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    Biden, Trump and Dr. Bob: the Human Realities of Aging on the Job

    He had become the local expert on what he called the “unwanted side effects of old age,” so Dr. Bob Ross, 75, rubbed arthritis cream onto his hands and walked into an exam room to see his seventh elderly patient of the day. He had been a doctor in the remote town of Ortonville, Minn., for nearly five decades, caring for most of its 2,000 residents as he aged alongside them. He delivered their children, performed their high school physicals, tended to their workplace injuries and now specialized in treating the wide-ranging symptoms of what it meant to grow old in America.“What’s hurting you most today?” he asked Nancy Scoblic, 79.“Let me take out my list,” she said. “Sore knees. Bad lungs. I’ve got a spot on my leg and pain in my shoulder. Basically, if it doesn’t hurt now, it’ll probably hurt later.”She’d known him for most of her life, first as Bobby, whom her family sometimes babysat, then as Bob in high school, and now as Dr. Bob — the physician who had cared for her grandparents and also her grandchildren, and who almost everyone in Ortonville entrusted with their most vulnerable moments. It was behind the closed door of Dr. Bob’s exam room where hundreds of people filled out their advance directives, took cognitive evaluations and tested out their new walkers and hearing aids. It was Dr. Bob who delivered bad news with a farmer’s directness and then sat with families around a hospice bed for hours when the only thing left to do was to pray.Most of his patients were white, geriatric and still largely self-sufficient — members of the same demographic as the country’s two leading presidential candidates in the 2024 election, 81-year-old Joe Biden and 77-year-old Donald Trump. The conversations at the heart of an election cycle were the same ones unfolding inside Bob’s office: What were the best ways to slow the inevitable decline of the human body? How did aging impact cognition? When was it possible to defy age, and when was it necessary to make accommodations in terms of decision-making or professional routines. These were the questions he asked his patients each day, and also himself.He took Nancy’s hand and helped her onto the exam table, checking for circulatory problems as he felt her lymph nodes and her carotid artery for signs of swelling. He pressed his hands against her abdomen to seek out masses in the liver or enlargement of the spleen. It was the same geriatric exam he conducted at least 25 times each week, as Ortonville’s soybean farmers aged into retirement and America’s baby boomers arrived in his office showing more evidence of cancer, more bruises from falls, more diabetes, more strokes and more signs of memory loss and possible dementia.Bob helps Nancy Scoblic with her coat after an appointment. We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Albany Should Pass Parole Reforms

    Scientists have found that most cells in our bodies regenerate every seven to 10 years on average. This includes certain cells in the heart and brain. Can we assume, then, that our moral and emotional compasses are also capable of transforming over time?As a New York State parole commissioner for 12 years, I evaluated the readiness for release and risk to public safety of more than 75,000 incarcerated people. I saw these changes in people every day.Yet in spite of those transformations, the number of aging long-termers warehoused in prisons has only increased in recent years.Two bills in the New York State Legislature could challenge that trend. Both would give people in prison fairer shots at parole. Versions of this legislation have been introduced since 2018 but were never put to a vote. This year, lawmakers should pass them.Many long-termers languish in cells or in substandard prison infirmaries, or even in so-called long-term care units. With labored breathing, they limp to the mess hall and miss their chance to eat, sink deeper into dementia, fall and get seriously injured, and navigate hearing and vision impairment. At the same time, they are under the supervision of guards who lack the training and often the empathy to properly manage the diminished capacity of many older people to follow often senseless prison rules.When I was a commissioner, from 1984 to 1996, it was unusual for me to meet a parole candidate over the age of 50. Now there are more than 7,500 incarcerated people ages 50 and older in New York, or about 25 percent of the entire state prison population. In fact, between 2008 and 2021, the overall prison population declined by half, yet the population age 50 and older increased, with ballooning health care costs crowding out other budget priorities. The state spends between $100,000 and $240,000 on incarcerated people who are 55 or older, according to one of the reform measures before the State Legislature; for others, the figure is about $60,000.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    How to Grow Old Like Isabella Rossellini

