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I N T E R N A T I O N A L LO N G E V I T Y C E N T E R - U S A

I N T E R N A T I O N A L LO N G E V I T Y C E N T E R - U S A. The 2 nd Annual Healthy Aging Conference Bringing Together Family Caregivers Health Human Service Providers Senior Citizens September 29, 2009. Robert N. Butler, M.D. President and CEO International Longevity Center-USA

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I N T E R N A T I O N A L LO N G E V I T Y C E N T E R - U S A

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  1. I N T E R N A T I O N A L LO N G E V I T Y C E N T E R - U S A The 2nd Annual Healthy Aging Conference Bringing Together Family Caregivers Health Human Service Providers Senior Citizens September 29, 2009

  2. Robert N. Butler, M.D. • President and CEO • International Longevity Center-USA • Co-Chair • Alliance for Health and the Future • Professor of Geriatrics and Adult Development • Mount Sinai School of Medicine Adirondack

  3. WHY I WROTE THE LONGEVITY REVOLUTION • Status Report • After 50 years • Social-Economic, Medical, Political, Cultural Aspects • Address Paradox • Deal with: Misinformation, misunderstanding and myths. • Offer Solutions: Genuine Challenges • Agenda for Action • Sourcebook/Textbook/Public Education • Population Aging and Advancing Longevity Has Not Reached “Tipping Point.” Adirondack

  4. THE LONGEVITY REVOLUTION • 30 Years •  Advantage •  Disabilities •  Quality of Life • 17% of Increase: 65+ Adirondack

  5. THE LONGEVITY REVOLUTION • Great Human Achievement • But • Grave Concerns of Some • Economists, Policy-Makers, • Politicians and Pundits Adirondack

  6. CONCERNS • Can’t Afford Old People • Economic Stagnation • Intergenerational Conflicts Adirondack

  7. SOME SPECIFIC CHALLENGES • Chronic Illness (The New Longevity 65+) • Entitlements • Ageism Adirondack

  8. BIGGEST CHALLENGE OF ALL • Denial • Getting Attention of: • Policy-Makers and Politicians • Public • Baby Boomers • The “Tipping Point” Adirondack

  9. CONCERNS • Can’t Afford Old People • Economic Stagnation • Intergenerational Conflicts Adirondack

  10. CAN WE AFFORD OLD AGE • Health and Longevity •  Wealth • vs. • Economic Stagnation Adirondack

  11. HEALTH  WEALTH • Follow the Individual Through Life • Silver Industries Adirondack

  12. “SILVER INDUSTRIES”OR THE MATURE MARKET • Financial Services • Legal Services • Healthcare Services • Housing and Living Arrangements • Travel and Hospitality Adirondack

