A new report from Brown University's Center for Gerontology and Health Care Research for the National Commission for Quality Long-Term Care was released in November. According to the report's executive summary, "Today's frail elderly and their family caregivers are frustrated by the disjointed array of federal and state policies that reimburse, regulate, and stimulate the development of long-term care services. They are dissatisfied with the limited choices in the kinds of services available to them, particularly if they are not wealthy. Most important, older Americans and their families fear the thought of entering a nursing home with the loss of control and individuality associated with these institutions. They would prefer increased investments in community-based services that make it possible for them, taken together with the help of their families, to remain as independent as possible in their own homes."