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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.
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.
While I agree with your point and generally am opposed to simply handwaving away all the details on how exactly we will par for things, I think the USA might actually be an example where this is true.
The state has immense resources at it's disposal, and almost certainly could give a comfortable life to everyone if it tried to do so without raising taxes or the like.. Of course, this would require cutting costs in other areas, and more importantly it would require cutting cost disease and corruption. Tough to provide for your citizens when the budget is stretched to its limit on $200 aspirins and $100,000 sinecures.
Isn't cost disease and corruption literally the hardest thing to cut in a democracy?
It feels like we'd need a crisis on the order of WWII to meaningfully move the needle on these things. Even then, I'm not hopeful. The last crisis (Covid) seemed to accelerate this form of corruption.
Covid wasn't on the order of WW2. It was very overblown, it was presented as a disaster when it was really almost a nothingburger. That kind of thing just lets the bureaucracy grab more power.
A true life-or-death situation like WW2, for all its awfulness, demands that you shape up. Look at the Soviet Union for example, after a few humiliating defeats, Stalin threw out almost all the ideology that had so dominated the 1930s. Poverty was no problem, even famines were no problem, ideology came first, but once the Nazis were threatening to conquer the whole mess, it really was a matter of survival, and Stalin stopped caring about ideology, only about what worked.
That said, you don't want such desperate circumstances instead of what we have now.
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