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Editor's e-Note
Up to 4% of older adults and twice as many men as women are affected by eating disorders. These disorders, however, are often overlooked in this population, despite the fact that older adults are at greater risk of repercussions due to the prevalence of co-occurring chronic conditions. A key aspect of comprehensive treatment, outpatient nutrition counseling is not covered by Medicare, leaving this population vulnerable, but new legislation aims to change that.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at www.TodaysGeriatricMedicine.com, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at TGMeditor@gvpub.com. Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Kate Jackson, editor
e-News Exclusive
Bipartisan Senators Introduce Nutrition CARE Act Companion Legislation

Effort Intended to Improve Access to Treatment for Seniors and Persons With Disabilities on Medicare

The Eating Disorders Coalition for Research, Policy & Action celebrates the introduction of the bipartisan Senate companion legislation of the Nutrition Counseling Aiding Recovery for Eating Disorders (Nutrition CARE) Act of 2019 led by Senator Lisa Murkowski (R-AK) and Senator Maggie Hassan (D-NH).

Eating disorders affect 3% to 4% of the senior population and approximately 6% of females and 3% of males with disabilities. Eating disorders for older Americans and Americans with disabilities are particularly serious, given the likelihood of co-occurring chronic conditions that further compromise an individual’s health and well-being. Despite the prevalence of eating disorders within these populations, Medicare excludes coverage for outpatient nutrition counseling—a core component of comprehensive treatment for eating disorders.

“Eating disorders tend to be discussed in the context of young people, but that misses the full extent of the problem,” Hassan says. “My bipartisan bill with Senator Murkowski would help ensure that seniors and people living with disabilities—both populations who often face other health challenges in addition to eating disorders—receive the comprehensive care that they need.”

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Other Geriatrics News
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The Continuing Shortage of Geriatricians
The gap between the need for and the supply of geriatricians continues to grow, and available graduate fellowships go unfilled. The New York Times reports on the reasons for the continued shortage of providers, the consequences for older adults’ health, and strategies that are being employed in an effort to turn the tide.

Advance Care Planning May Lengthen Patients’ Lives
British newspaper The Telegraph reveals the findings of a recent study showing that terminally ill patients who are involved in advance care planning, particularly those with diagnoses other than cancer, live longer. The small Danish study indicates that patients with advance care plans are less likely to accept interventions that, although they’re intended to extend life, may actually shorten their lives.
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