What would happen if a country decided it would not build or operate any more new nursing homes or hospitals for the elderly? In Sweden, the 1982 decision to put all future resources into community-based care led to a nationwide civic commitment to its elderly population. Sweden is similar to the US in that the family is not especially strong and most households have two workers. However, the Swedes have provided free and subsidized transportation for the elderly and disabled, senior citizen centers every few blocks, and attractive apartments for nurses' aides. Another difference is the general attitudes of the two countries' elderly populations. Whereas Sweden's elderly are content with bask health care, the elderly in the US tend to demand more support than they need, indicating the importance of gatekeeping criteria [The Academic Nurse. 1989; 9(l):24-27].