June 9, 2011 at 6:30 pm EDT | by Alan Dinsmore
Who will take care of us as we age?

When you get old there are some phone calls and conversations you just don’t want to have.  Chief among them: “We are sorry but the only alternative for you is a nursing home.”

If we don’t plan, this can indeed be the only alternative for us. Why? First, look at the numbers. The MetLlife “Out and Aging Study” points out that 75 percent of heterosexual seniors live with at least one other person, generally a spouse or an adult child and about 80 percent of long-term care services are provided by unpaid caregivers, usually adult children. In some circles this is called the “sandwich generation,” adults taking care of parents as they work to get their kids through college and become grandparents themselves.

The same study found that 75 percent of LGBT seniors live alone and are four times less likely to have children. Most of us are in the “open sandwich generation,” adult children taking care of their frail parents and most of us with no children to take care of us. We are certainly busy though, 53 percent of LGBT adults are providing care for their relatives.

Certainly, many LGBT seniors are thriving. They lead exciting lives and are keystones for volunteer activities in our community and many continue to work in satisfying careers. But, make no mistake, old age does bring vulnerabilities and it doesn’t take much to turn a life of independence to one requiring a community of support. Think about what would happen if you could not drive anymore, or maybe you need to restrict yourself to driving during the day. No dementia, good hearing, good vision, but some arthritis is slowing your reactions. Nothing really dramatic, you just can’t get out much anymore. One thing can lead to another and, with astonishing rapidity, the best time of life starts into reverse.

Many of us don’t plan for any of this. Why not? Here are two culprits.

Too many of us take a look around and come to the subtle and sadly powerful conclusion that aging is not something we want to think about. Unfortunately, ageism seems not to rank very high on the list of LGBT social justice concerns. This ageism is not evenly experienced in our diverse community. Feminism has had a significant impact and lesbian communities are far more engaged in exploring and confronting ageism. But it is still there. Sadly, “Outing Age 2010” published by NGLTF Policy Institute states: “Gay and bisexual men appear to have had little connection to this dialogue.” Planning means confronting and many of us would rather hide. I am 68 and I can tell you that it makes me angry to encounter this new closet. You know the line said with a smile – “Oh, I’m not ready for that.” Imagine whether we would be where we are now if the pioneers of our movement thought in a like fashion – “Oh, I am not lesbian or gay or bisexual or transgender.”

Second, continuing inequality in health and retirement benefits including Social Security, Medicare and Medicaid prevents access to the same benefits as our heterosexual friends and neighbors and this inequality makes planning for independence a far more complicated process.

One measure of concern about our care came up in the first community forum hosted by SAGE Metro DC. Participants from the broad spectrum of older LGBT residents of the metropolitan area were invited to air their views on how they saw the challenges of aging. This group had clearly done far more thinking and preparing for aging than most folks. Yet, the one tough question from most of the participants was: Who will take care of us?

We will learn how to take care of each other.  We are certainly qualified. A key finding of the MetLife study mentioned above is that gay and bisexual men are just as likely to report being caregivers for another adult as are lesbians and bisexual women. The levels of support are startling with 34 percent of the respondents providing from 1 to 10 hours per week and 20 percent reporting 41 hours per week.

More help is on the way. The network of support in the larger aging community is growing slowly more responsive with major associations like the National Association of Area Agencies on Aging and one of the nation’s largest associations of long-term care providers, the National Center for Assisted Living providing guidance to their members on how to sensitively serve participants and residents from our community. SAGE Metro DC continues to work in the Washington, D.C., metropolitan area to support all of the efforts to assure that we will indeed be able to take care of ourselves.

If you have not already done so, talk with your friends, partner, spouse about how to plan for independence. Make an appointment with an elder law attorney to draft the documents that will preserve your right to make independent decisions. Aging LGBT boomers created the revolution that gave us our rights. They and their friends will also create a new revolution to insure independence and advancement in their “new age.”

Alan Dinsmore is chair of SAGE Metro DC. Reach him at wingsofthemorning@comcast.net.

  • Hi.
    I am licensed Long Term Care Administrator in Virginia. It has been my honor to serve my customers over the past 15 years. I openly welcome my LGBT customers and their families and friends. From facilities in Sussex County, DE to Prince William County, VA … aging is a process, and it if there are elements of love in my 60, 70, 80, 90+ year old customers and thier partners and family… I want to do everything for independence even in facilities. Not every Nursing Home or Assited Living is bad, and though I would gladly change careers or go on unemployment if I knew that aging was met with dignity and ability to never require facilities… but nature sometimes doesn’t let you choose. So until that day, I will enjoy taking care of and help others to take care of others, LGBT and all. But please plan… aging is not discrimantory.


  • Transsexuals have great fear of assisted care facilities where they may be forced back in the closet, forced to gender inappropriate facilities, forced to wear gender inappropriate clothing etc. Prejudice against transsexuals runs deep in the medical community and this fear is justiied

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