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4 - Health status and old age

Published online by Cambridge University Press:  24 August 2009

John Macnicol
Affiliation:
London School of Economics and Political Science
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Summary

Introduction

The modern debate on age discrimination has in part been driven by the powerful argument that older people in advanced industrial societies now enjoy better health status than any previous generation. Intuitively, it would seem obvious that this must be so, and there appears to be much supporting evidence. For example, the economic historian Dora Costa, comparing Union Army records from the USA and recent health surveys, concludes that the health of Americans improved ‘remarkably’ over the course of the twentieth century, owing to the reduction in infectious diseases and occupational hazards, and that functional limitations among older men declined. In both Britain and the USA, death rates have fallen steadily over the past century, and life expectancy at birth has risen dramatically. Most adults can now expect to live healthy, active lives until aged well into their seventies.

‘Working capacity’ must, therefore, have improved, making it even more morally objectionable than ever to deny older people the right to employment, and a waged income higher than could be produced by any pension scheme. Improvements in survival rates should have increased the heterogeneity in health status that becomes more pronounced with the ageing process. It follows, therefore, that rigorous performance appraisal should be used to grade older workers according to their varying degrees of working capacity, rather than the crude age proxies employed in mandatory retirement policies.

Adding force to this argument is the changing nature of work.

Type
Chapter
Information
Age Discrimination
An Historical and Contemporary Analysis
, pp. 121 - 132
Publisher: Cambridge University Press
Print publication year: 2006

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  • Health status and old age
  • John Macnicol, London School of Economics and Political Science
  • Book: Age Discrimination
  • Online publication: 24 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550560.004
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  • Health status and old age
  • John Macnicol, London School of Economics and Political Science
  • Book: Age Discrimination
  • Online publication: 24 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550560.004
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Health status and old age
  • John Macnicol, London School of Economics and Political Science
  • Book: Age Discrimination
  • Online publication: 24 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511550560.004
Available formats
×