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adequate and/or their costs arthritis available and/or Butler characteristics of older Civil Rights clinical Commission on Civil comprised slightly consistently denied health consumers cost containment cost of health costly health services costs covered determining the utilization direct result disproportionate elderly enter the hospital found that physician geriatric training health care costs health care needs health care providers health care system high cost hospitalization occurs impede indicate that older initiated Medical schools medical services Medicare program Medicare recipients National need for services needed services older Americans turn older people comprised older persons Patients percentage personal health physician visits Physicians play policymakers problem proposed Providers and third refute widespread assumptions require Research responsibility role in determining segments services are available services by older share slightly over 11 solutions survey third party payers total population Urban Institute utilization of health utilize health visit a physician well-being younger population