alt Hacker News> The solution
So it turns out that family members who traditionally cared for their own family would do it based on cultural and religious norms, deep bonds of love and affection, and/or the pressure that comes with knowing nobody else would step up and do it.
It is a fools paradise thinking that you can motivate mercenary caregivers, who are unrelated to their clients, in fact often foreigners, with giant stacks of cash, and expect consistent outcomes.
Healthcare workers for the elderly don't need giant stacks of cash, they just need fair wages they can live on. There is no shortage of extremely compassionate people who don't need to be bribed to care for others in need. They do need to be able to support themselves and thrive though. It makes zero difference if they are foreigners, or unrelated.
Traditionally, communities cared for each other, no matter if someone was their family member or not. The elderly, injured, sick, disabled, and orphaned have been cared for by those outside of their immediate families throughout all of human history. Our modern lives have made us unusually isolated, but it's still our nature to care for each other.