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IEET > Life > Enablement > Health > Vision > Technoprogressivism > Contributors > Colin Farrelly

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Political Theory and Aging Research


Colin Farrelly
Colin Farrelly
In Search of Enlightenment

Posted: Sep 24, 2009

As a political theorist who works on issues that intersect the biological sciences and medicine, I frequently get puzzled looks when I tell students and colleagues I am working on aging and longevity science.  Their puzzlement is understandable, as these topics do not currently receive much attention in the discipline.

When we one thinks of the subject “the study of politics”, we tend to think of voting behaviour and political parties, or institutions like the Supreme Court or Congress.  It is only natural to associate the study of politics with the study of the issues that dominate the evening news- so high-profile government decisions like the war on terror, the economic bailout or tackling climate change. 

Images like these three thus capture the stakes and concerns we currently associate with the study of politics:
















These images resonate with our understanding of political science.  Political scientists are interested in power:  what is it?, who has it?, how do different institutions and cultures influence power?, and when (if ever) can power be legitimate?  The different sub-fields of political science reflect the diversity of concerns that arise here- comparative politics, international relations, political theory, etc. 

While these images and sub-disciplines are important and cover many diverse issues, I also think it is important for us, as political scientists, to critically reflect upon the adequacy of the tools and concepts we utilize to adequately diagnosis the pressing challenges we face today in the twenty-first century

The first (and in my opinion the best) political scientist was the Ancient Greek philosopher Aristotle.  For Aristotle politics is a normative practical science. The primary concern of politics is the good of humans.  And this made politics the most authoritative of all the sciences as the political scientist could prescribe which sciences ought to be studied (e.g. economics, biology, etc.).

Aristotle inspires me, and when I reflect upon the current state of contemporary political theory I feel we have forgotten how sage Aristotle’s insights are.  A concern with the good of humans has given way to the concerns which the professionalization of the discipline places a premium on- like narrow specialization.  The puzzlement I encounter when I tell people I am a political theorist who has an interest in aging and longevity science confirms this sad state-of-affairs.  Unlike Aristotle, who was genuinely concerned with the good of humans and had a curious intellect that ranged across many different disciplines (philosophy, biology, politics, etc.), political theory in the twenty-first century reflects the constraints and incentive structure of academia.  The concern for tenure and promotion and RAE submissions underlies a great deal of the research in the field today.  And this creates pressures to become more and more specialized and risk-adverse.  If there is a sub-field in political science that should not be overtly specialized and risk-adverse it is political theory. 

So when I reflect upon the state of contemporary political theory the thing that strikes me most is how parochial and atemporal we theorists have become.  Debates in theory move slowly, very slowly.  In some ways this is a good thing.  Theorists like to take our time to think things through.  This is important.  Rushing things usually doesn’t yield sage insights.  There are often subtle, yet important, distinctions and provisos that need to be made.  So I want to emphasise that I recognise that and agree it is important. 

However, the pace of technological innovation today means that novel and unprecedented challenges face humanity.  Challenges that theorists ought to be investing their thoughts and energies into tackling.  And, at least for me my tastes, we are moving too slowly, and our focus is too narrow.  This inertia stems mostly from the fact that we wear “blinders” that shield us from the realities of today’s world and the new knowledge which evolutionary biology yields.  Aristotle would scoff at the insularity and specialization of contemporary political theory.  While concerns for the good of humans do populate debates in the field (some more than others), that concern is peripheral rather than central. 

The neglect of science and technology, for example, easily illustrates how wide the gap is between debates in political theory and the real world.  If you were born 200 years ago you probably wouldn’t live to see your 30th birthday.  If you are born today you will most likely live long enough to suffer from one of the chronic diseases of aging in late life (after age 60).  We have more than doubled the life-expectancy of humans in just 200 years.  And yet the significance of the advances that made this possible- like the sanitation revolution, vaccinations, material prosperity, changes in behaviour, etc.- go largely unnoticed by the political theorist.  Such “macro-level” considerations typically aren’t on the radar of theorists because we tend to form our theories and principles on the basis of micro-level considerations (e.g.:  “Look, the Jones’s have more money than the Smith’s do.  Is this inequality in one small dimension of their life prospects fair if it is the result of “brute luck”?)

