Recommended Reading: US Healthcare Debate

I am often asked for my opinion on the healthcare debate. My response includes describing the complicated nature of how health care is delivered and how that intersects with how it is paid for. See below for a comprehensive summary.

The complicated, political, expensive, seemingly eternal US healthcare debate explained.


Assisting a family that wants to help a loved one die at home can be a wonderfully satisfying experience. However, it may not be right for every family. This article provides a realistic description of some of the challenges.

Is Dying at Home Overrated?


A common issue we encounter with our female, older adult clients is urinary tract infections. This article addresses how the changing estrogen levels women experience during menopause pose a series of issues that can and should be addressed.

Treating the Incredible Shrinking Vagina

Recommended Reading: Long-term Caregiving

One challenge Jack encountered was that Bill was seeking care from multiple health systems; his medical records were not easily accessible in one place. Jack is considering the use of a tool called Backpack Health.

Backpack Health is a mobile and web tool that makes it easy for individuals to manage, own and share health information for themselves and their families.

App users can link their Backpack Health profiles to patient portals, making it easier to keep track of both clinical and personal health data.


The (Possibly) Forthcoming Elder-Care Revolution is a sobering article about the politics of long-term caregiving. An excerpt:

“Levitsky found that the lack of public outcry for long-term care didn’t reflect an absence of need. Instead, it was driven by a widely held belief that caregiving is a family responsibility, tied up with what it means to be a good son or daughter. And because it’s so time-intensive and takes place in the home, caregiving is often extremely isolating, making it hard to see it as a systemic issue.”

Read the full article, here.

Recommended Reading: Food as Medicine and others

This is a terrific example of the impact lifestyle changes can make on one’s health. Food as Medicine!


The identification and management of Urinary Tract Infections (UTIs) in older adults is something we manage all the time. It requires patience to adequately diagnose and treat. This article highlights some of the challenges with options for treatment.


Elder Abuse is a growing problem. This piece highlights the impact of the lack of resources to deal with the demand for services.

Recommended Reading: Healthcare Costs

In hospital settings, the classification of “Observation Status” is something we frequently encounter. The ramifications for care and cost can be catastrophic.

Learn more, here.


One topic that I am asked about frequently is the lack of transparency regarding healthcare costs, a reality that makes it difficult for consumers to make informed decisions.

This article addresses the topic and provides a few examples of organizations working on the issue.