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American Eldercide

How It Happened, How to Prevent It

A bracing spotlight on the avoidable causes of the COVID-19 Eldercide in the United States.
 
Twenty percent of the Americans who have died of COVID since 2020 have been older and disabled adults residing in nursing homes—even though they make up fewer than one percent of the US population. Something about this catastrophic loss of life in government-monitored facilities has never added up.
 
Until now. In American Eldercide, activist and scholar Margaret Morganroth Gullette investigates this tragic public health crisis with a passionate voice and razor-sharp attention to detail, showing us that nothing about it was inevitable. By unpacking the decisions that led to discrimination against nursing home residents, revealing how governments, doctors, and media reinforced ageist or ableist biases, and collecting the previously little-heard voices of the residents who survived, Gullette helps us understand the workings of what she persuasively calls an eldercide.
 
Gullette argues that it was our collective indifference, fueled by the heightened ageism of the COVID-19 era, that prematurely killed this vulnerable population. Compounding that deadly indifference is our own panic about aging and a social bias in favor of youth-based decisions about lifesaving care. The compassion this country failed to muster for the residents of our nursing facilities motivated Gullette to pen an act of remembrance, issuing a call for pro-aging changes in policy and culture that would improve long-term care for everyone.

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328 pages | 1 halftones | 6 x 9 | © 2024

Culture Studies

Medicine

Reviews

"In this latest of Gullette’s half-dozen books exploring aging and ageism, the Brandeis University scholar continues with her penchant for intriguing titles, such as 2017’s award-winning Ending Ageism: How Not to Shoot Old People, Rutgers University Press. But her satirical tongue isn’t even half way into her cheek with this deadly serious and meticulously researched new volume. In American Eldercide, Gullette documents tens-of-thousands unnecessary fatalities among older Americans during the COVID-19 pandemic. The book amounts to an indictment of greed in the U.S. health care system, and more fundamentally, the ageist attitudes permeating American culture."

Generations Beat Online

“A masterpiece. Gullette writes with passion, a critical eye, and an often-sly sense of humor. She shows, in devastating detail, how we as a society failed our elderly population—and the lessons we must learn in order to avoid a similar catastrophe in the future.”

Harry Moody, former Vice President for Academic Affairs, AARP

“With unflinching detail, American Eldercide indicts government indifference and failed regulation during the COVID pandemic. Poignant portraits of real people bring us face to face with individuals who are all our responsibility. This powerful book should be read by anyone who cares about public health, dignified aging, and government accountability.”

Katherine S. Newman, author of Downhill From Here: Retirement Insecurity in the Age of Inequality

“Unflinching and powerful. Through fierce and evocative prose, Gullette exposes the harsh realities many older adults faced during the COVID-19 pandemic and lays bare the systemic failures and personal tragedies that unfolded. American Eldercide underscores the urgent need to address ageism in our institutions—and ourselves.”

Tracey Gendron, author of Ageism Unmasked

“A remarkable and vivid description of one of the worst chapters in the history of nursing homes—orchestrated by corporate greed and profiteering. It is a wake-up call for the need for total reform or elimination of the institutions where older people are sent to die without dignity or care.”

Charlene Harrington, University of California, San Francisco

“In her incendiary new book, Gullette explains why the deaths of over 150,000 residents of nursing facilities were preventable, laying out the governmental failures and intersecting biases that legitimized their appalling abandonment. Ultimately, she places those lost residents where they rightly belong: at the center of a shared vision of a better future for us all.”

Ashton Applewhite, author of This Chair Rocks

American Eldercide should stand beside Betty Friedan’s Fountain of Age and Dr. Robert N. Butler’s Pulitzer Prize-winning Why Survive? Being Old in America as essential reading about aging and ageism in the U.S.. Incisively researched and compellingly written, Gullette's riveting volume underscores the vitality and resilience of so many older Americans, especially those too readily dismissed as expendable by our youth-obsessed medical-industrial complex.”

Paul Kleyman, Co-Founder and National Coordinator, Journalists Network on Generations

“The stories and interviews that Gullette presents in this book will grab your attention. Promoting dialogue about the deep ageism in society is vital to making meaningful improvements now, in policy and funding for long-term care settings such as nursing homes.”

Alice Bonner, Senior Advisor for Aging, Institute for Healthcare Improvement

American Eldercide pulls no punches exposing the greed of uncaring nursing home operators and misfeasance of the bureaucrats failing to protect countless vulnerable residents. It’s a stark warning about the pitfalls of aging, and a wake-up call to work for transformational change to keep us all from sharing the stories of Vera and so many others. Gullette offers a common-sense prescription for what would lead to aging with dignity.”

Richard T. Moore, co-founder of Dignity Alliance and former state legislator

Table of Contents

Part 1: Inside
Dedication
Prologue: Those We Lost
1. “Sweeping Up the Heart, the Morning after Death”

Part 2: Instead
2. Instead . . . The First Months of 2020
3. How Americans Learned to Accept That “the Old” Would Die
4. A Chasm Opens: Vital Youth vs. Moribund Age
5. Consequences
6. On Futility and “Miracles”
7. The Before Time

Part 3: Ahead
8. The Guardians of Later Life
9. In Search of the Missing Voices
10. The COVID Monument We Need
Epilogue: Reckonings

Appendix: Undercounting the Deaths of Residents
Acknowledgments
Notes
Index

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