2:24am

Wed September 28, 2011
Life In Retirement: The Not-So-Golden Years

Boomers 'Delusion' About Health In Retirement

Originally published on Wed September 28, 2011 12:11 pm

Most baby boomers say they're planning on an active and healthy retirement, according to a new poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. And, in a switch from earlier years, more than two-thirds recognize the threat of long-term care expenses to their financial futures.

But some experts worry that when it comes to their health, boomers are still woefully unprepared — or worse, in denial.

"The mismatch between how people think the next 10 to 15 years is going to go and what current retirees experience is something that's very consistent," says Jeff Goldsmith, a health care futurist and author of The Long Baby Boom: An Optimistic Vision for a Graying Generation, a book about aging baby boomers. "There is no question that one distinguishing feature of our generation is this extraordinary, almost genetic optimism. And the poll results look to me like a lot of that optimism was drawn from a deep well of self-delusion."

Health And Exercise

For example, notes Goldsmith, only 13 percent of people over age 50 but not yet retired said they expect their health to be worse in retirement than it is currently. Yet 39 percent of retirees said their health is worse than it was in the five years before they retired.

"Hello," says Goldsmith. "That's what getting older is eventually about. We're all going to have serious health problems in retirement, and eventually really serious health problems."

Similarly, only 1 percent of those not yet retired said they expect the amount of exercise they get to decrease in retirement, while 34 percent of retirees said they actually are getting less exercise.

Boomers in the poll who haven't yet retired did say they are taking steps now to ensure good health when they do stop working. Seventy-two percent said they have increased their amount of physical activity or exercise; 68 percent said they have changed their diet or the food they eat, and 83 percent said they are watching their weight.

That's how Aimee and Randy Rolin, of Springfield, Va., both in their 50s, are preparing for their retired years.

"I've been working out for 20, 22 years now; and I plan on working out until I die," Randy says. "I hope to die healthy. ... Fast. Nice and healthy. Not laying in a bed somewhere."

"And we eat right," Aimee adds. "Most of the time."

Of course, good genes don't hurt. We caught up with the Rolins cheering on Randy's mother, Marcy, age 87, participating in the Wii bowling competition for the Northern Virginia Senior Olympics. Marcy, who won a bronze medal last year, this year won a silver.

But Goldsmith says the Rolins are more likely the exception than the rule when it comes to the physical state of the boomer generation.

"There's already evidence that people are starting into this retirement era with burdens," he says. "I mean a third of the generation is obese, and a third is overweight. And even though people talk a good game in terms of exercise, it's not clear the numbers actually support it."

That, he says, could mean a lot of additional health bills.

Long-Term Care

Another expensive need in older age is long-term care, including care in a nursing home, assisted-living facility, or home care.

The good news is that when it comes to long-term care, the boomers are considerably more aware of the possibility of the crushing cost than previous generations have been. More than two-thirds said they were very or somewhat likely to have trouble paying for long-term care if they or a spouse needed it. That's slightly more than the three-fifths who feared they might have trouble paying overall medical bills.

Judy Feder, a public policy professor at Georgetown University and an expert on long-term care, says she's not surprised that after decades of trying to educate the public on the need to prepare people for the cost of long-term care, the message is finally getting through.

"One of the reasons I think people have a better understanding of the likelihood of long-term care is that boomers are experiencing it with their parents, and that a lot of responsibility for helping people who need long-term care falls on children," Feder says. "So the older we boomers get, the more likely we are to have family members who need our help."

That's true of Jason Mitchell, 53, of Rockville, Md., who's in the process of purchasing private long-term care insurance for himself and his wife, Nina.

"A few years ago, my dad passed away at 89, and for the two years before passing away, we incurred some pretty high costs for private care," Mitchell says. "Luckily he had the means to pay for it, but I recognize it's probably a bigger risk as all of us are living longer."

One thing people don't recognize very well, however, is who pays for long-term care. In the poll, a majority of those both retired and not-yet-retired thought Medicare, private savings and private insurance would be the primary payers if they needed nursing home stays longer than 100 days. In fact, the primary payer for nursing home care across the nation is the joint federal-state Medicaid program. Yet that was identified as the most likely payer for their own long-term nursing care by only 7 percent of retirees and 10 percent of not-yet-retired boomers.

That's a potentially dangerous problem, says Robert Blendon of the Harvard School of Public Health, who worked on the poll, particularly as elected officials grapple with budget shortfalls at both the federal and state levels, and Medicaid is a key target.

