European Stars And Stripes (Newspaper) - December 27, 1986, Darmstadt, Hesse                                Saturday. December 27, 1986 the stars and stripes pages aging baby Boomers to Strain health system Chicago health care needs for the Naburn s elderly will Rise dramatically at the Dawn of the 21st Century As the millions of americans bom in the hah Boom Era enter their Twilight years a financial analyst says. By inc year Miou. . Society will be about so years into "digesting1 the 78 million people Horn during the years after world War. Says pc fac. Golds Milf a senior adviser with Ernst & whinny accountants in Chicago. Consequently. Us ii ii will face tremendous pressure to spend More Money for both  ind Long term care for a generation becoming caught up in inc coils of degenerative illness Goldsmith wrote in Friday s journal of inc american medical association. The percentage of the . Popula Tion older than 65 jeers will climb moderately from 11,3 percent to 13.1 percent Between 1980 and 2000, but by 2030 will exceed 21 percent golds Mith said. He said Competition among physicians will Sharpen and government and private insurers will try harder to control costs. But rationing is not inevitable nor is private medical practice doomed he said. I think part of the solution is for those who provide health care services physician and care Given to real ize chronic illness is different from acute illness Goldsmith said in a Tele phone interview wednesday. He said society is organized and financed to treat medical emergencies even though chronic illnesses account for so percent of All deaths and 90 per cent of All disabilities. If you have a heart attack n Heli copter will land in your Yard and spirit you away he said. If you have Alz Heimer you will gradually go  the answer he said is for society to devise methods to insure for chronic illness probably through private insurance companies rather than through medicare because of the High costs involved. We re going to have a very serious problem paying for health care for the elderly and i Hope we can fix it before we gel to it he said. We be got two generations to get  in his article Goldsmith predicted treatment advances will probably halve the nation s Hospital population by the Early part of the next Century. He . Inpatient Hospital use per person peaked in 1975 and since has declined about 25 percent. Government and private insurers will exert increasing pressure to limit costs Goldsmith said noting that the government has already instituted a system of setting limits ahead of Timeon inc amount of Hospital costs it will pay for medicare patients depending on their diagnoses. Insurance companies will rely More heavily on their recent discovery of a Gold mine of information of health care use buried in the Trail of claims that they  Goldsmith said. He said their data will allow them to track an illness its Cost and the out come of treatment permitting insurance companies a More scientific Way of influencing How health care is delivered. Don t resolve some Call freight boxes Home to do too much experts advise Ann Arbor Mich. A Christmas is Over and the new year looms offering yet another Chance at self improvement. But University of Michigan researchers say mos new year s resolutions will be no More Llian broken promises by february because people set unrealistic goals for themselves. New year s resolutions Are a lot like new year s with is for most people said Ovide Pomerleau director of the us behavioural Medicine program. Most people expect More of themselves than they can deliver so they doom themselves to failure fro the Start said Nancy Lowyn Burgh coordinator of the program. People should t frustrate themselves by setting up impossible  she said people would he More successful if they avoid saying ill always or ill  she also suggested that people Start their new behaviour before they make the Resolution and take Lime to practice. Dieting is probably on inc top of most people s lists of new year s resolutions said or. David e. Shtein Art a professor of internal Medicine at the University s medical  should not expect to lose 20 pounds in a week but establish reasonable goals that can be revised As Progress is made scat Cingari said. Bethel Alaska a in this sprawling Tundra Community inc regional Hub for More than 50 villages rusting Metal shipping containers form ramshackle apartment complexes known As the Tundra apart ments and two Slough  boxes or vans rent for $200 n month and with affordable housing Only a dream in Alaska s far Flung settlements there Are  boxes once used to Harge freight into Bethel Perch atop is gallon Drums in clusters. Plastic pails suffice for toilets. Dishwater is dumped outside where it stands in Frozen puddles. Weathered plywood doors Sag in the icy wind and broken windows gape at pass  vans owned by the Kusk Kwim development corp., sit on about a half acre said James Mather one of the owners and manager of the property. They All arc  and Dolores Ruiz and their son lived in one of the 8-by-24 containers for seven months before moving out in  were on welfare and we could t afford any thing  said Ruiz a 3s-Ycar