    If you go to Isabella Rossellini’s Instagram page — and I recommend you do — you will see the 71-year-old actress/director/model/farmer wearing a giant woolly hat and vest, beaming with joy in the sunshine at her farm on Long Island. Another photo shows her staring off into the distance, her face proudly unretouched. Scrolling through, I often wonder how Rossellini is so comfortable in her own skin at an age when many women struggle in theirs.Rossellini’s early life was, in some ways, defined by other people’s fame. She looks strikingly like her mother, the Swedish Hollywood star Ingrid Bergman. Her father, the director Roberto Rossellini, was a giant of Italian cinema. She was married to Martin Scorsese, and another partner, David Lynch, famously directed her in the 1986 film “Blue Velvet.” But she also built her own interesting and varied career, becoming one of the most recognizable models in the world as the face of Lancôme until, in her 40s, the beauty brand dumped her for being too old. Rossellini was suddenly faced with a question, she told me, that she’s still working through today: “Who am I, and how do I fulfill the rest of my life?”The short answer is that she wrote books, went back to school, bought a farm, learned to be single, got rehired by Lancôme and kept acting. In the film “La Chimera,” directed by the Italian filmmaker Alice Rohrwacher and opening in theaters on March 29, Rossellini plays a Tuscan matriarch who’s aging with a lot less equanimity than Isabella herself. (She also has a small part in the new film “Spaceman,” starring Adam Sandler.) Rossellini just started “a little experiment with sheep” at her farm, partnering with design schools to help students better understand wool, and describes herself as diligently following whatever amuses her. “I just play,” she says. “I’m playful. And I became increasingly more playful with age.”I will confess that I have been slightly obsessing over your farm, where you are right now. It’s clearly both a refuge and also hard work. Did you always think this is what you’d be doing in your 70s? Because when I dream of my 70s, I’m not working quite as hard as you are. Well, you know, I say you need two ingredients to open a farm: optimism and ignorance. Optimism is like: Oh, it’s a piece of a dream, wouldn’t it be great to have it? Sure, I can do a farm! And ignorance is how hard it is — how hard it is workwise, but also to make it financially viable. All these little farms in the Hudson Valley or in Long Island, we are all struggling. How do you make it? Yet it’s such a contribution to the community, and it opened up so many possibilities and fills my mind with wonder, and I have to study hard to understand how to run it well.What is it about the hard work that you find so compelling? There are little farms that don’t exist anymore, because there’s no money and it’s a lot of work. So why do it? It started with my love for animals. I always had dogs and cats, and then my father, when I was 14 years old, gave me Konrad Lorenz’s book “King Solomon’s Ring.” Lorenz is a founder of the science of ethology — the science of animal behavior — and I read that book. It was like an illumination. This is what I want to do. And when I became older and there was less work as a model and as an actress and my children were grown up, I thought, Well, maybe I’ll go back to school and study ethology. And so in my 60s, I signed up.Ingrid Bergman and Roberto Rossellini in 1954 with their children, Isabella, Ingrid and Roberto.Keystone-France/Gamma-Rapho, via Getty ImagesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Older Americans React to Special Counsel Report on Biden

    President Biden’s age has once again become a talking point in national politics. Many older Americans agree that it’s an issue; others feel it’s insulting. Bill Murphy, an 80-year-old retired veterinarian in suburban Phoenix, sometimes blanks on names he could once summon with ease, so he has empathy for 81-year-old President Biden. But he winced when he watched Mr. Biden defend his mental sharpness at a news conference, only to mix up the presidents of Egypt and Mexico. Mr. Murphy, a Republican, believes Mr. Biden is not up to another term.Mary Meyer, an 83-year-old avid hiker and traveler who lives in the high desert north of Phoenix, took issue with a special counsel’s report that characterized him as elderly and forgetful — a similar assumption that strangers at the supermarket sometimes make about her capabilities. “I look at him as a peer,” said Ms. Meyer, who plans to vote for Mr. Biden. “I know what he’s capable of. I know it’s not as bad as everybody thinks.”To voters in their 70s and 80s, the renewed questions swirling around Mr. Biden’s age and fitness resonated in deeply personal ways. The special counsel report cleared him of criminal charges in his handling of classified documents but described him as a “sympathetic, well-meaning, elderly man with a poor memory.”Some of Mr. Biden’s generational peers and supporters insisted the characterization was nothing more than a calculated political ploy to undercut his campaign, and play on perceived weakness. Many noted their own vibrant and busy lives, filled with mental and physical activity.The criticism of Mr. Biden as forgetful and incapable of serving echoed slights and discrimination they had felt. Others thought of their own struggles as they hit their 80s, and questioned any 80-year-old’s ability to lead the nation.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    The Hidden Moral Injury of ‘OK Boomer’

