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We're growing older...but don't smoke that
success cigar yet and count on reaching 100
KANSAS CITY, Mo. -- A glance at the latest charts on life expectancy seems
to affirm a popular idea that Americans are speeding toward life beyond age
100.
In the "Chartbook on Trends in the Health of Americans 2006," published by
the National Center for Health Statistics, are upward trajectories dating to
1900: Life expectancy at birth climbed in that time from 48 to 75 years for
men and from 51 to 80 years for women.
But for all you baby boomers just hitting 60, don't assume your last will
and testament can wait. Demographers who know the pitfalls of predicting
longevity are tangled in a debate that casts doubt on the likelihood of old
people growing much older than ever before.
The distortion in life expectancy numbers, said researcher John Bongaarts,
vice president of the New York-based Population Council, "is largely due to
steep reductions in infant and childhood mortality" over the decades.
Since 1950, death rates among infants have plunged 76%. Typhoid and other
once-common killers of the young -- diseases linked to poor sanitation -- no
longer weigh down the life-expectancy averages.
Remove those factors, and researchers find that U.S. life expectancy
continues to climb but by no more than a couple of months annually.
"We are going to live longer," Bongaarts says, "but at a very slow pace."
Climb may be short-lived
The spiraling of life expectancy through the ages has spurred an industry of
hopeful books such as "Healthy at 100," seminars such as "The 120 Club:
Living the Good Life for 120 Years," and Web sites with "lifespan
calculators" to magically ascertain the length of your own life.
Still, many experts believe we're approaching a biological ceiling for old
age, and some even expect the longevity curves to start heading down.
Consider that in 1850, a white American man lucky enough to reach 60 could
be expected to live 16 more years on average to age 76, federal health
estimates show. In 2004 the law of averages suggested he could bank on
living a few weeks short of 81.
Despite trillions of dollars spent on making Americans healthier, white male
seniors have gained only five years since the era of cholera epidemics.
White women chalked up seven extra years.
"Even if you add five or six years of life expectancy for people who reach
their 60s, that's not trivial," says S. Jay Olshansky, an epidemiology
professor at the University of Illinois' School of Public Health in Chicago.
"But, certainly, to extrapolate overall life expectancy and say that we or
our kids are going to live to 100? That's ridiculous."
By many calculations, life expectancy at retirement age has climbed about
five years since Social Security arrived in the 1930s.
Olshansky is among a group of public-health prognosticators who foresee U.S.
life expectancy reversing course "in a couple of decades," as higher rates
of obesity take their toll.
That prediction, too, has statisticians arguing and policymakers perplexed
about the effects of old-age projections on, say, Social Security and
Medicare disbursements. The management of both programs -- and life
insurance plans and corporate pensions -- hinges on educated guesses of when
we will die.
First, forget about life expectancy being exact.
The standard formula has existed for centuries: Record the ages of death for
a sample population over a period of time, average out the death rates by
age and arrive at what demographers call "period life expectancy at birth."
For Americans born in 2003, the figure was 74.6 for male babies and 79.9 for
female babies, the Centers for Disease Control reports.
Yet experts say those statistics don't make real sense: They factor in the
deaths of 2003 and assume a medical and societal deep-freeze through the
lifespan of babies born that year.
"You're saying nothing changes from here on," Ron Gebhardtsbauer of the
American Academy of Actuaries said.
Things could change
Better hygiene in the early 20th Century helped conquer childhood
afflictions. Then, in a single year, the influenza outbreak at the tail end
of World War I sent life expectancy plummeting to below 40.
It wasn't until the last half of the century that medical advances and less
smoking began to help significant numbers of elderly Americans live longer,
only to suffer and die from Alzheimer's disease. But could stem-cell
research fix that?
The World Health Organization recently issued a report that predicts AIDS
will be the third-leading killer by 2030, behind heart disease and stroke.
"In all this talk of living to 100, there's been no discussion at all of the
return in recent years of infectious diseases we thought were gone --
organisms that have grown resistant to antibiotics," said Olshansky, the
epidemiologist.
FACTS ABOUT AGING
• The oldest known person lived to be 122 -- a French woman named Jeanne
Calment, who died in 1997
Centenarians are growing in number. The Census Bureau estimates 79,600
Americans are aged 100 and older, compared with fewer than 20,000 a
quarter-century ago. Still, that's out of a population of 300 million.
• In Russia, the life expectancy of men is dropping. Officials disagree
on whether to blame poor diet or the strains of post-Soviet capitalism.
• Top five locations by life expectancy, according to the CIA World
Factbook: Andorra (83.4), Macau (81.6), San Marino (81.2), Japan (80.8)
and Singapore (80.1). The United States ranked 42nd.
• U.S. experts on aging disagree "on whether we should assume we'll
keep getting older or if there's a limiting age," says Ron
Gebhardtsbauer of the American Academy of Actuaries. Economics often
guide them. For example, investment companies that issue annuities might
limit payments on the possibility that beneficiaries could live past
100. But life insurance policies might fatten premiums on the assumption
most people die before 80. "Actuaries call it squaring the curve," but
lay people could rightfully call it selective guesswork, he said.
• Researcher John Bongaarts, vice president of the New York-based
Population Council, has picked apart the official math and argues that
current U.S. life-expectancy numbers are more optimistic than they
should be by two or three years. But he's not a total pessimist about
the lifespan of future generations. "Modern medicine is making a
difference ... little by little, chipping away at diseases" that kill
the elderly, he said. "I've no doubt my children will live longer than
I. Maybe five years longer. ... Maybe."