I appreciate the direction provided in this article. As a healthcare professional and as the caregiver of my mother with dementia I understand very well, on the intellectual and emotional levels, the impacts as well as the changes required. I would add that the expertise to effectively manage those with dementia needs strengthening. As noted here, this reality will predictably escalate dramatically as life is increasingly prolonged and the baby boomers age - the impact on the health system will be dramatic and impact every aspect of the health and social systems. It is imperative that we effectively plan and manage this reality.