    Mourners gathered around San Francisco City Hall this week to remember Senator Dianne Feinstein, one of the most formidable politicians of her generation. Her passing meant not just the end of her political career, but also the end of a furious argument over her age and condition. Why did she stay in the Senate for so long? And even so, as one argument ends, others continue: about Joe Biden, Mitch McConnell, Donald Trump and many others.I can’t remember the last time our country had a longer or more agonizing conversation about age. It kicked off in the most morally troubling way possible, in the early days of the pandemic, when a number of politicians, celebrities and even ordinary people minimized the severity of the disease in language that diminished the value of older Americans.Notoriously, in March 2020, Dan Patrick, the lieutenant governor of Texas, went on Tucker Carlson’s television show and suggested that senior citizens should be “willing to take a chance” on their survival to preserve the American economy. In New York, nursing home deaths were deliberately concealed, an act that publicly minimized the magnitude of the loss.The right-wing influencer Candace Owens dismissed the seriousness of Covid, because, in her words, “people think it’s novel that 80 year olds are dying at a high rate from a flu.” I heard similar sentiments from members of my own community throughout the lockdowns. I can’t tell you how many times someone said, when an older person died, “How much time did they have left anyway?”This debate unfolded as the term “OK Boomer” was taking off, both as a silly mockery of tech-ignorant grandparents and an angry battle cry against an older generation that younger Americans believe failed them. Worse still, they just won’t get out of the way.It’s impossible to ignore the advanced age of key American leaders. Joe Biden is 80. Donald Trump is 77. Mitch McConnell is 81. Chuck Grassley is 90. Feinstein was 90 when she died in office. Ruth Bader Ginsburg was 87. Age was on 76-year-old Mitt Romney’s mind when he announced that he wouldn’t seek re-election to the Senate. “At the end of another term, I’d be in my mid-80s. Frankly, it’s time for a new generation of leaders,” he said.I don’t equate all these situations. Some of the sentiments expressed at the start of the pandemic were monstrous. Concerns about aging and often infirm leaders at the highest levels of American politics, in all three branches of government, are far more understandable and much less grotesque than asking senior citizens to court death in the midst of a pandemic. The generational dismissiveness inherent in “OK Boomer” lies somewhere in between. Nonetheless, there is a common theme — a shift to viewing older people in America not as assets, but rather as obstacles. They’re barriers to our own dreams and ambitions.One column is insufficient for teasing out all the reasons for this shift, but I want to explore one aspect that bothers me greatly. The centrality of work and career to our sense of self and identity — especially in America’s educated classes — is damaging old and young alike. In 2019, Derek Thompson popularized the term “workism” in The Atlantic to describe how our careers have “morphed into a religious identity.” Earlier this year, he summed up the “history of work” like this: “from jobs to careers to callings.”In January, the Pew Research Center released a startling report describing parents’ priorities for their children. An extraordinary 88 percent said that financial independence was extremely or very important. The same percentage placed the same priority on their kids having careers they enjoy. In contrast, only 21 percent said it was extremely or very important for their children to get married. A mere 20 percent said it was extremely or very important for their kids to have children.Workism tells older Americans who might think otherwise that their job is core to who they are. Likewise, workism tells younger Americans that their job will define them. It is core to who they’re becoming. Read in this way, it is easy to see why older Americans are reluctant to simply “step aside.” If they feel able — and it’s easier to feel able when your job centers on your mind rather than your body — then the demand to leave is an attack on their essential identity.At the same time, for those who are seeking to forge their identity, the obstacle of aging leadership can be maddening. Young professionals do seek mentorship, of course, but all too often mentors are seen as valuable only so long as they keep giving. And then, when they’ve given all they can, they must decrease, so that their protégés can increase and take their place in the sun.It’s necessary to think hard about our first answers to a deceptively simple question: “Who are you?” If my honest first response is “I am a columnist” more than a husband, a father, or a grandfather, then when I get older I will wrap my arms around that identity and refuse to let go. If that first answer is centered on faith and family, then the sunset of my career will not be the sunset of my purpose. I will be more willing to release that which I value less because I still preserve that which I value most.But just as older Americans can have an obligation to let go of professions and power, young Americans can have obligations to hold on to their elders, to treasure them rather than shove them aside. Ancient wisdom can speak to modern conflicts, and ever since the onset of the generational conflicts during the pandemic, I’ve pondered a key part of the Westminster Larger Catechism, an almost 400-year-old statement of Protestant theology. It takes an expansive view of the Fifth Commandment, “Honor thy father and thy mother.” The catechism asserts that father and mother don’t merely refer to your biological