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My paternal grandmother lived with my parent's until a few days before her death, aged 98.
On the maternal side, my grandfather had Alzheimers and needed specialist care for the last ten years of his life. This was paid for by the government, as he had no savings (in fact he had debts, that his children settled). His wife, my grandmother, had dementia and also needed specialist care for the final few years of her life. So even if there are family members prepared to help, some people will need care that is beyond their capabilities.
andyp
I'm so old, I can remember my father's grandmother, living with his aunt in her family home.
This in back in the mid-'60s.
Don't think any working people expected the state to care for aged family members in their dotage. No idea if she, (fathers' grandmother), slipped into dementia, or just died of old age.