In terms of the demographic shift, the fact is, we have doubled the number of seniors. It is unprecedented. It never has happened in the history of this country, or indeed in the world, where a country has doubled the number of seniors over a 30-year period, going from 40 million seniors to approximately 78--really about 37 million to 77 million. At the same time, we have not half but a diminishing number of workers paying into the system. I argue that this is done on quality of care. I just know if one gets into a system where they have a doctor talking to a nurse, a doctor talking to a specialist, that they have preventive care, they have a nurse who specializes in chronic disease management--which is the whole purpose of this coordinated care, that they are getting a higher quality of care. In addition to that, it is a more efficient system. Choice is going to allow people to go to the systems that give the best care, and with that it is sustainable over time because it allows an element of the marketplace to work.
Editor's note · Context
Discussing the demographic shift and its impact on healthcare and the quality of care for seniors.
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