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How Long Should We Live?

Recently and rather infamously, Ezekiel Emanuel, Chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania and brother to Chicago’s own mayor Rahm Emanuel, wrote a piece for the Atlantic entitled Why I Hope to Die at 75.

Citing the physical and mental degeneration that often accompanies old age, Dr. Emanuel asserts in his essay that he will forego not only life-sustaining interventions such as dialysis, ventilators and defibrillators after the age of 75, but also simple diagnostic and preventative measures, like colonoscopies and flu shots.

Reading his essay, one gets the distinct impression that Dr. Emanuel doesn’t buy the notion of aging well — the idea that as we increase our lifespans, diet and exercise (both mental and physical) can delay the decline and disabilities we face as we age. Instead of what he calls “American immortality,” Dr. Emanuel espouses his “75 and no more” philosophy.

It was like the shot heard ‘round the world, prompting responses and rebuttals from all over the web. As you can imagine, such a provocative essay hit people where they live (pun intended.) When one imagines a long life, it comes with the caveat of being able to continue functioning fully, without descending into frailty or senility.

What got me, however, was Dr. Emanuel’s supposition that your creativity declines as you age — his assertion that the elderly have nothing left to give to society. I disagree. Heartily. And I am not alone. Our friends at Homecare Together, a Dublin-based quality home care agency, sent me this wonderful infographic, Life Begins at 60+, which presents examples of seniors who changed direction, reinvented themselves, gave back to the community, and prospered well into later-stage life.

Of course, not all of us will enjoy such a run, but it won’t happen without trying. I may not take drastic measures to prolong my life after 75, but I hope by the time I get there, with the help of an exceptional senior caregiver ( or perhaps a robot companion), an aged quality life full of vim, vigor, and creativity will be the rule and not the exception.

“Do not go gentle into that good night… Rage, rage against the dying of the light” — Dylan Thomas

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