GCM ETHICAL DILEMMA
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-?
PHYSICIAN’S ETHICAL DILEMMA LIKE GCM
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 ends 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.
HERE IS THE RUB FOR ALCA OR AGING LIFE
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 an ethical dilemma. It turns out that you must serve clients long term to make your aging life or geriatric care management thrive. You also must serve clients in the upper 10% because we have no national insurance that covers geriatric care management or any long term care.
Statistics support this financial inequity. Only 8% of Americans have long term insurance Medicare does not cover Long term care. The top 20% of Americans own 86% of the country’s wealth and the bottom 80% of the population owned 14%. In 2011, financial inequality was greater than inequality in total wealth, with the top 1% of the population owning 43%, the next 19% of Americans owning 50%, and the bottom 80% owning 7%.
According to Christopher Ingraham/The Washington Post, in 2019 the 400 richest Americans now own more than the bottom 150 million causing huge financial inequity.
GCM OR ALCA CAN ONLY BILL THE WEALTHY
So only the upper 10% can afford those fees long term. ALCA experts Bob OT’oole explains this quite clearly. Bob Toole a long term member of ALCA, documents this quite clearly in Private Revenue Sources for Fee-Based Care Managers Need vs. Demand in Eldercare in the 4th edition of Handbook of Geriatric Care Management.
Although you began an ALCA or GCM business this is the reality you must practice in. You must reach out to wealthy elders who can afford and sustain you. Find out How
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