  13. INTERGENERATIONAL CONFLICTS • None • U.S. • and • France Adirondack

  14. SOP • STANDARD OPERATING PROCEDURE: • EXERCISE • DIET • NO TOBACCO • MODERATE ALCOHOL Adirondack

  15. EXERCISE • AEROBIC • STRENGTHENING • BALANCE • FLEXIBILITY • POSTURE Adirondack

  16. WALKING • PARTNERS • NEIGHBORHOOD • NEED: NATIONAL WALKING MOVEMENT • CLUBS Adirondack

  17. BALANCE • FALLS #12 CAUSE OF DEATH PEOPLE 65 Adirondack

  18. MUSCLES • QUADRICEPS •  • SQUATS • EVERY 2 DAYS Adirondack

  19. DIET • CALORIES 7-9 FRUITS AND VEGETABLES FISH ? MULTIVITAMINS VITAMIN D Adirondack

  20. CR MIMETIC • RESVERATROL •  • SIRTUINS Adirondack

  21. ALCOHOL • HUGE PROBLEM • 1 OF 4 • AMERICAN FAMILIES AFFECTED Adirondack

  22. SUPPORT GROUP • FRIENDS • AND • FAMILY • AND • SOCIAL NETWORK Adirondack

  23. PURPOSE • PASSION Adirondack

  24. MANAGING STRESS • Meditation • Yoga • Visualization • Mini-Vacation Adirondack

  25. BRAIN HEALTH • Physical Activity • Intellectual Stimulation • Social Interaction Adirondack

  26. LIFETIME EXERCISE • ELDER HOSTEL • LIFETIME LEARNING CENTERS (OSHER) Adirondack

  27. BASELINE • EDUCATION • MONEY • CULTURE Adirondack

  28. HEALTHCARE • THE BIG ISSUE Adirondack

  29. INADEQUATE ATTENTION • Structural Reform • Trained Workforce • Health Promotion and Disease Prevention • Chronic Disease Management • Research and Development • Drug Safety • Caregiving Adirondack

  30. HEALTH CARE EXPENDITURES PER CAPITAIN SELECTED COUNTRIES, 2002 * The U.S has the highest expenditures but the lowest life expectancy and highest infant mortality compared with these 3 countries. Adirondack

  31. THE QUALITY OF MEDICAL SERVICES VARIES WIDELY • 3% of hospital patients hurt by medical error. • 1 in 300 patients die from such mistakes • 90,000 people die from such mistakes. • 180,000 elderly outpatients die or harmed by drug toxicity. • 7,000 patients die annually from drug errors each year. • 554 errors in four months were found at one six-bed intensive care unit – 147 were potentially serious or life-threatening. Adirondack

  32. THE QUALITY OF MEDICAL SERVICES VARIES WIDELY • 55% of recommended care actually gets administered. • $2,000 annual cost to employers per insured worker, due to poor quality care. • Compiled by Forbes magazine, Sources Lucian Leape, New England Journal of Medicine, CDC; • Forbes, Journal of the American Medical Association, Institute of Medicine, Quality and Safety in • Health Care, RAND, Midwest Business Group on Health. • 2006 Mercer Health & Benefits LLC, all rights reserved. • Presentation by Alexander Domaszewicz, Health Care Consumerism and Account-Based • Strategies Symposium, Envisioning the Future, MetLife/ILC, Washington, DC, April 3, 2006. Adirondack

  33. ACTUAL CAUSES OF DEATH IN THE UNITED STATES IN 1990 AND 2000 Adirondack

  34. AMOUNT SPENT ON FEDERAL LOBBYING IN 2004, IN MILLIONS OF DOLLARS Adirondack

  35. AMOUNT SPENT ON FEDERAL LOBBYING IN 2004, IN MILLIONS OF DOLLARS Sources: Political Money Line; Secretary of the Senate; Clerk of the House * Includes abortion, environment and gun control groups. Adirondack

  36. TRAINED WORKFORCE • PEOPLE WANT TO STAY AT HOME AS LONG AS POSSIBLE • Paid Home Health Aides • ↓ • Nursing Shortages Adirondack

  37. STRUCTURAL REFORMS • From • Health Promotion and Disease Prevention • To • Long Term Care • To • End of Life Care Adirondack

  38. ADMINISTRATIVE COSTS • Medicare – 2% • Private Health Insurance: • Up to 20% Adirondack

  39. PRIVATE HEALTH INSURANCE • Marketing • Advertizing • Selling • Profits • Medicare Advantage – Costs 13% More Adirondack

  40. Redesigning Healthcare for All Americans • And An Older America • Not Really On • The Political Agenda Adirondack

  41. RESEARCH AND DEVELOPMENT • New Paradigm • ↓ • Basic Biology of Aging Adirondack

  42. See: • In Pursuit of the Longevity Dividend, Olshansky, Perry, Miller • and Butler, The Scientist, March 2006. • New Model of Health Promotion and Disease Prevention in the • 21st Century, The British Medial Journal, January 2008 Adirondack

  43. ALZHEIMER’S DISEASE • LITTLE PROGRESS • CENTURY OF THE BRAIN Adirondack

  44. THE FUTURE • BOOMERS: TRANSFORMATIVE BUT AT RISK • GENOMICS AND REGENERATIVE MEDICINE Adirondack

  45. INTERNATIONAL LONGEVITY CENTER • www.ilcusa.org • 60 East 86 Street • New York, NY 10028

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