The five papers examined reveal diverse responses among older people t
o social and economic change. The main themes were: the changing accom
modation and care needs of older people in urban areas as customary fo
rms of family-based support are compromised; the strength and resource
fulness of family obligations in managing support and care; and simila
rities and contrasts in private sector and governmental responses to n
eeds. In Sao Paulo, Brazil, the inventiveness of families in establish
ing networks of support and in contriving physical aids to patients wi
th paralysis is impressive. In the rural areas and townships of South
Africa, the strength of family ties is revealed in the readiness of so
cial-benefit recipients to support others. In Ontario, Canada, several
thousand retirees have responded to the marketing of vacated housing
in a collapsed mining town; and in the Basque Country, the older resid
ents of new supported housing have few regrets about not living with t
heir children but worry that others see them as recipients of charity.
Around the Mediterranean, increasing numbers of retirees from several
northern European countries are exploring new ways of developing mutu
al help, of pressing the authorities and businesses for better service
s, and seeking a resolution between their ethos of self-responsibility
and how to help those who cannot help themselves. Change is endemic,
and constructive and assertive responses from older people are widely
seen.