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What Geriatric Medicine Can Teach American Health Care
California/Milbank Books on Health and the Public
University of California Press
October 2005
265 pages
ISBN: 0520246241
Hardcover
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Non-Fiction
Savvy, comprehensive, and authoritative, this book, written
by a physician with more than thirty years' experience
caring for elderly patients, assesses the current state and
the future prospects of Medicare, perhaps the most
influential health care program of our time. Christine K.
Cassel draws upon the latest developments in science and
medicine in a sweeping analysis of Medicare's social,
demographic, institutional, political, and policy contexts.
Writing in accessible language, using case studies to
illustrate how policies translate to everyday lives, and
applying lessons from the practice of geriatric medicine,
Cassel makes a powerful argument for reforming and
modernizing Medicare. She offers a new vision of what
healthy aging could be and delineates what is needed to
reach this vision, including changes in the medical sector,
in the policy arena, and in our cultural beliefs about aging.
Cassel sheds light on a wide range of issues pertaining to
Medicare, including debates about coverage and the looming
deficit in the Medicare Trust Fund. Perhaps the most
controversial issue she addresses is the challenge of
rationing some kinds of care. Anchoring her discussion of
Medicare in the idea that care for the elderly represents a
social contract between government and its citizens, Cassel
describes both the principles and potential of a progressive
approach to geriatric medicine. She further argues that with
this approach, we can also address the chronic problems of
our larger health care system and provide all Americans, no
matter what their age, with high-quality and affordable
medical care.
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