Current Awareness in Aging Research (CAAR) Report #241--June 10, 2004


CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:


I. Data:

1. MEPS:

A. MEPS Household Compendia of Tables: The US Agency For Health Care and Quality, Medical Expenditure Panel Study has added "Household Medical Expenditures by Condition" and "Household Medical Expenditures Tables" tables for 2001 to the Compendia.

B. "Household Component" 2001 data are available via the MEPSnet data extractor.


II. Reports and articles:

2. NCHS REPORT: "National Hospital Discharge Survey: 2001 Annual Summary With Detailed Diagnosis and Procedure Data," by L.J. Kozak, M.F. Owings, and M.J. Hall (US National Center for Health Statistics, Vital and Health Statistics Series 13, No. 156, June 2004, .pdf format, 198p.).


A. "CMS Implementing MMA Section 947 Requires Medicare Participating Hospitals Comply with OSHA's BBP Standards" (US Centers for Medicare and Medicaid Services, May 26, 2004, .pdf format, 2p.).

B. "HHS Announces New Collaborative Enrollment Initiative to Help Low-Income Medicare Beneficiaries Sign Up for Drug Discount Card" (May 27, 2004).

C. "Medicare Establishes Advisory Group on Emergency Medical Treatment and Labor Act Responsibilities" (May 27, 2004).

D. "Medicare Adds to List of Outpatient Services Eligible For Special Payment" (Jun. 4, 2004).

E. "Big Savings Available on Generic Drugs Through Medicare-Approved Drug Discount Cards (Jun. 8, 2004)


A. "OASDI (Old Age Survivor and Disability Insurance) Monthly Statistics, May 2004" (US Social Security Administration, Office of Policy, June 2004, HTML and .pdf format).

B. "SSI (Supplemental Security Income) Monthly Statistics, May 2004" (US Social Security Administration, Office of Policy, June 2004, HTML and .pdf format).

C. "International Update, May 2004" (US Social Security Administration, Office of Policy, May 2004, HTML and .pdf format, 4p.).


A. "The Uninsured in America, 2003: Estimates for the U.S. Population under Age 65," by Jeffrey A. Rhoades (US Agency For Health Care and Quality, Medical Expenditure Panel Study Statistical Brief #41, 2004, HTML and .pdf format, 5p.).


Estimates from the Household Component of the 2003 Medical Expenditure Panel Survey (MEPS-HC) show that health insurance status among people under age 65 varies according to demographic characteristics such as age, race/ethnicity, sex, and marital status. This Statistical Brief shows the estimated size of the civilian non-institutionalized population under age 65 that was uninsured throughout the first half of 2003 and identifies groups especially at risk of lacking health insurance.

B. "Health Care Expenses in the United States, 2000," by Trena M. Ezzati-Rice, David Kashihara, and Steven R. Machlin (US Agency For Health Care and Quality, Medical Expenditure Panel Study Research Findings #21, April 2004, HTML and .pdf format, 55p.).


This report from the Agency for Healthcare Research and Quality presents descriptive data on health care spending in the United States. Estimates are based on data from the 2000 Medical Expenditure Panel Survey (MEPS) and cover the civilian non-institutionalized U.S. population. Estimates of total health care expenses and expenses for hospital inpatient services, ambulatory services (including office-based, hospital outpatient, and emergency room visits), prescription medicines, dental services, home health services, and other medical equipment and supplies are provided. The proportion of people with expenses; mean and median expenses; and the proportion of expenses paid by various sources, including out of pocket, Medicare, Medicaid, and private insurance, are shown for each type of service. In addition, distributions of expenses and sources of payment across the population are examined by selected demographic, geographic, and socioeconomic characteristics and by health insurance and health status.

6. NIH NEWS RELEASE: "'Imagination' Helps Older People Remember to Comply with Medical Advice (US National Institutes of Health, National Institute on Aging, Jun. 4, 2004).

7. ILCUSA REPORT: "ILC Policy Report" (International Longevity Center, USA, May 2004, .pdf format, 6p.). The ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."

8. Australian Institute of Health and Welfare Report: "The Impact of Dementia on the Health and Aged Care Systems" (AIHW AGE 37, June 2004, .pdf format, 80p.). "In mid-2003, the Department of Health and Ageing commissioned the Australian Institute of Health and Welfare to investigate the extent to which health and aged care service use can be associated with dementia, to inform an Australian Government review of pricing arrangements in residential aged care by Professor Warren Hogan. This report presents the findings of these investigations, examining the prevalence of dementia in the Australian population, the current patterns of service use by people with dementia and the costs associated with this use."

