Modern healthcare now demands executive-level coordination. A single senior managing multiple chronic conditions may see five specialists, take eight or more medications, navigate insurance authorization protocols, interpret laboratory trends, and weigh probabilistic treatment decisions — often within 20-minute appointments structured around documentation requirements. We would not assign this level of systems management responsibility to a junior hospital administrator. Yet we routinely assign it to aging patients whose cognitive bandwidth and physiologic reserve are changing. The result is not an isolated failure. It is structural strain.
(Note: About Us, a reference bibliography, related books, videos and apps can be found at the end of this article.)
