Many of Cage's works in the sixties reflected works from both Marshall McLuhan and R. Buckminster Fuller, which promoted social change. HPSCHD, created in 1969, was multimedia piece created from seven harpsichords, 52 computer-generated sounds, 6,400 slides, 64 slide projectors, and 40 motion-picture films. It was first played at the University of Illinois in 1969.
Also in 1969, Cage produced the Cheap Imitation for piano, derived from Erik Satie's Socrate. This production marked a major change in Cage's music. He now turned to writing full works for traditional instruments and attempted improvisation, which he previously disregarded. Unfortunately, Cheap Imitation was the last work Cage performed in public due to his increasing symptoms of arthritis. Once Cage could no longer perform, manuscripts for publication had to be created by assistants as oppose to Cage himself. Cage began to rely on the commissions of Grete Sultan, Paul Zukofsky, and Margaret Leng Tang in the 1970s. The largest portion of Cage's visual art consisted of a series of prints, which he completed up until his death.