America is not a place to grow old in...Start shitting your manties and most families throw you in a old age home where you will be forgotten for the most part.
Family commitments aren't what they once were that is for sure. Not all families are so disconnected though. Our family is very close and we have been their for each other in times of need. Just tonight I got a call for the hospital social worker that my sister was in the emergency room at the hospital. She had taken a really nasty fall exiting the bus earlier today and was badly bruised. She is here with us now and will stay for several days while she recovers. We are watching her for signs of a concussion. BTW, my sister drives me crazy and yet here she is. It what we do as a family, we take care of one another.
There are times when skilled nursing is necessary. For example, following my wife's recent bout with acute kidney failure which landed her in the hospital for two weeks, she was in a skilled nursing facility for three additional weeks until she was strong enough to come home. When she came home, it was such a relief because I was spending a lot of time on the road driving back and forth to the nursing facility and taking her to dialysis. Even when your sick, there is no place like home.