Who Will Care for Us?
An Institute of Medicine (IOM) study suggests that there won’t be enough geriatricians when the 78 million baby boomers (like us) begin turning 65 in 2011.By 2030, there will be an estimated 8,000 geriatricians, but the nation will need 36,000, according to the Association of Directors of Geriatric Academic Programs. Today, there are about 7,100 geriatricians in the U.S. -- a 22% decline from 2000.
The IOM report recommended that all health care workers increase in geriatric competency to offset the shortage in geriatric specialists. It also called for the adoption of interdisciplinary care models and a fundamental change in how health care is reimbursed.
The study cited low reimbursement as the biggest barrier to building the geriatrician supply. In 2005, average geriatrician income was $163,000, compared with $175,000 for a general internist. It’s important to prevent further cuts in Medicare payments so all physicians can continue to accept new Medicare patients. "Reimbursement is a huge barrier," said American College of Physicians President David Dale, MD. "We get relatively low rates for the substantial time it takes to be a good doctor for an older person."
I’m reading an increasing number of articles on the crumbling health care and reimbursement system for aging Boomers. We need to seriously consider what the best health care system is and how to pay for it.
Labels: Baby Boomers, geriatric care
Tuesday, February 13, 2007
Series on Trading Places: Caring for Aging Parents
This week MSNBC is doing a series of reports on caring for aging parents. Read the first two interviews here and here and a report on the series. The main focus seems to be how common this experience is these days. Seems as if an increasing number of us are facing this challenge.“A generation caught between two others” discusses the startling lack of geriatric resources now, and in the future when our generation will need it.
Labels: aging parents, geriatric care, sandwich generation