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You're Going to Get Old, So Think About It Now

Millennials and Gen X'ers are growing anxious about aging, but preparation will pay off

By Freda Lewis-Hall

(This article is the 15th in a weekly Next Avenue series, The Future of Aging: Realizing the Potential of Longevity, published by the Milken Institute Center for the Future of Aging. Links to the rest of the series appear at the end of this article.)

Women celebrating a birthday
Credit: Getty Images

My father is 97. He says he’s slowing down, but he still dresses sharp as a tack, follows politics and sports with unbridled passion and revels in the love of his family and friends, now spanning four generations.

Freda Lewis-Hall, executive vice president and chief medical officer, Pfizer
Freda Lewis-Hall, executive vice president and chief medical officer, Pfizer

I often contemplate what my father witnessed in life. He raised himself above the indignities of segregation. He fought fascism during World War II and injustice for the rest of his life. He marched on Washington in 1963 and a half-century later shook the hand of the first African-American president. My father also grieved the bolt-from-the-blue, far-too-early death by stroke of his wife and first love — my mother — and then at age 90, found love again.

My father didn’t plan to get this old, or do it so nobly. As he puts it, he was just trying to pay the bills. His now-grown grandchildren, my two sons and a daughter, won’t have that luxury. They’ll need lots of active planning for old age, and it’s best they start now.

Time to Engage the Next Generations

My generation, the boomers, has dominated the stage in defining how to age (or remain in denial about it). It’s high time to also engage the next generations much more fully in thinking about and planning for aging. Let’s face it: Boomers are entering their senior years as the most influential age wave in human history. Many of us will have the health and resources to pursue marvelous new options in retirement, or even to continue working if we love our vocations.

We boomers will also directly benefit from the fast-approaching golden age of elderly health. A host of on-body diagnostics will be our guardian angels. New medicines and vaccines will be precisely tailored to our genetic makeup. Innovations ranging from artificial joints to self-driving cars will offset our human frailties. For the most part, my generation will live longer, better lives than my father’s.

But what about the children?

Right now, getting old is the last thing on their minds. They are busy buying homes, launching careers and starting families. They are coping with the challenges of young adulthood and enjoying the benefits — vigor, mobility and limitless dreams.

A Very Different Future for Our Children

When it comes to aging, though, my children are likely to see a future much different from mine, starting with scientific breakthroughs that radically redefine “lifespan.” For my children, 120 may be the new 80. They are already seeing the end of social concepts that we boomers took for granted, among them secure jobs, often with pensions.

Pressed, my children already admit to some trepidation about getting old. They are not alone. According to surveys sponsored by Pfizer and our partners in the “Get Old” campaign — which redefines being old as a time of new beginnings — about seven out of eight Americans harbor at least one serious fear about aging, a fear that may exceed that of death itself.

These fears range from declining physical ability to running out of money. The American Psychological Association reports that younger Americans, like my Millennial children, often believe their experiences with aging will be worse than those of the generations before them.


The Good News About Getting Old

The good news is that many fears about getting old can be assuaged by modest planning and steady action. It’s never too late to begin, but it’s ideal to start in young adulthood. Stopping (or even better, never starting) smoking, getting regular exercise and moderating one’s diet — these all carry lifelong benefits.

Prevention, early diagnosis and uninterrupted treatment of chronic diseases can extend life and keep elderly people above the “disability threshold” that makes a huge difference in the quality of their lives. We’ve already seen what the potent combination of healthier living and medical innovation can do. America’s death rates from heart disease, stroke and cancer are all down more than 20 percent over the last two decades. Much more progress can be made.

Time to Get Serious About Getting Old

It’s time for Americans of all ages to get serious about getting old, because getting old is seriously different from what it was for their parents.

It’s time for a new mindset when it comes to aging and life stages. By overcoming fear and opening ourselves to the possibilities, there is much we can do, individually and collectively, to improve the odds that old age will be a new stage of growth.

Whether we are talking about my generation or those to follow, the earlier and more earnestly we start to get serious about old age, the better. When it comes to getting old, let’s all feel the fear — and do it anyway.

For more information on planning for old age, visit

The first article in this series was A New Model for the Future of Aging. The second was Personalized Aging: Extending Lifespans and Healthspans. The third was Boomers: Less Tied to Friends and Family Than Others Are. The fourth was What It Will Take for the U.S. to Profit From the Longevity Dividend. The fifth was Work, Retirement and Financial Security in the 21st Century. The sixth was Technology, Aging and the Coming Fifth Wave. The seventh was 5 Course Corrections Needed for a Better Future of Aging. The eighth was Let’s Make the Most of the Intergenerational Opportunity. The ninth was How We Can Use Our Longer Lives to Do Good. The 10 was Building Cityscapes for Healthy Aging. The 11th was Aging in the 'Right' Place. The 12 was How to Make Longer Working Lives Work. The 13 was Four Freedoms That Will Define the Future of Aging. The 14 was The Future of Healthy Aging… Is Yesterday


Freda Lewis-Hall is executive vice president and chief medical officer of Pfizer. Read More
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