Family caregivers work hard to support their loved ones to keep them at home. In the coming years, a growing number of New Yorkers will grow old in the community, not in nursing homes. This fact gives rise to challenges such as how to provide both preventive and ongoing services to older adults in a way that balances cost and the need to be sensitive to individual needs. CSCS believes that moving into a community-based long term care system must be done in a thoughtful, planned way and that the process needs to begin now because there is no time to wait. There is no time to wait because it is about all of us.