Older people are faced with a daunting prospect.
As Shakespeare put it:
“Last scene of all,
That ends this strange eventful history,
Is second childishness and mere oblivion;
Sans teeth, sans eyes, sans taste, sans everything.”
At some stage, we humans have to accept that we need an intensive level of care in our old age. The return to a second childishness may happen gradually or suddenly. Importantly, we humans can prepare for its arrival beforehand. We know it is coming, unquestionably.
One important factor I can see is the shift in mindset required. To accept what has always been ignored – to ask for assistance after your peak, and after already learning how to live a successful life – this shift is monumental.