This chapter describes how trust is used as a management tool in eldercare in a Swedish municipality in the first decades of the 21st century. Behind the description is one of the main challenges facing contemporary Sweden and other parts of the world: the increasing number of older persons in need of more advanced healthcare and care. This increase can be seen as a positive consequence of better living conditions and improved healthcare but is more often seen as a problem. The problem orientation includes, increased costs linked to the need for supported housing and pensions. In addition, there is a need to provide adaptations, and health and social care personnel. As a consequence of the latter, a shortage of work force is presented as another challenge facing Sweden’s welfare system.