American families are increasingly learning that they cannot have income security without health care security, particularly if a family member is older or disabled. The demographic inevitability of the aging of the baby-boom population and the resultant health cost burdens that such aging will impose on families and the government will create substantial economic and political pressures to take action on long-term care. However, policy efforts to respond to this pressure will likely fail in today’s polarized environment unless these efforts build on policies that are attractive to both parties. One such policy consensus appears to be an agreement that (1) the federal government should, at a minimum, help underwrite the costs of catastrophic health care expenditures; (2) the private sector should finance the indisputable coverage voids that limited federal dollars leave behind; and (3) special protections should be made available to low-income Americans. Applied to long-term care, such an approach can help ensure that Americans are not impoverished by care costs, produce more affordability and predictability in the private insurance market, and deliver much needed budgetary relief to invest in under-funded Medicaid populations. This Article proposes a new private-public policy collaboration that integrates these consensus positions into a long-term care initiative for chronically ill Americans of all ages; in so doing, it would make a necessary contribution to stabilizing the weakening retirement security system for older Americans.