there's an army of people who work in care or support roles of some kind - not just doing the cleaning or wiping arses but the less documented stuff, providing emotional support, walking the dog, reading the paper out loud, playing dominoes, sharing photos... Very often, the people doing all that live well away in the rest of society. It isn't practical for everyone to remain cocooned with the elderly in private accommodation , which is why the idea of siphoning people off is not just immoral but unrealistic too.