Witnesses: Jeanette Takamura, Assist. Sec. for Aging, U.S. Dept. of HHS; Violet Cosgrove, Older Consumer, Glen Burnie, MD; John Murphy, M.D., Prof. Dept. of Family Medicine, Brown Univ.; Susan Klein, RN, Bureau of Health Professions, Health Resources and Services Admin.; Steven L. Phillips, M.D., Senior Dimensions, Reno, NV; Neeraj Kanwal, M.D., exec. medical dir., Government Programs, Anthem Blue Cross and Blue Shield, Mason, OH; Steve Anderson, exec. dir., Donald W. Reynolds Foundation, Fort Smith, AR; and William Minnix, Jr., CEO, Wesley Woods Center on Aging, Emory Univ., Atlanta, GA, for the Amer. Assoc. of Medical Colleges.

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.