Ageism in the COVID-19 pandemic: age-based discrimination in triage decisions and beyond.

Ageism has unfortunately become a salient phenomenon during the COVID-19 pandemic. In particular, triage decisions based on age have been hotly discussed. In this article, I first defend that, although there are ethical reasons (founded on the principles of benefit and fairness) to consider the age of patients in triage dilemmas, using age as a categorical exclusion is an unjustifiable ageist practice. Then, I argue that ageism during the pandemic has been fueled by media narratives and unfair assumptions which have led to an ethically problematic group homogenization of the older population. Finally, I conclude that an intersectional perspective can shed light on further controversies on ageism and triage in the post-pandemic future.

The twin faces of ageism, glorification and abjection: A content analysis of age advocacy in the midst of the COVID-19 pandemic.

While the government responses to the COVID-19 pandemic have varied across the globe, there has been a unifying cry from academia and public health professionals warning of the detrimental effects of attaching our understanding of this new threat to our already ageist attitudes. What is inescapable is that COVID-19 has an age-related risk component and the latest data shows that risks start to rise for people from midlife onwards. As governance agencies, professional practice, and academia work towards assessing, communicating, and addressing this risk, we ask: are existing gerontological conceptualisations of ageism appropriate for this exceptional situation and what is being (re)produced in terms of an aged subjectivity? Following van Dyk's (2016) critique of gerontology's 'othering' through both 'glorification' (third age) and 'abjection' (fourth age), a content analysis of statements and policy documents issued in response to COVID-19 provides evidence of well-meaning and inadvertent ageism through homogenizing language, the abjection/glorification binary within 'old age', and the power binary constructed between age and an age-neutral midlife. The paper concludes with reflections on future directions for ageism research beyond COVID-19.

#BoomerRemover: COVID-19, ageism, and the intergenerational twitter response.

Early reports of COVID-19 often inaccurately presented the virus as a serious concern only among older adults. On the social media platform of Twitter, #BoomerRemover originated as a hashtag intended to express the age-related disparities of COVID-19. This study used a content analysis to examine tweets over a two-week period in March 2020 that used #BoomerRemover to discuss COVID-19 among older adults. A total of 1875 tweets were analyzed. Salient themes include: (1) There's a Real Intergenerational Divide, (2) Young People are Affected Too, (3) It's Being Used for Political Gain, and (4) #BoomerRemover is Simply Disrespectful. Findings suggest that many of the tweets employing #BoomerRemover were grounded in either personal or political ageism. In addition, a significant portion of tweeters used #BoomerRemover to defend older adults and speak out against ageism. This study highlights the importance of recognizing and addressing the growing intergenerational divide on social media, particularly during the COVID-19 pandemic.

COVID-19 Amplifiers on Health Inequity Among the Older Populations.

The coronavirus disease 2019 (COVID-19) is affecting the population disproportionately and is continuously widening the health gap among the population. Based on some recent studies on COVID-19 and the older population, the various cascades toward health inequity have been projected. This study highlights how the COVID-19 is met by health inequity triggers, such as global trade inequality, ageist social regulations, and the existing social inequity. While those triggers are applicable to all the populations, there seems to be specific amplifiers for health inequity among the older populations. In particular, six types of amplifiers have been identified: (1) expansion of riskscape, (2) reduction of social ties, (3) uncertainty of future, (4) losing trust in institutions, (5) coping with new knowledge, and (6) straining on public spending. While the fundamental mitigating responses to health inequity among the older population is tackling existing inequalities, this study may help to shed light on emerging vulnerabilities among the older population to alleviate far-reaching consequences of COVID-19 of the identified inequity amplifiers.

Societal Views of Older Adults as Vulnerable and a Burden to Society During the COVID-19 Outbreak: Results From an Israeli Nationally Representative Sample.

OBJECTIVES: To examine the factors associated with older adults' perceptions of ageism in society during the COVID-19 outbreak, in particular the portrayal of older people as a burden and as vulnerable. METHOD: Data are based on a nationally representative survey of adults aged 50+ in Israel, conducted during the COVID-19 outbreak (N = 888). Regression models predicted perceptions of societal ageism. The independent variables were dying anxiety, experiences of age-based discriminations, and social resources. RESULTS: Participants who believed older adults were perceived as a burden during the COVID-19 outbreak had higher dying anxiety and reported more age-based discrimination. Living with children and contact with family were protective against perceptions of adults as a burden. Participants who believed older adults were perceived as vulnerable had higher dying anxiety and were less likely to live with children. DISCUSSION: The daily lives of older adults can impact their perceptions of societal ageism during the COVID-19 outbreak.

