An Institute of Medicine committee has released a report on the healthcare outlook for the 78 million baby boomers about to begin turning 65. The report said there aren't enough specialists in geriatric medicine, insufficient training is available, the specialists that do exist are underpaid, and Medicare fails to provide for team care that many elderly patients need. Medicare may even hinder seniors from getting the best care because of its low reimbursement rates, a focus on treating short-term health problems, and lack of coverage for preventive services, according to the report.