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Volume 335:743-746 September 5, 1996 Number 10
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Controlling the Costs of Health Care for the Elderly — Fair Means and Foul

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The prospect of a Medicare Trust Fund bankrupt by 2001 and of staggering deficits in the decades thereafter, as the baby-boom generation retires, is bound to preoccupy everyone, young and old. The options will be a nightmare for politicians, who will be forced to present nasty choices to younger taxpayers (pay higher taxes or watch benefits for your parents and grandparents decline) and no less unpleasant ones to older people (pay still more out of pocket or accept a sharp reduction in benefits). It will be no less a bad dream for those providing health care to the elderly: the . . . [Full Text of this Article]

Strategies to Restrain Costs

Advance Directives

Futility and "Appropriate" Treatment

Covert Age-Based Rationing

Physician-Assisted Suicide

Health Care Rationing for the Elderly

Address reprint requests to Dr. Callahan at the Hastings Center, 255 Elm Rd., Briarcliff Manor, NY 10510.

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