Month: August 2024

Analogue Aging in a Digital World

Moving requires vast amounts of bureaucratic interaction – something to be avoided in the best of times, and my age keeps reminding me that this is perhaps not the best of times for such activities.  I can testify to the fact that getting anything done – from making a medical appointment to changing addresses – is harder than it used to be.  It is almost impossible to get a live person on the telephone; the days of hitting 0 for help are gone.  And if your needs or problems require anything but a “yes or no” answer, you are out of luck.  We have moved completely from an analogue to a digital world.  And now we are moving to AI, which is predicated on the on/off, yes/no assumptions of a digital world.

Before we talk about AI, think about the differences between an analogue and digital world.  Think about analogue as a wave, keeping all its nuances; digital is a series of pictures on that wave taking snapshots of what is happening so that you end up with a series of on and off points, or 0110110101.   Computers (and therefore AI) want everything to be digital.  They do not want to hear your story about why you need to have special bloodwork done before you see a doctor or why you can’t wait fourteen months to see a dermatologist.  They don’t want to know that you have already been on hold for an hour, only to find out you are in the wrong department and maybe need more help than just being returned to the main menu.  Life is not a multiple-choice test; there is no way to so neatly describe my needs and problems.  I wish there were, but I am old enough to know that life is never such.

Yet, we are being forced to deal with things as though it were.  Here is a minor example.  AAA (American Automobile Association) is divided into regions, each with its own administrative offices and billing (as far as I can tell).  I moved from one region to another.  After hours on the phone with no button to push for the exact action that I wanted to take, I finally scored with a live being.  She took all the information and said I would be getting a confirming email with a temporary card I could print out.  Much thanks on my part, only to find out that the email never came, and the Massachusetts AAA’s digital portal never heard of me.  I finally decided it would be easier to let my original membership expire and start from scratch.  That’s fine for AAA, but not for doctors, dentists, pharmacies and the entire structure that supports my old bones.  There is no starting from scratch as my prescriptions are running out, my bones are due for their semi-annual injection, and there is a funny spot on my ankle.  Digital systems do not want to know these things.  It is even true of travel; we still use old-fashioned paper maps that show you the whole region – towns, lakes, context.  GPS just wants to give you directions, one digital step at a time.

I suspect that the mechanisms which are being implemented facilitate the full expansion of AI.  The database must be prepared.  We must all be numerically defined and labeled; our problems must fit within a set of algorithms and an array of specific multiple choices.  The answers must be exact and quantifiable.  Old age is not like that.  Life is not like that.  And, if AI is incompatible with life, I know which one is winning.

So much for an old lady whining about the problems of moving.  I am getting through it, but it is teaching me lessons.  I was used to my old shower and kitchen and route to the grocery store.  I am learning new ways, but I am doing it in an analogue way.  Although I do not use GPS, I am even learning new routes, even shortcuts, and starting to remember names (of streets and people).  It is a gradual and imprecise process.  It is up and down – wave-like.  Definitely analogue.

I admit that some things adapt to being digital – date of birth (but not how old you feel), Medicare number (but not how your body is feeling), phone number (but not the explanation of how your husband does not use text so please leave a voice message instead), and so it goes.  We all might like our lives to be tidily swept up into categories, but it is not so.

And while I am at it, let me complain a little about the health care systems (or lack of such) in this country.  One realizes it while trying to transfer medical records – some offices will only take fax transmissions (really), while other offices will only send digital files (really).  No matter how many consent forms you submit to get files sent, the form will be lost.  Apparently, there is no slot in the digital program for them.  So, you will sign more forms.  Pharmacies will transfer some prescriptions, but not all.   A major healthcare system in our new area has no slots with primary care doctors, and other medical offices are booking into the new year.  I am not helpless; But it is hard.

Elizabeth Bishop wrote a delicious and ironic poem called “One Art.”  In many ways it is about aging; here are a couple of stanzas:

Lose something every day. Accept the fluster                                                                 of lost door keys, the hour badly spent.                                                                        The art of losing isn’t hard to master.

Then practice losing farther, losing faster:                                                                places, and names, and where it was you meant                                                             to travel. None of these will bring disaster.

