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Ideally, our long-term care system would provide a seamless continuum of services which are accessible and affordable for all older adults, with the goal of enabling them to remain in the community for as long as possible. The PACE program provides such a model. Given what you now know about the components of our health care delivery system and how they are administered, delivered and paid for: Identify health care system barriers to achieving the seamless continuum. Identify social, family or other “non-system” barriers. Propose ways in which community organizations or the government might assist in overcoming the barriers you have identified. 3. Some individuals support the role of public health departments in providing preventive and treatment services as necessary to fill gaps in the system for the needy. Others believe these services intrude on the practice prerogatives of the private sector and are more efficiently and effectively provided through private organizations. You will want to discuss your position thoroughly.