@waton: typically elder care was done by the family. This changed dramatically when women started entering the workspace, suddenly it became necessary for 2 people to go to work in a family, because prices were being raised accordingly.
We need to go back to a nuclear family with grandparents at home and at least one parent only part time working. It benefits everyone, it reduces all sorts of spending and pollution.
The other alternative is to truly make healthcare in the US a free market. Right now everything is largely controlled and paid for by the government, which, as has been proven, makes things a lot worse. Unions on top of regulation is a recipe for services to start using contractors and temp workers which don’t fall under said regulation. In countries where private healthcare is an open market such as the EU (typically because public healthcare is a disaster), many seniors opt to stay at home and have healthcare come to their house. It’s expensive and not every senior can afford it because they also have to pay for the public option, but many seniors will have sufficient funds to afford it, they have pensions, paid off their house and no major expenses. In the US, you can’t even start those businesses because of regulations.