Before 1965, most health care costs for the elderly were paid by the elderly themselves, so many of them had no care at all. This situation improved greatly after the passage of Medicare in 1965. Medicare Part A covers hospital care and some follow-up care. Part B funds certain outpatient hospital care and medical services. Neither Medicare Part A nor Part B covers prescription drugs, and nursing home care is not covered unless licensed nursing services are required. Even then, the number of days covered for nursing home care is limited to 100 and a very small percentage of the actual cost is paid. The Medicare Adventage program was introduced after the original Medicare A and B with the idea that it would reduce costs. However, they did not do this, but instead increased costs by approximately $1,000 per person. Medicare Part D was signed into law in 2005 and took effect in January 2006. It introduced a new insurance concept, the donut hole. The average enrollee, after paying a relatively small co-pay, enters the donut hole and must pay the full cost of prescription drugs until paying $3,600. However, under Obama's health care law, the donut hole must be phased out over the next 10 years. Medicaid was designed and added specifically to help low-income seniors. Since 1993, federal law has required states to recoup money spent on a Medicaid recipient's long-term care after the recipient's death. In many cases, the only property to be seized is the former residence of the deceased beneficiary. This requirement is exempt if a surviving spouse or child under the age of 21 lives in the home, but in many cases the person living there is an adult child who cared for the deceased for many years. If the adult child ...... middle of paper ...... al pathology, which is then not diagnosed, remains undetectable and requires longer correction. A decrease in compliance with medical treatment will lead to an increase in the length of hospitalization and the number of visits to the doctor. It is known that there is a decrease in patients' motivation to adhere to treatment due to the despair of depressed participants. The data regarding depression and self-neglecting behaviors somewhat conflict with the other findings, as it has also been suggested that the uncontrolled pain produced by the illness leads to depression. Participants with depressed mood showed increased self-neglecting behaviors, incidence of medical comorbidities, and use of medical services. Depression increased the number of doctor visits among patients without illness, and even more dramatically among patients with somatic comorbidities. (Lacruz, Emeny, Haefner, Zimmermann, Linkohr, Rolf and Ladwing, 2011)