Wellness Solutions and Healthy Aging

Can Wellness Initiatives offer Solutions to our Aging Population?

The elderly population poses many specific and challenging issues to not only the medical community, but also to economic policy worldwide. Quite possibly the biggest challenge of the 21st Century globally is the sheer number of the aging population compared to the smaller future generations who will be responsible for caring for their aging families.

“According to the Census Bureau’s “middle series” projections, the elderly population will more than double between now and the year 2050, to 80 million. By that year, as many as 1 in 5 Americans could be elderly. Most of this growth should occur between 2010 and 2030, when the “baby boom” generation enters their elderly years.”[1]

These statistics are paralleled in many other developed nations. It is the sheer fact of so many elderly, no longer in the workforce and so few young that are continually generating revenue in the workforce that many of our previously placed and well intentioned public policies in Health care and Economics are coming to a head. Policy is always created whilst maintaining certain predictive models that take into account the short term needs and hypothesizing about what will happen in the future, many times utilizing the current statistics and extrapolating for future generations. When current trend conditions remain into the future then the future trends will hold true. Unfortunately for our future generations, the past statisticians guessed wrong when compiling data on future revenue generators as the world population plummeted with multiple policies in place to control population explosion.

When projections are based on false assumptions you are destined for failure. This is the definition of “an economic bubble: A bubble is similar to a Ponzi scheme in that one participant gets paid by contributions from a subsequent participant (until inevitable collapse). A bubble involves ever-rising prices in an open market, but unlike the Ponzi scheme, there is no single person misrepresenting the intrinsic value.”[2]

Whether we call this a market bubble or a Ponzi scheme is a moot point, but the reality is that the sheer fact that our future generations are being saddled with debt in an unsustainable system is the biggest challenge facing our World today. All other issues facing our Health care system stem from the fact that there are too little financial resources to sustain the growth.

An innovative project that seems intriguing in achieving the triple AIM is the PACE program, although I can see it easily becoming racked with fraud without significant controls. I believe that a coordinated, collaborative system of wellness and chronic disease management is the answer for our seniors. But, I also see a huge opportunity for fraudsters to gain the system, as has been done in the nursing home system today. Currently Medicare spends $32 Billion on Skilled Nursing Facilities. According to OIG many of these are not meeting basic quality requirements. In addition, many services that are currently being billed to Medicare are incentivizing SNFs to bill at more expensive levels that may actually be unnecessary. OIG continues to state that Medicare paid $6.4 Billion for patients with care plan problems or deficient discharge plans. They also found the one quarter of claims in 2009 were incorrect, to the tune of $1.5 Billion.[3]

Wellness-Elderly-in-Blog

At Bain Complete Wellness we have created an increased focus on the aging population. We have beginning innovative, collaborative programs that combine multiple integrated modalities including nutrition, exercise and movement therapy, with medical management to get seniors who suffer with osteoarthritis of the knee a chance to avoid knee replacement surgery and get moving again. “As many as 250 000 deaths per year in the United States are attributable to a lack of regular physical activity. In addition, studies that followed large groups of individuals for many years have documented the protective effects of physical activity for a number of noncardiovascular chronic diseases, such as non–insulin-dependent diabetes, hypertension, osteoporosis, and colon cancer.”[4] We believe that with this program will allow our seniors to “get Moving” again, and with this increased ability begin to create a shift in our ability to control and reverse many of the diseases currently classified as preventable.

While we believe that wellness care is the answer to the current Health Care crisis the most pressing issue is our countries continued short term focus on most issues. We tend to give up tomorrow for today’s solution. A complete paradigm shift toward a wellness based society will take time, patience and commitment; things that we have historically abandoned in order to achieve short term gain. We must as a society begin to shift our focus toward long term commitments. Our organization faces many uncertainties that could alter the current landscape that allows us to create these innovative care programs. Many of these are related to payment models, both projected and current. Strategic planning becomes much more difficult in business when the rules of the game continue to change. Businesses require stability in order to maintain viability, and the major changes that have been born through the passage of the ACA are only predictive in that we are uncertain if the next Congress will not repeal them. This creates an extremely difficult landscape for any business looking to serve the Medicare community.
1.  Bureau, U.S.C. Sixty-Five Plus in the United States. 1995 may 1995 [cited 2014 9/5/2014]; Available from:
https://www.census.gov/population/socdemo/statbriefs/agebrief.html.
2. Wikipedia. Ponzi Scheme. 2014 [cited 2014 9/5/2014]; Available from:
http://en.wikipedia.org/wiki/Ponzi_scheme.
3. General, O.o.I. Spotlight On… Skilled Nursing Facilities. 2013 [cited 2014 9/6/2014]; Available from: https://oig.hhs.gov/newsroom/spotlight/2013/snf.asp.
4. Myers, J., Exercise and Cardiovascular Health. Circulation, 2003. 107(1): p. e2-e5.

Dr. Timothy Bain

Tim-Bain-smlPresident and Founder
A sought-after expert in health and wellness–specifically preventative medicine, sports performance and nutrition–Dr. Tim Bain is the founder of Bain Complete Wellness and The Athletes Compound at Saddlebrook. Dr. Bain treats hundreds of professional athletes and has patients of all age-groups. His popular multi-faceted, individualized approach is based on his belief that true health is not merely the absence of symptoms but the presence of well-being in mind, body, and spirit.

Read More

Education Doctorate of Chiropractic – Life University Diplomate of the American Association of Integrative Medicine Certified Exercise Strength and Conditioning Specialist – Texas Chiropractic College Certified Chiropractic Sports Medicine Specialist – Texas Chiropractic College Certified Sports Injury Specialist — Texas Chiropractic College Other degrees: B.S. Biology with a concentration in Psychology – Manhattan College. Memberships Council on Sports Injuries & Physical Fitness of the ACA International Chiropractic Pediatric Association American Chiropractic Association Florida Chiropractic Association American Chiropractic Association Sports Council National Strength and Conditioning Association Defeat Autism Now Life Extension Foundation Honors Summa Cum Laude Chiropractic National Honor Society Biology National Honor Society Psychology National Honor Society Awards International Pediatric Chiropractic Association — Distinguished Research Fellow Brookhaven National Laboratories/NIH — Distinguished Researcher Selected Publications Bain, T.F. (2012), Increasing performance through hip joint optimization, Professional Hockey Athletic Trainers Society Newsletter, Spring Edition, p.7-8. Bain, T.F. (2011), Increasing sports specific performance in children, Hillsborough County Chiropractic Society Journal

Dr. Bain’s Complete Curriculum Vitae