parents, but to “all superiors in age and gifts.”And what duties do we owe to the older people in our lives? The catechism outlines a beautiful balance. We are called to the “defense and maintenance of their persons and authority” at the same time that we are “bearing with their infirmities, and covering them in love.” In a true ethic of respect and care, the spirit of “OK Boomer” is nowhere to be found.The Mitt Romney Christmas card is legendary in some niche circles in Washington. Every December, he sends out a simple picture of his growing family. You can Google it and see it expand, year by year. First, he and his five sons could field a Romney basketball team. Then, when the sons married and had children, they could field a Romney football team. But that picture is also a declaration — this is who I am.Skeptics might claim that Romney let go of his power because holding it would be hard. In these polarized times, he was vulnerable to a challenge from the Utah right. Perhaps, but it’s also true that he retains immense purpose, and the picture captures that purpose. An ethos that locates our meaning in those relationships can tell the young to value the wisdom and experience of the old and tell our nation’s older generations that great blessings can flow from the end of even the most rewarding careers.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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    Biden Makes Lower Drug Prices a Centerpiece of His 2024 Campaign

    President Biden’s Inflation Reduction Act allows Medicare to negotiate some drug prices, a change that the pharmaceutical industry and Republicans have opposed for decades.As he heads toward a re-election campaign next year, President Biden is betting that his success in pushing for policies intended to lower health care costs for millions of Americans will be rewarded by voters at the ballot box.In speech after speech, Mr. Biden talks about capping the cost of insulin at $35, putting new limits on medical expenses for seniors, making some vaccines free and pushing to lower the prices of some of the most expensive drugs in the world.At the White House, Mr. Biden and his advisers have already begun to elevate the issue as a centerpiece of his agenda. And at his campaign headquarters in Wilmington, Del., aides are preparing television ads, talking points and speeches arguing that Mr. Biden’s push for lower health care costs is a stark contrast with his Republican opponents.“The president will have a very strong case to make,” said Senator Amy Klobuchar of Minnesota, a member of the president’s national campaign advisory board. “Not only will people want to keep the benefits they have seen, they are going to want to get the benefits that are coming their way.”On Tuesday, the White House announced that the Biden administration will negotiate on behalf of Medicare recipients for lower prices on 10 popular — and expensive — drugs that are used to treat diabetes, heart disease and other chronic illnesses.The move was made possible by passage last year of Mr. Biden’s Inflation Reduction Act, which for the first time allows Medicare to negotiate drug prices for older adults, a change that has been opposed by the pharmaceutical industry for decades.Republicans also generally oppose giving the government the right to negotiate drug prices. But the candidates for the Republican presidential nomination have said little about the cost of medication, focusing instead on abortion, transgender medical issues and Covid lockdowns.In his speeches, Mr. Biden rails against the industry and his Republican adversaries in Congress, all of whom voted against the law that included the prescription drug provisions. Aides say it is an effective message.“Today is the start of a new deal for patients where Big Pharma doesn’t just get a blank check at your expense,” the president said at a White House event celebrating the change.Since signing the law a year ago, Mr. Biden has repeatedly called it one of his proudest legislative victories. But his approval numbers have hardly budged. And while polls show that the new policy is widely popular among Americans who know about it, they also suggest that far fewer people are even aware that the change was made.That is most likely because prices on just the first handful of drugs are not scheduled to actually drop until 2026 at the earliest, assuming Mr. Biden’s program survives legal challenges. Drug companies have filed numerous lawsuits against the administration that claim the law is unconstitutional. Court cases could drag on for years.In its lawsuit against the administration, the Pharmaceutical Research and Manufacturers of America, an industry trade group, called the plan for negotiated prices “a government mandate disguised as negotiation.”Even if Mr. Biden’s plan goes into effect, older adults who have made the choice to ration their drugs will have to continue doing so until more than a year after the 2024 presidential election.Danny Cottrell, 67, a pharmacist who owns his retail pharmacy group in Brewton, Ala., said he regularly advised his Medicare patients on the ins and outs of the government’s prescription program. He welcomed Mr. Biden’s changes, but said it would be up to people like him to explain the complicated process.“I got to remind them, this doesn’t start till 2026,” Mr. Cottrell said. “And then also remind them this thing will change several times between now and then.”Neera Tanden, Mr. Biden’s top domestic policy adviser, said the White House was confident that the plan would survive the legal challenges.