There are already record number of his living with chronic and terminal illness in into every older age and we are nowhere near ready prepared for this silver tsunami we need an infrastructure and dynamic enough to to handle these seismic shifts in our population now is a time to create something new something vital I know we can because we have to the alternative is just unacceptable and the key ingredients are known policy abdication and training systems bricks-and mortar we have tons of input for designers of all stripes to work