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My book, Nasty, Brutish, and Long: Adventures in Old Age and the World of Eldercare is a meditation on the intersection of my professional life as a psychologist in nursing homes and my own caregiving to my frail, elderly parents. I work both sides of the street with the personal meeting the professional, the health-care provider as health-care consumer.
In my book, I also move from the anecdotal to the general, and consider these questions.
- - Do our elderly need to be insitutionalized in places that look and feel like junior hospitals-hospital-lite?
- - Why does the government spend $70,000 to keep a patient in a nursing home while declining to spend only $30,000 for an often more appropriate, more home-like assisted living center?

















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