Limiting access to geriatric care management to the upper 10% leads most Aging Life or geriatric care managers to an ethical dilemma. Should we limit resources?
The physician of the 20th century treated all patients rich or poor and did not have a business model. Today’ managed care physicians see everyone on Medicare, although many do not take Medicare because of the low payments. Access to the physician diminishes even more with the advent of the concierge physician, who uses a business model to only treat those elders who can pay privately, which end s up being the upper 10%
Most aging life or geriatric care managers came to the field with inner core beliefs that health care should be available to all elders, yet they chose to start a business. So here ‘s the rub.
That business cannot prosper if the aging life or GCM does not have long term clients who can pay for it. The federal government does not fund the profession, so elders have limited access. Should you be part of this?
Here is the ethical dilemma. It turns out that you must serve clients long term to make your aging life or geriatric care management thrive.
Only the upper 10% can afford those fees long term, Bob Toole a long term member of ALCA ,writes new 4th edition of Handbook of Geriatric Care Management.
O Toole, in his chapter Private Revenue Sources for the Fee-Based Care
Manager: Need Versus Demand in the Private Elder-Care Market notes that
10% of American s control 75% of the wealth. So only those with substantial
financial resources can afford to pay – thus the ethical dilemma.