The Elder-Care Delusion
Many Americans assume that if they can afford paid help in older age, they won’t need to rely on kin. They’re wrong.
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FamilyThe Elder-Care DelusionMany Americans assume that if they can afford paid help in older age, they won’t need to rely on kin. They’re wrong.By Stephanie H. MurrayIllustration by Hokyoung KimJune 23, 2026, 8 AM ET ShareSave As far as growing old goes, the Dutch have it pretty good. The Netherlands offers arguably the world’s most generous long-term-care insurance, covering professional nursing or home care for all residents who can demonstrate need. The country spends a whopping 4.1 percent of its GDP on formal elder-care services, 94 percent of which is publicly funded.
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