The nurse is assessing the Ames family. The members are Mr. Ames, age 65 years, Mrs. Ames, age 62 years, and their disabled son, Seth, age 39 years. When asked about the family'92s financial situation, Mr. Ames comments that it is much more difficult now than it was 20 years ago to '93make ends meet'94 for their family. Which of the following statements by the nurse indicates the BEST understanding of the societal change that has had the greatest impact on this family'92s economic status?
Healthcare costs have increased significantly since the 1980s
The number of older adults has increased significantly in the last 20 years
In the 1980s, a significantly smaller number of women worked outside of the home.
In recent years, there have been major biotechnology and other technology advances.