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Culture War Roundup for the week of November 6, 2023

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In last week’s thread there was extensive discussion on the retirement home employee shortage in the US. It made me ask myself: is it fair to say that elderly care in the US and Western countries in general is based on the unstated rule that you as a frail and elderly person pretty much only deserve to have a quality of life worth a damn if you have loving, caring children and grandchildren living nearby, visiting you regularly and looking after you if needed? That is, whatever system of care that is set up is not designed and should not be designed to basically prop you up and coddle you otherwise? It may sound cynical or too far-fetched to say it out loud, but looking at this issue from the outside, it’d explain many things. I imagine this is a general rule most Boomers also take as given, as they grew up in an age when childlessness and family dissolution/dislocation was much less normal than today.

It made me ask myself: is it fair to say that elderly care in the US and Western countries in general is based on the unstated rule that you as a frail and elderly person pretty much only deserve to have a quality of life worth a damn if you have loving, caring children and grandchildren living nearby, visiting you regularly and looking after you if needed?

On the contrary, I think you're building a big assumption in here, that countries could simply provide "quality of life worth a damn" to everyone living under their umbrella and are electing not to out of spite. Instead, as that thread covered, even providing a low-quality of life for someone that can't fully care for themselves is incredibly expensive and a massive burden on nations that are dealing with inverted population pyramids. I see this sort of thinking with regard to various supposed positive "rights" and it just seems utterly fantastical to me to think that there is sufficient state capacity to give everyone a nice life if only the affirmative choice were made.

As a practical matter, it is true that the main way for someone to have a quality of life that's worth a damn if they grow feeble is to have loving, caring children and grandchildren nearby. That this won't happen for everyone is a reminder that aging is cruel.

On the contrary, I think you're building a big assumption in here, that countries could simply provide "quality of life worth a damn" to everyone living under their umbrella and are electing not to out of spite. Instead, as that thread covered, even providing a low-quality of life for someone that can't fully care for themselves is incredibly expensive and a massive burden on nations that are dealing with inverted population pyramids.

I haven't really had a chance to rigorously think through this, but I've occasionally had an economics thought experiment involving total economic output being measured in working hours, rather than hard currency: given that the law demands specific caregiver-to-resident ratios for these communities (the reasons for which are not unreasonable, in my opinion), we can quantify what fraction of our cumulative efforts goes into providing for our elderly and infirm. It seems reasonable that a society that spends more of its time this way isn't spending it on, say, fundamental research and technology. Ultimately it seems like technology is, other than demographics, our only way to improve this number in the long run.

On the other hand, that presupposes that research and invention is a better use of our time, which quite possibly isn't always the case: would you trade grandma for yet another cryptocurrency startup? So maybe this is just a derivative "increasing GDP doesn't reflect improving my societal preferences" complaint.

It seems reasonable that a society that spends more of its time this way isn't spending it on, say, fundamental research and technology.

It isn't really. Fundamental research and technology is hard, and almost nobody can actually meaningfully contribute to it. It's only getting harder as progressively higher-hanging fruit is picked. Meanwhile, almost everyone can help the infirm. It's just manual labour. As long as you're not a psychopath and not disabled, you can do it.