There is a general pattern of increased impairment in the senses and in orthopedic problems with age. Because they tend to accumulate over time, the prevalence of chronic conditions increases with age. However, the nature of survivorship produces the occasional twist. The association between prevalence and age is not absolute. Those afflicted with diabetes and those with chronic lung disease, for example, do not survive as readily to age 85 and above. The majority of older adults have one or more chronic conditions including common problems such as hypertension (53%), degenerative joint disease (50%), heart disease (31%), cancer (21%), and diabetes (18%). Despite having more chronic conditions and impairments, older people tend to report their health as generally good, although three out of 10 Medicare beneficiaries rate their health as fair or poor. In the 75- to 84-year age group, 24% of individuals rate their health as fair or poor, with the remainder rating their health as good, very good, or excellent. This increases such that among those age 85 years and older, 30% rate their health as fair or poor, and the remainder indicate that they have good, very good, or excellent health. This contrast highlights the coping abilities of elderly persons discussed in Chapter 1.