To my knowledge Live Oak Institute was the first organization to talk about creating a new culture of aging and using culture change to transform nursing homes. It is my feeling that Live Oak could alter conceptions about what is possible in old age and thereby ultimately alter the reality of aging itself. The oft expressed slogan of the Live Oak founders that they are out to ‘revolutionize’ old age in America may not be so far-fetched. It brings the sense of ‘community’ rather than packaged–for-death nursing home. I was struck by the ‘joie de vivre’ of the staff members, as compared to the oppressive, professional ‘cheeriness’ of nursing home staff.”