1 Given the increasing longevity of American and the cost of providing long-term care, anticipation of the costs should be a major element of every family's planning. current information suggests however, that very few families or individuals given this consideration. what factor might impede this advance planning? what measusures might be effective in raising awareness among Americans about this important matter.

2 Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. what are the importance of this shift for hospitals, consumers and the health care delivery system as a whole.