American Eldercide: How It Happened, How to Prevent It by Margaret Morganroth Gullette is a powerful and eye-opening critique of the systemic abuse and neglect that older adults face in the United States. Gullette’s writing is both informative and impassioned as she delves into the ways in which society marginalizes, exploits, and devalues its aging population, ultimately leading to what she terms “eldercide”—the silent destruction of older individuals through neglect, mistreatment, and the denial of their rights and dignity.

The book provides a thorough historical analysis, tracing the roots of ageism and examining how cultural and institutional forces have contributed to the current crisis. Gullette offers a sharp critique of the medical and care systems, which often fail to provide adequate care, and calls for systemic change to ensure the safety and well-being of older people. She also emphasizes the importance of societal attitudes shifting toward valuing aging and respecting the rights of older adults, making the book a call to action for readers to advocate for change.

While American Eldercide is undeniably compelling and offers invaluable insights, it can sometimes feel repetitive in its emphasis on the same themes. The solutions proposed, though important, might not feel fully fleshed out in practical terms, leaving some readers desiring more actionable steps. Despite this, the book’s emotional power and intellectual rigor make it an important read for anyone interested in the intersection of ageism, healthcare, and social justice.

Overall, American Eldercide is a crucial contribution to discussions about aging and societal neglect, providing both a critical analysis and a hopeful call for change. Gullette’s writing offers a sobering reminder of the need to protect our elders and address the systemic issues that lead to their suffering.

As a personal support worker and having worked in long term care and retirement homes this is such a necessary read. Some parts shocked me, some validated and some emboldened. It was a book that needed to be written so that more can advocate for change.