We welcome LeHigh University political scientist Laura Katz Olson who discusses Medicaid\u2019s survival and it\u2019s less than successful track record as a model for universal healthcare. Her latest book, \u201cElder Care Journey: A View from the Front Lines\u201d offers both a compelling narrative and an opportunity to assess our current system of long-term care from both theoretical and personal perspectives. Among the questions we ponder: Why do system design, implementation, and legal structures conspire to increase the burdens on family caregivers, and how do those issues impact access?