CCRCs, ALFs, and Private Equity: John Burton, Bill Applegate, & Melissa Aldridge

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GeriPal - A Geriatrics and Palliative Medicine Podcast 46 min 3 speakers 3 chapters transcribed 10 hours ago
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What is the overall focus of the episode on CCRCs, ALFs, and private‑equity?

Eric Widera 0:00
This podcast is not CME eligible. If people do want to learn more about CME eligible podcast, Alex, what do they do?
Alex Smith 0:07
They can go to cherrypal.org backslash CME.
Eric Widera 0:13
And on to the show. Welcome to the GeriPal podcast. This is Eric Widera. This is Alex Smith. And Alex, who do we have with us today?
Alex Smith 0:21
We have an honored list of guests today. I'm going to start with Bill Applegate, who's a geriatrician and a palliative care doctor, former editor-in-chief of the Journal of the American Geriatric Society, or JAGS, and in that capacity recruited both Eric and me to the journal. and is a retired faculty at Wake Forest. Bill, welcome to the Jerry Powell podcast.
Bill Applegate 0:46
Thank you.
Alex Smith 0:48
We're also delighted to welcome John Burton, who's a geriatrician and formerly director of the Division of Geriatric Medicine at Johns Hopkins for 35 years. John, welcome to Jerry Powell. Thank you. It's an honor. And we'd like to welcome back Melissa Aldridge, who is a former banker turned health services researcher and is vice chair of research at Mount Sinai School of Medicine in the Department of Geriatrics and Palliative Medicine and is also one of the ASCENT, which is this national research network, multiple principal investigators. So, Melissa, welcome back to Geriatrics.
Melissa Aldridge 1:25
Thanks for having me.
Eric Widera 1:26
So we have an exciting podcast. This is a little bit different. We're going to be talking about transitions. You know, a lot in geriatrics and palliative care, we think about like transitions from home to different living environments. We're going to be talking about that today in this podcast to CCRCs or continuing care retirement communities, assisted living facilities, and also hopefully get some idea of kind of who, and that's why we have Melissa on this podcast. who and how these are being financed, including in these other transitions like to hospice. But before we do all of that, which is a lot, I just realized, I think we have a song request. Melissa, do you have the song request for Alex?
Melissa Aldridge 2:07
I do. I'd like to request Live Like You Were Dying by Tim McGraw.
Eric Widera 2:12
Why did you pick this song?
Melissa Aldridge 2:15
It sounds pessimistic, although the lyrics are not. And it's just about living life to your fullest or at least trying to wherever you are.
Eric Widera 2:23
Wonderful.
Unknown 2:31
He said I was in
Melissa Aldridge 2:37
my
Unknown 2:38
early 40s With
Melissa Aldridge 2:40
a lot of life
Unknown 2:41
before me And a moment came that stopped me on a dime I spent most of the next days looking at the x-rays, talking about the options and talking about sweet time. I asked him when it sank in if this might really be the real end. How's it itching when you get that kind of news? Man, what you do? I went skydiving I went Rocky Mountain climbing I went 2.7 seconds on a bull named Fu Manchu And I loved deeper and I spoke sweeter And I gave forgiveness I've been denying Wonderful
Eric Widera 3:44
song. Thank you, Melissa.
Alex Smith 3:46
Great choice, Melissa. I think that's the second time we've done it, but we've done over 400. You picked a
Eric Widera 3:53
song that
Alex Smith 3:53
you've done. I know, but we've done over 400, so I can think occasionally it's okay to return to songs. And we do get this request that has the word dying in the title for it. Any song with the word dying is likely to be requested multiple times in the JPL podcast. Thank you, Melissa.
Eric Widera 4:09
So again, this podcast is a lot about transitions. I'm going to start off with you, John. You wrote a manuscript for Jags titled Waiting for the Other Shoe to Drop, talking about your transition into a CCRC or Continuing Care Retirement Community. Can you tell me why you decided to write this article?
John Burton 4:31
Well, it was in my mind, and I thought it would be a good thing to share with people. Recall, it was written during COVID, so a very different time in the history of transitioning into retirement communities. unusual because everything was isolated and you couldn't suddenly become a real member of a large community. But once you get through that, there are very many, many, many advantages as you get older. It takes a whole lot of burden off your kids from worrying about you. My wife, for example, fell and fractured her pelvis about three or four years ago and simply can't get around without a rollator and can't use stairs effectively.

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