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Public Policies Intended to Influence Adult Mortality

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Book cover International Handbook of Adult Mortality

Part of the book series: International Handbooks of Population ((IHOP,volume 2))

Abstract

In the late 1970s, Dr. Bernice Neugarten and Dr. Robert Havighurst from the Department of Human Development at the University of Chicago organized a scientific conference around a single question: is it appropriate to focus government resources on a concerted effort to use our expanding knowledge of basic biology to extend the longevity of the human species? The views expressed by those attending the conference ranged from the idea that we organize a Manhattan-type project with life extension as the primary goal, to the recommendation that an effort focused exclusively on extending life is ill advised because limited resources would better be used to reduce existing inequalities in health and longevity. Since then, the scientific study of aging has advanced so far that some scientists believe that modulating our basic biology for the purpose of extending the period of healthy life is plausible and inevitable. Some even suggest that extreme life extension is on the horizon. Others still believe it would be unethical to pursue life extension for some while others are struggling to live to the statistical average. Is it premature to initiate a concerted effort to extend human longevity without knowing in advance whether it is technically feasible, and what the social, economic, and ethical consequences might be? In this chapter we examine the range of viewpoints on this issue from the time of the Neugarten/Havighurst conference to the present.

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References

  • Bartke, A. and H. Brown-Borg. 2004. “Life Extension in the Dwarf Mouse.” Current Topics in Developmental Biology 63:189–225.

    Article  Google Scholar 

  • Bloom, D. and D. Canning. 2000. “The Health and Wealth of Nations.” Science 287:1207–9.

    Article  Google Scholar 

  • Bloom, D.E., D.M. Canning, and J. Michael. 2004. “The Effect of Improvements in Health and Longevity on Optimal Retirement and Saving.” NBER Working Paper Series w10919.

    Google Scholar 

  • Burian, S.J., S.J. Nix, R.E. Pitt, and S.R. Durrans. 2000. “Urban Wastewater Management in the United States: Past, Present, and Future.” Journal of Urban Technology 7(3):33–62.

    Article  Google Scholar 

  • Butler, R.N. 2000. “Turning Back the Clock. Has Aging Become a ‘Disease’ Again – To be Prevented, Treated, and Even Cured?” Geriatrics 55(7):11.

    Google Scholar 

  • Butler, R.N., R.A. Miller, D. Perry, B.A. Carnes, T.F. Williams, C. Cassel, J. Brody, M.A. Bernard, L. Partridge, T. Kirkwood, G.M. Martin, and S.J. Olshansky. 2008. “New Model of Health Promotion and Disease Prevention for the 21st Century.” British Medical Journal 337:149–50.

    Google Scholar 

  • Carnes, B.A., D.O. Staats, W.E. Sonntag. 2008. “Does Senescence Give Rise to Disease?” Mechanisms of Ageing and Development 129(12):693–99.

    Article  Google Scholar 

  • Clements, M., et al. 2008. “Evidence for Lifespan Extension and Delayed Age-Related Biomarkers in Insulin Receptor Substrate 1 Null Mice.” Faseb Journal 22:807–18.

    Google Scholar 

  • de Grey, A. 2003. “The Foreseeability of Real Anti-Aging Medicine: Focusing the Debate.” Experimental Gerontology 38(9):927–34.

    Article  Google Scholar 

  • de Grey, A. 2004. An Engineer’s Approach to Developing Real Anti-aging Medicine. In S.G. Post and R.H. Binstock (eds.) Oxford University Press: New York, The Fountain of Youth, pp. 249–67.

    Google Scholar 

  • de Grey, A. and M. Rae. 2007. Ending Aging. New York, NY, St. Martin’s Griffin.

    Google Scholar 

  • de Grey, A., B.N. Ames, J.K. Anderson, A. Bartke, J. Campisi, C.B. Heward, R.J.M. McCarter, and G. Stock. 2002. “Time to Talk SENS: Critiquing the Immutability of Human Aging.” Annals of the New York Academy of Sciences 959(1):452–62.

