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This book explores the changed political environment in the United States and what it means for the policies and programs benefiting the elderly and their families. It includes chapters written by distinguished contributors, such as Fernando Torres-Gil, Assistant Secretary for Aging, Clinton Administration, and discusses specific, realistic policy options for the future. New Directions in Old-Age Policies suggests that old-age policy in the changed political environment is a paradox of competing agendas: individual versus fiscal responsibility in policy choices, doing more for the elderly and their families with fewer public resources, and prioritizing the status quo or change in policy decisions for the elderly.