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16 <br />• Low numbers of Masters in Social Work students with specialization in <br />aging. <br />• Few board certified geriatricians. <br />2. Continued Geographic relocation of older persons that lead to the further <br />creation of age-segregated societies in the form of Continuing Care <br />Retirement Communities (CCRCs), Assisted Living, and other retirement <br />communities. This trend creates artificial boundaries between the generations <br />and between socio-economic classes of seniors who have resources. Some <br />have referred to this situation as the development of "golden ghettos" for the old, <br />rich and talented. <br />3. Continued overuse of the medical system occurs because older adults <br />do not know where to turn for help especially when treatments and <br />medications are non-reimbursable. This situation is driven, in part, by the <br />media and mass advertisement. <br />4. Growing trend among older adults toward alternative or holistic <br />medicine, natural healing remedies or therapies such as massage, <br />acupuncture, reflexology, meditation, hydrotherapy, herbs, vitamins, diet and <br />exercise, to name a few. Many of these approaches require out-of pocket <br />expenditures and lack scientific research on their effectiveness. <br />