabilities and needs.

Health care training devotes years to children and adults, but often just hours to older adults—despite them being the largest group needing care.

Ageism in medicine shows up in subtle and overt ways—from dismissive language to inappropriate treatments based solely on age.

Culture needs to stop writing off older adults; their stories, capabilities, and lives matter and should be reflected in how we design systems and spaces.

Dr. Aronson sees hope in younger generations and entrepreneurs bringing compassion and innovation into the “elder space,” as well as boomers advocating for their own aging experience.