When older adults go into the hospital, their hospital stay is most often followed by a stay in a “rehab” facility – either a skilled nursing facility or an acute care facility – with the hope of returning to their home and former life. The plan is a short stay to “get stronger” so that you, the older adult, or your loved one can return home. For many seniors, however, the transfer from hospital to rehab results in a phenomenon in which one returns to the hospital, then back to rehab, sometimes only to again be sent back to the hospital and finally becoming a permanent resident of the rehab facility, which also happens to offer custodial care for long term stays. My guest and I will discuss this merry-go-round phenomenon and offer some solutions, both in terms of policy changes, but more importantly how you, or those you love can seek a different model of care termed Palliative Care.