A groundbreaking history of aging in the US and an innovative blueprint for revolutionizing geriatric care from Northwell Health, New York's largest health care system. The New York Times described Dr. Robert Butler as "the man who saw old age anew." In his 1975 book Why Survive: Being Old in America, Butler argued that for far too many people old age was "a period of quiet despair . . . and muted rage" and he set out to mitigate it. Nearly five decades since he penned his book, a devoted band of brilliant physicians and others in the healthcare field have realized at least a portion of Butler's dream: to recognize and alleviate suffering among the aging. The Aging Revolution is the story of Butler and his disciples: women and men who saw older distressed adults in hospitals and homes, and worse: being ignored by most of the medical establishment. These revolutionaries could not ignore the suffering, and they set out--individually and collectively--to create entirely new ways of caring for aging adults to ease their suffering and improve their quality and length of life. This revelatory book tells a story never-before told in its entirety, recounting the one of the most significant periods of improvement in American medical history. Readers will learn about pioneering individuals, concepts, and ideas that have improved the lives of millions, including: the women who placed the spotlight on delirium and falls--major issues for older adults; the campaign to build and spread Geriatric and Palliative Care; the small bands of doctors who worked the halls of Congress to create a new program that provides primary care along with home visits from healthcare professionals; and the New York-based foundation that has devoted its mission and millions exclusively to improving care and quality of life for aging adults. Today, as a result, chronic conditions that almost always accompany old age are far more manageable. Older people enjoy more options for work and professional development, for education, for leisure and travel, for sports and maintaining physical strength and mobility. For increasing numbers of Americans, life is healthier and richer in the experiences that matter most. Yet, aging in America can still be a challenge and, too often, particularly for the poor, a painful struggle. The range of mental and physical well-being has almost infinite variations: ninety-year-olds running marathons; sixty-five-year-olds incapacitated by stroke. While this book celebrates the incredible progress and strides made in this field, it also highlights areas that need improvement. The authors lay out specific steps that, if implemented, could super-charge the aging revolution and drastically diminish the total volume of older adults suffering in America.

The moving story of an Irish immigrant's life, from a poverty-stricken childhood in Ireland to becoming a captain of industry, After the Roof Caved In is a powerful, poignant look at how hard work and education enabled one young man to change his life and circumstances completely.  Today, Michael J. Dowling is president and CEO of Northwell Health, New York state's largest healthcare provider and private employer, with over 68,000 employees and over 700 facilities. But he grew up in deep poverty in the village of Knockaderry in rural Ireland, in a small home without running water or a stable roof, in a family with little hope for improvement and a place with little opportunity—and he overcame it all to become wildly successful.  After the Roof Caved In is Dowling's rags-to-riches story of his life and journey from his destitute youth to his realization of the power of education and his eventual departure from his home to attend university in Cork, and onward through his life as he gradually improved himself and his circumstances. Full of memories both fond and painful, this powerful memoir examines the family dynamics of his childhood—including the lives of his deaf mother and arthritic father—as well as the social systems of the time, the politics and concerns of the day, and the way a variety of disparate events came together to help Dowling change his life completely. Most importantly, it chronicles his lifelong effort to rise above the circumstances into which he was born and to create the sort of life he dreamed possible.  For anyone interested in the stories of immigrants, the experiences of the Irish in the mid-20th century, or the value of hard work and education in changing one's life, After the Roof Caved In is an essential read, and a heartfelt, deeply moving meditation on an extraordinary life. 

The moving story of an Irish immigrant's life, from a poverty-stricken childhood in Ireland to becoming a captain of industry, After the Roof Caved In is a powerful, poignant look at how hard work and education enabled one young man to change his life and circumstances completely. Today, Michael J. Dowling is president and CEO of Northwell Health, New York state's largest healthcare provider and private employer, with over 68,000 employees and over 700 facilities. But he grew up in deep poverty in the village of Knockaderry in rural Ireland, in a small home without running water or a stable roof, in a family with little hope for improvement and a place with little opportunity-and he overcame it all to become wildly successful. After the Roof Caved In is Dowling's rags-to-riches story of his life and journey from his destitute youth to his realization of the power of education and his eventual departure from his home to attend university in Cork, and onward through his life as he gradually improved himself and his circumstances. Full of memories both fond and painful, this powerful memoir examines the family dynamics of his childhood-including the lives of his deaf mother and arthritic father-as well as the social systems of the time, the politics and concerns of the day, and the way a variety of disparate events came together to help Dowling change his life completely. Most importantly, it chronicles his lifelong effort to rise above the circumstances into which he was born and to create the sort of life he dreamed possible. For anyone interested in the stories of immigrants, the experiences of the Irish in the mid-20th century, or the value of hard work and education in changing one's life, After the Roof Caved In is an essential read, and a heartfelt, deeply moving meditation on an extraordinary life.