1) The long-term care insurance industry has seen changes like higher premiums due to factors like people living longer. This document recommends a paradigm shift to focus on more affordable policies. 2) It suggests starting quotes for lower daily benefits and shorter benefit periods to avoid "sticker shock" and keep clients engaged. Building up coverage gradually can establish affordability. 3) Offering what most people buy rather than just high-end plans, and focusing on total insured pool of money rather than just premiums can improve sales.