1. Conference on Integrated Care for Frail Older People 29 September 2011 The Netherlands

2. Opening Mr. Jacques Schraven President ILC The Netherlands

3. ILC Robert Butler Memorial Lecture Prof. Dr. Rudi Westendorp Director Leyden Academy on Vitality and Ageing Board member of ILC The Netherlands

4. The frail elderly in the Netherlands Prof. Dr. Paul Schnabel Director of the Netherlands Institute for Social Research (SCP)

5. Integrated services in the context of long term care Dr. Henk Nies Director of the Centre of Expertise for Long-Term Care (Vilans)

6. ILC Global Alliance presentation of the worldwide trends and developments on integrated care for frail older people Baroness Sally Greengross Co-president of ILC Global Alliance

7. Dutch National Programme for elderly care Prof. dr. Betty Meyboom Chairman of the programme committee for elderly care (ZonMw)

8. Leiden University Medical Center Leyden Academy on Vitality and Ageing Rudi Westendorp health and wealth

12. “Strategies for Engineered Negligible Senescence” www.mfoundation.org Aubrey de Grey, PhD Chairman and Chief Science Officer of the Methusalem foundation

15. Ageing is an unforeseen byproduct. Wealth makes health. Good health maintains vitality of older people. Wealth can pay for health.

17. original adverse environment Darwinian fitness

18. Longevity revolution nowadays affluent environment

20. malesfemales calendar time age (years) total life expectancy Reference: CBS

21. malesfemales calendar time age (years) diseased non-diseased

22. risk factors coronary sclerosis progression over age chronic heart failure

23. malesfemales calendar time age (years) without disabilities Reference: CBS

26. Robert Fogel 2009

33. health care system production investment refund

37. 0 50 100 investment productive reward 1950 investment productive reward 2000 Age (years)

38. investment productive reward 1950 investment productive reward 2000 0 50 100 Age (years) productive reward 2020 investment

39. Robert Butler; “The right to work”. In: Why survive? NY 1975.

40. Society fears the longevity revolution. Fighting ageism with culture and moral is insufficient. Economic evaluations should mold content and context of health care and structure of society.