Under the Influence (with Jo Piazza) - January 02, 2025


How Will I Die? (And How Will I Age?) with Deb Whitman

New Years Resolutions That Aren't Dumb Is This Normal? A Truly Excellent Chat with an Influencer OB-GYN

Episode Stats


Length

29 minutes

Words per minute

160.78

Word count

4,739

Sentence count

204

Harmful content

Misogyny

3

sentences flagged

Hate speech

3

sentences flagged


Transcript

Transcript generated with Whisper (turbo).
Misogyny classifications generated with MilaNLProc/bert-base-uncased-ear-misogyny .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Hey, y'all. Joe here, and you are listening to Under the Influence.
00:00:11.160 Today, we're talking about aging and dying, but in a fun and interesting and entertaining
00:00:17.980 way. Our guest is Deborah Whitman. She's AARP's Chief Public Policy Officer and the
00:00:25.900 former staff director for the Senate Special Committee on Aging. She knows a lot about these
00:00:31.500 things. But there were also a lot of things she didn't know. And as she approached her 50th
00:00:38.640 birthday, she wanted to delve deeper into why so many Americans struggle to live well as they age.
00:00:45.700 She also began to wonder what the hell was in store for her as she approached 50.
00:00:50.960 Suddenly, all the questions that she'd been studying for years became intensely personal.
00:00:57.120 How long will I live?
00:00:58.460 Will I be healthy?
00:00:59.720 Will I lose my memory?
00:01:01.540 And how will I die?
00:01:04.780 So Whitman reported out the book The Second Fifty.
00:01:09.000 It's an indispensable guide for living well, well into your second decade.
00:01:14.120 Now, I'm not exactly there yet, but Nick Astor just turned the 5-0,
00:01:18.620 even though he doesn't look it. It's unfair. It is actually unfair, to be honest.
00:01:24.980 And so many, so many of my friends are grappling with caregiving for their aging parents right now.
00:01:31.400 So this is a book we should all be reading, and this is a conversation that we should all be
00:01:35.460 having. I think we all need to get more comfortable with the things that make us uncomfortable.
00:01:40.060 rule i was about to hit my 50th birthday and i realized there was like a lot of questions that
00:01:53.080 i didn't know the answers to or knew pieces of them um or i'd never really saw it through how
00:01:58.980 will i die so um so i wrote down i wrote down the questions i wanted to now and they're you know
00:02:05.000 some basic things like how long will i live and will i be healthy um some practical questions like
00:02:12.660 um how long will i work and will i have enough money and um then some tough questions will i
00:02:21.020 lose my memory and um and how will i die and so for each of them i really dove into the research
00:02:29.800 I talked to people. I did surveys. And I learned a lot. And hopefully, it's going to be helpful
00:02:37.840 for people as they either are approaching their second 50 or are in it and are tackling one of
00:02:44.600 these tough questions themselves. Yes, absolutely. I'm 44. My husband just turned 50. These are all
00:02:52.460 things that suddenly we're facing as we're also still parents of a two-year-old. So in so many
00:02:59.960 ways, it feels like, how are we here already? How are you here in the second half of your life?
00:03:07.220 And there are things that I also think is easy not to face. And for a long time, a lot of
00:03:14.100 generations just didn't talk about these things. They just said, well, you know, we'll just,
00:03:17.860 we'll wait and see what happens uh and so diving into your book is such a treat i gave it to
00:03:25.780 my husband nick who still really also doesn't believe he's 50 he's just and some people he
00:03:30.520 has great hair so people don't think he's 50 but it's so helpful and so useful what were you most
00:03:37.980 surprised about when you started digging into all this research so a few things one is things that
00:03:46.200 I knew on the surface, um, the why is behind it. So things like, um, I knew women live longer than 1.00
00:03:54.460 men. Um, even though your husband is, um, is older in general, we live women in the United
00:04:01.620 States live six years longer. Um, but I didn't understand why. And a piece of it's due to
00:04:08.060 biology and a piece of it's due to differences in behavior between men and women. Um, men are less 0.81
00:04:15.640 likely to go to a doctor when they're sick. They're more likely to be in a war. They shoot
00:04:21.080 war guns. You know, those types of things shorten men's life expectancy. And our home ones also 0.57
00:04:28.820 protect us at about a couple years of life. So things like that where I knew the what,
