Should note that publicly managed institutions may not necessarily be better. We have the most generous support policy here in Quebec, Canada and as a result we have the highest share of elderly living in homes, i.e. because it's easier to put them in there, they end up in there, and they're not necessarily very well managed.

I think we might need some basic regulatory policy on this with respect to wages, conditions, protections for residents as well as frankly maybe a different cultural look. We are bad at the later in North America and getting worse - lacking any cultural context as an established basis for these things, and moving ever more away from that, our discussions end up being about legalities and rights as opposed to issues about what is culturally normal.

Denmark apparently has a pretty good system for this, homes are small, local i.e. highly communitarian orientation.