A particular favorite was Brian Perry’s dissection of the “chaos and madness” out of Washington that is (re-)shaping everyone’s lives. Similarly, senior care advocates need to remain vocal about shaping future government pushes regarding value-based purchasing. And my reaction to that, given the current political climate, is the same as yours, my friends: Don’t hold your breath. James M. Berklan is McKnight’s Long-Term Care News’ Executive Editor and a winner in the Best Commentary category in the 2024 Neal Awards, which are given annually for the nation’s best specialized business journalism. Opinions expressed in McKnight’s Long-Term Care News columns are not necessarily those of McKnight’s.