Access to Care for the Elderly: Hearing Before the Special Committee on Aging, United States Senate, One Hundred First Congress, First Session, Aberdeen, SD, August 7, 1989, Volume 4 |
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Aberdeen access to health afford average BILLION DOLLARS clinics Committee on Aging Conference on Aging Congress continue continuum costs Council on Aging Dakota Advisory Council expense family physician Federal Council Federal Government goal going Governor GROSS NATIONAL PRODUCT guardianship hearing hospital closes increase Ivanhoe LARRY PRESSLER legislation living long-term mail order pharmacies Medicare patients Medicare reimbursement Meeker county Minnesota Mulder Muth Nils Boe nursing home Older Americans Act older South Dakotans organ transplants out-of-pocket expense payment Peg Lamont percent pharmacist practice premium prescription drugs President prevailing charge problems programs public policy recommendations Richard Mulder rural America rural areas rural elderly rural health rural hospitals rural physicians rural senior citizens Senator PRESSLER senior centers Services and Aging Social Security statement tegically Thank things transportation U.S. Senate urban White House Conference
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Page 13 - So far as can be ascertained, the United States is the only country in the world that has closed its mails to the sending of samples of liquor.
Page 5 - Society ie constantly changing, and this affects how the basic needs of the elderly are met. For example, when bus service was discontinued between Aberdeen and Ipswich the elderly had to adjust and find other ways of meeting their needs. That could affect the older persons social relationships as well as access to services. If a town loses its doctor, or a hospital closes or the local meals-on-wheels program is discontinued, the loss of those services affects the elderly most of all. It is Important...
Page 42 - ... take a leadership role in recommending and supporting progressive legislation in behalf of older citizens. Successful legislation in the past has included the improved revisions of the tax relief for the elderly, which has improved greatly the last couple of years, the revision of the guardianship laws, and a landmark law protecting elderly and disabled from physical abuse and financial exploitation. This latter law has been used successfully just this spring. And one of the goals is to add the...
Page 22 - Action must be taken to ensure that all strategically located rural hospitals continue to be open to provide quality health care and to ensure that the people who choose to live in rural America have access to a hospital, and are not forced to drive by a closed hospital to seek health care. Senator PRESSLER. Thank you. That was one of the most precise presentations I have ever heard. I am working with my colleagues in South Dakota and other rural States on several of the items that you focused on,...
Page 15 - ... PAYMENT REVIEW COMMISSION BE ACCEPTED BY CONGRESS AND BE ENACTED IMMEDIATELY RATHER THAN BEING PHASED IN OVER FIVE YEARS OR MORE. AT LEAST DOING THESE TWO THINGS WILL PARTLY CORRECT THIS PROBLEM OF ACCESS. THE SECOND LARGE PROBLEM THAT WE HAVE IN ACCESS TO HEALTH CARE IS THE UNINSURED. BEFORE WORLD WAR II IT WAS NOT UNUSUAL FOR HOSPITALS AND PHYSICIANS TO CHARGE THE VERY WEALTHY A VERY HIGH CHARGE FOR THEIR HEALTH CARE THAN THEY DID THOSE WHO COULD NOT AFFORD IT. THEREFORE, THERE WAS COST SHIFTING...
Page 6 - ... Hoppenan (HOP-EN-AN), a registered pharmacist. Long-term care is often synonymous with nursing-home care. However, long-term care is not limited to nursing-home care. Long-term care Includes a variety of living arrangements for older people as their needs change. Today the need for many alternatives is important. We are an aging nation. People are living longer. As we age, nursing-home care, as an alternative, is essential. However , there are other options , including at-home care with social...
Page 15 - THE PHYSICIAN PAYMENT REVIEW COMMISSION BE ACCEPTED BY CONGRESS AND BE ENACTED IMMEDIATELY RATHER THAN BEING PHASED IN OVER FIVE YEARS OR MORE. AT LEAST DOING THESE TWO THINGS WILL PARTLY CORRECT THIS PROBLEM OF ACCESS. THE SECOND LARGE PROBLEM THAT WE HAVE IN ACCESS TO HEALTH CARE IS THE UNINSURED. BEFORE WORLD WAR II IT WAS NOT UNUSUAL FOR HOSPITALS AND PHYSICIANS TO CHARGE THE VERY WEALTHY A VERY HIGH CHARGE FOR THEIR HEALTH CARE THAN THEY DID THOSE WHO COULD NOT AFFORD IT. THEREFORE, THERE WAS...
Page 50 - Council met four times, and shared information and minutes with 82 organizations, ranging from the Advisory Council on Intergovernmental Affairs to the National Institute on Aging, to the Villers Advocacy Associates. During 1988 action by the Council let a contract to the University of Illinois to develop an orderly, relevant, and economically feasible plan for a potential White House Conference on Aging 1991 .Part of the study included a forum held in San Francisco in cooperation with the Gerontological...
Page 15 - ... VERY WEALTHY A VERY HIGH CHARGE FOR THEIR HEALTH CARE THAN THEY DID THOSE WHO COULD NOT AFFORD IT. THEREFORE, THERE WAS COST SHIFTING AT THAT TIME, AND IT MADE IT POSSIBLE TO HAVE HEALTH CARE EVEN FOR THOSE WITHOUT INSURANCE AND FOR THOSE WITHOUT THE FINANCIAL ABILITY TO PAY FOR THEIR HEALTH CARE. NOW BECAUSE WE HAVE THIRD PARTY PAYERS, THE SITUATION IS CHANGING. PHYSICIANS, HOSPITALS AND HEALTH CARE PROVIDERS NOW CANNOT CHARGE DIFFERENT LEVELS TO DIFFERENT PATIENTS. THEREFORE, ALL PATIENTS HAVE...
Page 50 - hold harmless" clauses in the Older Americans Act that prohibits targeting on an interstate gas is, while requiring it on an intrastate basis . The Council also learned that the word "adequate" in the OAA continues to need Congressional clarification. In its 1986 recommendations to the President and the Congress , the Federal Council suggested . " In the absence of abuse of discretion as determined b by the Commissioner, subject to judicial review, the States' determination under Section 306 (a)...