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Significant demographic changes are altering the structure of the American population. Larger numbers of immigrants are entering the work force, will become part of our aging population, and increasingly, are providing care for the elderly. Family structures and communities are evolving as marriage, childbearing, divorce, and cohabitation trends are changing. The working population that supports the elderly, physically and economically, is also changing and will most likely become smaller and less able to support this growing population. What does this mean for the well-being of our aging population and our efforts to ensure the quality of life for our elderly now and that we will want to enjoy ourselves as we become part of this older population? In this volume Drs. Schaie and Uhlenberg and a host of leading scholars look at the current structure of the American population in an effort to determine the impact it will have on the lives of the elderly and those growing older with disabilities and chronic illness. They examine the effects of the aging baby boomers on health care, migration and immigration and how it can support or tax health care networks, cultural issues regarding access to health care, and changing cultural attitudes towards marriage and family that are affecting the relationships between the elderly and their communities.
The Medicare Prescription Drug, Improvement, & Modernization Act of 2003 (MMA) directed a study of the compensation of physicians in traditional fee-for-service (FFS) Medicare. This study explored linking physician compensation to efficiency -- defined as providing & ordering a level of services that is sufficient to meet a patient¿s health care needs but not excessive, given the patient¿s health status. This report: (1) estimates the prevalence in Medicare of physicians who are likely to practice inefficiently; (2) examines physician-focused strategies used by health care purchasers to encourage efficiency; & (3) examines the potential for CMS to profile physicians for efficiency & use the results. Includes recommendations. Charts & tables.
The federal budget impacts American policies both at home and abroad, and recent concern over the exploding budgetary deficit has experts calling our nation's policies "unsustainable" and "system-dooming." As the deficit continues to grow, will America be fully able to fund its priorities, such as an effective military and looking after its aging population? In this third edition of his classic book The Federal Budget, Allen Schick examines how surpluses projected during the final years of the Clinton presidency turned into oversized deficits under George W. Bush. In his detailed analysis of the politics and practices surrounding the federal budget, Schick addresses issues such as the collapse of the congressional budgetary process and the threat posed by the termination of discretionary spending caps. This edition updates and expands his assessment of the long-term budgetary outlook, and it concludes with a look at how the nation's deficit will affect America now and in the future. "A clear explanation of the federal budget... [Allen Schick] has captured the politics of federal budgeting from the original lofty goals to the stark realities of today."—Pete V. Domenici, U.S. Senate
The author of "Social Security and Its Discontents" now maintains that the Bush administration, Congress, and large parts of the Republican Party and the conservative movement have abandoned traditional conservative ideals and embraced the idea of big government.