Policy and West Health issue two strategic roadmaps with recommendations for advancing value-based payment reform in the U.S. For only the second time in its near 80-year history, the American Geriatrics Society (AGS) will present its David S. Solomon Public Service Award, one of its highest honors typically reserved for individuals, to West Health in a ceremony during AGS 2021. West Health and Gallup conduct national surveys that reveal nearly 9 in 10 U.S. adults are concerned that the pharmaceutical industry will leverage the COVID-19 pandemic to raise drug prices and 50% of U.S. adults fear bankruptcy due to a major health event. 2019 The state-of-the-art the Gary and Mary West Senior Emergency Care Unit at Jacobs Medical Center opens its doors. The 11-bed facility located within the existing ED features geriatric care specialists and architectural elements designed for older patients. Official ribbon-cutting today of the Gary and Mary West PACE in San Marcos, California, which was established with a grant from the Gary and Mary West Foundation. The Gary and Mary West Senior Dental Center opens its second location within the Gary and Mary West PACE, becoming one of the first programs in the nation to have a co-located state-of-the-art dental facility, serving both PACE participants and area seniors. West Health's Shelley Lyford is appointed to California's Master Plan for Aging Stakeholder Advisory Committee, a group of civic leaders that will help guide how California addresses the health and human services and social support needs of its fast-growing senior population. West Health and Gallup conduct national survey that finds Americans collectively borrowing an estimated $88 billion to cover healthcare costs in the past year. The Committee for a Responsible Federal Budget and West Health Policy Center launch Health Savers Initiative, a collaborative research project to develop bold policy solutions to lower health care costs. 2018 The Gary and Mary West Foundation becomes a founding member of newly-formed Civica Rx, a nonprofit generic drug company and is one of three philanthropies to provide initial funding of $10 million. West Health and NORC at the University of Chicago conduct national survey that finds 44% of Americans skip doctor visits and 40% skipped a medical test or treatment because of its cost. Gary and Mary West Emergency Department at Jacob Medical Center in La Jolla is the first west of the Mississippi to receive a Level 1 Gold accreditation —the highest and