“The principle idea underlying manage care has been to control the costs by decreasing “unnecessary utilization” of health care services, which is accomplished through budget restrictions, case management and utilization, incentives to providers for limiting services, and using the primary care provider as the gatekeeper for access to care”. (Berkman, 1996) “Managed care, however, presents social workers with a dilemma of being a patient advocate while, to a certain extent a gatekeeper of resources”. (Moody, 2004) The present system for health care, seems to be driven by how much money can they save, and keep the elderly alive without investing in improving their quality of life. The incentives provided to the primary
