A much-loved, 78-year-old grandfather, busily engaged in
writing his memoirs, has a massive stroke. Should he be
given expensive, intensive therapy? Who should decide
and on what basis?
The ethical and economic dilemmas created by the graying of
America inspired Daniel Callahan s landmark book Setting Limits:
Medical Goals in an Aging Society, which touched off the remark-
able debate now collected in A Good Old Age? Callahan foresaw,
and most others agree, that we must ask fundamental questions
about the meaning of longevity in a society uncomfortable with
tough questions about life, death, family, and the relationship
between curing and caring.
In A Good OIdAge? experts from many fields--medicine, theol-
ogy, public policy, the law, philosophy, and others--take on these
questions. What should our medical goals be? Who should set
them? Can we put limits on health care--and hence life--and
remain a morally just society? Can we even translate our moral
choices into workable public policies? Many of these thinkers pro-
foundly disagree with Callahan s views, but all believe that struggle is
essential if our society is to offer a good life, not just a long one.
Daniel Callahan, author of Setting Limits and What Kind of Life, is
the Director of the Hastings Center. Paul Homer was the Assistant
Director of the Hastings Center and is currently teaching at the
Fordham Preparatory School in New York City. Martha Holstein was
the Associate Director of the American Society on Aging in San
Francisco and is now associated with the Center for Ethics and Social
Policy at the Graduate Theological Union in Berkeley, California.
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