“It is absurd to argue that negotiation is unconstitutional,” she said in an interview. “There’s nothing in the Constitution that says Medicare negotiating drug prices is unconstitutional.”But more broadly, Ms. Tanden said that she and the president’s other advisers in the West Wing were determined to make the push for lower health care costs a central part of Mr. Biden’s message to Americans.And next September, just weeks before Election Day, the administration will announce the results of the yearlong negotiations over the first 10 drugs.“We plan to work extensively, to really remind folks of this issue,” Ms. Tanden said.For the people leading Mr. Biden’s re-election campaign, the political benefits of focusing on lower health care costs are clear.Some polls show that 80 percent of Americans support giving the government the ability to negotiate lower prices for Medicare, much the way it already does for veterans and members of the military.Campaign aides said talking about lower costs of drugs or limits on out-of-pocket medical expenses is one way to help Mr. Biden win support among seniors, who traditionally have voted for Republicans in greater numbers. That is especially important in battleground states like Michigan, Arizona, Georgia and Ohio, where increasing support among older adults will be critical in close contests.The campaign’s early television ads have included numerous references to the president’s efforts to lower health care costs. A spokesman for the campaign said the issue of health care would be a central feature of a $25 million ad blitz focusing on what the president has done to lower costs overall and make economic progress.Kate Bedingfield, who served as Mr. Biden’s communications director for the first two years of his presidency, said the issue had political benefits even when it came to appealing to people who do not benefit directly from the specific cost reductions.“It draws a really clear contrast with the Republicans, who have stood in the way and continue to stand in the way of getting more done on this,” she said.Representative Michael C. Burgess, Republican of Texas and a doctor, said Mr. Biden’s drug price negotiations were akin to government-imposed price controls that would lead to drug shortages.“This administration’s approach goes beyond ‘negotiation,’” he said in a statement. “Instead, it holds pharmaceutical companies hostage, jeopardizing their future innovation and the well-being of American patients.”Mr. Biden’s campaign aides said a debate with Republicans about the cost of medical care was one they were eager to have.“MAGA Republicans running for president want to repeal the Inflation Reduction Act, which would deliver a massive win for Big Pharma and increase costs for the American people,” said Julie Chávez Rodríguez, the president’s campaign manager, referring to Republicans loyal to former President Donald J. Trump.She said the choice in the election was between Mr. Biden and “a slate of candidates focused on extreme policies that put their wealthy donors first.”Robert Jimison More

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    Compassionate Release for Those Aging Behind Bars

    More from our inbox:Living Well, and Pursuing One’s Passion, With Parkinson’sThe ‘Absurd Contradictions’ of the Migrant SystemA Civilized Argument A Debate QuestionCecilia CarlstedtTo the Editor: Re “Inside a Dementia Unit in a Federal Prison” (Opinion guest essay, Aug. 13):Katie Engelhart vividly describes the absurdity and cruelty of incarcerating frail elders with debilitating dementia. It would be a mistake, though, to conclude simply that expanding compassionate release is the answer. Certainly, that’s warranted, but policymakers should be proactive, not just reactive.As a former parole commissioner, I know that dementia is just the tip of the iceberg of the problem of mass aging behind bars.Countless people (not just men) effectively face a slow death penalty behind bars because of extreme sentences or repeated denials of parole release despite these individuals’ complete transformations. Far from being helpless, many are violence interrupters, mentors, scholars and artists, including people previously convicted of causing serious harm. They have changed.Enacting elder parole bills, which do not guarantee release based on age but rather allow older adults to be individually considered for release by a parole board, can help resolve the crisis of aging behind bars, save substantial money, and return people to the community to repair the harm they long ago caused — before they are on death’s doorstep.Carol ShapiroNew YorkTo the Editor:Dementia units in prisons should primarily serve as a conduit to helping achieve compassionate release. As physicians volunteering with the Medical Justice Alliance, we review the medical care of numerous patients with dementia who are undiagnosed and untreated in the prison system. Patients wake up unsure why they are in prison, hoping that President Nixon might pardon them.We must consider the high cost of normalizing the imprisonment of elderly patients with dementia. Financially, developing “dementia-friendly” prison units incurs significant costs; that money could instead be used to improve community resources such as nursing facilities. Ethically, we must grapple with punishing people who do not pose a threat to