book spotlight: the end game – how inequality shapes our final years by corey abramson
You don’t see a lot of books linking cultural sociology and gerontology. An ethnographic study of elderly people in four neighbrohoods, The End Game is a study of the coping strategies that people use and how those are related to race and social class. For example, there are those who try to preserve their health so as not to be a burden on others, while others “use up” their health while enjoying themselves (e.g., by drinking). Abramson also pays close attention to the processes that normally occupy stratification scholars, such as how wealth affects how people access food, healthcare, and social support.
What I found most compelling about this book is the careful attention paid to the combination of class based resources and “toolkits” that are driven by culture or simply variations in personality. For example, health isn’t simply a matter of who can pay for a doctor. Health is also affected by the view that medical intervention is constantly needed to maintain a deteriorating body. One thing that I wish had received more attention is the link to outcomes – there should be more discussion of exactly which traits might be conducive to longer live, healthier life, or happier life.
Near the end, Abramson discusses a mildly disturbing encounter with a sociologist who asked why we should care about the elderly. The answer is that old age is a growing feature of human life after industrialization. It can also be a long stage of life. A 90 year old person has 25 post-retirement years! Thus, we should care about what is an extremely common experience and we want people to live well. Abramson’s text is an important contribution to that vital research task. Recommended!!!!