[영문]Consensus is growing that long-term care delivery, regulation, and financing are no longer viable, a concern that will grow more salient as the population ages. To better understand these prevailing challenges, the authors interviewed experts regarding the current state of long-term care in the United States, the attributes of an ideal long-term care system, and potential areas for reform. The findings highlight the problem of maintaining an adequate workforce despite changing demographics. They also identify commonly agreed upon attributes of an ideal system?person centered, professionally rewarding, integrated, affordable, accountable, community based, and consumer directed?in addition to less commonly identified attributes?supportive, comprehensive, dignified, culturally appropriate, innovative, responsible, and safe and secure. Areas for reform include workforce recruitment and retention, financing and insurance, quality improvement and regulation, health information technology, and organizational change and innovation. The challenges facing long-term care must be addressed by both government and private citizens alike if long-term care recipients' lives are to improve and the increased demand for services is to be met.