A coming of old-age story.

In nursing homes across the country, members of the Greatest Generation are living out their last days. No matter how exciting or mundane their lives, they’re now occupying a hospital-style room—a public space where you can’t lock your door and strangers come and go. Life is a succession of pokes and prods, medications, TV, bingo, and, possibly, talking to Ira Rosofsky.

Nasty, Brutish, and Long is a candid, humane, and improbably humorous look at the world of eldercare. With a compassionate eye but mordant wit, Rosofsky, a psychologist charged with gauging the mental health of his elders, reveals a culture based not in the empathy of caretaking, but rather in the coolly detached bureaucracy of Medicare and Medicaid.

A portrayal of what is increasingly becoming the last slice of life for many, Nasty, Brutish, and Long is also a baby boomer’s poignant meditation on mortality, a reflection on his caregiving for his parents’ final days, and an examination of the choices that we, as a society, have made about healthcare for the elderly who are no longer of sound mind and body.