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COVER Web.Indd JOHN HARVARD’S JOURNAL er was just Harvard’s second nocturnal foot- ALUMNI ball game, and the first to be held on a Fri- day. The 20,462 attendees were treated to an improved Stadium sound system and a new video scoreboard that o≠ers instant At Home with Old Age replays. The first night opener took place a year ago and drew 18,898 fans. Reimagining nursing homes Bombs away: With Pizzotti’s strong arm and a clutch of nimble receivers, Harvard may have the Ivies’ best aerial attack. A fifth- year senior who sat out the 2005 season s the keynote speaker at him into a grasshopper. “The myth,” with a back injury, Pizzotti got the starting an AARP workshop on elder Thomas tells his audience, “o≠ers the job a year ago and posted the second-best care, William Thomas, M.D. proposition that old age is inside of us; it single-season passing numbers in Harvard ’86, is telling the story of Eos, is welded to the human condition.” annals. He threw for 370 yards against Holy Athe Greek goddess who fell in love with An internationally known geriatrician, Cross, for 320 at Brown, and for 231 at La- the Trojan prince Tithonus. The couple Thomas is used to lecturing about the fayette. Iannuzzi, who also returned kicks, lived happily until one day Eos saw some- need for attitudinal adjustment when it had 11 catches in the Holy Cross game, and thing strange poking out of her husband’s comes to aging. Growing old entails “ele- Luft made 10 receptions at Brown. head. “‘What is that???’” Thomas shrieks ments of decline, [but] the larger truth,” The Game: The annual clash with Yale in mock shock and disgust as the audi- he maintains, “is that aging is a complex, kicks o≠ at the Stadium at noon on No- ence laughs. “Well, it was a gray hair.” multifaceted, and poorly understood com- vember 22. A halftime ceremony will mark Soon, Thomas continues, the prince’s en- ponent of normal human development.” the fortieth anniversary of the legendary tire head was white and he grew older Thomas takes this holistic view to 29-29 tie of 1968 (see “The Force Was With and older—but he could not die because work every day. A bullish reformer, he Them,” page 79). “cleat” he had been made immortal. His once has spent his career pushing for seismic booming voice became feeble, and his cultural and economic changes in long- For weekly Harvard football updates, visit strong legs and shoulders shriveled up. In term care and public policy toward www.harvardmagazine.com/football. the end, Eos took pity on him and turned aging, which has meant challenging the gram that abides by the letter and the spirit of NCAA and Ivy rules and we want to continue that.” Men’s Basketball Exonerated “This matter got a lot of attention because it was raised in the press,” said Jeff Orleans, executive director of the Ivy League (see “Questions about Recruiting,” May-June, page 76). An inquiry by the Ivy League into allegations of improper re- “The admissions part was a non-story, in the sense that the re- cruiting by the Harvard men’s basketball program and of low- porter could have simply waited until the admissions decisions ered standards of admissions for the team—raised initially in a were known, instead of asking people to speculate.” March 2008 New York Times article—has determined that no vi- As for the alleged recruiting violations, which centered on olations of either National Collegiate Athletic Association or the fact that assistant coach Blakeney had played basketball— Ivy League rules occurred. In addition, the league’s routine an- before Harvard hired him—with a prospect, Orleans said the nual review of admissions standards found that all admitted committee conducting the investigation asked three questions: Harvard recruits met the requirements mandated by the Was Blakeney a Harvard employee? Was he a Harvard repre- league, which issued a statement on September 3 that read, in sentative? Was he trying to recruit athletes to Harvard at the part: time of these activities? “The answer was no in each case,” Or- Harvard Head Coach Tommy Amaker and Assistant Coach leans noted. Such issues arise and are investigated routinely in Kenneth Blakeney were completely forthcoming in their Division One athletic programs; what made the Harvard in- participation in this inquiry, and interviews with others stance unusual, he said,“was the level of attention that was fo- who were involved, as well as a thorough examination of cused on it.” relevant records, corroborated that the coaches’ contacts Orleans did indicate that the allegations have prompted the with prospective student-athletes and their families were league to begin “discussing with all the schools the importance entirely consistent with NCAA and Ivy League rules. of being very clear about the employment relationship and how “We’re very pleased with the outcome,” Harvard athletic di- it develops. That way,” he added—given the public perception rector Robert L. Scalise said after the results became public.