为什么美国的疗养院和临终关怀医院如此昂贵
Why Nursing Homes And Hospice Are So Expensive In The U.S.
译文简介
视频分析了婴儿潮一代老龄化以及美国的疗养院和临终关怀医院昂贵的原因，引发网友的共鸣。
正文翻译
美国正面临一场由婴儿潮一代老龄化引发的“银发海啸”。全美6900万婴儿潮世代即将集体步入高龄，但长期护理体系却深陷床位短缺、机构倒闭、护工不足的困境。2020年以来，超6万张养老床位消失，数百家护理机构关门，而华尔街资本却嗅到商机——私募基金疯狂收购临终关怀机构，75%相关服务已转为营利模式。
资本游戏正在改写养老规则。联邦医保为临终关怀支付固定日薪（约600-700美元/人），私募机构通过削减服务、优先接收痴呆症等“长线患者”榨取利润，利润率高达22%。代价则是护工短缺、死亡率攀升，甚至出现“癌症患者遭拒收”的荒诞现实。普通家庭更面临天价账单：私立养老院年费超11万美元，居家护理也需7.5万美元，80%老人无力承担。
这场危机暴露的不仅是资本贪婪，更是系统性失灵。政府将44%护理支出推给医疗补助计划，变相逼迫老人提前住进条件堪忧的机构。金融顾问坦言：“没人能真正准备好。”当养老沦为生意，或许我们更该思考：在一个崇尚利润的社会，如何让生命的黄昏保有尊严？
资本游戏正在改写养老规则。联邦医保为临终关怀支付固定日薪（约600-700美元/人），私募机构通过削减服务、优先接收痴呆症等“长线患者”榨取利润，利润率高达22%。代价则是护工短缺、死亡率攀升，甚至出现“癌症患者遭拒收”的荒诞现实。普通家庭更面临天价账单：私立养老院年费超11万美元，居家护理也需7.5万美元，80%老人无力承担。
这场危机暴露的不仅是资本贪婪，更是系统性失灵。政府将44%护理支出推给医疗补助计划，变相逼迫老人提前住进条件堪忧的机构。金融顾问坦言：“没人能真正准备好。”当养老沦为生意，或许我们更该思考：在一个崇尚利润的社会，如何让生命的黄昏保有尊严？
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The boomers really got the best of it all. Missed WWII, decades of unprecedented economic growth, partied in the 70s, bought a house on a single income in the 80s, invested in the 90s, and now as the world about to burn, theyre outta here.
婴儿潮一代真是占尽天时地利。躲过二战，享受几十年经济腾飞，70年代狂欢，80年代靠一份工资买房，90年代投资致富，现在世界快完蛋了，他们倒拍拍屁股走人了。
as a millennial, i realized this a years ago. Add a retirement危机, population decline, high debts, climate migration and a few other things, the future don't look that amazing when my cohort reaches 65...
作为千禧一代，我早就看透了。再加上退休金危机、人口下降、高额债务、气候移民这些破事，等我们这代人65岁时，未来可没啥好期待的...
Private equity ruining another sector
私募股权又毁掉一个行业。
"Nobody wants to work!" = Nobody wants to pay. The customers are surely paying, too.
"没人想工作！"翻译过来就是"没人想付钱"。当然，顾客肯定也没少掏腰包。
As someone in the field you can happily blame CEOs and investors. Theres no staff shortage. Were done with the BS and emotional/physical abuse. 30 patients per CNA, 60 patients per MD, 20 patients per RN should be illegal. But money talks and BS walks. So we walk
作为业内人士，你可以理直气壮骂CEO和投资人。根本不是人手不够，而是我们受够了狗屁倒灶的精神肉体虐待——1个护工管30人，1个医生管60人，1个护士管20人，这早该被法律禁止。但资本说了算，所以我们选择走人。
Soon as I saw the words" private equity", I knew it was all downhill from there.
看到"私募股权"四个字，我就知道这事准要完犊子。
What is not expensive in the US, especially anything that has to do with medical care?
美国有啥不贵的？特别是和医疗沾边的东西。
A reminder to parents: don't just plan to rely on your kids for elder care unless you discuss it with them beforehand and they are very willing.