others and are unable to understand why they are being punished.Compassionate release laws at the state and federal levels should make dementia an explicit criterion for early release. Facilities should also screen older patients for dementia on a regular basis and develop protocols for requesting compassionate release and expediting placement in memory care facilities. The U.S. prison population is aging and change is urgently needed.Caitlin FarrellNicole MusheroWilliam WeberTo the Editor:As a person who has served three federal prison terms for antiwar protests for a total of almost three years, I found myself shaking my head that the Federal Bureau of Prisons maintains Federal Medical Center Devens to hold men with dementia.The essay noted that most of the men in the dementia unit have no memories of their crimes or why they are incarcerated, yet few are deemed eligible for compassionate release. The United States incarcerates nearly two million people in our thousands of jails and prisons. The U.S. prison system is primitive, lacks redemption and only metes out punishment. The term rehabilitation is simply not part of this cruel system.In my time in more than a half dozen federal prisons, I never met a man I would not have to my home as a dinner guest. Our jails and prisons are filled mostly with people convicted of nonviolent crimes. Many — perhaps the majority — of incarcerated people are poor, mentally ill or substance abusers. Most need medical treatment, not incarceration.I agree with F.M.C. Devens’s clinical director, Dr. Patricia Ruze, who thinks it would be “totally appropriate” to release the whole unit on compassionate grounds and relocate the men to community nursing homes.I’d go one step further: Let’s release all nonviolent people from prison with appropriate community support to help them prosper and avoid recidivism, as well as offer programs of human uplift to the remaining prisoners using the money we save by closing the prisons we will no longer need.Patrick O’NeillGarner, N.C.Living Well, and Pursuing One’s Passion, With Parkinson’sThe pianist Nicolas Hodges has continued to perform and record — with alterations and tough decisions — after receiving a Parkinson’s disease diagnosis.Roderick Aichinger for The New York TimesTo the Editor: Re “Pianist Adapts His Life to Parkinson’s” (Arts & Leisure, Aug. 13):Thank you for demonstrating how the pianist Nicolas Hodges is adapting to life with Parkinson’s disease. Mr. Hodges is testament to the fact that it is possible to continue to live well with Parkinson’s, and the article highlights two key ways to manage symptoms: consistently taking medications (dopamine) and reducing commitments or stress. Exercise and physical activity are also critical to managing symptoms.Recent research published by the Parkinson’s Foundation shows that the number of people in the U.S. diagnosed with Parkinson’s annually has increased by 50 percent, from approximately 60,000 to 90,000. This means that every six minutes, someone in the U.S. is diagnosed with the disease and may encounter similar challenges to those faced by Mr. Hodges.Further funding to support research and drug development are needed in order to find a cure, and the Parkinson’s Foundation and other organizations work tirelessly to advance this.In the meantime, we applaud Mr. Hodges for speaking about his experience with the disease and continuing to pursue his passion. Play on, Mr. Hodges.John L. LehrNew YorkThe writer is president and C.E.O. of the Parkinson’s Foundation.The ‘Absurd Contradictions’ of the Migrant SystemTo the Editor: We have millions of square feet of office space no longer being used and tens of thousands of homeless people and displaced immigrants needing shelter. Many employers cannot fill open jobs while the talents and proven determination of immigrants sit untapped in detention.We can strengthen our economy and confirm our commitment to human dignity and decency by correcting these absurd contradictions.It would be far more cost-effective to use the migrant detention system funds to create a system where people can be quickly helped and trained to be productive contributors to society instead of expensive drains on us all.Even if common decency is not a motivation, pure selfish economic need dictates that we end the waste and do the right thing.Michael E. MakoverGreat Neck, N.Y.A Civilized Argument Christopher Smith for The New York TimesTo the Editor: Re “Imagining the Face-Off in Trump’s Jan. 6 Case,” by David French (column, Aug. 12):I started feeling odd as I read Mr. French’s column. It was so quiet! Two measured, rational voices speaking through the ink, each backing up their arguments with researchable references and free of bitter, ad hominem jabs. A few bits of pique and tooth grinding to humanize both the defense and the prosecution, but all for the sake of clarifying a complex position.How civilized! How rare! It’s a shame that the essay was the voice of one man working his careful way through a thicket of legal complexity and not a real-life exchange of ideas in search of a mutually arrived at truth.Leslie BellDavenport, IowaA Debate QuestionTo the Editor: At the Republican debate I would like to see the moderator ask each of the participants if as president they would pardon Donald Trump if he is convicted of federal crimes.Walter RonaghanHarrison, N.Y. More

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    ¿A qué edad deberían retirarse los políticos?