00:04:36.480 but not the why. And then there were some things where I thought I was right. I thought I was going
00:04:42.060 to write the chapter and know what I was talking about. And I called an expert and kind of got
00:04:47.280 schooled because the information has changed. So I thought everybody needs an advanced directive
00:04:54.460 to help them make sure that their wishes are respected at the end of life. And it turns out,
00:05:00.720 A, they're not followed. And B, sometimes we check boxes that we think when we're young and
00:05:06.600 healthy or what we want. And then COVID hits and you check the box that says, I don't want to be
00:05:12.540 put on a ventilator. And so, you know, maybe that's not the best piece of paper, isn't your
00:05:20.380 wishes. Maybe you should talk to somebody who can be there for you in the moment and sort of assess
00:05:25.360 the situation. And that's what the experts told me. So, so throughout the whole thing, there was
00:05:31.100 a lot of learning and what I've heard from people either looking at their own second 50 that it's
00:05:38.480 helped them sort of think through and have conversations and plan or I have two friends
00:05:43.740 that are taking care of their parents right now and are very heavily reading several chapters
00:05:50.140 like where will I live trying to think through you know whether their parents can stay in their home
00:05:56.200 And what is the care type things that they need and how do they afford it?
00:05:59.980 All of those types of things that I raise.
00:06:03.280 Yeah, I mean, those are things that we're already thinking about, honestly.
00:06:08.320 I mean, also, I think, you know, life expectancies, as life expectancies are growing, we're not necessarily seeing, you know, the quality of life extending as long.
00:06:21.200 So, you know, how do you stay as healthy as possible, as long as possible, as self-sufficient
00:06:27.140 as possible?
00:06:28.420 And for me, I know a lot of my friends are now just starting to care for aging parents.
00:06:36.280 And they are from a generation that did not want to think about this, even the littlest
00:06:41.620 bit.
00:06:42.440 They were like, we are going to be fine.
00:06:44.640 We are living it up.
00:06:45.840 We are not going to make a plan for this.
00:06:48.360 And now it's here.
00:06:49.280 and people in their forties and fifties
00:06:51.680 are the ones dealing with a lot of it.
00:06:54.600 And many of them are like,
00:06:56.100 oh my God, we have no systems for this.
00:06:58.800 We have no system for this.
00:07:01.100 We really don't.
00:07:02.280 And that's, Joe, you know,
00:07:04.380 my sort of secret message with the book
00:07:06.080 is the first seven chapters
00:07:07.680 are all about you and your family.
00:07:10.100 The last chapter is how do we make it,
00:07:12.460 how do we fix this stuff for real
00:07:14.460 so that not everybody falls into these giant holes 0.58
00:07:18.420 where your mom breaks her hip
00:07:21.100 and you suddenly realize that there's no care for her
00:07:24.400 when she goes home.
00:07:25.420 And so you have to move her in, quit your job,
00:07:29.280 all of these things that you were not planning for.
00:07:32.300 In the same way, you know,
00:07:33.940 when you had your two-year-old and other kids,
00:07:37.040 you knew nine months in advance
00:07:38.700 and you sort of had a sense that this was coming.
00:07:42.360 There really hasn't been a what to expect
00:07:44.320 when you're aging book in the same way
00:07:46.220 that we have what to expect when you're expecting we really have it and i mean this is this is
00:07:52.240 actually the closest that i've seen to what to expect when you're aging book i i had toyed with
00:07:57.620 that topic or that title at one point um but it's kind of a whole industry so yeah i don't think it's
00:08:03.680 as sexy as this either like i just don't i don't think it's gonna fly off the shelves
00:08:07.280 and also because no one wants to think that they're aging right and so by calling it the
00:08:15.380 second 50. It's like, oh, this is just like the second half of your life, not necessarily your
00:08:20.240 aging or old. And so many people look at the, you know, 50 as the end of your life. I don't know if
00:08:26.500 your husband celebrated his 50 with a big, you know, giant party for that he'd made it halfway
00:08:31.780 or not. But it's not. And another key message of the book is it's actually not all bad. Yes,
00:08:41.640 there might be more health issues but you also have more time um people are from here as they
00:08:48.060 age actually the lowest rates of happiness are for us in our 40s and 50s that sounds i get that
00:08:54.760 rates of happiness and even if we ask people about their health and they have lots of health issues
