In this episode, AgingIN CEO Susan Ryan sits down with Bob Kramer to explore a career shaped by purpose, perspective, and a deep commitment to improving the lives of older adults. Kramer reflects on his personal and professional journey—from his early work as a pastor, to leadership roles in government, to founding the National Investment Center for Seniors Housing & Care (NIC)—and the values that have guided his work across decades in aging services.

Throughout the conversation, Kramer emphasizes the importance of legacy, listening, and being "multilingual" across sectors, disciplines, and viewpoints. He shares how understanding the language of policy, finance, healthcare, and community is essential for leaders seeking to drive meaningful change in senior living and longevity.

The discussion examines the evolving senior living landscape, including the growing gap between lifespan and health span, the increasing demand for housing and care, and the urgent need for innovation beyond traditional private-pay models. Kramer introduces concepts such as "next stage living," lifestyle-driven communities, and the rise of active adult products, along with the integration of primary care, prevention, and chronic disease management to support longer, healthier lives.

Kramer advocates for greater integration of older adults into the workforce and volunteer efforts, noting their potential to address challenges such as loneliness, caregiving shortages, and community resilience. He calls for a cultural shift that values the contributions of older adults and confronts the ageist assumptions that limit participation.

In closing, Kramer offers candid advice for current and emerging leaders: seek out differing perspectives, challenge assumptions, build operational expertise, and remain open to learning across boundaries. While acknowledging the policy, market, and demographic challenges ahead, he remains optimistic—pointing to collaboration, innovation, and perseverance as essential tools for meeting the needs of an aging population.

In our final replay of 2025's most popular conversations, Lisa McCracken, head of research and analytics at the National Investment Center for Seniors Housing & Care (NIC), sits down with AgingIN CEO Susan Ryan to discuss her organization's work to demystify the financial side of eldercare with data.

In what was a clear-eyed forecast of the year, McCracken examines how high-quality, third-party information can inform the next generation of services and supports for older adults.

You can't fix what you can't measure, but far too often, leaders from around the eldercare improvement world are forced to do just that when considering changes to the way we fund, regulate, and develop new care settings.


Learn more about NIC and its research: https://www.nic.org/

Learn more about the NIC Academy certification program: https://www.nic.org/professional-education/

And search for "NIC Chats," Lisa's podcast, on the podcast platform of your choice.

This week's replay, one of the most popular episodes of 2025, features a profound conversation between Barry Barkan, visionary eldercare advocate and Pioneer Network co-founder, and AgingIN CEO Susan Ryan. These longtime friends discuss reimagining aging and the transformative potential of community, spirit, and consciousness.

Barkan shares his journey from founding the Live Oak Institute to helping launch the Pioneer Network, driven by a belief that aging is not a problem to solve but a gift to elevate. He recounts his efforts to create a regenerative, inclusive community at the Jewish Home in Oakland—an idea that initially faced rejection but ultimately gained momentum and global influence, including a successful expansion into 15 homes in Israel.

But this conversation goes beyond history. Barkan offers a deeply reflective vision for a paradigm shift—a movement from a worldview rooted in domination and separation to one grounded in interconnection, kindness, and sufficiency. He challenges listeners to see humanity as one living being, where every person and every creature matters.

Together, Ryan and Barkan explore the concept of "Elder Awesome" and moving beyond traditional notions of "elder care." They also discuss the "Tao of Blessings"—a personal path to leave grace in every encounter

Barkan offers his vision for communities and care environments rooted in equity, dignity, and accountability.