    Dos momentos preocupantes que involucraron a los senadores Dianne Feinstein y Mitch McConnell provocaron preguntas sobre el envejecimiento de los líderes electos.Tras una serie de momentos preocupantes en Estados Unidos la semana pasada, a los ciudadanos, a los estrategas e incluso a los políticos les resulta imposible eludir una pregunta incómoda: ¿hasta qué edad se puede ocupar un cargo público?Durante años, como les sucede a tantos hijos de padres que envejecen en Estados Unidos, los políticos y sus asesores en Washington trataron de eludir esa difícil conversación y no dijeron nada sobre las preocupaciones que suscitan sus líderes octogenarios. Pudieron mantenerse en silencio gracias a las tradiciones de una ciudad que dota a las figuras públicas con un batallón de asistentes que gestionan casi toda su vida profesional y personal.“No sé cuál sea el número mágico, pero me parece que, como regla general, pues, cuando tienes más de ochenta es hora de pensar en relajarte un poco”, dijo Trent Lott, de 81 años, quien fue líder de la mayoría republicana del Senado y se retiró a los 67 años para fundar su propia empresa de cabildeo. “El problema es que te eligen para un mandato de seis años, estás en excelente forma, pero cuatro años después puede que no estés tan bien”.La semana pasada, dos episodios que han sido objeto de un minucioso escrutinio han hecho que el tema de envejecer con dignidad en un cargo público salga de los pasillos del Congreso estadounidense y se convierta en tema de conversación nacional.El miércoles, circuló en internet y en las noticias un video en el que se puede ver al senador Mitch McConnell, de 81 años, paralizarse durante 20 segundos frente a las cámaras. Menos de 24 horas después, apareció otro video de la senadora Dianne Feinstein, de 90 años, en el que se le veía confundida cuando se le pidió votar en una comisión.Desde hace meses, se ha venido desarrollando un debate político sobre la cuestión de la edad, a medida que Estados Unidos se enfrenta a la posibilidad de una contienda presidencial entre los candidatos de mayor edad de la historia del país. El presidente Joe Biden, de 80 años, quien ya es el presidente más veterano en la Casa Blanca, aspira a un segundo mandato, y Donald Trump, de 77 años, lidera la contienda de las elecciones primarias republicanas.“Cuando digo que tenemos que pasar la batuta a las generaciones más jóvenes, no estoy hablando de personas muy jóvenes”, dijo Dean Phillips, representante por Minnesota, de 54 años, el único demócrata en el Congreso que declaró que Feinstein debería dimitir y que Biden no debería presentarse a la reelección. “Solo me refiero a una generación razonablemente menos mayor”, explicó.El hiato de McConnell creó una nueva oportunidad para que los contendientes más jóvenes planteen la cuestión de un modo más enérgico. El viernes, el gobernador de Florida, Ron DeSantis, de 44 años, uno de los principales aspirantes republicanos a la presidencia, criticó la gerontocracia política del país.“Los funcionarios solían servir en su mejor momento y luego le pasaban la batuta a la siguiente generación, y me parece que esta generación no ha estado tan dispuesta a hacer esto”, dijo DeSantis a la comentarista conservadora Megyn Kelly y señaló que Biden se convirtió en senador en 1973, cinco años antes de que DeSantis naciera.Cabe destacar que Trump, quien tendría 82 años al final de un segundo mandato, defendió a Biden, al afirmar que el presidente no debe ser menospreciado por su edad. “No es un anciano”, publicó Trump este mes en Truth Social, su plataforma de redes sociales. “De hecho, ¡la vida empieza a los 80!”.Los médicos de Biden han dicho que goza de buena salud. Se sabe menos de la salud de Trump tras su salida de la Casa Blanca.Desde que en junio Biden cayó al suelo tras tropezar con un saco de arena, los asistentes de la Casa Blanca se han vuelto cada vez más sensibles a cualquier insinuación de que está disminuido físicamente.Ahora suele utilizar una escalera más corta para subir al Air Force One, observación que apareció en un reportaje de Politico y que llevó a sus asistentes a difundir 13 fotos de presidentes anteriores que también utilizaron escaleras que parecen tener una longitud similar. Desde principios de mayo no ha ido a comprar el helado que tanto le gusta ni se le ha visto en ningún otro comercio para hacer una visita improvisada a la ciudadanía. La Casa Blanca dice que la apretada agenda de viajes de Biden no ha permitido tales paradas este verano.Algunos de los principales asesores de Biden argumentan que su campaña debería abordar directamente el tema de la edad como una ventaja política —y una realidad innegable— en lugar de evitar el tema.