Was is just 4 days ago I posted a sort of breezy, lighthearted look at our new normal? (Surely you remember the new normal way to make a frozen cappuccino at home.) Unfortunately the weekend brought us back to lots of the old normal of name calling, blame laying, and old fashioned selfishness.
As more and more cities, counties, and states across the US and many other countries are falling under shelter in place orders, this from the letters to the editor section of the local paper is an example of what is unfortunately becoming a common response:
Once again, we are sacrificing the future of the young for the sake of the old. We could, at considerably less cost, attempt to keep the economy functioning at a high level, and safeguard seniors.
People over 70, and all those at high risk, regardless of age, should be banned, not encouraged, from leaving their homes. Resources should be made readily available to them: free delivery of groceries, medicines, even alcohol. Old people love “free.” They even exercised when Silver Sneakers was introduced, so I’m sure most would go along with this in an effort to save the country.*
More than other comments that follow every online article about the impact of the novel corona virus this letter struck me as a particularly insensitive read. I don’t know if I should preface this with “oddly enough” but oddly enough in Allegheny County, Pennsylvania, my home county and that of the letter writer, those over 65 testing positive with COVID-19 account for only 14% of the total, and the 25-49 age group made up 45% through Sunday, March 29. Perhaps the young adults also need some risk mitigation.
The writer’s cut-off age interested me. How did 70 become the magic number? Is that how old his or her parents are? Or grandparents? Is that the age the letter writer thinks is the average American’s life expectancy so anybody over that is in bonus time anyway? The average life expectancy in the U.S. is 78.7 years. Pennsylvania is a little less friendly to the elder crowd with an average life expectancy of 78.3 years. Perhaps the writer knows Allegheny County is stingier still with a 77.9 year expectancy. Still that is many years from 70. Maybe the writer is willing to sit at home for 7 years and 10 months now to get a head start on … on what I’m not exactly sure. (Life expectancy data generated by the Robert Wood Johnson Foundation.)
I have to admit I smiled a little at what the letter writer must think are the greatest concerns of our senior members of society – “grocery, medicine, even alcohol.” Is that what we are considering the new necessities of life? What, no free delivery of the TV Guide or People Magazine? Perhaps he or she should pick up a Bible. Whether in Matthew or Proverbs or Deuteronomy there are plenty of references to man not living by bread alone. Are the septuagenarians and older never to be allowed to worship as they wish? I suppose we dispense with their freedom of religion, not to mention that of speech and assembly. We will give them plenty of freedom of fear though. Oh, it’s supposed to be freedom FROM fear. My mistake. But hey, you gotta love that “even alcohol” tucked in at the end of the writers list of necessities. “With alcohol all things are possible” is the new battle cry, right after “wash your hands” or maybe “drink heavily and lick your hands.” I’m wondering if that might a window into our writer’s personal wish list of essential items he or she is having difficulty securing during our time of sheltering in place. The virtual happy hour is not so happy when you all you have left is the company and conversation.
But then the writer wants to take away company and conversation. He or she wants the oldest Americans “banned, not encouraged from leaving their homes.” Although the CDC is in fact encouraging seniors and those most vulnerable to remain indoors as much as possible, all health experts agree that isolation is itself a deterrent to healthy living. Valtorta and Hanratty* conclude “Lonely or isolated older adults are at greater risk for all-cause mortality,” and “The effect [of loneliness or isolation] is greater than that of other well-established risk factors for mortality such as physical inactivity and obesity, and comparable with cigarette smoking.” Clearly this is why among the list of permitted out of home activities (grocery shopping, medical appointments, and such) exercise is included.
The writer also seems a little confused about the cost of “free.” He or she singles out the Silver Sneakers program which is most often identified as a Medicare Advantage plan additional benefit available to Medicare recipients at age 65. I wonder if the writer realizes Medicare is not free. Even those plans on TV advertised as “zero premium” plans aren’t zero dollars. Those advertised premiums are in addition to the basic premium the government charges seniors. Medicare premium payments are withdrawn every month from the Social Security payment. In those odd instances when an individual receives Medicare but is not drawing Social Security benefits, a bill for direct payment is sent. (Something to keep in mind if Medicare for All mimics the current Medicare program. Free it isn’t.)
I’m most distressed over the assumption that we are “sacrificing the future of the young for the sake of the old.” What happened to “30 is the new 20,” “40 is the new 30,” “60 is the new 40?” There is no old, at least according the merchandisers there isn’t. Or wasn’t. “At what age do you begin to not care?” the cosmetics company asks. I suppose we should be asking, “at what age do you begin to not care about?” Considering that the 25 to 49 year olds are responsible for nearly half of the identified positive cases in the county should the under 18 group with less than 2% of all positive results be asking that largest group of infected individuals to be sequestered so the truly young’s future is not sacrificed for the sake of that of those older, even if those older aren’t what we might consider old? You know, geese and ganders and all that.
Over a spring weekend that saw nature act as normal bringing 17 tornadoes to the middle of America we need to stop following our own natural instincts and be better than normal. We need also to be nice. I could have been nicer myself and not used a few hundred words to disparage somebody’s Freedom of Speech. I’m sorry I wasn’t as nice as I want others to be. I’ll do my best not to let it happen again. Just not today.
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* This is the complete, unedited letter, “Keep Seniors Home,” to the editor, Pittsburgh Post-Gazette, March 30, 2020.
**Valtorta N, Hanratty B. Loneliness, isolation and the health of older adults: do we need a new research agenda?. J R Soc Med. 2012;105(12):518–522. doi:10.1258/jrsm.2012.120128
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