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The increasing number of aging Americans who will need long-term care, coupled with the need to keep this care affordable, represents a formidable challenge to the healthcare system. Some response must be made to address what will soon become immediate need. A significant part of the approach to this problem lies in making long-term care as efficient, cost effective, and affordable as possible. Reducing turnover of certified nursing assistants (CNAs) will help achieve these goals. This article discusses the extent, implications, and causes of this turnover and puts forth a program to correct the problem.