"The issue of care wasn't a vote getter, and so it got kicked aside."  Demographically, this issue should be a real "vote-getter" in about a decade (more and more of us--I'm 70 now, so I'm in this huge cohort) will be begging for Long Term Care or, cherishing the fact that we managed to get it. 

But I predict it won't be, even then.  Why? Because most people old enough for LTC don't--or can't--vote any longer.  Their younger families?  To many, it's too painful to think about, let alone act on.