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Here is the first detailed study of the economic, social, and administrative implications for the establishment of continuing care retirement communities (CCRCs). Leaders in the field of optional living arrangements for the elderly examine models of continuing care retirement communities throughout the United States. A wide range of sometimes conflicting views are vigorously discussed—by proponents of continuing care communities as well as by representatives from states that do not allow the existence of such institutions. Other intensely debated topics include existing and recommended financial and legal regulations of the industry; legal, financial, and ethical implications of continuing care communities; and a sociohistorical overview of the concept of continuing care.