Wake Up, Pittsburgh

Type: News

Focus Area: Aging

Collage of four scenes showing older adults: playing brass instruments, participating in a group activity indoors, socializing outdoors, and riding bicycles on a city street.

Photos courtesy of Age-Friendly Pittsburgh

Over the past century, Pittsburgh has reinvented itself—from the City of Steel to a global hub for technology, education, and medicine. What doesn’t seem obvious is that the region could assume another identity: the world’s leading Aging Innovation Center.

We overlook a powerful asset: our older adult population. While we wait for a soaring birthrate to surprise us or an army of young workers to come up the river, our economic engine is hiding in plain sight. What if the very demographic so often framed as a burden was our greatest competitive advantage? We’ve been conditioned to see aging as a challenge to manage, a cost to contain. But what if that assumption is our real liability?

Around the world, the “silver economy” is surging as innovation and demand drive cutting-edge age-tech with breakthroughs in health, mobility, home design, and social connection. Anyone who attends the annual Consumer Electronics Show is well aware of the tsunami of age-tech inventions, even beyond wearables, diagnostics, monitors, hearing and vision assists, social companions, home redesign and exoskeletons, and it is gaining momentum every year. Smart investors are flocking to age-tech. The question isn’t whether this wave is coming, it’s not whether our region has the assets to excel, it’s whether Pittsburgh has the will to embrace it.

The future will divide communities into two groups: those that prepare for the demographic shift and prosper, and those that ignore their older adult population and face increasing challenges. In the latter, older residents become sicker and more dependent, consume more healthcare resources, require around-the-clock care, and contribute less to the local economy. They are a drain, not an asset.

Instead, a vision that recognizes the opportunity in aging, that extends the “healthspan” of its older adults, allows Pittsburgh to build on extraordinary local assets. Carnegie Mellon University brings global leadership in AI, robotics, and machine learning. UPMC and Pitt contribute a world-class health research enterprise spanning neuroscience, regenerative medicine, rehabilitation sciences, public health, behavioral health, and geriatrics. The region is further strengthened by the University of Pittsburgh’s centers and institutes dedicated to aging, a specialized hospital focused on vision, hearing, and rehabilitation, and a broader network of universities and health systems with deep research and clinical capacity.

Decades ago, I was invited by the United Way of Allegheny County to do an Environmental Scan of the Pittsburgh region. The year was 1985 and I was on the faculty of Carnegie Mellon. The question was: what is the future of our region after the demise of the steel industry? The Scan was well received because my predictions were so rosy (and so obvious): Eds, Meds and Tech. Gloom turned to optimism, and a new awareness of our assets took hold. I believe regions should scan the environment every 25 years to anticipate major changes and prepare for the future. What would a current scan reveal?

It would reveal that we are uniquely positioned to lead again, this time by embracing aging as an economic driver.

The Pittsburgh Aging Innovation Center would serve as a hub for invention, welcoming age-tech companies from around the world to test discoveries, measure impact, and refine products. A clear commercialization pathway would help scale successful pilots.

To bring this vision to life, the region needs a clear governance structure that aligns city, county and state agencies, research institutions, healthcare systems, and private industry. This centralized coordinating body would vet, launch, and scale pilot initiatives while attracting corporate partners; blend public investment, philanthropy, and venture capital; and streamline building permits as well as regulations related to the testing of new technologies in real-world settings. Strong data infrastructure and shared standards would enable collaboration across universities, health systems, and community providers.

Dedicated local access points offering comprehensive services to older adults would provide easy access to participants. “Aging Made Simple” zones—longevity hubs organized by neighborhood, community, township or county—could provide older adults with all the services they need to stay as healthy and independent as possible.

Older adults want unique and adapted living environments. As Newton, MA; Phoenix; Gainesville, FL; and Chapel Hill have discovered, university-affiliated senior communities are very popular. Older adults have an insatiable appetite for high-quality courses and experiences and living situations that make this easy. They also fill gaps created in classrooms from a shrinking college-age student body. Corporate and nonprofit partners in age-friendly housing, retail development, and lifelong learning would be engaged through incentives and co-development opportunities.

Our onsite Foundation study tours and research in aging societies around the world have convinced us that other countries have some centers of excellence and national strategies to respond to the changing demographics. They realize that this is the issue of the century. What they don’t have are our extraordinary assets.

Older adults are a powerful economic driver, contributing over $8 trillion to the U.S. economy annually; the age-tech industry is projected to reach $120 billion by 2030. Healthy, engaged, independent seniors build a local economy.

This is not simply a strategy for happier older adults; all generations will suffer if we don’t maximize the asset of our aging population. Pittsburgh must decide whether it will miss this opportunity—with business as usual and our assets siloed—or build for the future.

Karen Wolk Feinstein
President & CEO
Jewish Healthcare Foundation