9. CARERS AUSTRALIA/NATIONAL CENTRE FOR SOCIAL AND ECONOMIC MODELING [NATSEM] REPORT:"Who's going to care? Informal care and an ageing population," (June 2004, .pdf format, 43p.).

10. CABINET OFFICE [JAPAN] REPORT: "Annual Report on the Aging Society: 2003," (Cabinet Office, June 2004, HTML format).

11. CERTIFIED GENERAL ACCOUNTANTS [CGA] OF CANADA REPORT: "Addressing the Pensions Dilemma in Canada," (CGA, June 2004, .pdf format, 71p.).

Press Release:

12. MINISTRY OF HEALTH SERVICES [BRITISH COLUMBIA, CANADA] REPORT: "A Profile of Seniors in British Columbia," (Ministry of Health Services, 2004, .pdf format, 75p.).

13. KFF REPORT: "The Medicare Prescription Drug Law - What Are Seniors Saying?" "As the first phase of the new Medicare prescription drug law takes effect, the Kaiser Family Foundation commissioned focus groups conducted by Bill McInturff of Public Opinion Strategies and Geoff Garin of Peter D. Hart Research Associates in consultation with Foundation staff. The focus groups were designed to explore what people on Medicare know and think about the discount drug card that went in effect June 1st, and the new benefit that takes effect in 2006. The ten focus groups, conducted in Pittsburgh, Kansas City and Washington, DC, underscore the major public education challenge that lies ahead." Included are a report (June 2004, .pdf format, 21p.) and chartpack (June 2004, .pdf format, 14p.).

14. AMERICAN BENEFITS COUNCIL REPORT: "Safe and Sound: A Ten-Year Plan for Promoting Personal Financial Security," (American Benefits Council, June 2004, .pdf format, 117p.).

More information on ABC:


A. "Natural History of Early, Localized Prostate Cancer," by Jan-Erik Johansson, Ove Andren, Swen-Olof Andersson, Paul W. Dickman, Lars Holmberg, Anders Magnuson, and Hans-Olov Adami (_Journal of the American Medical Association_, Vol. 291, No. 22, Jun. 9, 2004, p. 2713-2719).

B. "Estimating Prognosis for Nursing Home Residents With Advanced Dementia," by Susan L. Mitchell, Dan K. Kiely, Mary Beth Hamel, Pil S. Park, John N. Morris, and Brant E. Fries (_Journal of the American Medical Association_, Vol. 291, No. 22, Jun. 9, 2004, p. 2734-2740).

C. "Waiting Time in Prostate Cancer," by Alfred I. Neugut and Victor R. Grann (_Journal of the American Medical Association_ Editorial, Vol. 291, No. 22, Jun. 9, 2004, p. 2757-2758).

D. "No-Discount Cards?" by Brian Vastag (_Journal of the American Medical Association_ Capitol Health Call, Vol. 291, No. 22, Jun. 9, 2004, p. 2691).

E. "Price Blame Game," by Brian Vastag (_Journal of the American Medical Association_ Capitol Health Call, Vol. 291, No. 22, Jun. 9, 2004, p. 2691).

F. _Principles of Geriatric Medicine and Gerontology_ edited by William R. Hazzard, John P. Blass, Jeffrey B. Halter, Joseph G. Ouslander, and Mary E. Tinetti, 5th ed, 1648 pp, with illus, $195, ISBN 0-07-140216-0, New York, NY, McGraw-Hill, 2003 (_Journal of the American Medical Association_ Book Review, Vol. 291, No. 22, Jun. 9, 2004, p. 2760).


A. "Appeal court upholds Oregon's assisted suicide law," by Fred Charatan (_British Medical Journal_ News, Vol. 328, No. 7452, Jun. 5, 2004, HTML and .pdf format, p. 1337).

B. "Dutch reporting of euthanasia cases falls -- despite legal reporting requirements," by Tony Sheldon (_British Medical Journal_ News Roundup, Vol. 328, No. 7454, Jun. 5, 2004, p. 1336).

17. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles.

A. "Geriatric Emergencies Part 1: Vulnerability and Primary Prevention," by Kathleen Fletcher (Topics in Advanced Practice Nursing eJournal, Vol. 4, No. 2, 2004).

B. "Age-Related Changes in Testosterone and the Role of Replacement Therapy in Older Men," by Carolyn A. Allan and Robert I. McLachlan (_Clinical Endocrinology_, Vol. 60, No. 6, 2004, p. 653-670, via Medscape).


