KevinMD November 10, 2025
America’s mental health system is failing its seniors, caught in a perfect storm of: a rapidly growing population, a severe shortage of geriatric psychiatrists, and a Medicare model buckling under the weight of chronic, costly conditions. For millions of older adults living with anxiety, depression, or isolation, the system offers little or no treatment; often, the nearest provider is hours away, and waitlists stretch for months. This access crisis is stark: more than 160 million Americans live in federally designated mental health professional shortage areas. The traditional Medicare fee-for-service model, built for office visits, cannot address the provider deficit or reach homebound seniors. For many, the real choice is not between a human therapist and an AI tool, but between...
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