Calculated Ageism: Generational Sacrifice as a Response to the COVID-19 Pandemic.

OBJECTIVES: Popular responses to the pandemic illustrate ageism's pervasiveness and the extent of collective acquiescence to its newest expressions. We explore these themes by analyzing Twitter reactions to "calculated ageism"-a term we use to refer to a political figure's edict that older adults should sacrifice their lives if it will mitigate the pandemic's economic damage to younger people. METHOD: Using thematic analysis, we examine tweets (n = 188) responding to Texas Lt. Governor Dan Patrick's March 23, 2020, statement that encouraged generational self-sacrifice. Themes that emerged included positions of support or opposition and tweeters' critiques. RESULTS: The large majority of tweets-90%-opposed calculated ageism, while only 5% supported it and 5% conveyed no position. Opposition centered on moral critiques, political-economic critiques, assertions of older adults' worth, and public health arguments. Support centered on individual responsibility and patriotism. DISCUSSION: While prior research reveals ageism's entrenchment in popular culture, our study finds that it has limits and identifies the reasons underlying them. The most common reasons for opposing calculated ageism center on its immorality and on its privileging of the economic interests of the powerful few over the many, patterns suggesting that the boundaries of ageism are influenced by core beliefs about fairness. They also are shaped by a bedrock conviction that older lives have value. This intergenerational solidarity could be leveraged to reduce ageism during the pandemic and beyond.

Modern Senicide in the Face of a Pandemic: An Examination of Public Discourse and Sentiment About Older Adults and COVID-19 Using Machine Learning.

OBJECTIVES: This study examined public discourse and sentiment regarding older adults and COVID-19 on social media and assessed the extent of ageism in public discourse. METHODS: Twitter data (N = 82,893) related to both older adults and COVID-19 and dated from January 23 to May 20, 2020, were analyzed. We used a combination of data science methods (including supervised machine learning, topic modeling, and sentiment analysis), qualitative thematic analysis, and conventional statistics. RESULTS: The most common category in the coded tweets was "personal opinions" (66.2%), followed by "informative" (24.7%), "jokes/ridicule" (4.8%), and "personal experiences" (4.3%). The daily average of ageist content was 18%, with the highest of 52.8% on March 11, 2020. Specifically, more than 1 in 10 (11.5%) tweets implied that the life of older adults is less valuable or downplayed the pandemic because it mostly harms older adults. A small proportion (4.6%) explicitly supported the idea of just isolating older adults. Almost three-quarters (72.9%) within "jokes/ridicule" targeted older adults, half of which were "death jokes." Also, 14 themes were extracted, such as perceptions of lockdown and risk. A bivariate Granger causality test suggested that informative tweets regarding at-risk populations increased the prevalence of tweets that downplayed the pandemic. DISCUSSION: Ageist content in the context of COVID-19 was prevalent on Twitter. Information about COVID-19 on Twitter influenced public perceptions of risk and acceptable ways of controlling the pandemic. Public education on the risk of severe illness is needed to correct misperceptions.

From "Coffin Dodger" to "Boomer Remover": Outbreaks of Ageism in Three Countries With Divergent Approaches to Coronavirus Control.

OBJECTIVES: This article compares responses to coronavirus control in Australia, the United Kingdom, and the United States, 3 countries in which public ageism erupted over the social and economic costs of protecting older adults from Covid-19. METHODS: Thirty-five (35) newspapers, media websites, and current affairs magazines were sourced for the study: 8 for Australia, 12 for the United Kingdom, and 15 for the United States. Searches were conducted daily from April to June 2020, using key words to identify age-related themes on pandemic control. RESULTS: Despite divergent policies in the 3 countries, ageism took similar forms. Public responses to lockdowns and other measures cast older adults as a problem to be ignored or solved through segregation. Name-calling, blame, and "so-be-it" reactions toward age vulnerability were commonplace. Policies banning visits to aged care homes angered many relatives and older adults. Indefinite isolation for older adults was widely accepted, especially as a vehicle to end public lockdowns and economic crises. DISCUSSION: Older adults have and will continue to bear the brunt of Covid-19 in terms of social burdens and body counts as the pandemic continues to affect people around the globe. The rhetoric of disposability underscores age discrimination on a broader scale, with blame toward an age cohort considered to have lived past its usefulness for society and to have enriched itself at the expense of future generations.