January 01, 2013

The ACA A Physician’s Perspective

I am a geriatrician, a doctor who specializes in the care of older adults. I am board certified in family medicine, geriatric medicine, and hospice/palliative medicine. For 18 years, I have been caring for older adults and people with chronic diseases. I have an active house calls practice in which I see homebound seniors who cannot access primary care because leaving their homes is a burden to them or their families. I know first-hand the problems associated with a fragmented, acute-care-focused health insurance system that costs too much, covers too little, and excludes too many. It also does not match the needs of older adults or people with chronic medical problems who require more than just 15 minutes with their primary care provider. Sometimes I can’t get through my patient’s medication lists in 15 minutes! Individuals with complicated needs often require team-based care, as many of their problems are not just biomedical in nature but are, rather, intertwined with social and psychological issues.

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