Left unsaid is why we choose to have a society where even the relatively well off upper middle class can't afford quality end of life care for their parents. Everything from college education to routine medical expenses are expensive beyond their value and on top of that we are taxed at 50% minimum (you have to add up all the taxes, otherwise it's just dishonest), which is then largely wasted. We could have the personal wealth to provide for our own families if we haven't already collectively decided that wealth is bad and no one should be allowed to have means. And so we ship our kids and our old folks off to be cared for by the state. Well, as a wise man once said, "it's people!"