One issue that we haven’t heard a lot in the sessions at the last couple of NICs is affordability. Much of what is currently being constructed today is a high-end assisted living/memory care product that is all private pay. And on the skilled nursing/transitional care side, developers like Mainstreet are looking to take on majority Medicare or private pay patients into their luxury rehab resorts. But what about that segment of the population that cannot afford most of the seniors housing and care options out there? And what about those luxury communities that simply can’t draw a large enough census of people who both want to leave their homes and can pay for it? These, among other potential problems, will likely result in the rise of Medicaid in assisted living, especially since one-in-five people are enrolled in Medicaid, and that becomes one-in-four in just three to five years. That may also breathe new life into those 40-year old skilled nursing facilities falling into obsolescence, which could be converted to Medicaid assisted living.