In reply to this article, the first change that needs to be made in the LTC "revolution" is one of expectation. "Demand Better Facilities, Demand Better Programs with Qualified Staff, Demand Responsiveness from Physicians..." Demand, demand and more demand, but who's going to pay for all that demanded stuff? Instead of assessing those fish bowls and snorting with disdain, those aging boomers, (before anyone objects, I AM an aging Baby Boomer myself) had better start assessing their own home situations and if they think they're going to end up in the LTC, liquidate all their possessions and get cash ready to pay for their future OR, get their relationships fixed so that their loved ones will be willing to care for them in their own homes AND, get themselves as healthy as possible so that they can hang on and enjoy their current level of autonomy for as long as possible so that fixes ONE and TWO won't be needed in the near future because the pipe dream written about in the article ain't gonna happen.
BTW, I think the PRESTIGIOUS MacArthur Foundation is a bit behind unless they have discovered a way to fund LTC reform. It will take much more than 10-20 years for those ideal centers even get off the drafting table because there is no money to pay for any of it. Self pay residents are few and far between and all the rest are Medicare/Medicaid recipients and we all know that fund is drying up faster than a rain puddle in Death Valley.