00:09:00.500 um they say i'm doing pretty well um all things under consideration so um you know the the the
00:09:09.540 fears that we have about aging, even dementia. Half of us think we're going to get dementia,
00:09:15.140 but at least 17% of people in their 70s even have mild cognitive impairment. So we have all this
00:09:21.280 built up worst case scenario rather than seeing I'm going to have time. I'm going to have wisdom.
00:09:30.140 I'm going to have all these other good things that I can do. Right. Right. Exactly. Exactly.
00:09:35.000 I want us to take a really quick break here. And when we get back, I want to hear about that last chapter, about what are some of the bipartisan solutions that can be put in place now to make aging just better for everyone, for the people that are doing it, and then also for the caregivers.
00:09:52.760 okay we're back you've you've lived in the world of policy making for so long as you're doing all
00:10:07.760 this research could you even help yourself but to think of solutions to every chapter that you
00:10:13.380 were reporting on well that's been my day job for the last 20 years and trying to push through
00:10:20.780 solutions and and there are solutions that are out there even bipartisan solutions so um for
00:10:26.840 example half of workers today can't save through their paycheck for retirement we have a voluntary
00:10:35.180 system for employers employer can offer you a 401k or not um and mostly small business have too much
00:10:41.780 to do um and so it's people that work in small businesses more women more people of color that 0.98
00:10:48.600 are less likely to be able to save through their paycheck every time. And we know it's like 14-fold
00:10:55.400 difference between whether you have that access or not, whether you save for your future.
00:11:01.360 And it's not that people don't want to necessarily. It's hard to do by yourself. DIY
00:11:06.920 is a difficult thing to think of for 40 years in advance. So we've been passing laws now in 20
00:11:14.380 states, red states, blue states, purple states, to set up programs that allow workers who
00:11:21.300 aren't covered by their employer to save through their paycheck through the state-managed
00:11:29.920 funds.
00:11:31.060 They can choose not to if now is not a time where they have the extra money.
00:11:35.400 But things like that can make a huge difference whether people get financial security later
00:11:40.300 in life.
00:11:42.000 So that's one good example.
00:11:44.380 You know, at this point, we need bipartisan solutions, and I don't think it should be a partisan issue, you know, to prepare people to have a wonderful second half of their life, you know, to prepare better for aging.
00:12:03.140 Are there other countries that just do this really well?
00:12:07.840 So one of the great things, part of my job is to look at what other countries do.
00:12:12.360 um and also to try and make aging better all over the world so working with the united nations and
00:12:19.780 the world bank and oecd and others and so so we have looked at a lot of other countries
00:12:25.520 there's a couple differences between us and them um one is most of their programs are universal
00:12:31.460 so it's not employer-based both health insurance and retirement savings in the united states
00:12:38.280 people get through their employer or have to figure it out on their own that's not true in
00:12:44.280 a lot of other countries a lot of other countries also don't just provide medical care in as part
00:12:50.820 of their health system so you know if you uh need surgery if you need an expensive drug
00:12:58.020 medicare covers that um if you need help at home it doesn't it also doesn't cover your ears your
00:13:04.560 eyes or your teeth three things which age with the rest of you but for medicare was never part
00:13:11.780 of medicare and still isn't so um so the holes in the u.s systems are different um and more people
00:13:20.800 are falling into them over time as we have an aging population and so that's one of the messages
00:13:26.300 of this is we have more of us aging but we we have not thought about it in a holistic way
00:13:33.400 and created the policies that's not going to just help the current older generation,
00:13:39.400 but your generation, your kids' generation, you know, these are issues that we need to fix now
00:13:45.120 that can help families today, but also people as they age in the future.
00:13:51.340 Why do you think there has, why do you think it has been difficult for so long to talk about aging,
00:13:58.340 to talk about how we die
00:14:00.160 to put policies in place
00:14:02.400 that make both of those things better.