提醒各位父母：别光想着靠子女养老，除非提前商量好且孩子真心愿意。
This is going to get worse with underpaid, under qualified staff. Ive been at high end luxury homes that scare me. These are jobs nobody wants.
低薪低素质员工会让情况更糟。我去过所谓高端养老院，环境吓死人——这种活根本没人愿意干。
Senior care in the US is expensive because private equity wanted to make a whole bunch of money. In fact, all healthcare in the US is expensive because of private equity. See the problem here?
美国养老贵就贵在私募股权想赚大钱。说白了，全美医疗贵都是私募搞的鬼，现在看出问题了吧？
The United States allocates $968 billion to its defense budget, a figure exceeding the combined total of the next ten countries' defense spending. If the U.S. were to cut one-third or even more of this budget and reallocate that portion toward infrastructure and domestic prioritiessuch as healthcare, education, or public servicesits citizens would likely benefit from improved quality of life and essential services
美国每年国防预算高达9680亿美元，比后面十个国家的军费总和还多。如果能把其中三分之一甚至更多的资金转投到基建和国内事务——比如医疗、教育或公共服务——老百姓的生活质量和基础保障绝对能大幅提升。
And us younger people cant afford to take time off To help our parents. Im burnt out.
我们这代年轻人连请假照顾父母的时间都没有，真的已经精疲力尽了。
I'm 70 and still work as a Pediatric Hospice RN now for 18 years. I do it because I love it. We have such a specific need and so few wish to do this work. It's who I am to support others.
我70岁了，在儿科临终关怀病房当了18年护士。坚持做这行纯粹因为热爱——这类特殊护理需求量大却少有人愿做，而帮助他人就是我的人生意义。
As usual, profit is more important than people.
老样子，利润永远比人命重要。
Arent these the fb commenters that say that they had babies to look after them when theyre older? And how youngsters will end up with cats LOL? Why do they need care homes then?
当初在脸书说"养儿防老"的是不是这群人？还嘲笑年轻人老了只能养猫哈哈？那他们现在怎么还去养老院？
Nope, most of them did nothing for their kids and told them to get out at 16-18. Let them figure it out
得了吧，这些人当年对孩子不管不顾，16-18岁就赶出家门自生自灭，现在报应来了。
"Just save 165k." How deluded...
"存够16.5万就行"——这想法也太天真了吧...
Maybe instead of running everything like a business. Run it like a public service.
或许不该把所有事当生意经营，而应该作为公共服务来运作。
Wild cuz they dont pay the people who work in elderly care well at all, and yet it costs SO MUCH.
离谱的是护工工资低得可怜，但养老费用却高得吓人。
Very sad , all about money. Healthcare should NOT be about profit. Every person deserves healthcare regardless of how much money you have. BT
太可悲了，全是钱的事。医疗就不该追求利润，每个人都该享有医疗保障，不管有没有钱。
My ex-wife does in home care. Of the 40perhourpaidforherservicessheonlygets14 per hour.
我前妻做居家护理，每小时收费40美元，到她手里只剩14块。
Let them sell their 5 million dollar homes they bought for a nickel.
让他们卖掉那些价值五百万的房子呗——反正当初花几个铜板买的。
Same story in the UK. Successive Government's failed to properly implement a sustainable long term affordable solution .
英国情况也一样，历届政府都没能制定出可持续的平价养老方案。
it's disgusting how the US makes money on healthcare, when people are at their most venerable CEO's/companies are like how can we make money on this.
最恶心的是美国在医疗上捞钱的方式——当人们处于最脆弱时，CEO和公司却在盘算怎么趁机发财。
and what exactly is affordable in the US?
美国到底有什么是普通人负担得起的？
Cuts to Medicaid would be catastrophic
削减医疗补助绝对会造成灾难性后果。
Elderly patients are ranked based on their "profitability".., isn't late-stage capitalism just lovely?..