So, how does one go about linking political theory to aging research?  This is my project.  It is one that constantly weighs on my mind given that one does not encounter journal articles on this topic, nor conferences addressing these themes, etc.  But this challenge helps sharpen my intellect.  If I chose to work on multiculturalism or global justice I wouldn’t have to justify my chosen topic to anyone.  Those are topics almost all theorists work on.  And thus one can just display the “membership” badge to the club and proceed with little or even no justification for why one has chosen to work on these topics. 

So tackling something new or neglected in a field comes with risks.  Maybe others don’t write on this topic because it actually is unimportant.  I have taken this prospect very seriously.  But after researching these topics for the past few years my confidence in the importance of aging research, for both society and political theorists, has grown.  There will be 2 billion humans over age 60 by mid-century and these people will be at a high risk of chronic disease.  We live in an “aged-world”.  A world where most humans alive today will die from the diseases that afflict us in old age.  Death and disease are very serious things.  They ought to be among the top few things on our list of what undermines the good of humans.  And this means we ought to place a premium on the knowledge and innovation that could help us alter the biological clocks we have inherited from our evolutionary history.

Even though the evening news does not report breaking headlines concerning the unprecedented numbers of people suffering chronic disease does not mean it is not an important issue worthy of serious study and reflection.  Rather than have the media shape my research interests, or simply follow the existing trends in my field, I have adopted a different approach (at least for this stream of my research).  To see why aging is so important I want you to consider the importance of fossil records.  If we examine the fossil records of our distant ancestors from thousands of years ago we see what posed the greatest threats to their health and prosperity.  The fossil records of our distant ancestors reveal the toll inflicted by violence, poverty and infectious disease.  Very few humans lived long enough to suffer from the chronic diseases of aging. 

The fossil records from the twenty-first century, however, will reveal something truly unique in human history- that the inborn aging process is now the leading cause of disease and death.  Of course it’s possible that an asteroid could destroy humanity this century, or we could destroy ourselves in a nuclear war.  But the most likely scenario is that most humans alive today will die from cancer, heart disease and stroke, and these diseases will kill them after the age of 60.  These future projected fossil records, rather than the evening news or a chapter in Rawls’s A Theory of Justice, is what shapes my thinking about these issues.  But we may be able to alter this likely future.  It is irrational for humanity to ignore the leading cause of disease and death.  Of all the things to ignore, the last thing should be the leading cause of disease and death!

So, let me be more precise as to why this matters to us political theorists.  Much of course depends on what we take political theory to be.  Recall my account of what theory is.  Here is an excerpt from that earlier post:

Dunn claims that the purpose of political theory is to diagnose practical predicaments and to show us how best to confront them. Doing this, he adds, requires us to develop the following three distinct skills.

1. Ascertaining how we got to where we are and understanding why things are this way.
2. Deliberating about the kind of world we want to have.
3. Judging how far, and through what actions, and at what risk, we can realistically hope to move this world as it now stands towards the way we might excusably wish it to be. (Dunn, 1990, p. 193)

So the theorist in me says that understanding our evolutionary biology and aging research apply to all of these.  Let me fill in the relevant details.

1.  How did we get to the situation where 220 million humans will die from the chronic diseases in just the 10 years from 2005-2015?  The first part of the story is the story of the triumph of human ingenuity.  Over the past 200 years we have been able to increase life expectancy at birth from below 30 to over 67 years by reducing early and mid-life mortality.  This has been an amazing accomplishment.  Yet it is important to recognise that preventing death and disease early in life has brought about the dramatic rise in population and age-related disorders.  Why do we age?  And why does aging make us vulnerable to frailty, disease and death?  To make a long story short- because the force of natural selection does not apply to the post-reproductive period of the human lifespan.  So most disease and death today are caused by evolutionary neglect.  And given the size of today’s populations, unprecedented numbers of humans will suffer the ravages of chronic disease. 

