This paper will discuss what the ramifications of the very old have to deal with concerning social, biological, psychological and cultural systems in the realm of social work. By understanding the elements of this in the facts that are part of the evolution of dealing with the elderly in America, we can see what certain types of systems are being placed to deal with this. By analyzing the data concerning psychological treatments, health care questions, and the psychosocial prospects of old age, we can learn how they create certain gender and race elements within this scope.