Julie H. Silverstein, MD
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Silverstein JH. Our Parents, Ourselves: How American Health Care Imperils Middle Age and Beyond. Ann Intern Med. 2006;145:80. doi: 10.7326/0003-4819-145-1-200607040-00020
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Published: Ann Intern Med. 2006;145(1):80.
Steinberg Turiel J. 317 pages. Berkeley, CA: Univ of California Pr; 2005. $21.95. ISBN 0520245245. Order at http://www.ucpress.edu.
Fields of medicine: Primary care, geriatrics, and public health.
Format: Softcover book.
Audience: Consumers or providers of U.S. health care, specifically “baby boomers” and their parents.
Purpose: “To address the personal experience of aging and health care issues and policies that surround individuals” as seen from the vantage point of the elderly, as well as those in midlife who are witnessing and caring for aging family members or friends.
Content: The book addresses basic concerns about the care of aging family members. The author discusses the transition from independent to dependent living, options for long-term care, and personal choice in these decisions. The next section covers patterns of cognitive decline and has tables on common medications, clinical patterns, and protective and exacerbating factors. The author explores components of health care central to aging, including prescription drugs (use and cost), health care rationing (implicit and explicit), and discussion of end-of-life care, as well as ethical dilemmas, such as euthanasia and physician-assisted suicide. Each topic is addressed within the context of the U.S. health care system. Considerable attention is given to Medicare and Medicaid and how its inadequacies may affect access to and attainment of high-quality care for older U.S. citizens.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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