I began this discourse a few weeks ago by indicating that three programmes targeted at the elderly by the Barbados government have been identified as regional best practices. However, here I am not interested in best practices in the delivery of quality services as such: I want to point to some aspects of a practical approach that we could utilise to establish a realistic vision and programme of services for the elderly. The New Zealand approach to drafting of its “Positive Aging Strategy” 2001, has been identified as a best practice by the 2008 “Madrid International Plan of Action on Ageing: Guiding Framework and Toolkit