00:14:04.900 You know, it is happening.
00:14:06.500 Again, we've made progress.
00:14:09.180 You know, we said things
00:14:09.980 that Medicare didn't cover.
00:14:12.120 It didn't cover drugs until 2000.
00:14:14.580 It was actually in the Senate
00:14:15.540 when it was expanded.
00:14:17.900 So it's not that, you know,
00:14:19.880 we haven't seen progress.
00:14:22.060 It's just the progress
00:14:23.100 is not fast enough for me
00:14:24.700 and my taste.
00:14:27.040 and really there's too many people falling through the cracks. So I think if people understand the
00:14:34.740 systems, they'll be more likely to push for them. And that's a piece of the book. And then there's
00:14:40.800 a personal component to all of this, right? What we need at different times in our life will vary.
00:14:45.740 Nobody hits 50 in the same way as anybody else. Some people, by the time they're 50,
00:14:51.840 have the chronic conditions that other people won't get for another 20 years. Even across
00:14:57.860 states, if we look at Minnesota, people get chronic conditions 20 years later than they do
00:15:04.900 in West Virginia, which shows us that there's things that we can do in West Virginia to make
00:15:11.920 them more like Minnesota. It's not just that the people are different. So I'm hopeful that these
00:15:20.760 types of conversations will both empower individuals to take the what to understand
00:15:26.920 what they can do to live longer and healthier but also to really help push for policies that
00:15:31.300 will support us all what was it like reporting on a chapter called how will i die i have to say that
00:15:39.280 was my favorite one to write um because it's the one i you know personally knew the least about
00:15:47.000 except i do open the book with the story of my husband who had a massive heart attack at um
00:15:54.120 in his late 40s and he was healthy and luckily he survived but it did make me think about
00:16:00.240 longevity being not a certain business um and so so in the hell i die i sort of wrote it um
00:16:08.640 with kind of hopeful stories um as well as practical advice like the advanced directives
00:16:15.440 that we just talked about the need to get a will um but one helpful story was i went um to new
00:16:22.260 zealand to study how they're aging and what we can learn from them and i met with a group of that
00:16:28.540 started the kiwi coffin club joe we need one of these here i love this story so much
00:16:35.020 um it's a woman was at a um community college campus and they're like what classes would you
00:16:43.800 like to see for continuous learning. And she raised her hand and said, I want to learn how
00:16:47.820 to decorate my own coffin. And there was a lot of uncomfortable laughing by the organizers.
00:16:53.680 But afterwards, like 10 people came up to her and they're like, I want to do that too. So she
00:16:58.800 started this club. It's been going for years and it's arts and crafts. They literally get stenciled
00:17:05.680 and paint and put on whatever's meaningful to them. One woman, I was painted her favorite hiking
00:17:13.620 scenes from around the country. There was Elvis one. It was so, so cool. And then they also just
00:17:21.840 met and hung out and like had tea together. And there was, you know, games and books and all kinds
00:17:27.640 of things. And so it was also this social engagement. And then they gave back to their
00:17:31.600 community. They would decorate coffins for children with cancer or for families who couldn't afford
00:17:38.500 one and so um it was just a great way of of thinking about um how do you personalize the
00:17:46.620 end for yourself um how do you talk about your wishes and what's important to you and and how
00:17:52.420 do you show a life well lived how do you show a life well lived i love that you know one of the
00:17:58.280 things that i noticed when i was in sicily just traipsing through graveyards as one does uh as
00:18:06.020 research for the book, is on their headstones, they have pictures of the deceased. And it just
00:18:14.480 made the whole experience of being with people who have passed so much more intimate because you see
00:18:21.740 their names, you see their faces. And it made me think a lot about what I want to happen for my
00:18:30.320 loved ones, how I want them to be able to celebrate my life and remember my life after I pass.
00:18:37.380 What do you want them to do?
00:18:38.980 Oh, my gosh, many things. I told Nick Astor that if I were to pass quite early, you know,
00:18:45.080 earlier than we expect, that he and his new wife will have to carry my ashes together up to the
00:18:51.220 top of Mount Kilimanjaro. Kilimanjaro. Yes, because Nick and I, we wrote, I wrote a book