All of us know about this kind of losing.  We lose things, we forget things, things change.  Moving is loss.  I will persevere.  New systems will digitize me, schedule my lab tests, order my pills and AAA card – eventually.  But, in the meantime, it feels like a disaster, and I do not think that the predicted danger of AI is far away.  We are already being manipulated by machines that give us no choice.  And every time we maneuver through phone trees looking for the right digital responses, we lose something.  We lose the space between the analogue waves of our existence, we lose the subtle differences in our lives, we lose our ability to communicate with other human beings, and I resent it.  And we old folks remember when it was otherwise.

Retirement, Death, and The Land of Cockaigne

Younger people dream of retirement – of that rosy day when they have reached the right age for social security or pension payments.  Or banked enough money in retirement accounts to cover their living expenses for the rest of their days.  Middle-agers discuss retirement with others in the office; they fantasize about where they will live and where they will travel; they try to imagine not having to wake up to an alarm every morning or having to turn out the light earlier than they would like.  I had such fantasies, but that was many, many years ago.  Now, I can’t imagine how I ever worked nine- or ten-hour days, put up with the constant aggravation of an office, or made a commute in rush hour traffic.  I don’t miss it, never missed it much.

Here is what I sometimes miss though – the hope for an event which is going to make life easier.  I sabotaged this wish lately by moving to be closer to family and taking on the logistics of a move (will I ever be able to get through the red tape at the DMV or find a primary care doctor?).  In the middle of the move, one of the family members that I was moving to be close to unexpectedly passed away.  He died while the movers were emptying my house in North Carolina, and his funeral was the day the movers arrived with our stuff in New England. 

And then there are the minor losses – routines, habits, a sense of where things are.  Finding further problems with an already imperfect new/old house.  Major and minor problems and aggravations are constant.   Locating a cooking utensil is suddenly a big deal.  Bills have to be carefully monitored during the address change so that payments are not missed.  New telephone numbers and wireless passwords must be noted and memorized.  The view out the windows has changed.  Being close to family means being physically and blessedly closer to their lives – which unfortunately also include their problems.

So, if we can no longer look forward to retirement, what does the elderly one look forward to?  Assisted living, the nursing home?  We decided when we moved that we were not ready for communal living of any kind, and – while it may be necessary someday – it is far from our ideal.  It is not something to hope for.

In medieval Europe, there was the peasant concept of Cockaigne, or pais de cocaigne, which translates to “the land of plenty.”  It was pictured as a kind of heaven with enough to eat, time to rest, the abolition of work, and – of course – free sex.  It was something for poor men and women to dream about, a heaven more to their taste than the Christian one.  As I was going through the trials of the last few weeks, I wondered what my equivalent was.  If I believe in any kind of afterlife, it surely is not the “pie in the sky when you die” sort.  And, yet, I found in the midst of seemingly irresolvable problems, that I was reminding myself over and over again, that I would soon find myself (or more accurately others would find me) dead and all my worries would go with me to the crematorium.  So, is this what old people look forward to – leaving their problems and their bodies (which often are one source of their problems) behind them?  Interesting thought.

Death as something to look forward to?  An alien concept in our culture but not without its believers.  The wonderful poet Stevie Smith wrote “I have a friend/At the end/Of the world.  /His name is a breath/Of fresh air.”  His name, of course, is death.  The poem is “Black March.”

I do not wish myself dead.  I just wish to get settled in and live a more routine existence.  But Jorge Borges found some comfort in imagining his own death – he even wrote a story about it, “August 25, 1983“, in which Borges conjures up an older version of himself on his deathbed.  I once made an exercise of doing the same for myself (see my blog entry “Fantasies to Reject in Old Age” from last May).  It was informative and scary.

I will get used to my new location.  I will unpack my ladle and find a dermatologist and get a new driver’s license.  But none of that happens quickly and all of it is harder than it used to be.  But there is really no alternative, no Cockaigne, without going through it.  I try to tell myself that it is useful to challenge myself in my old age, but it is not easy.  It is worse than I thought it would be; I hope that, when I come to it, I will be able to say the opposite about death.  At least that transition will not require a trip to the DMV.