Canada, like other countries, is aging. The media has reported on a "grey tsunami," a demographic change reflecting longer life expectancy and the retirement of the so-called baby boomer generation. The numbers and percentages of older adults within our population continue to increase. In 2010, 15.3 percent of Canada's population was over 65; in 2030, it will be 24.1 percent. Many commentators have risen alarm about this flood of adults potentially bankrupting our health care system. This book gives us the facts in a clear, concise, and balanced way. It is true that our population is aging; however, this is not a crisis. We learn that the actual cost drivers are technology, labour, and increased service utilization across all ages - not uncontrollable demographic factors like population growth. The perceived crisis in the sustainability of our health care system should be framed in terms of challenges related to the reorganization and management of health services, particularly for older adults. Cost effectiveness is the key.

Two experts on aging review the latest information. They explore topics such as how our health changes as we age and how our health care needs change as a consequence; how the needs of older adults are currently met; and how we can improve in the future. From discussion of informal caregiving to a cost-benefit analysis of continuing care, this fascinating and informative book provides an eye-opening look at the realities of our aging population.

Neena L. Chappell's profile page

Marcus J. Hollander's profile page

Neena L. Chappell is professor of sociology at the University of Victoria. She has served as president of the Canadian Association on Gerontology (2008-2012) and is president of Academy II (Social Sciences) of the Royal Society of Canada, 2011-13. Her awards include the Craigdarroch Award for Excellence in Communicating Research, University of Victoria, 2006; the Canadian Sociology Association Outstanding Contribution Award; and the 2001 Claude P. Beaubien Medal for Excellence in Research.

Marcus J. Hollander is president of Hollander Analytical Services Ltd., a national health services and policy research company headquartered in Victoria, BC, and has over 30 years of experience in health services research, evaluation, and administration, including working as the director of the Health Network of the Canadian Policy Research Networks. He is a recipient of the Distinguished Member Award of the Canadian Association on Gerontology (2012), their highest award; the Queen Elizabeth II Diamond Jubilee Medal for contributions to gerontology (2012); and the Alberta Premier's Award of Excellence (Silver, 2000).