The Upside of Aging: How Long Life Is Changing the World of Health, Work, Innovation, Policy, and Purpose

Praise for THE UPSIDE OF AGING "In The Upside of Aging , Paul Irving assembles the leading thinkers to examine the most transformative demographic issue of our time. Conclusion: The future has begun and it's likely to be longer than you think and better than you expect." —Jane Pauley, award winning broadcast journalist and author, Your Life Calling "When have you seen the words 'aging' and 'upside' in the same sentence? This myth-busting book demolishes obsolete notions, illuminating profound opportunities for our communities, our society, and ourselves. Its hopeful message, grounded in reality, will change how you think—and even how you live." —Thomas Tierney, chairman and co-founder, The Bridgespan Group; former chief executive, Bain & Company "A treasure chest of research, insight, experience, and pragmatic ideas, this highly accessible book is indispensable for understanding—and responding creatively to— today's massive global demographic transformation." —David Bornstein, New York Times columnist and author, How to Change the World "An invaluable book. The Upside of Aging offers a fresh look at our later years. Its compelling insights reveal tremendous global opportunities that far outweigh the challenges arising from the convergence of longer lifespans and an aging population." —Jean Chatzky, bestselling author and financial editor, NBC's TODAY show " The Upside of Aging offers a wise counterpoint to the chorus of voices comparing the longevity revolution with some dire natural catastrophe: a 'tsunami' of elders about to overwhelm us. A collection of thought leaders show us how much we have to gain from all the years added to our collective life span. Optimistic, sensible and compelling, this book arrives at the perfect moment." —Ellen Goodman, Pulitzer Prize winning columnist, author, speaker, and commentator "A potent antidote to negative stereotypes about aging, this eye-opening book accentuates the many positives in longer lives and a longer-lived society. You will feel better just by reading it." —Harvey V. Fineberg, MD, PhD, president, Institute of Medicine

Foreword ( Michael Milken) Introduction:  Aging and Change – A New Day Is Coming ( Paul H. Irving) Preface:  The Rise of a Mature World: By the Numbers ( Paul H. Irving, President, The Milken Institute) Part One: Opportunities and Innovations Chapter 1:  Our Aging Population – It May Just Save Us All ( Laura L. Carstensen) Longevity is Here to Stay The Future of Aging Societies Senior Moments The Power of the Aging Brain Motivation, The Aging Brain’s Secret Weapon Tapping a Rich Resource Chapter 2:  Personalized Aging: One Size Doesn’t Fit All ( Pinchas Cohen) Personalizing Medicine Genomics: Sci–fi No longer Nutrition and Genes To Diet or Not? A Field in Its Infancy Let’s Prove It To Run or Walk? Supplemental Jury Out Looking Good, Feeling Good Conclusion Chapter 3:  The Bold New World of Healthy Aging ( Freda Lewis–Hall) The Mother of All Confluences A Data and Diagnosis Revolution Our New Guardian Angels A Golden Age of Medicines The New World of Vaccines Never Too Old––For Surgery Is That My Liver on the Printer? The Wild Card: Tackling Alzheimer’s We Have Met the Solution, and It Is Us Eight Days A Week—Only the Start Chapter 4:  Disruptive Demography : The New Business of Old Age ( Joseph F. Coughlin) Demographic Transition and the New Face of Old Age Mapping New Markets in an Aging Society Support Enabling Lifestyle Social Impact Summary Chapter 5:  A Longevity Market Emerges ( Ken Dychtwald) The Age Wave Marketplace What, Me––Old? 50–64: Middle Adulthood (Middlescence) 65–79: Late Adulthood 80+: Old Age I Am Not My Age Targeting Self–perception Show Them Something New The New Look of Longevity Aging and Experiences: Doing, Not Owning Comfort Matters The Psychology of Security and Safety Accommodating the Aging Body Vision Manual Dexterity The Age Wave Marketplace:  What’s Next? Fitting the New Form Chapter 6:  The New Global Economy, Through An Aging Lens ( Michael Hodin) Peril or Promise? Global Strides Toward Aging’s Upside It’s Just Good Business Long–Term Care Pharmaceuticals Diagnostics Treatment Prevention Travel and Transportation Financial Matters Creating Age–friendly Workplaces Embracing The Window Of Opportunity Part Two: A Changing Landscape Chapter 7:  Encore ––Mapping the Route to Second Acts ( Marc Freedman) Rethinking the Patio Life A New Stage of Life A Gap Year for Grown–Ups Highest Education Paying For The Encore Individual Purpose Accounts (and more) An Encore Bill The Freedom To Work Capitalizing On The Upside Chapter 8:  The Mature Workforce:Profiting from All Abilities ( Jody Heymann) A Shaky Foundation Revisiting Perceptions and Biases Deflating Age Discrimination Laying the Foundation Reaping the Economic Gains A Zero–Sum Game or an Intergenerational Win? A Rejuvenated Workforce The Space–Program Effect Chapter 9:  Boomer Philanthropists: A Golden Age Of Civil Society ( Susan Raymond) Philanthropy As Leadership Older and Kinder A Golden Age of Civil Society The Rising Role of Women Philanthropy and Ethnicity Reinforcing the Golden Age Conclusion Chapter 10:  A City for All Ages ( Henry Cisneros) Demography and Urban Destiny Aging In America’s Cities Aging and The Living Environment Fostering Independent Urban Lives Building The City For All Ages Regional Planning The Neighborhood Level Streets and Blocks The Urban Home A Strategy for Human Service Needs Conclusion Chapter 11:  Aging and Learning: The Future University ( Steven Knapp) Universities in the New World of Aging The Study of Aging Back To School Learning From Older Teachers and Scholars Conclusion Part Three: Perspectives and Possibilities Chapter 12:  Aging In A Majority–Minority Nation ( Fernando M. Torres–Gil) The Great Challenge The Political Tempest A Journey Of Ethnicity And Aging Boomers and Latinos – Demographic Destiny A Symbiotic Convergence The Common Ground Shifting Political Winds And Alliances Chapter 13:  Healthy Ageing and Well–being in Britain and the World ( Baroness Sally Greengross) Ageing in Britain Increased Pressure on a Fragile NHS Conquering Alzheimer’s Disease Advancing Age–Friendly Environments Eliminating Ageism Conclusion Chapter 14:  Financial Security: Longevity Changes Everything (Dan Houston) The New Retirement Off Track A Foundation for Success The Way Forward Challenging Workers, Employers and Advisors The Final Challenge Chapter 15:  New Transitions – A Changing Journey of Life and Health ( Philip A. Pizzo) The Life Continuum Knowing When to Change Contemplating Transformation A New Kind of Sabbatical Reaching for the Upside Chapter 16: Life Reimagined: The Second Aging Revolution ( A. Barry Rand) The Changes Behind the Change The First Aging Revolution Redefining The “Golden Years” Reimagining Life What Is Next? Afterword About The Authors Index

PAUL H. IRVING is president of the Milken Institute, where he leads initiatives to improve public health and aging across America and the world, expand capital access, and enhance philanthropic impact. Under his direction, the Institute produced the widely acknowledged Best Cities for Successful Aging index. Formerly CEO of a large professional services firm and a corporate lawyer, Irving remains actively involved in global business and charitable leadership in his "encore career."