Once upon a time, as many bedtime stories began, long term care was not a huge, financial concern. People lived shorter lives, coronary heart disease was more prevalent which ended lives more quickly, Alzheimer's, as we know it, was unknown. As a young boy, I watched my grandfather die in his bed at home in Fordyce, Arkansas after a stroke. There was nothing to be done except wait for the certainty of death as he lay there in and out of consciousness. It was part of life - dying at home without medical care except for the country doctor who made rounds with his little black bag. No miracles in there other than his stethoscope, knee pounder, and some tongue depressors.
As I reported in Pennsylvania, now North Dakota, nursing homes are utilizing archaic filial support state statues to sue children of long term care patients. That is exactly what these laws allow - filial support for a parents unpaid expenses in a nursing facility or from some medical provider.