Word: often
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Dates: during 1990-1999
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...common in senior centers, where the ratio of women to men averages 7 to 1. Since fear of pregnancy is no longer a concern, many seniors don't use condoms. And Viagra has added more fuel to an already volatile mix. Physically fit single men, dubbed "condominium Casanovas," often flit from one woman to the next, sometimes passing along AIDS. Widowers often hire prostitutes. The manager of a Miami apartment complex once asked former Miami Beach geriatric counselor Vincent Delgado to speak to an 82-year-old woman who brought young men to her apartment for sex whenever...
Even so, this demographic group is often difficult to reach. Many elderly people are reluctant to discuss their intimate life with strangers. "A lot of people were taught that you don't air your dirty laundry," says John Gargotta, supervisor for the Senior HIV Intervention Project, an AIDS advocacy group. Most troubling, though, is that doctors often fail to consider HIV as a possible illness among their senior patients. As a result, the elderly are often misdiagnosed. Also, AIDS symptoms like dementia and weight loss can mimic the ravages of old age. "So there is a higher prevalence of people...
...treated the same way. As a rule, mentally ill people are no more likely than their neighbors to be violent. But untreated mental illness can have horrific results. Andrew Goldstein asked to be hospitalized in New York because he was terrified of phantom voices. Instead, budget-conscious officials most often referred him to short-term emergency care. Last year, in a psychotic state, he shoved a woman from a subway platform to her death under the wheels of a train...
Each state blundered differently. Washington State tied community mental-health spending to the size of welfare rolls, a sign of stigma itself. In Illinois, the state often paid nursing homes to take many of its patients. But old people and mentally ill people don't have the same needs, and few nursing homes hired the staff needed to treat the different set of patients. A bill before the Illinois legislature would require those hirings, but the efforts come too late for Russell Weston Jr. In 1996 he became an outpatient at an underfunded community mental-health center in Waterloo...
...what do I do now? Hordes of mid-life baby boomers ask themselves that very question, often upon waking at 3 in the morning. But only one has the standing to answer, "Oh, I think it would be nice to move to New York and run for the Senate" and not be laughed at. As I trail around behind Hillary Clinton on her ninth visit to New York since January, her running has gone from unlikely to assumed. The buzz is now all about how best to obscure that she's a carpetbagger, and an especially giant one since...