    Article  Google Scholar 

  • EPA. 2000. The History of Drinking Water Treatment. Environmental Protection Agency, Office of Water (4606), Fact Sheet EPA-816-F-00-006, United States.

    Google Scholar 

  • Englehardt, H.T. 1977. “Discussion.” In Neugarten and Havighurst (co-eds.), Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123, pp. 53.

    Google Scholar 

  • Flurkey, K., J. Papaconstantinou, R.A. Miller, and D.E. Harrison. 2001. “Lifespan Extension and Delayed Immune and Collagen Aging in Mutant Mice with Defects in Growth Hormone Production.” Proceedings of the National Academy of Sciences USA 98:6736–41.

    Article  Google Scholar 

  • Goddard, J.L. 1977. “Extension of the Lifespan: A National Goal?” In Neugarten and Havighurst (co-eds.), Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123, pp. 19–26.

    Google Scholar 

  • Greunberg, E.M. 1977. “The Failures of Success.” The Milbank Memorial Fund Quarterly 55(1):3–24.

    Article  Google Scholar 

  • Gruman, G.J. 1966. “A History of Ideas About the Prolongation of Life: The Evolution of Prolongevity Hypotheses to 1800.” Transactions of the American Philosophical Society 56(9):1–102.

    Article  Google Scholar 

  • Havighurst, R.J. and G.A. Sacher. 1977. “Prospects of Lengthening Life and Vigor.” In Neugarten and Havighurst (co-eds.), Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123, pp. 13–18.

    Google Scholar 

  • Hayflick, L. 1977. “Perspectives on Human Longevity.” In Neugarten and Havighurst (co-eds.), Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123, pp. 1–12.

    Google Scholar 

  • Hayflick, L. 1998. “Aging is Not a Disease.” Aging 2:146.

    Google Scholar 

  • Hayflick, L. 2004. “Debates: The Not-So-Close Relationship Between Biological Aging and Age-Associated Pathologies in Humans.” Journal of Gerontology: Biological Sciences 59(6):B547–B50.

    Google Scholar 

  • Holliday, R. 1984. “The Ageing Process is a Key Problem in Biomedical Research.” Lancet 2:1386–87.

    Article  Google Scholar 

  • Holliday, R. 2004. “The Close Relationship Between Biological Aging and Age-Associated Pathologies in Humans.” Journal of Gerontology: Biological Sciences 59(6):B543–B46.

    Google Scholar 

  • Kass, L.R. 2004. “L’Chaim and Its Limits: Why Not Immortality?” In S.G. Post and R.H. Binstock (eds.), The Fountain of Youth: Cultural, Scientific, and Ethical Perspectives on a Biomedical Goal, pp. 249–267. New York, NY, Oxford University Press.

    Google Scholar 

  • Keyfitz, N. 1977. “What Difference Would it Make if Cancer Were Eradicated? An Examination of the Taeuber Paradox.” Demography 14(4):411–18.

    Article  Google Scholar 

  • Kirkwood, T.B.L. 2005. “Understanding the Odd Science of Aging.” Cell 120(4):437–47.

    Article  Google Scholar 

  • Kurzweil, R. 2006. The Singularity is Near: When Humans Transcend Biology. New York, NY, Viking.

    Google Scholar 

  • Kurzweil, R. and T. Grossman. 2005. Fantastic Voyage: Live Long Enough to Live Forever. New York, NY, Plume.

    Google Scholar 

  • McKay, C.M., F. Pope, and W. Lunsford. 1956. “Experimental Prolongation of the Life Span.” Bulletin of the New York Academy of Medicine 32(2):91–101.

    Google Scholar 

  • Miller, R.A. 2002. “Extending Life: Scientific Prospects and Political Obstacles.” The Milbank Quarterly 80(1):155–74.

