Our average population age has gradually drifted up, due to longer life spans, the elimination of death from infectious diseases and cause of death from life-long chronic illness
Many people age prematurely or develop premature neurologic disease from stroke, heredity and chronic disease. The affordable care act will broaden coverage and add previously uniinsured to the insurance roles. Most patient who are 65 or over and the disabled are covered by Medicare and/or Medicaid.
Venture capitalist and entrepeneurs are investing in long term homes for the aged. National franchises are appearing.
The missing link is the absence of geriatricians.
Currently there are fewer than 8,000 geriatricians in practice nationwide — and that number is shrinking. “We are an endangered species,” said Dr. Rosanne Leipzig, a geriatrician at Mt. Sinai Medical Center in New York.
A vast majority of Americans have no conception of what lies ahead and — without geriatricians available to provide their health care — how substantially their lives will be affected. I know. It means that soon we may all soon be in the land of the pink bibs.
An Aging Population, Without the Doctors to Match - The New York Times