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This unique book studies America's frail older population relative to the elderly in ten other nations. It contains a cross-national assessment of approaches to long-term care for the elderly and explains the nature and extent of current and future problems related to caring for the functionally impaired elderly. By studying and analyzing the ongoing struggles of other nations in their attempts to cope with growing populations of frail elderly, readers in the U.S. can expand the parameters of their own national debate on the subject. The Graying of the World shows the political, economic, and social context in which decisions on elder-care are based and evaluates how successful various countries'programs have been. Chapters outline alternative approaches taken by disparate types of national systems, highlighting unique and creative solutions to provide useful information on new and alternative ways to respond to personal and public issues related to elder-care.

The elderly and their care in Finland, France, Germany, Great Britain, Israel, Japan, People's Republic of China, Sweden, and Yugoslavia are discussed, as are the elderly in Canada and the United States. Chapters cover the following topics for each country: the increasing number of frail elderly and their costly health needs the current and future role of the state in elder-care the current and future role of the family in elder-care types of support services offered for the elderly, including in-home care, community-based care, and institutional care the relationship of a nation's political economy to its attitude and policy on long-term care innovative approaches to elder-care

Practitioners, decision makers, and the concerned general public will all find The Graying of the World an interesting and informative book that expands the discussion of health care options available for the elderly. As such, the book is also a helpful text for undergraduate and beginning graduate students of gerontology, public policy, and comparative politics, as well as for social service practitioners. It provokes much-needed conversation on developing a healthcare plan for the future that meets the needs of a large elderly population.

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CHOICE Review

This volume compresses an enormous amount of information about policies and programs concerning the frail elderly in 11 different nations--Sweden, Finland, Israel, France, Britain, Canada, Germany, Japan, the People's Republic of China, Yugoslavia, and the US. Chapters are written by informed scholars, most of them university-based researchers in gerontology, and include extensive references, many in the language of the country. Each author discusses the demographics of an aging population, the government's past and present health and welfare policy toward the aged, and the role of the family, then gives a brief view of what the future may hold. Across all 11 nations, the proportion of the population over 65 is increasing; all nations rely on the family as the prime giver of support, with government playing a secondary role; and women are expected to, and do, play the major role in family support of the elderly. Also, provision of long-term care, both institutional and community-based, appears to be a major concern in every country. Each chapter, although by a different author, is clearly written and presents the current scene in light of a nation's unique political and social past. An excellent reference in comparative gerontology for general and academic readers at all levels. D. P. Slesinger; University of WisconsinDSMadison