00:18:57.040 called How to Be Married, uh, the first year of our marriage. And we climbed, we climbed Kilimanjaro
00:19:03.800 together. And, uh, Nick, who's very fit, much more fit than I am, uh, was not able to climb it
00:19:09.340 because he got altitude sickness, which you cannot predict, um, at the, at the very last second. So
00:19:14.700 I told him that I want him, you know, with his lovely new partner, whoever she may be to, to
00:19:19.320 finally complete this climb, but they have to take me with them and talk about me the entire way up
00:19:23.760 the mountain it's every step every step every step is really about me my husband wants me to
00:19:29.480 carry him to the top of um aspen mountain ajax uh which i've done in my fit days but it's not an
00:19:38.100 easy hike at altitude um so my kids have promised if i have to take the gondola they'll they'll
00:19:45.000 carry him up they'll carry him up our wedding vows were that we're gonna uh we're gonna love
00:19:50.600 each other till we're 103 so you know he's not allowed to go before then and he's a year older
00:19:57.020 so that's like makes you know that last year a little complicated for me because well yeah you'll
00:20:02.080 just you know you'll be in mourning victorian mourning for that last year yeah exactly exactly
00:20:07.540 invest in some beautiful black dresses let's take one more quick break we'll be right back
00:20:11.900 so as you were writing this book this all these questions are impacting both you and your husband
00:20:25.640 you open the book with a story about his heart attack what did the two of you learn about what
00:20:31.400 you want from your relationship for the next 50 years so so this is really important i'm glad you
00:20:38.980 actually ask because there's um there's several things that can keep us healthy and living longer
00:20:43.880 um and i'm happy to tell you in your audience what they are i want to i want to hear i want
00:20:48.540 to hear all of them the biggest question i get um but one of them is relationships um so i i
00:20:54.640 interviewed um bob waldinger who's a professor at harvard um and he's done this study of people
00:21:01.020 where they survey them um from their childhood to to um now they're in their 90s and you know
00:21:08.280 adding adding more people of their family they took the healthy 80 year olds and compared them
00:21:12.980 to the unhealthy 80 year olds and he looked back at their 50s and said what's different
00:21:16.540 was it their cholesterol was better were they better exercisers and it was the quality of
00:21:22.660 their relationships the people who were the healthiest had really solid relationships
00:21:28.380 earlier in life and so you know we don't always think of our friends and family as
00:21:34.680 health promoting um but it is really important um in our second 50 to have those close relationships
00:21:41.540 um you want to hear the other things that i want to hear them all yeah bring bring it on
00:21:45.900 i'll tell you the five five ones that you've could probably uh say off the top of your head
00:21:51.680 yourself it's um uh exercise eat right don't smoke don't drink too much um and maintain a
00:22:01.280 healthy body weight. That'll give you about a decade of healthy life. Even if you do one of
00:22:07.240 those, you live an extra two years. But this research actually really surprised me. And it
00:22:15.480 surprised me how strong and robust it is that if you have a positive view on aging, if you think
00:22:23.400 that aging is a term of wisdom and ability to give back, you live seven and a half years longer.
00:22:30.400 wow that's seven and a half years that's more than you're eating right and exercise
00:22:35.640 and you have lower risk of cardiovascular disease um your dementia risk goes down
00:22:43.700 um all kinds even when they looked at the brains of people who had died and then look back to see
00:22:51.140 at their same rate with a positive or you know negative views um their brains uh had less plaques
00:22:57.500 So, you know, when we think about healthy aging, mindsets and relationships really often aren't the first things that come to mind. It's the eating right and exercising and no alcohol. But the other things also really matter in our future.
00:23:15.380 Yeah, I think that one is so interesting to me. I mean, I knew that was true about community, but it's become, I mean, it's become even more of a priority for me. I mean, it has been, you know, since having kids, I think that new mothers need a community desperately, but we don't talk nearly as much about how we need a community as we age.
00:23:37.320 And I've been thinking about that a lot lately. I'm like, where do I want to be? Who do I want to be with? Starting now, you know, leading up to the second half and then in the second half of my life. How how have you two talked about this and planned for your future?
