Elder care refers to the entire range of medical, health, and social services supports that older adults need to manage living with multiple chronic conditions and disabilities. Many of us will need long-term services and supports for our last few years of life, including home health care, skilled nursing facilities, hospital and nursing home care, adequate and appropriate housing, appropriate nutrition, financial planning, and transportation services.

The non-medical services are often provided by a host of volunteer organizations and businesses, sometimes loosely coordinated by the local Area Agencies on Aging funded by the Administration for Community Living. The medical services are mostly provided by a host of uncoordinated businesses that routinely leave frail elders and their families adrift and anxious – and running up remarkable costs.

In advocating for arrangements that make it safe to grow old, CECAI focuses on issues of special concern to frail older adults, particularly the period when we are living with multiple chronic conditions from which we will not recover; when we are facing repeated hospitalizations or long-term nursing home placement due to lack of alternatives; and when we need daily help with self-care.