Abstract:

Public policy is examined as it relates to disability & aging, with particular emphasis on the role of technology. The current demographic trend is toward increasing numbers of older Americans - some who have a disability & are aging, & others who acquire a disability with age. The spiraling costs of health care associated with these population figures are documented, & the development of rehabilitation & aging policies since the 1900s is traced, pointing out their different philosophies. The effects of these policies on practice & the development of technology services within each field are discussed. The emerging trend toward convergence of disability & aging issues & policies is reviewed, including new legislation that reflects this rapproachement. Recommendations for facilitating cooperation between the disability & aging communities are provided. A call is made for health care reform that emphasizes prevention (which encompasses assistive technologies for chronically ill disabled individuals, regardless of age) rather than intervention. Such reform would assure access for all & place a premium on quality care at a reasonable cost.