The Sky Is Falling Revisited

Twenty years ago, an editorial was penned to highlight workforce issues impacting care in the nursing home (NH).1 The focus was on physician practice but clearly relevant to other medical providers as well as the nursing profession. Fast forward to 2023, and 3 conclusions seem obvious on reflection. The first is that progress, in terms of increasing numbers of health care providers in geriatrics, has been exceedingly slow over the past 2 decades and workforce challenges remain. The second is that we have fallen short of remedying the issues around attracting committed and competent staff in geriatrics.