Dr. Atul Gawande wrote Being Mortal: Medicine and What Matters in the End. It’s a good read. A quote on pages 108 and 109 brings into perspective his observation of assisted living arrangements for the elderly:
So this is the way it unfolds. In the absence of what people like my grandfather could count on – a vast extended family constantly on hand to let him make his own choices – our elderly are left with a controlled and supervised institutional existence, a medically designed answer to unfixable problems, a life designed to be safe but empty of anything they care about.