The likelihood of having a serious disability is one in 20 for those 15 to 24 although it can be one in four for all those 65 to 69. About 8.1 million people acquired difficulty seeing, including 2.0 million who were unable or blind to see. About 7.6 million people experienced difficulty hearing, including 1.1 million whose difficulty was severe. About 5.6 million used a hearing help. Roughly 30. 6 million had difficulty climbing or strolling stairs, or used a wheelchair, cane, walker or crutches. About 19.9 million people had difficulty grasping and lifting. This includes, for example, problems lifting an object just like a bag of groceries, or grasping a cup or a pencil.This has the potential for major abuses in which some sufferers are deemed more worth drugs than others, the authors suggest. The group developed a guideline plan for their institution based on accountability for reasonableness and implemented it over a 1-yr period. The policy incorporates the principles of transparency, its development and implementation are open to all for review, it is clinically highly relevant to all parties affected by it, stakeholders can charm against decisions they feel are wrong, the institution must warranty its implementation, and no physicians or individuals will receive special factor.