    Article  Google Scholar 

  • Miller, R.A. 2009. “‘Dividends’ from Research on Aging—Can Biogerontologists, at Long Last, Find Something Useful to Do?” Journal of Gerontology: Biological Sciences, Medical Sciences 64:157–60.

    Article  Google Scholar 

  • Miller, R.A., G. Buehner, Y. Chang, J.M. Harper, R. Sigler, and M. Smith-Wheelock. 2005. “Methionine-deficient Diet Extends Mouse lifespan, Slows Immune and Lens Aging, Alters Glucose, T4, IGF-I and Insulin Levels, and Increases Hepatocyte MIF Levels and Stress Resistance.” Aging Cell 4:119–25.

    Article  Google Scholar 

  • Murphy, K.M. and R.H. Topel. 2006. “The Value of Health and Longevity.” Journal of Political Economy 114(5);871–904.

    Article  Google Scholar 

  • Neugarten, B.L. and R.J. Havighurst. 1977. Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123.

    Google Scholar 

  • Nordhaus, W.D. 1998. The Health of Nations: Irving Fisher and the Contribution of Improved Longevity to Living Standards. Cowles Foundation Discussion Papers 1200, Cowles Foundation, Yale University.

    Google Scholar 

  • Olshansky, S.J. et al. 2011. “The Global Agenda Council on the Ageing Society: Policy Principles.” Global Policy 2(1):97–105.

    Article  Google Scholar 

  • Olshansky, S.J. and B.A. Carnes. 2001. The Quest for Immortality: Science at the Frontiers of Aging. New York, NY, Norton.

    Google Scholar 

  • Olshansky, S.J., B.A. Carnes, and C. Cassel. 1990. “In Search of Methuselah: Estimating the Upper Limits to Human Longevity.” Science 250:634–40.

    Article  Google Scholar 

  • Olshansky, S.J., D. Perry, R.A. Miller, and R.N. Butler. 2006. “In Pursuit of the Longevity Dividend.” The Scientist 20(3):28–36.

    Google Scholar 

  • Omran, A. 1971. “The Epidemiologic Transition: A Theory of the Epidemiology of Population Change.” Milbank Memorial Fund Quarterly 49(4):509–38.

    Article  Google Scholar 

  • President’s Council on Bioethics. 2003. Beyond Therapy: Biotechnology and the Pursuit of Happiness. http://www.bioethics.gov

  • Rattan, S.I.S. 2005. “Anti-ageing Strategies: Prevention or Therapy?” EMBO Reports 6:S25–S29.

    Article  Google Scholar 

  • Riley, J.C. 2001. Rising Life Expectancy: A Global History. Cambridge, Cambridge University Press.

    Google Scholar 

  • Rowe, J.W., et al. 2010. “Policies and Politics of Aging for an Aging America.” Contexts 8(4):16–21.

    Google Scholar 

  • Sierra, F., E. Hadley, R. Suzman, and R. Hodes. 2008. “Prospects for Life Span Extension.” Annual Review of Medicine 60:457–69.

    Article  Google Scholar 

  • Strehler, B. 1975. “Implications of Aging Research for Society.” Federation Proceedings 34(1):5–8.

    Google Scholar 

  • Vaupel, J. 2010. “Biodemography of Human Ageing.” Nature 464:536–42.

    Article  Google Scholar 

  • Warner, H., J. Anderson, S. Austad, et al. 2005. “Science Fact and the SENS Agenda.” EMBO Reports 6(11):1106–8.

    Article  Google Scholar 

  • Wick, W.A. 1977. “The Aging Society and the Promise of Human Life.” In Neugarten and Havighurst (co-eds.), Extending the Human Life Span: Social Policy and Social Ethics. National Science Foundation NSF/RA 770123, pp. 41–45.

    Google Scholar 

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Correspondence to S. Jay Olshansky .

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Olshansky, S.J., Hayflick, L. (2011). Public Policies Intended to Influence Adult Mortality. In: Rogers, R., Crimmins, E. (eds) International Handbook of Adult Mortality. International Handbooks of Population, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9996-9_27

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