This paper illuminates the urgent discourse on the future of long-term care for needy seniors. The aging of the “boomers” and the prospect of budget d Show moreThis paper illuminates the urgent discourse on the future of long-term care for needy seniors. The aging of the “boomers” and the prospect of budget deficits animate this discourse. Little research has focused on this discourse since the end of the prosperity of the 1990’s. During the first three months of 2003, I studied a formally organized group of recognized leaders of the non-profit long-term care community of Northeast Ohio. My methodology enabled me to discern through an inductive process the underlying influences that drive collective action for new aging policy. These influences emerge despite the notable lack of a central philosophy for long-term care. Doctorate of Management Programs Show less