Targeting concierge clients or the top 10%, puts geriatric care managers in a double bind. As a social worker, nurse or health professional practicing aging life or geriatric care management, the catch 22 you fall into is offering limited access to care management. Serving only the upper 10% was not part of our training. It was not part of our social belief system that all members of the community should have access to social and health care resources.
Restricting access to aging life or care management, impacts 90% of older people’s ability to reach their full potential, negatively affecting their quality of life and further beats down unpaid family caregivers
But aging life or geriatric care manager chose to run a for profit business that depend on the top 10%.
Thus a Catch-22 where geriatric care managers find themselves with contradictory goals.
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