White House Panel Warns of Aging Crisis
Nation Is Unprepared to Deal With Care of Elderly, President's Council Says
Sept. 29, 2005 -- A looming explosion in the population of frail and elderly persons is pushing the U.S. toward a crisis in caring for the aged, a White House commission warned Thursday.
The number of elderly Americans is set to double by 2050, spurring massive demand for health and nursing home care for millions of aged Americans. It could also cause huge cultural shifts as tens of millions more working-age Americans become caregivers for elderly parents.
In one alarming statistic, the number of Americans with dementia caused by Alzheimer's disease is expected to triple to 12 million by 2050.
Yet the nation and its leaders have scarcely begun to consider the far-reaching implications of the aging of the U.S. population, the commission's report cautioned.
"We are on the threshold and may have already crossed the threshold of a large crisis of long-term care," says Leon Kass, MD, chairman of the President's Council on Bioethics, which released the report Thursday.
"The first thing we wanted to be sure is understood is that this is serious and this is real," he says.
The report warned that the number of health workers qualified to deliver long-term care is dropping even as the number of elderly persons rises. A lack of qualified workers threatens to lead to "warehousing" of elderly person in nursing homes too poorly equipped to care for them ethically, it states.
The report also directly opposes the use of assisted suicide and euthanasia, warning that shortages in qualified caregivers could push doctors and nurses to "abandon" elderly patients out of convenience.
"This is going to be an increasing temptation, and we have to guard against it, says Kass, also an ethicist at the University of Chicago.
At the same time, the report discourages doctors from delivering medical care intended to prolong life at all costs when the care is unduly burdensome to patients. The issue gained a national spotlight last year during the Terri Schiavo debate.
That episode caused widespread interest in advance directives, which many experts said would have made Schiavo's wishes for her care known and would have spared her and her family drawn-out court battles and attempted interventions from Congress.
White House Panel Warns of Aging Crisis
Nation Is Unprepared to Deal With Care of Elderly, President's Council Says
Sept. 29, 2005 -- A looming explosion in the population of frail and elderly persons is pushing the U.S. toward a crisis in caring for the aged, a White House commission warned Thursday.
The number of elderly Americans is set to double by 2050, spurring massive demand for health and nursing home care for millions of aged Americans. It could also cause huge cultural shifts as tens of millions more working-age Americans become caregivers for elderly parents.
In one alarming statistic, the number of Americans with dementia caused by Alzheimer's disease is expected to triple to 12 million by 2050.
Yet the nation and its leaders have scarcely begun to consider the far-reaching implications of the aging of the U.S. population, the commission's report cautioned.
"We are on the threshold and may have already crossed the threshold of a large crisis of long-term care," says Leon Kass, MD, chairman of the President's Council on Bioethics, which released the report Thursday.
"The first thing we wanted to be sure is understood is that this is serious and this is real," he says.
The report warned that the number of health workers qualified to deliver long-term care is dropping even as the number of elderly persons rises. A lack of qualified workers threatens to lead to "warehousing" of elderly person in nursing homes too poorly equipped to care for them ethically, it states.
The report also directly opposes the use of assisted suicide and euthanasia, warning that shortages in qualified caregivers could push doctors and nurses to "abandon" elderly patients out of convenience.
"This is going to be an increasing temptation, and we have to guard against it, says Kass, also an ethicist at the University of Chicago.
Advance Directives Discouraged
At the same time, the report discourages doctors from delivering medical care intended to prolong life at all costs when the care is unduly burdensome to patients. The issue gained a national spotlight last year during the Terri Schiavo debate.
That episode caused widespread interest in advance directives, which many experts said would have made Schiavo's wishes for her care known and would have spared her and her family drawn-out court battles and attempted interventions from Congress.
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