A. "Private Long-Term Care Insurance: The Medicaid Interaction," by Enid Kassner (AARP Public Policy Issue Brief No. 68, May 2004, .pdf format, 8p.). "What happens when the costs of long term care services exceed one's insurance benefit, available income, and assets? Presumably the Medicaid program is then available to finance services. Or is it? Most people who purchase private long term care insurance do so in the hope of maximizing their choices, protecting their assets, and avoiding Medicaid. However, those whose policies prove to be inadequate to cover the cost of care may find that they have "fallen in the cracks," at a disadvantage both in qualifying for Medicaid and in paying for nursing home care privately. Medicaid treats insurance reimbursements as income, which has led to reports of individuals canceling their insurance policy for long term care in order to qualify for Medicaid. Rationalizing the way state Medicaid programs treat private long term care insurance payments could ultimately save Medicaid dollars. This issue brief, by Enid Kassner of the AARP Public Policy Institute, addresses the unintended consequences that sometimes occur in the interaction of Medicaid and private long term care insurance, discusses their implications for public policy, and describes some actions to address potential problems."

Click on "Download or view" at the bottom of the report description.

B. The following AARP _Prime Time Radio_ shows, for May 18 - Jun. 8, 2004, are now available (RealPlayer plug-in or helper application required, audio transcripts run between 24 and 30 minutes).

Jun. 1, 2004: Global Aging: A Preview
Jun. 8, 2004: City Living

19. _US NEWS AND WORLD REPORT_ SPECIAL SECTION: _US News and World Report_, Jun. 14, 2004, contains a special section: "Building a Successful Retirement." It contains six articles relevant to the topic.

III. Working Papers:


A. "Transitions to Self-Employment at Older Ages: The Role of Wealth, Health, Health Insurance, and Other Factors," by Julie Zissimopoulos and Lynn A. Karoly (WR-135, December 2003, .pdf format, 54p.).


Relatively little research has been devoted to studying self-employment among older workers although they make up a disproportionate share of the self-employed workforce. This study uses 5 waves of panel data from the Health and Retirement Study to investigate the determinants of labor force transitions to self-employment at older ages. We estimate a multinomial logit model of transitions from wage and salary employment to self-employment, retirement or not working. Results are compared with those found in previous studies. New findings on the impact of health on transitions to self-employment are highlighted.

B. "Self-Employment Trends and Patterns Among Older U.S. Workers," by Lynn A. Karoly and Julie Zissimopoulos (WR-136, December 2003, .pdf format, 48p.).


Although self-employment is an important labor force phenomenon at older ages, there is a paucity of studies that examine the patterns of self-employment among older U.S. workers. With the leading edge of the baby boom cohort reaching retirement years, the rising rates of self employment with age suggest that it is important to have a solid understanding of who is self employed at older ages and how patterns of self-employment may be changing over time. Using cross-sectional time-series data from the annual Current Population Survey from 1968 to 2002 and cross-sectional data from the Health and Retirement Study from 1998, we examine the trend in rates of self-employment among workers age 50 and above. We describe the characteristics of older self-employed workers, in total and for subgroups, and compare them with their wage and salary counterparts.

21. POPULATION COUNCIL: "Differentials in life expectancy and active life expectancy by socioeconomic status among older adults in Beijing," by Toshiko Kaneda, Zachary Zimmer, and Zhe Tang (Working Paper 189, 2004, .pdf format, 24p.).


The study compares estimates of life expectancy and active life expectancy across indicators of socioeconomic status for a cohort of older adults in Beijing Municipality. Our aim is to determine whether associations found are consistent across indicators and with those typically observed in Western industrialized countries. A multistate life table method is used to estimate expected years of total and active life, defined as life spent without limitation in functions necessary for performing daily tasks. We find that men of higher status experience advantages with respect to life and active life expectancies. Among women, only active life expectancy is significantly greater for those of higher status, but the difference by income is not statistically significant. With respect to the proportion of life spent in an active state, both men and women of higher status benefit in comparison to their lower status counterparts. Finally, we find that disparities by socioeconomic status generally increase with age. Despite several inconsistencies across socioeconomic status indicators by sex, findings generally confirm inequalities within a society that is organized very differently socially, economically, and politically from countries in the West.

Click on "Download the full Working Paper in PDF format" at the bottom of the abstract for full text.

22. CPB NETHERLANDS BUREAU FOR ECONOMIC POLICY ANALYSIS [THE HAGUE]: "Ageing and International Capital Flows," by Erik Canton, Casper van Ewijk, and Paul Tang (CPB Document No. 43, January 2004, .pdf format, 54p.).


