[mindslight]

A society based on individual agency and transactional dynamics is foundationally incapable of communally taking care of elderly people as they lose their faculties. Some family member or other personally-invested party has to be involved to represent the interests of the elderly person, many times even clashing with the immediate whims of the person themselves. Leaving this dynamic to third parties in the biz creates too many moral hazards to opt for the easy choices, financially drain the person, and then just walk away. The culmination of this dynamic of course being the modern nursing home, where "patients" lay around getting bed sores while management gets hypersubscribed workers to check boxes on forms that say they're being taken care of.

[binary132]

To be fair the transaction is supposedly something like “old person has added value all their life and now receives some return on investment” but in reality the past (along with other elements of their personhood) typically just disappears once someone loses agency, unless they have a committed and devoted advocate.

Even illness or injury are enough to dehumanize someone, since they make it harder to self-advocate and the system isn’t built to advocate for you — in fact it’s often incentivized to advocate adversarially against you!

[mindslight]

> the transaction is supposedly something like “old person has added value all their life and now receives some return on investment”

What you're describing isn't really a transaction though? This dynamic can only exist from family and other longer term personal relationships.

[binary132]

I’m saying even the inhuman transactional model at least has a concept carved out for like, long-term investment and savings. Just playing Devil’s advocate really.