00:23:53.820 so um glenn's heart attack really made him um both be really positive and appreciate where he
00:24:01.960 is in life like you know i think the the rush with death um made him um very reflective on
00:24:10.940 how lucky he is to be alive so he even wrote uh over 50 letters to uh friends and family
00:24:17.940 former coaches, former teachers, thanking them. So that sense of gratitude is also really important
00:24:24.760 to our health. And then, you know, I think we're just trying to invest more in our friendships
00:24:30.440 and in our family. I had a good friend over for, cooked her dinner last week. We're headed to my
00:24:37.240 husband's uncle's 90th birthday party this Saturday in New Jersey. Happy birthday, Barry.
00:24:44.920 Happy birthday, Barry.
00:24:46.760 Happy birthday, Barry.
00:24:47.480 Happy 90th.
00:24:48.980 So trying to find those times when you can connect with others or even just on the phone.
00:24:53.900 It doesn't have to be in person.
00:24:56.140 But making relationships, making time for relationships, which is hard if you're a mom with little kids.
00:25:04.020 It's a little easier now that mine are off to college because I can take a midday walk on a Saturday and not be on the soccer field.
00:25:13.000 Right.
00:25:13.040 right soccer soccer and basketball are just starting for us enjoy that yeah yeah it's a
00:25:22.620 real vibe it is a real vibe um yeah I mean I think about little things too I mean even just like
00:25:28.420 texting to check in with friends um and we're all busy like all of us are busy working moms at this
00:25:34.920 point but I started just inviting my friends to come over and sit at my house and like essentially
00:25:39.160 parallel play with me like you know the way we put toddlers or babies next to each other and
00:25:43.240 they don't even know the other ones there i'm like just work next to me sit next to me and
00:25:46.260 once in a while i'll squeeze you that's great well i love this i love your book i think it's
00:25:52.360 a great gift for anyone who's approaching the second half of their life or who you know is a
00:25:57.380 caregiver for people in the second half of their life uh whereas you know people in their 20s should
00:26:02.260 just be living it up and being naked as often as possible um tell tell everyone where they can find
00:26:08.720 doing where they can find this wonderful book so um books at your local bookstore um and um you can
00:26:16.080 find a little bit more if you if you can't find where to buy it it's um come to aarp.org
00:26:21.220 i am starting the instagram world joel a little nervous about it but you should be it's terrible
00:26:30.200 on there it really is yeah i'm at dr deb whitman um or i post a lot on my linkedin page so that's
00:26:37.600 probably where i'm where i'm most active but um i'm trying to be more i'm trying to do more
00:26:43.100 linkedin yeah like we should trade i'll take over your instagram for like a week and you can take
00:26:48.100 over my linkedin okay we can trade we can trade yeah exactly exactly because i linkedin i find
00:26:53.860 so daunting uh but instagram i've like figured out how to tame the beast okay yeah instagram
00:26:59.620 linkedin people are nice in general right yeah it's their professional selves that are responding
00:27:05.040 to your posts. I think people will be nice to you on Instagram. I do. I do. They've just found a lot
00:27:13.540 to be mad at me about. Oh, dear. I'm sorry. Oh, it's fine. I can take it. I used to be an
00:27:19.500 entertainment reporter. I have very thick skin. This was wonderful. Thank you so, so much for
00:27:26.320 coming on today. And I love that you're getting us to all start these conversations we should be
00:27:32.400 having thanks joe and i uh loved loved your book the sicilian inheritance i'm having uh studied in
00:27:40.400 italy and been to sicily a few times um really brought me back there so yay they'll be reading
00:27:46.440 your books too yay thank you and that is all we have for today i don't know about you but there
00:27:53.520 are a lot of parts of getting old that i'm really psyched about and it doesn't all have to do with
00:27:58.520 my kids leaving the house or, you know, being free to travel more. I just think I'm getting
00:28:04.640 more awesome as I age. I honestly do. And you are too. We all are. We are wiser. We are funnier.
00:28:14.100 We're just like a fine cheese or a fine wine. We get better every single year. I truly believe
00:28:21.480 this. I do. You're amazing. Go do something nice for yourself. You deserve it.
00:28:28.520 Thank you.
00:28:58.520 Thank you.