Friday, August 15, 2008

Does It Take a Village?

I've been working on a chapter about old age without children. Who does one turn to for medical care, practical help, and emotional support? If we had children, we would hope to get help from them, but since we don't, who will take care of us?

Some childless folks really aren't worried about it. They've got siblings and nieces and nephews to help them. Others count on church groups or friends. Still others say they have set aside enough money to pay for their care. But some of us just don't know what we're going to do if we end up old and alone. I think we all agree we want to stay out of nursing homes if we possibly can and we want to be self-sufficient. It would be nice to have adult children to take care of us, but there's no guarantee that they would be willing or able. Nor would we want to burden them with our troubles. So what should we do?

An increasingly popular option is to hook up with other aging men and women to take care of each other. This could be an informal arrangement: I'll be your emergency contact,and you'll be mine. It's important to make sure someone you trust has power of attorney and the legal right to make medical decisions if you can't. See your lawyer to set this up. A point to consider: If you're both the same age, one of you might become disabled and not be able to help the other. So cultivate some younger friends as well as your peers.

Some people are participating in a more formal arrangement. Have you heard of Beacon Hill Village? I hadn't either. It's actually a neighborhood of people over 50 who pay to join and share all kinds of services. The idea is to allow people to live in their own homes with dignity and the help they need. It sounds pretty good. Read about it. A couple other similar communities are Dupont Circle Village and Kalorama Village, whose link at www.kaloramavillage.org seems to be one of those that won't let you leave that page, so proceed with caution.

I think the most important thing is to have some sort of plan. Nobody really wants to be alone, unwell and unable to get help. That applies no matter what age you are.

Stay well!

1 comment:

french panic said...

This is a really tough problem. And not just for those without children - I live in Montreal, Quebec and my only sister lives in Tokyo, while my parents live in Alberta.

That's a 4.5 hour plane ride for me, and 14? 16? hours for my sister to get to where they are.

My husband's siblings are similarly scattered across the country/globe.

It's hard on our parents, having us so far away, and it's hard on us, especially as our parents are definitely getting older and definitely needing more help.

Yet another example that having children is NOT a guarantee that they are going to be around to help in old age! (No guarantees about being able to help financially, either...I would much rather contribute to my parents' or my own retirement fund than to my student loan debt!)