Aging Clinical and Experimental Research

, Volume 26, Issue 3, pp 315–317 | Cite as

Mandating advance directives

Short Communication


As the population ages, end-of-life care (EOLC) costs become an increasingly pressing subject. Advance directives (ADs) are legal documents that allow individuals to convey their decisions about EOLC. Although ADs have been shown to reduce EOLC costs, most people do not have ADs. To address this issue, we propose that Congress instruct the Centers for Medicare and Medicaid Services to collect ADs from Medicare beneficiaries. Because ADs can improve care and reduce unnecessary spending, this solution would likely be attractive to a broad coalition of support from providers, insurers, and the public.


Advance directives End-of-life care Policy 



Financial support provided by Rhode Island Public Health Institute and Arnold P. Gold Foundation.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  1. 1.Warren Alpert Medical SchoolBrown UniversityProvidenceUSA
  2. 2.Warren Alpert Medical School and Center for Gerontology and Health Care ResearchBrown UniversityProvidenceUSA

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