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Health Care Reform:

Health Insurance & Affordable Care Act

No One on Duty: Will Healthcare Be in Jeopardy in 2020?

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Another problem, says Passiment: The healthcare workforce is aging.

"The majority of people working in health care today entered the profession in the 1970s and 80s," she says. "The median age in our profession is 47. That means 50% of practitioners are over age 47, and retirement is looming for all of them."

If the shortage problem is not stemmed, your healthcare in the year 2020 will likely be much different. Among the changes:

  • Elective surgeries will get deferred. Hospitals will begin offering fewer services. More patient care units will be closed down in hospitals. "I am not one of those who thinks we're going to wind up with a treadmill, rat-race kind of hospital environment," says Bentley. "I think nurses will simply leave the profession in increasing numbers, saying this just isn't worth it. They will look for other opportunities. Hospitals will have to change the work environment or limit the number of patients they can handle."
  • Hospital pharmacies would have to reduce services and cut back staffing schedules. "There will be no other alternative," says Charles Myers, RPH, MS, MBA, vice president of professional and scientific affairs for the American Society of Health-System Pharmacists. "We feel that every pharmacy in every hospital should be staffed 24 hours a day, but that won't be possible. There's a good deal of worry about this, that if the shortages become any worse, it could impact patient care. Lots of our members are starting to say, 'We're feeling very, very concerned.'"
  • Outpatient support services will deteriorate. "It's really going to fall on the "nexters," or whatever you want to call the next generation," says Passiment. "They're going to find themselves in a caretaker role that is remarkably different than what the baby boomers are finding with their parents. They're not going to have the support services they need when they need them."
  • The possibilities of the human genome project would not be realized. "The mapping of the genome project has such incredible potential for our future," Passiment tells WebMD, "but it's the laboratory technologists who will help make that happen. If all those people are not in place, the advances will not be made. We will not be better off than we are today. We will just be marking time."

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