“It that the periods before and after someone is hired “shade to- was what we had expected it to be,” he added.“We have a pro- gether”—“they can avoid even the appearance of impropriety.” 80 November - December 2008 $122-billion nursing-home industry. In some ways the timing for such re- forms could not be better. Many nursing homes built in the 1960s and 1970s in re- sponse to Medicare and Medicaid legisla- tion now need major renovations just as aging baby boomers begin to create rising demand for geriatric care. (Seventy mil- lion Americans are expected to be older than 65 by 2030.) “The boomers are al- ready changing the face of aging,” says Thomas, who is 48. “They aren’t going to take the declinist label: ‘I am broken down and unimportant.’” Thomas is out to improve nursing-home conditions—or, better yet, supplant them with smaller group homes where cus- William Thomas tomized, flexible care is the norm. “I am talking about a vision for alleviating the main causes of human su≠ering in older ionship that also improved working con- criticizes the pharmaceutical industry for people—loneliness, hopelessness, and ditions for the sta≠. (Sta≠ turnover is a many things—like pushing too many boredom,” he says. “The changes I am major problem in geriatric care.) drugs on older people and marketing pills talking about are really just applying com- The Eden Alternative’s most enduring to “cure” such normal aspects of life as mon sense. Would you rather live in an in- contribution, he emphasizes, is not “the shyness, grief, and occasional insomnia— stitution, or in a garden?” fur and feathers” but the Eden Golden he is always quick to thank modern medi- Rule: As management does unto the sta≠, cine for keeping his girls alive. Thomas calls himself a “nursing home so shall the sta≠ do unto the Elders. “We Balancing family life with his workload abolitionist.” The vision of an “Eden Alter- teach the people who own and operate and travel schedule—he is gone from their native” for elders began in 1991 when he these facilities how to provide sta≠ with Ithaca, New York, home 30 to 45 days a took a part-time job as a doctor at the the same vital experiences that they want year—is not easy. He is still on the Eden nonprofit Chase Memorial Nursing Home the sta≠ to o≠er to the elders: dignity, re- board, but since 2002 has left daily opera- in upstate New York. He was seeking spect, a≠ection,” he says. The New York tions to an executive director. He is a reg- respite from harrowing 24-hour shifts at a State Health Department studied the im- ular consultant for AARP, the author of local emergency room, but quickly real- pact of this unprecedented approach and five books, including What Are Old People ized two things: that there was “some- found a 50 percent reduction in infec- For? How Elders Will Save the World, and a pro- thing very wrong” with the way people tions, a 71 percent drop in daily prescrip- fessor at the Erickson School of Aging, were living there, and that he had “just tion-drug costs, and a 26 percent lower Management, and Policy at the University fallen in love with the people, their fami- turnover rate among nurses’ aides. of Maryland-Baltimore County, where he lies, and the nurses.” He also recognized Based on that success, Thomas “Ed- writes the blog “Changing Aging.” opportunities to e≠ect deep change. enized” several other upstate nursing In 2003 Thomas pushed beyond Eden “Morale is often so low at a nursing home homes and then founded the nonprofit to pilot a newer concept in elderly hous- that just about anything you could do there Eden Alternative to spread the word. To ing—the Green House Project in Tupelo, would have a huge impact,” he says. “I met date, the organization has 300 registered Mississippi. The challenge was to create people who had literally given up on liv- nursing homes around the world and has better alternatives that meet demands for ing. And you can bring joy to them—that’s trained more than 18,000 people in what high-quality care and meaningful lives what turned me on.” he considers the 10 basic principles of cre- while complying with government regu- Within two years Thomas had also ating a “human habitat” for elders. lations and building codes—and remain- brought the residents 80 parakeets, 10 ing a≠ordable.
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