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Renzo Rozzini, MD; Marco Trabucchi, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the editorial titled "Improving Care Quality and Reducing Disparities,"¹ and we would like to comment, adding peculiar focus on "unequal treatment" given to very old, frail subjects.

At present, elderly persons may be considered members of a minority population even if their numbers are reaching levels much higher than other groups (eg, black, poor, or disabled subjects). The crucial points are, from one side, clinical prejudices against old age and, from the other side, the lack of convincing studies transferring scientific evidence to the real-world conditions of very old subjects, characterized by comorbidity and disability (and very often also by a reduced cognitive function).

To overcome the gap, it could be important to produce public reports on clinical performances (starting from the most easily demonstrable events, eg, the rate of cataract removal or hip prosthesis implantation in subjects with dementia), . . . [Full Text of this Article]

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