Boomers' 'Delusion' About Health In Retirement | WAMU 88.5 - American University Radio
Filed Under:

Boomers' 'Delusion' About Health In Retirement

Play associated audio

Most baby boomers say they're planning on an active and healthy retirement, according to a new poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. And, in a switch from earlier years, more than two-thirds recognize the threat of long-term care expenses to their financial futures.

But some experts worry that when it comes to their health, boomers are still woefully unprepared — or worse, in denial.

"The mismatch between how people think the next 10 to 15 years is going to go and what current retirees experience is something that's very consistent," says Jeff Goldsmith, a health care futurist and author of The Long Baby Boom: An Optimistic Vision for a Graying Generation, a book about aging baby boomers. "There is no question that one distinguishing feature of our generation is this extraordinary, almost genetic optimism. And the poll results look to me like a lot of that optimism was drawn from a deep well of self-delusion."

Health And Exercise

For example, notes Goldsmith, only 13 percent of people over age 50 but not yet retired said they expect their health to be worse in retirement than it is currently. Yet 39 percent of retirees said their health is worse than it was in the five years before they retired.

"Hello," says Goldsmith. "That's what getting older is eventually about. We're all going to have serious health problems in retirement, and eventually really serious health problems."

Similarly, only 1 percent of those not yet retired said they expect the amount of exercise they get to decrease in retirement, while 34 percent of retirees said they actually are getting less exercise.

Boomers in the poll who haven't yet retired did say they are taking steps now to ensure good health when they do stop working. Seventy-two percent said they have increased their amount of physical activity or exercise; 68 percent said they have changed their diet or the food they eat, and 83 percent said they are watching their weight.

That's how Aimee and Randy Rolin, of Springfield, Va., both in their 50s, are preparing for their retired years.

"I've been working out for 20, 22 years now; and I plan on working out until I die," Randy says. "I hope to die healthy. ... Fast. Nice and healthy. Not laying in a bed somewhere."

"And we eat right," Aimee adds. "Most of the time."

Of course, good genes don't hurt. We caught up with the Rolins cheering on Randy's mother, Marcy, age 87, participating in the Wii bowling competition for the Northern Virginia Senior Olympics. Marcy, who won a bronze medal last year, this year won a silver.

But Goldsmith says the Rolins are more likely the exception than the rule when it comes to the physical state of the boomer generation.

"There's already evidence that people are starting into this retirement era with burdens," he says. "I mean a third of the generation is obese, and a third is overweight. And even though people talk a good game in terms of exercise, it's not clear the numbers actually support it."

That, he says, could mean a lot of additional health bills.

Long-Term Care

Another expensive need in older age is long-term care, including care in a nursing home, assisted-living facility, or home care.

The good news is that when it comes to long-term care, the boomers are considerably more aware of the possibility of the crushing cost than previous generations have been. More than two-thirds said they were very or somewhat likely to have trouble paying for long-term care if they or a spouse needed it. That's slightly more than the three-fifths who feared they might have trouble paying overall medical bills.

Judy Feder, a public policy professor at Georgetown University and an expert on long-term care, says she's not surprised that after decades of trying to educate the public on the need to prepare people for the cost of long-term care, the message is finally getting through.

"One of the reasons I think people have a better understanding of the likelihood of long-term care is that boomers are experiencing it with their parents, and that a lot of responsibility for helping people who need long-term care falls on children," Feder says. "So the older we boomers get, the more likely we are to have family members who need our help."

That's true of Jason Mitchell, 53, of Rockville, Md., who's in the process of purchasing private long-term care insurance for himself and his wife, Nina.

"A few years ago, my dad passed away at 89, and for the two years before passing away, we incurred some pretty high costs for private care," Mitchell says. "Luckily he had the means to pay for it, but I recognize it's probably a bigger risk as all of us are living longer."

One thing people don't recognize very well, however, is who pays for long-term care. In the poll, a majority of those both retired and not-yet-retired thought Medicare, private savings and private insurance would be the primary payers if they needed nursing home stays longer than 100 days. In fact, the primary payer for nursing home care across the nation is the joint federal-state Medicaid program. Yet that was identified as the most likely payer for their own long-term nursing care by only 7 percent of retirees and 10 percent of not-yet-retired boomers.

That's a potentially dangerous problem, says Robert Blendon of the Harvard School of Public Health, who worked on the poll, particularly as elected officials grapple with budget shortfalls at both the federal and state levels, and Medicaid is a key target.

"There's clearly going to be a very difficult moment," he says. "Because there's this very strong disconnect between, what would containing the Medicaid budget for long-term care mean to the reality of how many people are in long-term nursing home care [and] couldn't afford to be there without Medicaid paying those bills."

Copyright 2011 National Public Radio. To see more, visit http://www.npr.org/.

NPR

A Puzzle With Ch-Ch-Changes

Every answer is a word starting with "ch," and your clue will be an anagram of the word.
NPR

What If The World Cup Were Awarded For Saving Trees And Drinking Soda?

We thought you'd get a kick out of seeing how the four teams in the final World Cup matches stack up in global health and development.
NPR

What Will Become Of Obama's Request For Immigration Relief Funds?

NPR's Arun Rath talks to political correspondent Mara Liasson about the chances of a political agreement over how to handle the migration of thousands of Central American children.
NPR

Looking For Free Sperm, Women May Turn To Online Forums

Bypassing commercial sperm banks, thousands are logging on to websites where women can connect with men at no cost. Anecdotes abound, but the scope of the unregulated activity is unclear.

Leave a Comment

Help keep the conversation civil. Please refer to our Terms of Use and Code of Conduct before posting your comments.