Solutions to Global Aging

Mia Senior Living Solutions (Mia) helps low-income and disabled older adults stay in their homes instead of being forced into nursing homes. The affordable assisted living model provides support services—like help with daily activities, meals, and health care—so seniors can age with dignity.
Founded in 1995 by Conchy Bretos, Mia has helped over 5,000 people directly and brought 12,000 more back into the community from institutions. The programme operates in 21 U.S. states, with plans to expand further. Mia works with housing providers to assess needs, upgrade buildings, secure funding, and run services. They partner with federal and state programmes, using Medicaid and housing subsidies to keep costs low.
Residents and families are deeply involved, from planning and design to monthly meetings and tenant councils. The homes are energy-efficient and offer health and wellness programs. Facilities are in struggling neighbourhoods and help revitalise them by creating jobs—often hiring local public housing residents—and improving safety and community life.
Mia’s model saves the government money: it supports three people for the cost of one in a nursing home. Their projects have attracted $35 million in funding and are now drawing private investment. Each site creates about 50 jobs and improves health outcomes, with fewer emergency visits, hospital stays, and medication needs.
Despite high start-up costs and resistance from some institutions, Mia has proven that affordable, community-based care is possible and effective. Their model is being shared globally and has influenced U.S. policy. They continue to adapt, grow, and push for more humane options for aging populations.