Health care expenditures on the elderly tend to grow about 4 percent per ye
ar more rapidly than the gross domestic product (GDP). This could plunge th
e nation into a severe economic and social crisis within two decades. This
paper describes recent growth in age/sex-specific health care utilization b
y the elderly and discusses the important role of technology in that growth
. It also explores the potential for the elderly to pay for additional care
th rough increases in work and savings. Efforts to "save Medicare" wilt pr
ove to be "too little, too late" unless they are embedded in broader policy
initiatives that slow the rate of growth of health care spending and/or in
crease the income of the elderly.