By Christine Cassel
Savvy, complete, and authoritative, this publication, written by way of a doctor with greater than thirty years' adventure taking care of aged sufferers, assesses the present country and the longer term customers of Medicare, maybe the main influential future health care application of our time. Christine okay. Cassel attracts upon the newest advancements in technological know-how and drugs in a sweeping research of Medicare's social, demographic, institutional, political, and coverage contexts. Writing in obtainable language, utilizing case reviews to demonstrate how rules translate to daily lives, and making use of classes from the perform of geriatric medication, Cassel makes a strong argument for reforming and modernizing Medicare. She deals a brand new imaginative and prescient of what fit getting older should be and delineates what's had to succeed in this imaginative and prescient, together with alterations within the clinical quarter, within the coverage area, and in our cultural ideals approximately getting older. Cassel sheds mild on quite a lot of matters concerning Medicare, together with debates approximately assurance and the looming deficit within the Medicare belief Fund. maybe the main arguable factor she addresses is the problem of rationing a few sorts of care. Anchoring her dialogue of Medicare within the concept that take care of the aged represents a social agreement among executive and its voters, Cassel describes either the rules and strength of a revolutionary method of geriatric drugs. She additional argues that with this technique, we will additionally handle the persistent difficulties of our better future health care procedure and supply all american citizens, it doesn't matter what their age, with top of the range and reasonable therapy.
Read or Download Medicare Matters: What Geriatric Medicine Can Teach American Health Care (California Milbank Books on Health and the Public) PDF
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Extra resources for Medicare Matters: What Geriatric Medicine Can Teach American Health Care (California Milbank Books on Health and the Public)
In L O N G E V I T Y A N D H EA LT H 35 addition, now that genes related to Alzheimer’s disease have been identiﬁed, it may be possible to target treatments for different forms of the disease. controlling cell longevity Telomerase is an enzyme believed to govern chromosomal aging through its protective action on telomeres, the outermost tips of the chromosome arms. With each cell division, a small segment of telomeric DNA is lost. Unless a cell has a constant supply, the gradual reduction of telomerase signals the cell to stop dividing, and cell death occurs.
This requires ﬁrst a change in thinking. funding challenges Integrating geriatric medicine into Medicare reform is primarily a responsibility of the health-care professions. Clearly, however, enduring innovation will not be possible without an appropriate environment of ﬁnancial incentives. 9 percent, split evenly between employers and employees. Part A pays for care in hospitals, skilled nursing facilities, and hospices. With a focus on ﬁscal crisis and a command to remain budget-neutral, reformers are looking more toward incrementally adjusting beneﬁts and deductibles, like a commercial insurer, than toward organizing to fulﬁll a vital public mandate.
Exercising regularly, eating a healthy diet, controlling weight, and staying active mentally and physically are all demonstrably beneﬁcial. These practices will be vital to the healthy aging of the baby boomers. Policy makers might be tempted to conclude that all health problems are self-induced and that better efforts at prevention will reduce the overall need for Medicare spending; but this is not true, for two big reasons. First, most medical conditions of aging are not prevented by even the healthiest lifestyles: these include Alzheimer’s and Parkinson’s disease, osteoarthritis and osteoporosis, and most cancers.