By Robert H. Binstock (auth.), Charles M. Gaitz M.D., George Niederehe Ph.D., Nancy L. Wilson M.A. (eds.)
The 17th annual symposium backed by means of the Texas study Institute of psychological Sciences used to be held October 23-26, 1983, in Houston, Texas. The subject used to be getting older 2000: Our overall healthiness Care future. This quantity on social, mental, financial, and moral elements and a spouse quantity (Volume I) on biomedical facets contain edited types of the shows by means of approximately eighty audio system. Their papers have been directed at practitioners, researchers, and scientific educators who might be lively and efficient within the yr 2000, and we eager about those that may effect the evolution of care of aged people throughout the subsequent 17 years. We selected issues that might be of specific curiosity to lecturers and present planners within the disciplines fascinated about supply of overall healthiness and social companies. We think that having a center of extra certified and higher informed practitioners might help the inhabitants of elderly individuals in achieving a better point of actual and psychological wellbeing and fitness, existence delight and happiness, locate larger coping concepts and regulate of environmental stresses, and achieve own and social ambitions. Our pursuits whereas getting ready for the symposium we knew that the prestige ofthe paintings in 1983 evidently could be the base from which we'd paintings, yet we requested our audio system to offer precedence to destiny making plans and directions.
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Additional info for Aging 2000: Our Health Care Destiny: Volume II: Psychosocial and Policy Issues
Special circumstances, in which physical or mental impairment compromise an individual's ability to make decisions, should involve similar value considerations for all adults, regardless of age. Unfortunately a variety of societal beliefs and circumstances converge in health care decisions for older persons, placing elders at special risk in the calculus of conflicting personal, professional, and societal values. The Elder Individual An examination of relevant ethical issues begins with the personal autonomy of the individual.
The view that the aged should be cared for at home within an extended, multigenerational family relies heavily on the "good old days" myth that such an arrangement was ever the norm in the United States. Although the records are spotty, it appears that rates of institutionalization of the elderly have remained constant for a century and a half. Moreover, contrary to popular opinion, families are not rushing to dump their elder members into nursing homes. It has been estimated that as much as 80% of home care is provided by family members (Brody, 1978; Comptroller General, 1979) and, although not reimbursed by Medicaid, it is not without costs.
It is already done in other nations. Up to now, in the United States, we have had the luxury of pretending that all physicians and their associates have been doing everything they can for everyone. Unofficially, of course, health care rationing has taken place on demographic and socioeconomic bases in many different ways. But before the year 2000, I suspect that such rationing will take place officially, and we will no longer have the luxury of pretending that it does not occur. Moreover, I suspect that old age is highly likely to be one of the prime criteria used in such rationing.