Although, I am old school and would never even think of sending my parents off. But you brought up a very good point. Yes we hope our parents are healthy in old age but reality is not always like that. I work with elderly patients everyday; patients who are paralyzed, incontinent or worst suffering from Alzheimer. In those cases I cant even imagine what it is like for families to take care of them without any assistance. Its not only about the family but also the elderly patient that needs professional care. On the other hand, yes we have caretakers and such you can hire to care for them at home ; however, families do need some sort of assistance. Its a sad reality.