"There's clearly going to be a very difficult moment," he says. "Because there's this very strong disconnect between, what would containing the Medicaid budget for long-term care mean to the reality of how many people are in long-term nursing home care [and] couldn't afford to be there without Medicaid paying those bills."

Copyright 2013 NPR. To see more, visit http://www.npr.org/.

Transcript

STEVE INSKEEP, Host:

Most people over 50 think they're likely to be healthier and more active in retirement than their parents were. That's what people said in a poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. But people may be wrong. Some experts worry that the generation now approaching retirement may actually be less healthy in old age and that could have serious financial consequences for the nation as a whole. NPR's Julie Rovner reports.

JULIE ROVNER: If you want to see what it means to live a long and active life, look no further than the rec room at the Greenspring Village Retirement Community in Springfield, Virginia.

(SOUNDBITE OF VIDEO GAME)

ROVNER: This is the Wii bowling competition for the Northern Virginia Senior Olympics. Up now, the 80 to 99 age group. Given these competitors' age, organizers are making a few accommodations.

HELEN DEARDORFF: Sir, can I hold onto a chair or something?

UNIDENTIFIED MAN: You can hold a chair if you want to. I can set that chair up here for you if you like.

ROVNER: The bowler in Helen Deardorff. She turns 90 this week. She also won a silver medal. Now, clearly these folks are the cream of the crop of their generation when it comes to living long and well, but a majority of the generation following them think they're going to follow in those same footsteps, at least according to our poll. Take Amy and Randy Rolin. They came to Greenspring last week to cheer on Randy's mother, Marcy.

(SOUNDBITE OF CHEERING)

ROVNER: Marcy's competing in the 80 to 90 age group. Amy and Randy are both in their 50s and say they're working now to prepare for a healthy old age. Randy, for example, says he runs and works out every day.

RANDY ROLIN: I've been working out for 20, 22 years now, 22 years. And I plan on working out until I die. I hope to die healthy, fit, fast, nice and healthy, not laying in a bed somewhere.

AMY ROLIN: And we eat right.

ROLIN: Yeah, and eating right, yeah.

ROLIN: And we eat right most of the time.

ROVNER: But many boomers who haven't retired yet may be in for something of a rude surprise.

GILLIAN STEELFISHER: Health and exercise are some of the places where we see the biggest differences between what retirees have experienced and what pre-retirees say they expect to experience.

ROVNER: Gillian SteelFisher is with the Harvard School of Public Health and worked on the poll. Like the Rolins, SteelFisher says only one percent of boomers surveyed said they expect to exercise less when they retire, yet a third of all retirees said they're getting less exercise now than they did when they were working. Similarly, she says, only 13 percent of people who haven't yet retired say they expect their health to be worse in retirement than it is now.

STEELFISHER: But in fact almost 40 percent of those who retired say their health is worse in retirement than the five years before they retired.

ROVNER: She says there's two possibilities.

STEELFISHER: Maybe that pre-retirees in fact will be healthier when they retire, but it may also be that they don't fully anticipate the challenges that are going to come and potential health deficits that will exist when they retire.

ROVNER: That's the nice way of putting it. Jeff Goldsmith, a health care futurist who's written a book about the baby boom generation, is a little more blunt.

JEFF GOLDSMITH: Hello? I mean, that's what getting older is eventually about. We're all going to have serious health problems in retirement and eventually really serious health problems.

ROVNER: Goldsmith, himself a boomer, says he's not at all surprised that his fellow boomers expect to live a long and healthy old age.

GOLDSMITH: There is no question that one distinguishing feature of our generation is this extraordinary, almost genetic optimism. And the poll results look to me like a lot of that optimism was drawn from a deep well of self-delusion.

ROVNER: Indeed, he says, while some boomers are exercising and eating right, other studies show that's clearly not the norm, and the obesity epidemic in particular could be leading the baby boom into serious trouble, he says.

GOLDSMITH: That third of the population that's obese, we're going to see an explosion of diabetes and related illnesses that I think could take out a significant fraction of our generation significantly earlier than people expect.

ROVNER: In fact, unexpected health problems might do more than prevent aging boomers from exercising in their later years. Sixty percent of those not yet retired in our poll said they planned to continue to work past age 65. And many who now expect to retire later than they originally thought say it's because they can't afford to retire. So health issues could put an even bigger financial burden not just on them but on their children and possibly the rest of the nation's taxpayers. Julie Rovner, NPR News. Transcript provided by NPR, Copyright NPR.