We are all noticing, either in our own relationships or in those near and dear to us, the downside of increased longevity.
People may indeed be living longer but often the quality of their lives disintegrates and the need for a caregiver arises.
When both partners are close to the same age, this can be a very difficult issue to work through.
Devoted mates often don't know when to seek aid and statistics are starting to show that the aging caregiver often passes before the disabled mate does.
Families are often too busy to really notice until the couple is in dire straits.
Some don't want to look too closely for fear the responsibility may pass to them.
It is also common for parents to refuse help when everyone else can see the need for it.
In a society where both people work, the concept of taking in and taking care of an aging couple or single parent is no longer as practical as it was when wives were at home full-time and expected such assignments after their children were raised.
If there is a strong difference in the health of two partners, the one who is in good health can often do quite well as a live-in caregiver for a protracted period of time.
Depending on how much care is needed, outside help might still be required.
Time off is one thing that can have a positive effect on the person giving the care.
Help with heavy tasks from a visiting nurse or licensed caregiver can also make a great deal of difference.
Some insurance policies offer such assistance and some programs for people of low income offer it as well.
County and state organizations for the aged can often answer questions about outside help.
When there is an obvious age difference, the younger partner, if well and able, can often carry on with the driving, shopping and simple assistance for some time.
If there is memory impairment without physical disability, a younger partner can often assist with medications, managing finances, entertainment and daily routines.
In time, however, they, too, may need outside assistance.
Other family members can sometimes help but since it is usually a progressive situation, it usually needs to be carefully monitored by those involved.
Continuous Care Centers are available in many areas and are becoming more common.
Couples with an eye to the future are moving into the independent living sections of such communities when they are both well, with the assurance that there will be assisted living and nursing home accommodations when needed.
Designing a building a home that will fill possible later needs is also gaining popularity.
These often include ground level entrances with one-level living, wider doors that allow for wheel chairs, higher toilets, showers with grab bars, seats and/or room for wheel chairs and even an apartment for a future caregiver.
The best approach is to pass on the "head-in-sand" attitude and look closely at what is available and what kind of preparations can be made.
Books are out there, web sites offer counsel and organizations such as churches often offer guidance.
The trick is not to get caught off-guard and unaware.
Aging and the possible need for future care giving is a very real social issue.
For the welfare of everyone involved, it needs to be anticipated, understood and prepared for in advance.