At Gary and Mary West PACE, we see firsthand how access to comprehensive, coordinated care changes lives. But recent Medi-Cal budget cuts and changes to Medicare threaten to disrupt that lifeline for some of the most vulnerable members of our community—and the families and professionals who care for them.
“PACE was built to meet people where they are—literally and figuratively,” said Rena Smith, Executive Director. “Our participants aren’t just numbers on a chart. They are parents, grandparents, neighbors—people who deserve dignity, health, and stability. These cuts risk taking away the very supports that keep them safe at home and out of costly hospital or nursing home care.”
One recent success story illustrates the stakes. James*, a 72-year-old Navy veteran, had been living in his car for nearly a year after a series of health setbacks left him unable to work and without family support. He struggled with diabetes, mobility challenges, and depression. Through West PACE, James was connected with medical care, nutritious meals, transportation, counseling, and—most importantly—safe, stable housing.
“I didn’t think anyone would care enough to help me,” James shared. “Now I have a roof over my head, my health is better, and I’m not alone anymore. I don’t know where I’d be without West PACE.”
These wins are not guaranteed in the future. Cuts to Medi-Cal funding could reduce access to essential services like in-home care, transportation, medical equipment, and therapy. Meanwhile, Medicare changes are creating new administrative hurdles and potential payment reductions that could limit the ability of community-based programs like PACE to serve every senior who qualifies.
Mary Jurgensen, Community Engagement Director, sees the ripple effects every day: “When we lose resources, it’s not just the participant who suffers. Family caregivers feel the strain, hospitals see more preventable ER visits, and our community loses the stability that comes from seniors being healthy and supported. PACE is about keeping the whole system working—cuts to funding break that chain.”
Research shows that PACE reduces hospitalizations, delays nursing home placement, and improves quality of life, all while saving taxpayer dollars. But those benefits are only possible when seniors have timely access to care without fear of losing it because of shifting policies.
That’s why West PACE is speaking out—to remind policymakers and the public that behind every budget line are real people like James, whose health, safety, and dignity depend on these services.
Rena Smith puts it simply: “We’re committed to doing everything we can to protect the promise of PACE. We owe it to the people we serve—and to the families and caregivers who count on us—not to let these cuts roll back the progress we’ve made.”
Our mission has never been more urgent. We invite community members, partners, and advocates to join us in raising awareness and defending the care that keeps North County’s seniors thriving.
*Name changed for privacy.
