Increased life expectancy, low birth rate, and longer average life expectancy add up to big trouble for the nation’s social security system, which is facing a $4.6 trillion shortfall, according to the Social Security Administration.

“Extended care is often organized to meet the needs of the providers, who need to deliver large amounts of care and service,” says Bill Russell, M.D., regional medical director and vice president for Erickson HealthSM.