ArticleAging Issues: Nursing Imperatives for Healthcare ReformBeverly, Claudia PhD, RN, FAAN; Burger, Sarah Greene MPH, RN-C, FAAN; Maas, Meridean L. PhD, RN, FAAN; Specht, Janet K. Pringle PhD, RN, FAANAuthor Information Arkansas John A. Hartford Center for Geriatric Nursing Excellence, University of Arkansas for Medical Sciences, Little Rock (Dr Beverly); The Coalition of Geriatric Nursing Organizations, Hartford Institute for Geriatric Nursing, New York (Ms Burger); and Iowa John A. Hartford Center of Geriatric Nursing Excellence, The University of Iowa, Iowa City (Drs Maas and Pringle Specht). Corresponding Author: Claudia Beverly, PhD, RN, FAAN, Arkansas John A. Hartford Center for Geriatric Nursing Excellence, University of Arkansas for Medical Sciences, Little Rock, AR 72205 (BeverlyClaudiaJ@uamsd.edu). Nursing Administration Quarterly: April-June 2010 - Volume 34 - Issue 2 - p 95-109 doi: 10.1097/NAQ.0b013e3181d91718 Buy Metrics Abstract The people of the United States sent a clear message in November 2008 that they wanted a change in the nation's priorities, including healthcare. The question is whether healthcare reform will extend to the care of older adults, especially in the face of complex needs in the last years of their lives. This article addresses this question by examining the demographics of the older adult population, the eldercare workforce, and the current inadequate patchwork of financing. Some aging issues, such as chronic care, are being addressed in the broad context of healthcare reform, whereas health information technology and others remain marginal. The window of opportunity for a clear and coherent voice in a reformed/reshaped healthcare system is narrow. Now is the time for the “trusted” profession to advocate for meaningful change that will meet the current and future needs of older adults. The article concludes with strategies and Web-based resources for nurses to bring aging issues to the healthcare reform debate at both the national and local levels. © 2010 Lippincott Williams & Wilkins, Inc.