2.  What is the ideal?  Less disease, more health!

3.  How to get there?  To put things very generally- We need to think outside the box.  The medical sciences are currently dominated by the “disease-model” approach to health extension.  This approach is costing more and more money, and yielding smaller health dividends.  The real culprit is aging itself.  Retarding aging would bring individuals and societies greater opportunities to flourish.  For political theorists we must transcend our fixation on the distribution of external goods like wealth and income and take more seriously the natural determinants of health.  Rather than start from Rawls’s A Theory of Justice we should start from Darwin’s Origins of the Species.  Rather than assuming all members of society are healthy and productive we should strive to understand the constrains which an aging population face.  Rather than bury our heads in the sand with respect to science we must stay abreast of the incredible progress being made, especially in the biomedical sciences. 

This has been a long post.  Thanks for your patience in permitting me to work these issues out in my own mind as I attempt to strengthen my case to get political theorists to take people for what they really are (Part 1, Part 2, Part 3).

So I want to finish by appealing to my fellow theorists to take more seriously the importance of images like these:













These images illustrate the real challenges of the 21st century.  With adequate funding, creativity and innovation, today’s governments might help us achieve one of the most laudable of goals- modulating the biological clocks we have inherited from our evolutionary history.  The sooner we begin to think seriously about addressing this issue the better. 


Colin Farrelly is currently Queen's National Scholar in the Dept of Political Studies at Queen's University. His most recent book is entitled Justice, Democracy and Reasonable Agreement.
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COMMENTS


It would be good to hear your ethical considerations concerning your investigations and interest into longevity and anti-ageing. For example, if the plan succeeds to overcome these evolutionary barriers of chronic disease and ageing, how would the world cope with this increase in ageing populace?

If these advances in medicine are shared throughout the entire world and with the third world populace, (as they should be), how would the worldview need to change to incorporate a sustained increase in population through longevity? What are the implications concerning birth control, especially throughout the third world? How would world economics have to change to sustain these increases in population? How would we support an increased ageing population that is non-productive? How would we offset the problems faced with an increased ageing population, and balancing a decreasing birth rate?

Eventually these ideals concerning longevity may run us into very serious problems if we do not take care : imagine a New World where an ageing populace slowly begins to outnumber the working or productive populace and where the birth rate may be suppressed for the sake of population control? There will eventually be a critical point in the curve where there may in fact be a real existential risk posed, and a point on this curve where serious damage to world health may occur, if birth rates are not increased to counteract the affects and results of longevity. And all this may happen regardless of our best of intentions?

The narrow view regarding advances with disease, longevity, and decreasing infant mortality in western developed countries seems to neglect or negate the real issues regarding the complete opposite happening in Africa today. In fact you may conclude that a world populace is somewhat repressed or even loosely held in balance by high mortality rates and early deaths throughout Africa and similar poorer nations? And this is today, what if your ideals for longevity for the future are achieved?

Welcome to the ageing future..
"By 2025, more than a third of the UK's population will be over 55. We're living longer and staying active until much later in life. So why the pessimism about the rise of Britain's ageing population?"
More here > http://news.bbc.co.uk/1/hi/uk/4012797.stm


The British Society for Research on Ageing (BSRA) promotes research to understand the causes and effects of the ageing process. BSRA encourages publication and public understanding of ageing research, publishes its own e-journal "e-Lifespan", a monthly electronic newsletter and holds an annual scientific meeting.
More here > http://www.bsra.org.uk/

Note!! > the link at this site is for a large pdf file "An Ageing World" [11.55MB, 204 pages]

Excerpt "Population aging represents, in one sense, a human success story of increased longevity. However, the steady, sustained growth of older populations also poses many challenges to policymakers.1 In a few years' time, just after 2010, the numbers and proportions of older people (especially the oldest old) will begin to rise rapidly in most developed and many developing countries".


U.S Census Bureau : World population summary and stats

http://www.census.gov/ipc/www/idb/worldpopinfo.php
http://www.census.gov/ipc/www/idb/informationGateway.php



Dear CygnusX1,

Thanks for your comment. You note that you would like to hear my ethical considerations concerning my investigations and interest into longevity and anti-ageing. So I'll offer a few reflections here, some which bear directly on the points you raise and some that address related points one often encounters in these debates.

