Entering the older age brackets of life is associated in a great many cases with the onset of disability. Much of the material contained in this book is a recognition that this unassailable fact cannot be ignored, while simultaneously acknowledging that significant positive features also relate to the process of growing old. The ranks of individuals reaching the age of 65 increase by about 10,000 individuals every day and that growth is projected to continue over a 19-year period that began on January 1, 2011. As the population ages, the ratio of older adults to working-age adults, also known as the old-age dependency ratio, is projected to rise. By 2020, there will be just over three-and-a-half working-age adults for every retirement-age person, a ratio that will decline by 2060 to just under two-and-a-half working-age adults for every retirement-age person. Key facctors involving the provision of necessary health care services and figuring out how to pay for them are among the dominant policy issues analyzed in this book.
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