The Program of All-Inclusive Care for the Elderly (

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Recommended: Ageism and health care

The Program of All-Inclusive Care for the Elderly (PACE) enables older people to remain active members of their community who would otherwise need to reside in a nursing home. To be considered eligible for PACE, patients must be age 55 or older and certified by the state in which they reside, to have a chronic illness, disability, or be in need of physical or medical assistance. PACE developed in the Chinatown section of San Francisco CA in 1971. At the time, this community consisted of many families whose elders had immigrated from Italy, China, and the Philippines. The option of nursing home care for the elderly was culturally unacceptable for many living in this community. Based on consultant work by Marie-Louise Ansak and a federal grant, On-Lok (Cantonese for “peaceful happy abode”) was founded. The first On Lok Center provided adult day care with medical, rehabilitation, respite, and social services. Medicaid was providing the program reimbursement for day health services by 1979. On Lok was further funded by a four-year Department of Health and Human Services demonstration...

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