Tommy

The Appetite · Episode 69

Elder Autonomy Hunger

1,804 words

Tommy the Hamburger is diagnosing the Appetite. This is about hunger, not the kind in your belly, but the deeper cravings that run people without their permission. The need to be seen, to belong, to dominate, to disappear, to be told yes. Every stupid, vicious, pathetic thing people do starts with some version of wanting, so let's cut this motherfucker open and see what's actually moving. The scene is almost always insulting in the same way. An older person is sitting right there, awake, conscious, full of history, and two younger adults are talking over them like they are already furniture. What should we do with her. He can't manage that anymore. We need to take the keys. We should probably move him. She shouldn't be living alone. Everybody means well, maybe, but the effect is immediate and brutal: the older person stops feeling like the subject of their own life and starts feeling like the problem in it. This is not simple stubbornness. It is the hunger to keep some real control when age has made control newly contestable. Call it elder autonomy hunger. The craving to remain a deciding person while the world keeps trying to convert you into a managed body. This appetite gets fierce because aging involves real losses, yes, but it also involves constant social overreach. Suddenly everybody wants to simplify you for safety, convenience, liability, efficiency, or their own fear. The older person feels the pressure from all sides: sit down, stop driving, stop living alone, stop climbing that ladder, stop handling the money, stop choosing the hard food, stop taking that walk, stop being difficult, stop insisting you know your own mind. The appetite rises in direct response. It says: if I surrender every risk, what exactly remains of me. This appetite often looks combative for exactly that reason. The elder refuses help, minimizes symptoms, hides falls, lies about memory lapses, insists on carrying bags they should not carry, keeps driving, keeps cooking, keeps living alone, keeps rejecting whatever arrangement would make everybody else feel calmer. From the outside it can look irrational. From the inside it often feels like the last front line of personhood. A lot of older people are not defending an errand. They are defending authorship. That defense usually grows out of a real social injury. People who spent fifty, sixty, seventy years building a self through choice, work, sacrifice, survival, competence, and habit do not suddenly stop needing agency because their knees get worse or their reaction time slows down. But society starts treating them as if physical vulnerability automatically voids adult status. One bad fall and suddenly everyone is speaking in plan language around you. Fuck me sideways, of course people get mean and scared. The appetite feeds on one core fear: that dependence will not just change logistics but erase dignity. A person may accept pain, illness, slower movement, even proximity to death more easily than they accept being managed like a child. Because childhood is not the right comparison. The older person is not growing into capacity. They are fighting to retain recognition of a capacity already lived. When others respond to them with infantilizing voices, euphemisms, or covert committee meetings, the appetite hardens. That hardening gets rewarded by moments of retained control. Making one's own breakfast. Choosing clothes. Handling one's own money. Driving to the store. Refusing the walker for one more month. Saying no to assisted living. Deciding who comes into the house and when. These acts can carry absurd emotional weight because they are not small inside the appetite. They are proofs. I still decide. I still initiate. I am still in command of some meaningful part of the day. The danger is that the appetite does not care much about proportion. It can turn one remaining zone of agency into a sacred fortress and defend it past the point of wisdom. The person stops hearing any concern as concern and hears only seizure. Family members say safety. The elder hears takeover. A doctor says support. The elder hears reduction. A daughter says, I want to help. The elder hears, you are no longer competent. That translation error can wreck everybody. That is where the distortions begin. Autonomy hunger can turn into concealment. Medical information gets hidden. Bills get ignored. Confusion gets covered with jokes or rage. Necessary help arrives too late because asking would have felt like surrender. Some people would rather risk a catastrophic fall than survive inside an arrangement that makes them feel administrated. That is not stupidity. It is appetite taking over threat assessment. Families get pulled into ugly roles too. One child becomes the cop. Another becomes the guilt ridden appeaser. Another disappears because the whole thing is unbearable. The elder, meanwhile, may become more manipulative not because they are suddenly cruel by nature, but because direct statements of need or fear feel too vulnerable. Control starts coming out sideways. Emotional blackmail. Strategic helplessness in one area and overinsistence in another. Selective forgetfulness. Fury at the wrong moment. Secret tests of loyalty. Appetite warps the whole system. The social story around aging makes this worse. There are really only two scripts widely available and both are garbage. One says elders are noble sages who should be listened to no matter what. The other says elders are declining dependents whose wishes matter only until they become inconvenient. Real