Seniors' long-term care preferences resemble those of younger persons with
disabilities, but the two groups are treated differently. Younger persons w
ith disabilities pursue the goal of social integration, whereas safety and
efficiency receive undue emphasis and ageist differences prevail in the way
older persons are served. Among the changes needed to help older consumers
get what they want are empowering older persons and their agents to make b
etter decisions. including providing them with more structure and better co
nsumer information; revising attitudes toward safety and protection; and de
veloping more vigorous advocacy by and for seniors.