As Seniors Week wrapped up June 9, now is a good time to reflect on what it means to be a senior in BC. Contrary to the apocalyptic predictions of a “silver tsunami” sweeping our province, country and planet, seniors today and into the future are very much in the minority. Currently, 82 per cent of British Columbians are under the age of 65 and at the height of our shifting demographics (2031), three out of four of our citizens will still not be claiming old age pension or free ferry fares. Yet, despite the reality of the numbers, we persist in painting seniors as a “problem to be solved” or a “cost curve to be bent.” How must it feel to be labeled as a “burden” to society, and how frustrating would it be to live a very different experience than what is portrayed in popular culture as the “norm” for someone described as a senior?
Far from being a burden, when we look at the numbers, seniors are contributing to society by working, volunteering and paying for a number of their health care services. The number of people working beyond the age of 65 is growing rapidly. In fact, the fastest growing number is for those age 70-plus, who are still engaged in the paid labour force. Seniors contribute the highest number of volunteer hours per person of any age cohort. As an example, each year in this province, seniors raise over $10 million through hospital auxiliaries that fund equipment in hospitals for people of all ages to benefit from. Less than 5 per cent of seniors and only 15 per cent of those aged 85 and older use publicly subsidized long-term care and, even then, we take 80 per cent of their net income to offset the cost. Need help at home. Well, if you live in BC and earn over $24,000 a year expect to pay for a good deal of this “health” care yourself. Even our emergency departments, which are often painted as being over-run by seniors, are still dominated by patients under 65. Only 6 per cent of emergency department visits are by people aged 85 and older. At nearly every turn, the reality of the numbers contradicts the pop culture narrative of the impacts of seniors in our society. Perhaps nowhere is this more relevant than when we examine the issue of dementia.
On any given day in British Columbia, 20 per cent of those aged 85 and older will have a diagnosis of dementia. Let’s look at this another way: 80 per cent or eight out of 10 people aged 85 and older do not have a diagnosis of dementia. Of course the absolute number of people with dementia will increase as the total population increases, but there is no evidence to suggest that the likelihood of developing dementia is increasing (in fact some evidence points to the reverse, but it’s early days, so let’s not get too excited). Yet, think about how quick we are to label certain behaviours in an 80-year-old as “this might be the beginning of…” For the record, 25-year-olds can forget where they parked their car, lose their wallets, and stumble at finding the right word and no one rushes them into the doctor’s office to see if the can spell world backward or know what the date is.
So, as we close out Seniors Week, let’s take a moment not to dwell upon needs (and there definitely are some, but plenty of time for that later); let’s instead celebrate a group of people who bring wisdom, experience and lifetimes spent contributing to our province’s coffers and who, for the most part continue to live independent, self-sufficient lives, knowing who they are and what they want and always at the ready to lend a helping hand when needed.
Isobel Mackenze is B.C.’s seniors advocate. She has over 20 years experience working with seniors in the areas of home care, licensed care, community services and volunteer services.