[afigkka]

in the UK most villages/small towns without a school have very old residents with no real village population replacement (people die of old age and the big old cold houses are bought by increasingly wealthy retirees leaving urban environments). The current residents need increasing amounts of care and infrastructure but there isn't anybody nearby of working age (compounded by the fact that NIMBY policies have driven village houses to unobtainable prices for average families and rentals are usually very rare).

more of a socio-economic observation but it's a problem that needs solving for each village - the current solution is government subsidy from urban areas to pay for care workers and pharmacy to drive around all day in the countryside to see people for a few mins each

I'm thinking if each rich old person in the village paid a subscription for a dedicated local care team who lived together in a nice house in the village (like 30x people paying £1000 a month to support 5 people) then that would be a balance for a very decent care wage + consistent high quality care

[z9znz]

This idea could be scaled (and likely is implemented somewhere) to big $$$. This is essentially a last-mile care system which could be contracted by governments to do what, in this case (not all cases), private industry can be more efficient at doing.

[afigkka]

I don't think it has to scale though, maybe it can but it might just perpetuate poor conditions for care workers

I think it could be as simple as a few standardised processes and contracts. If a village wants to try it they follow the steps and set it up themselves

[lotsofpulp]

Aka, increasing taxes and increasing pay to quality of life at work ratios for healthcare workers.

[afigkka]

government involvement is the root of the problem, care used to be familial and community responsibility which we abandoned. I'm already paying the highest average tax rate since the war to pay for current pensions that are unfunded and thereby expect future generations to give me their money when I'm old. Poor outcomes

[lotsofpulp]

I would have thought that agglomeration of economic opportunities and desirable quality of life in urban areas for working age populations is some of the “root” of the problem.

And also the aging demographics, leaving fewer and fewer younger age people to support more and more older people.

>I'm thinking if each rich old person in the village paid a subscription for a dedicated local care team who lived together in a nice house in the village (like 30x people paying £1000 a month to support 5 people) then that would be a balance for a very decent care wage + consistent high quality care

What is your basis for thinking 5 people would have the expertise to support 30 old people, and they would do it for 6k pounds per month each, and live in a single house together?

I highly doubt that a person would go through years of grueling medical training to live that lifestyle.

[afigkka]

I live in a shared house with a doctor who earns <£4k a month and works 60 hours a week

most care staff are on £12 an hour where I live

a care home ratio of 1 staff to 6 members is good, (1 nurse + 3 carers to 30 people is not uncommon for a shift)