title: Generational equity in America: a cultural historian's perspective.
abstract: This paper examines the issue of generational equity in America through the lenses of cultural history and social criticism. It argues that generational equity reflects broader problems of contemporary aging policy, whose troubles in turn reflect the decline of American military and economic power, the legitimation crisis of the liberal welfare state, and population aging. The question of justice between the young and the old is also linked to the 'spiritual situation of the age'--in particular to American culture's inability to provide convincing answers to existential concerns like the quality of life in old age, the unity of the life cycle, and the meaning of aging. Both communitarian and liberal approaches to generational equity presuppose a life course or lifespan perspective, whose unifying ideological power took shape historically in a bourgeois culture that provided widely shared images of the integrity of the life course. The social power of this perspective emerged over the last century, when the U.S., along with other Western democracies, institutionalized the life course by creating age-homogeneous schools for youthful preparation, employment for middle-aged productivity, and publicly funded retirement benefits for the aged. The ideal of a society legitimately ordered by the natural divisions of human lifetime is now under siege in large part because its view of old age is neither socially nor spiritually adequate and because the social meanings of life's stages are in great flux. In our century, vastly improved medical and economic conditions of old age have been accompanied by a loss of cultural meaning and vital social roles for older people.
authors.affiliation: Institute for the Medical Humanities, University of Texas Medical Branch, Galveston 77550.
authors.forename: T R
authors.initials: TR
authors.lastname: Cole
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003695:Delivery of Health Care / Q000266:history; D049673:History, 20th Century; D006801:Humans; D018579:Patient Selection; D040841:Resource Allocation; D012941:Social Responsibility; D012943:Social Security / Q000266:history*; D014481:United States