You ask: "if the plan succeeds to overcome these evolutionary barriers of chronic disease and ageing, how would the world cope with this increase in ageing populace?"
Much of course depends on what we envision when one says "if the plan succeeds to overcome these evolutionary barriers". My "plan", to the extent that I have one (it's rather an aspiration than a detailed plan), would be to reduce, to the greatest possible extent, the risk of morbidity and mortality caused by the inborn aging process. And my reason for wanting to do this is simple- it is a logical extension of our attitude towards all other risks of disease and death- these things are bad for us and we try to prevent and avoid them. We try to minimize the risks of death by traffic accidents, homicide, infectious disease, starvation, cancer, AD, etc. I just think we ought to apply that same attitude to the leading cause of death:aging itself.

As for coping with the increase in an aging populace, the challenge is much more enormous for the aging "status quo" scenario. So the real crisis is what will happen if we do nothing about aging. By the middle of this century there will be 2 billion people over the age of 60. And the consequences of the inborn aging process mean these aged persons will suffer chronic disease and a prolonged period of frailty and disability.

You say "imagine a New World where an ageing populace slowly begins to outnumber the working"...but that is where we are already heading. Slowing aging would help mitigate this as it would keep people healthier for longer. So a deceleration of aging would help keep a larger portion of the population healthy and capable of working (although I don't think we need to assume that working (at least fulltime) for a living we be as vital to the prosperity of many economies in 50 years' time).

You claim "The narrow view regarding advances with disease, longevity, and decreasing infant mortality in western developed countries seems to neglect or negate the real issues regarding the complete opposite happening in Africa today".

But the claim "what is happening in Africa today" is unhelpful, as it is a gross simplification. It implies there is one just one thing happening to the billion or so people living on the continent. There are *many things* happening in Africa, and many of these things are not the opposite of what is happening in developed countries.

In some African countries, the population is living just as long (even longer) as populations in the United States. For example, the 6.3 million people in Libya have a life expectancy at birth of 77 years, as do the 10 million people living in the state of Michigan. And the 10.5 million people living in Tunisia have a life expectancy of 76 years, which is 2 years higher than the life expectancy for the 3 million people living in Mississippi.

Of course at the lowest end of life expectancy in Africa things are very different. The 1.1 million people living in the last absolute monarchy in the world (http://news.bbc.co.uk/2/hi/africa/country_profiles/1069035.stm), Swaziland, are ravaged by HIV and have a life expectancy of 32. See the life expectancy for different US states here: http://www.businessweek.com/bwdaily/dnflash/content/sep2006/db20060913_099763.htm

Contrary to what many people in the developed world believe, millions of people in Africa live long enough to have their vision fade, to go through menopause, suffer arthritis, cancer, stroke, heart disease, etc. Of course aging research will not solve all the problems in Africa. But it doesn't have to purport to do that before it is labelled a stringent moral imperative nonetheless. Tackling obesity and smoking will not solve all the problems in Africa either, but they are still important public health aspirations.

So we shouldn't simplify what the challenges facing Africa are. There are many distinct challenges, and the chronic diseases of aging are among the important challenges that continent will face this century.

And if one considers the world as a whole, and its 6.7 billion people, the chronic diseases of aging are the greatest challenge facing humanity this century . Indeed, more people die of these diseases in lower and middle income countries than in rich countries. The following WHO factsheet estimates that 80% of chronic disease deaths occur in lower and middle income countries because that is where most of the world's population is. http://www.who.int/chp/chronic_disease_report/media/Factsheet3.pdf

Cheers,
Colin



Have you seen the 16 year old girl who looks like she's a year old? She might possess the key to the aging problem.
http://en.wikipedia.org/wiki/Brooke_Greenberg



Some more research into communities with very high longevity:
http://videos.komando.com/2010/01/17/
"What is the optimal lifestyle of longevity? Do you need to eat a special diet, take vitamins or do a specific exercise?

In this video, Dan Buettner and National Geographic studied so-called "Blue Zones." These communities are elders full of vim and vigor. They reach age 100 at rates 10 times greater than in the United States. And they suffer a fraction of the rate of heart disease and cancer. What are the secrets? Watch and learn!"



Generally life expectancy in Africa is lowest in the world and ageing does not seem to pose an immediate threat but with progressive improvements in health and develepment, we expect the current situation to change...how do we age slowly, healthily and productively? evidence-based approaches? what can we learn from the developed counties? we should be prepared for it and not to be overtaken when it occurs. We need to be proactive! how is Libya and Tunisia doing it? the African way? how different is that from the west and Asia?



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