Dr. Ben Carson is now on track to be Donald Trump's nominee for secretary of the U.S. Department of Housing and Urban Development, not secretary of the U.S. Department of Health and Human Services.
But, as the head of HUD, Carson could still play a major role in shaping U.S. acute health care and long-term care policy.
Carson, a brain surgeon who taught at the Johns Hopkins medical school, has personal experience as a family caregiver: His own mother, Sonya Carson, has Alzheimer's disease.
Trump, the president-elect, grew up in the real estate development industry, and many public health researchers now argue that real estate-related strategies, such as improving access to housing and planning communities so that residents have enough access to sidewalks, parks and grocery stories, are are critical to improving people's health.
Both for-profit and nonprofit organizations have been working on housing-based long-term care supply strategies, such as starting rest homes and developing reverse mortgage programs, for centuries.
People in the long-term care insurance community tend to think of long-term care risk as a financial risk and a health risk, but it's also the risk that an individual will need a specialized kind of care.