"US elderly care is almost wholly available only on payment."


Perhaps I misunderstood you. Are you saying that in the US, elderly care is not 'free', as in pre-paid? As you know, we have a different system here from what you have in the UK. I hope one day that we will have single-payer health care but we don't have it as yet.

We do have Medicare for all, Medicaid that is income-based, and General Welfare for the indigent.