life is messier. Some older people are fully sharp and being overmanaged. Some are slipping and know it but cannot bear the implications. Some are using autonomy language to cover dangerous denial. Some families are controlling. Some are desperate. Appetite thrives in the confusion because everything feels morally loaded. Elder autonomy hunger can become explosive around driving, money, home, and the body for exactly that reason. Those are all dense symbols of adult authority. Take away the car and you are not just changing transportation. You are announcing a reduced map of self. Take away financial control and you are not just preventing fraud. You are touching a lifetime of competence. Tell somebody they cannot stay in their own home and you are not just changing location. You are threatening the physical container of their continuity. And yes, there is a class dimension. Rich elders can buy more autonomy. They can purchase privacy, home care, better transport, flexible support, legal protection, the appearance of independence even while receiving huge invisible assistance. Poorer elders get managed harder and earlier because the margin for private dignity is smaller. Appetite may look like stubbornness in one house and "noncompliance" in another, but underneath both is often the same basic cry: stop acting like my vulnerability has canceled my right to self direction. The ethical tension is vicious because some autonomy struggles are genuinely dangerous. Bodies fail. Minds change. Fires happen. Scams happen. Accidents happen. There are moments when protecting someone's life requires real intervention. This is not a fantasy where every elder's self assessment is perfect and every family concern is control. But the appetite becomes morally important exactly because safety language so easily expands beyond safety into convenience, fear management, and quiet dehumanization. Healthier would mean treating autonomy as something to preserve creatively rather than something to revoke all at once. More choices, not fewer, wherever possible. Different supports, not instant takeover. Conversations with the elder, not around them. Risk discussed honestly instead of disguised as benevolent command. Maybe no driving, yes, but real transport alternatives. Maybe financial support, yes, but with continued say. Maybe help bathing, yes, but privacy kept intact where possible. The point is not total independence forever. The point is to stop acting like dependence and personhood are mutually exclusive. It would also mean letting elders tell the truth about what they are actually afraid of. A lot of autonomy hunger sounds like anger because anger is easier than saying I am terrified that once I need you, you will stop seeing me as myself. Or I watched what happened to other people my age and it looked like social death before physical death. Or I know I am slipping in places and I do not know how to survive that with dignity. Those are harder sentences. Appetite would rather fight than say them. There is also a humiliating asymmetry in this stage of life that feeds the appetite. The elder may still remember every year they spent caring for everyone else, paying bills, making decisions, driving in emergencies, carrying the whole fucking structure, and now the same people can begin acting as if caution gives them ownership. That reversal can feel less like natural aging and more like a coup staged in the language of concern. There is grief in this appetite for every thing the older person can feel themselves losing before anyone names it. Speed. Stamina. Privacy. Social centrality. Unobserved competence. Spontaneous movement. Bodily trust. The hunger for autonomy gets so hot because each concession can feel less like adaptation and more like public proof that the shrinking is real. If the world is already taking enough, the appetite says, then I will at least choose the terms of what goes next. This is why small choices can become sacred. Which sweater. Which chair. What time to eat. Whether the blinds stay open. Which doctor. Which church. Which route through the store. Younger people see trivia. Appetite sees surviving territory. Once the larger map starts getting redrawn by age, the smallest remaining borders can feel worth defending like national lines under permanent siege. That is what the appetite keeps resisting. It resists being converted from subject to case file. It resists the cultural lie that safety is always kinder than freedom. It resists every family conversation where love quietly turns into administration. And it resists the humiliating possibility that the more help you need, the more people will start treating your preferences as optional, decorative, negotiable, or quaint. That is the real hunger under the refused cane, the hidden diagnosis, the argument over the keys, the insistence on living alone, the fury at being "helped," the insistence on choosing the meal, the clothes, the route, the timing, the terms. It is deeper than pride or denial. It is a craving to remain the author of your own life while the world keeps trying to revise you into a manageable dependent. Seen that way, the behavior reads differently. The elder is not only being difficult. They are trying to keep adulthood from being peeled off them one practical decision at a time, one patronizing tone at a time, one allegedly reasonable confiscation at a time forever. That's the Appetite. Every behavior is a fucking hunger signaling once you learn how to read it, and once you see the craving underneath, the excuse on top starts sounding a lot less convincing.