The Dialogue’s vision is to improve supports and services for older adults so that, wherever they call home, they may live with dignity, choice, and self-determination.
The needs, lived experiences, goals, and preferences of older adults must shape the resources needed to achieve this vision. We envision a more inclusive system where older adults can, as much as possible, control their own destinies.
Achieving this goal requires coordination by all partners in care. Family caregivers, paid caregivers, providers, community-based organizations, state, local, and federal government agencies, and private payers all support older adults with care needs. As much as possible, social supports must be available, well-coordinated, affordable, and supportive of both paid and unpaid caregivers.
Too many older Americans spend many of their later years in institutions ill-suited to fulfil their desires and enhance their social connections. Regulations, payment systems, and outdated models of care massively contribute to this issue and make it challenging to provide an efficient and supportive array of options.
America needs a system of care that reflects the unique needs and realities of aging adults today and in the future.
There is one RN for every 43 residents at most for-profit facilities, with the ratio being one RN for every 23 residents in nonprofit facilities.
1 in 3 older adults are economically insecure, with incomes 200% below the poverty line.
Percentage of Americans that are considered older adults.
$375 billion is the value of services provided by unpaid family caregivers.
Challenging these systemic problems requires creative thinking, problem-solving, and a willingness to collaborate to find common ground. Our proven, consistently successful process brings top leaders from across the political spectrum to consensus, helping the group identify critically needed changes, such as reforms to federal programs, tough policy choices, and realigning funding.
Most people in America want to age in their own communities and in their preferred home setting. To give older adults autonomy and dignity, there needs to be a wider array of financially viable living and care service arrangements.
Near-term, high-priority actions are needed to address economic insecurity among paid caregivers, workforce shortages, burnout and exhaustion, and turnover. In parallel, longer-term actions are needed to broaden the “pipeline” of caregivers and create a true caregiving profession with ladders of advancement.
Over the coming decades, the nation needs to commit significantly more resources and use those resources more efficiently and creatively to pay for older adults’ supports and services. This funding must come from a mixture of public and private sources.
Check out our donate page or contact our development team to learn more.
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