“La edad es un superpoder”, declaró Jeffrey Katzenberg, magnate de Hollywood de 72 años, a quien Biden nombró copresidente de su campaña. “No puedes huir de ella porque tienes 80 años, ¿verdad? No se puede negar. He sido del bando que cree firmemente que es una de sus mayores ventajas”.Las encuestas indican que los electores opinan distinto, pues a muchos demócratas les preocupa la edad de Biden en medio de los ataques republicanos. En un sondeo realizado por YouGov el año pasado, la mayoría de los estadounidenses están a favor de que haya límites de edad para los servidores públicos que llegan a un cargo mediante elecciones, pero no hubo ningún consenso sobre el límite exacto. Poner un límite de 60 años impediría que el 71 por ciento del Senado pudiera ejercer su cargo, mientras que un tope de 70 años haría que el 30 por ciento de los legisladores fueran inelegibles, halló un análisis del grupo.En Dakota del Norte, un activista conservador empezó esta semana a circular peticiones para forzar un referéndum estatal el año que viene que prohibiría a cualquier persona que para el final de su mandato tenga 81 años postularse o ser electa para un escaño en el Congreso.Cuando Biden es interrogado por el tema de la edad, minimiza las preocupaciones con bromas y hace énfasis en su experiencia política. McConnell adoptó una estrategia similar cuando dijo a los periodistas que bromeó con el presidente sobre su lapsus de salud diciéndole que “se tropezó con un saco de arena”, una referencia a cómo Biden se rio de su propia caída.Está claro que ni siquiera una buena ocurrencia puede acabar con la realidad del envejecimiento. Tras la parálisis de McConnell, diversos artículos plantearon interrogantes sobre su estado de salud, ya que en marzo se ausentó del trabajo durante varias semanas por una conmoción cerebral.Por su parte, Feinstein, quien ha tenido problemas de memoria y se ausentó varios meses del Senado mientras se recuperaba de un herpes zóster, en ocasiones ha parecido incapaz de responder a preguntas sobre su estado de salud.Exasistentes afirman que parte del problema es la relación de interdependencia que se desarrolla entre los políticos y su equipo. Si un senador o senadora se retira, todo su personal —integrado por varias decenas de personas— puede quedarse sin trabajo de un día para otro.¿Y quién quiere decirle al jefe que, tal vez, ya pasó su mejor momento? Puede ser más fácil simplemente disimular los desafíos haciendo que los asistentes elaboren políticas, limiten el acceso a los reporteros y traten de evitar momentos sin un guion definido.“El Senado es un lugar tan cálido y reconfortante que puedes vivir dentro de esa burbuja”, dijo Jim Manley, de 62 años, quien trabajó para los senadores Ted Kennedy y Harry Reid. “Tienes personal a tu entera disposición, gente que te abre las puertas todo el tiempo”.Mientras que otros sectores tienen edades de jubilación obligatoria, incluidas algunas empresas que cotizan en bolsa y compañías aéreas, los congresistas han sido renuentes a adoptar políticas que equivaldrían a votar para verse obligados a dejar su cargo. Ni siquiera los votantes parecen ponerse de acuerdo sobre cuándo es suficiente y se muestran divididos cuando se les pregunta por un límite de edad concreto.La decisión de abandonar un puesto tan importante y poderoso es difícil, pero la alternativa —envejecer ante la opinión pública— podría ser peor, advirtieron algunos senadores retirados.“Es desgarrador, vergonzoso, pero cada quien decide cómo enfrentar la realidad”, dijo Chuck Hagel, de 77 años, quien fue senador por Nebraska y dejó el cargo en 2009. “La realidad es que no vamos contrarreloj, sino que todos envejecemos. A mis 77 años, comparados con los 62 que tenía cuando dejé el Senado, ahora tengo dolores que ni siquiera sabía que tendría”.Lisa Lerer es corresponsal de política nacional que cubre campañas electorales, votaciones y poder político. Más sobre Lisa LererReid J. Epstein cubre campañas y elecciones desde Washington. Antes de unirse al Times en 2019, trabajó en The Wall Street Journal, Politico, Newsday y The Milwaukee Journal Sentinel. Más sobre Reid J. Epstein More