Laurie Orlov's blog

This report is published every five years – and it is (still) dismaying.  The new report, Caregiving in the US 2025, was published this week. The previous report was surveyed in 2020. The bottom line of it is the sheer number of adults (63 million) who provide care to an adult family member or child with a medical condition or disability in the past 12 months. Most of this care is unpaid.  Some are leveraging state or national programs to pay family caregivers, and one-third, likely higher income, hire outside help. The report’s focus is on the 59 million who provide care for an adult. So what has changed in terms of tech use? If usage penetration is a metric, there is some progress. For example:

AI technology is permeating every aspect of business technology today.  Increasingly it will be deployed in the care of older adults, as apparent in research reports like The Future of AI in Home Care and an earlier report, The Future of AI and Older Adults (which will be revisited with new research later in 2025).  With little effort, AI-enabled offerings can be found throughout the startup directory of the AgeTech Collaborative from AARP.  So here are five that sound promising from their descriptions -- all info is derived from the startup website or other reference site.

What is the prevalence of hearing loss today?  One-third of adults between 65 and 75 have age-related hearing loss. Further, 40-50% of adults aged 75 and older have age-related hearing loss, with 50% of those aged 85+. This is the result of changes in blood flow and the structures of the inner ear, changes to a nerve related to hearing, and changes to how the brain processes speech and sounds. Hearing loss is correctable – but many older adults avoid hearing aids or don’t wear them. Many with untreated hearing loss are at risk of developing dementia. Despite the fact that hearing aids can improve hearing and reverse the social isolation and cognitive decline that can result from hearing loss, most adults with hearing loss do not use hearing aids – or defer their use for as many as ten years following its onset.  Learn more.

The more things change…Argentum published a new survey of senior living executives last month, querying execs about tech adoption, including thoughts about AI in senior living. The report (also sponsored by A Place for Mom) compared two sets of responses about tech from 2023 and 2024 – enabling a possible comparison. On the upbeat side, as of 2024, 76% of responders are optimistic about the role AI can play in their organizations. That question was probably not asked in 2023, so there was nothing to compare, but a number of them today are apparently experimenting with AI. They say that the uses are for staffing efficiency, care planning and improved resident interaction. Perhaps a number of them read a most 2024 report from this website, The Future of AI in Senior Living and Care and saw possibilities for improved documentation, staff education, and even the potential for predictive analytics.

Years ago, tech for older adults became a unique category – is it still?  Today most older adults want to use all consumer technology, aka AllTech.  Why?  Because their families and peers do so, for one, and second, (or maybe first), they do not consider themselves old.  A puzzle framework evolved over the years that can encompass ‘AllTech’ but adds supportive tech for those with specific limitations like hearing loss, as well as many other enabling technologies for vision limitations, fall prevention/detection, mobility and transportation needs. The categories of technology have been supercharged as the world of cameras, voice technology, motion sensors, and most recently the addition of machine learning and other AI tools that represent the next generation of utility for older adults. Today, these capabilities are all the more useful -- as life expectancy at 65 extends well into the 80’s for both men and women. (see Market Overview Technology for Aging 2025).

Census data shows what models, samples and estimates cannot. Actual responses surveying access to technology can highlight regional gaps in broadband access – despite all the talk about broadband availability ‘everywhere’ and multiple federal programs over the years trying to make it so. The Federal Communications Commission (FCC) explains why broadband access is important, even critical: senior learning programs, telehealth access, streaming video, and shopping. Let’s add social communication for communities and family, such as Zoom and FaceTime.

Kudos to the Forbes Technology Council!  Their post, 20 Untapped Tech Opportunities to Serve Older Adults was a great addition to the write-ups about tech for older adults.  Hopefully it was seen by entrepreneurs considering market entry with a new invention, including the innovators/investors at the What’s Next Longevity Venture Summit in Berkeley, underway today. And the reverse is also true – the Forbes folks should look around and see what’s already announced or in-market.  Here are their suggestions that caught my eye -- for startups, investors, and just plain reverse mentors:

Future staffing demand will force industry to rethink care strategies. According to BLS, the industry will need 4.5 million care workers by 2029 to meet the demands of older adults. According to an Argentum staffing report, in 2025 alone another 347,000 caregivers are needed for memory care. The home care and senior living industries draw from the same population of prospective workers. Home care and home health care demand will drive 21% job growth by 2033, but 59% of agencies will experience shortages. What else will help address care needs?

Future staffing demand will force industry to rethink care strategies. According to BLS, the industry will need 4.5 million care workers by 2029 to meet the demands of older adults. According to an Argentum staffing report, in 2025 alone another 347,000 caregivers are needed for memory care. The home care and senior living industries draw from the same population of prospective workers. Home care and home health care demand will drive 21% job growth by 2033, but 59% of agencies will experience shortages. What else will help address care needs?  

Lifespan versus healthspan – a worrisome difference of 12.4 years in the US.  While many older adults may live longer, well into their 80’s, they may be living with chronic diseases such as diabetes, heart disease and cancer. That difference, known as healthspan, may be as much as 12.4 years in the US, the worst globally, according to a 2024 Mayo Clinic global study. Future staffing demand will force industry to rethink care strategies. According to BLS, the industry will need 4.5 million care workers by 2029 to meet the demands of older adults. According to an Argentum staffing report, in 2025 alone, another 347,000 caregivers are needed for memory care.  The home care and senior living industries draw from the same population of prospective workers. Home care and home health care demand will drive 21% job growth by 2033, but 59% of agencies will experience shortages.