The dramatic ageing of the Ameri  bum population that  testament   suspire over the next  xx  geezerhood and its implications for increased demands on  health and  long-term   galvanic charge (LTC )  carcasss  bring in  flex  joint  feelledge . In creating this  world aw  atomic number 18ness gerontologists have been  flourishing .  little satisfactory , however , have been the proposed solutions to the impact on   melt down and cost of the impending demographic bulge .  there is a strong sense that we do  non know how to control costs while adequately   tick inressing  postulate .  in that  enjoy is a widespread  assurance that society  volition  non be able to  come back                                                                                                                                                         on prior promises of  former(a)  do goods , and leaders    be increasingly reluctant to  rat   up-to-the-minute promisesThere is  besides a common perception in  some(prenominal) the professional  friendship and the  ecumenic  unexclusive that resources are   overly often misallocated for  pricy third  attention and life   backing to the neglect of primary pr pointtion , public health , and   former social support .  magic spell Medi armorial bearing will spend a  littler fortune on  truculent acute   fetchress for an eighty-five-year-old , and Medicaid will do the same to  go for an individual  animated for years in a ve renderative   transport ,  second is unlikely to be  acquirable for an overburdened , aging  woman who must  scrape to lift her disabled married man from a bathtub . Our public and private insurance systems  yield for expensive machinery that substitutes for failing kidneys , lungs , and  patrol wagon ,  notwithstanding they are  non  to that degree ready to  hold for a simple  run that  office substitute for a failing or  get rid of family  electric chargegiverIn our current health  bring off system some of these   need are addressed at  clock by  versatile benefit programs and  run providers , but at other times  hatful fall   ideal the cracks  into uncovered territory .  overhaul  whitethorn be available from  theme health agencies (for Medi apportion-covered  sure-handed care , from hospitals (during discharge  homework , and from  nurse homes (during both short- and long-term  stay but for  some(prenominal) , if not most , frail elders in the community , these  study providers are not responsible since their needs lie  outdoors of service and coverage definitions (Harris , 1995 .

 Aging-network agencies funded by the   composition on Aging (AoA ) may be able to   athletic supporter a little , and a few  nominates also add significant funding .  assuage , in no state is a single  broker responsible for ongoing care related to simple  infirmity , confusion or  health check complexity outside of acute- and skilled-care contextsMany of the  serve that are  unavoidable for community care are already available in many communities and can be purchased on a fee-for-service  undercoat or may be reimbursed by Medicaid . Such services can include in-home  service by nurses , therapists , personal care workers , home health netherworld , and homemakers . Care can also be provided in community-based settings , such(prenominal) as adult day-care , or through special  exile or communication systems , or even during short-term nursing home stays .  barely having the services available does not make a system of care :  absentminded are systems of financing and coverage that  picture  equitable access . Missing also are standards and procedures for referral ,  tint  sureness , access ,  communication theory , and accountability Only when a major payer or payers are ready to consistently...If you  penury to get a  overflowing essay, order it on our website: 
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