Ageing will have an impact on both savings and investment, potentially leading to substantial international capital flows. This paper provides a comprehensive overview, by considering various questions. What are the differences in demographic process of ageing across countries? Does ageing lead to a capital outflow? How mobile is capital? What are the effects of a lower rate of return on (pension) savings? The evidence on international capital mobility casts doubt on the opportunities for investing on international capital markets. First, capital mobility is rather limited, especially with developing countries. This considerably reduces the scope for investing the surplus of the ageing countries in 'younger' areas. Second, the rapidly growing new and old Asian tigers appear to finance their growth by high rates of savings themselves. As a consequence, savings and investment will be linked for the major economic blocks (US and Europe) in the OECD area. Discrepancies between savings and investment will not be absorbed by external financial markets, but will be solved by adjustment of the interest rate. To avoid a steep rise in the tax burden on working generations requires timely policy action. Two broad options are open. The first is to invest more in human capital, for example by increasing the participation rate, especially of elderly workers. The second is to invest in financial and physical capital, for example by stimulating pension savings. Combining the two options is possible as well as sensible. However, a falling interest rate when savings are stimulated according to the second policy option makes the first policy option all the more important.


IV. Journal Tables of Contents (check your library for availability):

23. European Journal of Palliative Care (Vol. 11, No. 3, 2004).

24. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "browse by publication"
C. Click the "fax/ariel" radio button, type the Journal Name in the "by words in the title" search box and click "search".
D. View the table of contents for the issue noted.

Journal of Elder Abuse and Neglect (Vol. 15, No. 1, 2003).

Journal of Health and Social Behavior (Vol. 45, No. 1, 2004). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issue.

25. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of Jun. 9, 2004:

B. Alzheimer's Disease: Literature for the week of Jun. 9, 2004:

C. Parkinson's Disease: Literature for the week of Jun. 9, 2004:

D. Prostate Cancer: Literature for the week of Jun. 9, 2004:

AMADEO Literature Guide:


V. Funding Opportunities/Employment Opportunities:

26. CMS FUNDING OPPORTUNITY: "Real Choice Systems Change Grants" (US Centers for Medicare and Medicaid Services HHS-GRANTS-060904-001, Jun. 9, 2004). For more information see:

27. NIH EMPLOYMENT OPPORTUNITIES: The US National Institutes of Health have recently announced the following employment opportunities.

A. National Institute on Aging Supervisory Health Scientist Administrator (NIA-04-07):

B. National Institute on Aging Supervisory Health Scientist Administrator (NIA-04-06):

C. National Institute on Aging Health Scientist Administrator (NIA-04-05):

VI. Conferences:

28. CONFERENCEALERTS.COM: has recently updated its Gerontology conference listings. New conferences listed include:

International Institute on Ageing 13 September 2004 Msida Malta

23rd Annual National Conference of Gerontological Nurse Practitioners 29 September 2004 Phoenix Arizona

35th EBSSRS symposium on Values and Norms in the Field of Aging 30 September 2004 Berlin Germany

Toward a New Perspective: From Ageing to Ageing Well 03 October 2004 Montreal Canada

Creating the Future of Aging Services: 2004 Annual Meeting& Exposition of AAHSA 25 October 2004 Nashville Tennessee

IV European Congress on Nutrition and Health in the Elderly People 04 November 2004 Toulouse France

Osteoarthritis Research Society International (OARSI) 9th World Congress 02 December 2004 Chicago Illinois

Careers in Aging: 31st Annual Meeting and Educational Leadership Conference 24 February 2005 Oklahoma

2005 Joint Conference of the American Society on Aging and the National Council on the Aging 10 March 2005 Philadelphia Pennsylvania

59th Annual Scientific Meeting of The Gerontological Society of America 16 November 2006 Miami Florida

6th European Congress of Gerontology 27 June 2007 St Petersburg Russia

60th Annual Scientific Meeting of The Gerontological Society of America 15 November 2007 San Francisco

For more information on these and other gerontological conferences see:

29. AARP: AARP will be holding its national convention "Life@50" Oct. 14-16, 2004 in Las Vegas, Nevada. For more information see:

VII. Legislation Information Updates:

30. US HOUSE ENERGY AND COMMERCE COMMITTEE HEARING PUBLICATION: "Prescription Drug Monitoring: Strategies to Promote Treatment and Deter Prescription Drug Use," a hearing held Mar. 4, 2004 (US House Serial Publication 108-73, ASCII text and .pdf format, 73p.).

Scroll to or "find in page" "108-73" (without the quotes).

Jack Solock
Data Librarian--Center for Demography and Ecology and Center for
Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706