A new international study published in the current issue of Health Affairs indicates that universal health care systems, including Medicare in the United States, effectively provide quality care to the elderly. Respondents age 65 and older in five countries—Australia, Canada, New Zealand, the United Kingdom, and the United States—praised the quality of care and the ease of access to services. At the same time, many also expressed grave concern over the ability of the health systems to meet their needs in the future. In the United States, the cost of prescription drugs was of particular concern. "Elderly Americans fare surprisingly well compared with the elderly in other countries," said Karen Davis, president of The Commonwealth Fund. "These results reveal that Medicare goes a long way toward assuring access to health care for older populations—in stark contrast to adults under age 65, where the U.S. lags behind other countries." Davis also said the results suggest that Medicare has helped many frail elderly people obtain home health care at a rate better than other countries in the study. The major disparity is in access to prescription drugs, which are not covered by Medicare. "The Elderly in Five Nations: The Importance of Universal Coverage" is based on findings from The Commonwealth Fund 1999 International Health Policy Survey. Conducted by Harris Interactive, Inc., the survey examines the health care attitudes and experiences of people age 65 and older in each of the five nations. The study was conducted by Karen Donelan and Robert J. Blendon of the Harvard University School of Public Health, and Cathy Schoen, Robin Osborn, and Karen Davis of The Commonwealth Fund, and Katherine Binns of Louis Harris, Interactive. Additional findings from the survey were also released today in a new Fund report, The Elderly's Experiences with Health Care in Five Nations, available in full on the Internet at www.commonwealthfund.org/programs/international/schoen_5nat_387.pdf. Elderly Voice Concerns about Their Health Systems Many of the elderly expressed concerns about the future of their own health care. One of five (19%) elderly Americans are "very concerned" they will become a burden to their family, as are one of four (25%) New Zealanders and 13 percent each of residents of Australia, Canada, and the United Kingdom. In four countries, more respondents said that health care for the elderly had declined rather than improved over the past five years. The exception was the United Kingdom, where more respondents said health care for the elderly had improved rather than declined. In every country except the United Kingdom, more than one of four elderly respondents expressed negative views about their country's health system. The United States was the only country in which the elderly were more positive about the system than younger people. Americans 65 and older were significantly less likely than younger adults to say the health system has so many problems that it needs to be completely redesigned (27% vs. 34%). The elderly in Australia and New Zealand were most likely to express negative views, while elderly U.K. respondents were least likely to call for systemwide change. The views of the elderly in Canada and the United States fell between those two extremes.
Universal Health Care Coverage Works Well For Elderly In Five Nations
But Many Have Concerns About The Future And Worry They Will Become A Burden To Their Families In The U.S., High Out-Of-Pocket Drug Costs Create HardshPublication Details
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May 08, 2000
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