养老院居然按老人的"盈利能力"分级...晚期资本主义可真"美好"啊？
Some elders need help bathing, showering, getting dressed, putting their shoes on, opening cans and jars, frail elderly cannot take out trash or carry a gallon or liter of milk, some with failing eyesight cannot read medication bottles, some cannot open them, dementia patients are not allowed to cook in the kitchen and the list goes on. 1 in 3 elders in the US will suffer a fall, many breaking hips, arms, legs and concussions. This sounds dreadful and morbid, but working in healthcare this is the honest-to-goodness truth of things that NOBODY TALKS ABOUT. Ask any nurse, PCA, physical or occupational therapist, or anyone that works in skilled nursing, rehab, long term care facilities, nursing homes, etc..
很多老人需要协助洗澡、穿衣、穿鞋、开罐头；体弱者倒不了垃圾也提不动牛奶；视力衰退者看不清药瓶标签；失智患者不被允许进厨房...三分之一的美国老人会跌倒并导致骨折或脑震荡。这些事实听起来可怕，却是医疗从业者每天面对却无人讨论的真相——随便问个护士、护理员或康复治疗师都知道。
We need more news reports about topics like this.
媒体应该多报道这种现实问题。
The problem in the industry is by the time someone ends up in nursing homes they are financially tapped.
这行业最残酷的是：人们住进养老院时，积蓄早就榨干了。
Why we need Medicaid and Medicare as is
这就是为什么必须保留现行医疗补助和医保制度。
It gets so expensive at the end. Medicare doesn't cover everything. Then, when you are poor enough for Medicaid, when you die, they take any assets left and your house.
临终关怀贵得离谱，医保不全包。等穷到符合医疗补助标准，死后连房子和遗产都会被收走。
Constant consolidation and vertical Integration goes unchecked in the healthcare industry leading to crony capitalism
医疗行业不断兼并垄断却无人监管，彻底沦为裙带资本主义。
8% of the Pentagons budget is 50 BILLION dollars. Im not going to give a lecture. Just consider that information as you will.
五角大楼预算的8%就是500亿——我不多说，各位自己品。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
I WAS A NURSE FOR 20 YEARS. AFTER I LEFT NURSING I STARTED A RESIDENTIAL ASSISTED LIVING HOME COMPANY.. EXTREMELY LUCRATIVE BUT LACK OF STAFF WAS PURE HELL.. THESE FOR PROFIT HOSPICE AND NURSING HOME ARE HORRIBLE, DUE TO STAFF SHORTAGES COST CUTTING BY THESE PSYCHOPATHS...I WORKED IN NURSING HOMES AND I USE TO CALL THEM THE (.BIG NASTY). THIS IS BAD NEWS AND THESE COMPANIES ARE REAPING OFF OUR GOVERNMENT AND THE SAVINGS OF OUR ELDERS. THIS IS BAD NEWS.
我当了20年护士，后来开了家辅助生活机构——利润高但招不到人简直是噩梦！这些营利性养老院和临终关怀机构太可怕了，资本家为省钱疯狂压榨员工...我以前管这些地方叫"大烂摊子"。现在的情况更糟，这些公司正在榨干政府补贴和老人的毕生积蓄。
My mother wanted to live out her life in her own home. It was difficult but we kids made it happen providing care, delivery services and home services (in person). She grew up in The Great Depression and generally worked two full-time jobs to support a household. She took care of her parents and she expected us to take care of her; which was a reasonable expectation. I'm not a fan of this private equity thing to make money off of care. I would prefer non-profits in hospice care and in hospitals generally. After watching Stewart Healthcare doing a lot of damage in Massachusetts by failing financially while enriching its corporate officers, I'd never choose private care over non-profit.
我妈坚持要在自己家终老。虽然很难，但我们几个子女通过轮流照顾、送货上门和亲自服务实现了她的愿望。她在大萧条时期长大，打两份工养家，也照顾了自己父母，所以要求我们照顾她是合理的。我反对私人资本从护理行业牟利，更支持非营利机构运营临终关怀和医院。见过Stewart Healthcare在马萨诸塞州搞垮机构却肥了高管后，我绝不选私营机构。
We have some retirement communities here. They aren't nursing homes but provide that too. That all have to be rich to be able to live there it's expensive af
我们这有些高端养老社区，虽不是传统养老院但收费贵得离谱——只有富人住得起。
They want your house and your pension. No one wants to work there, because of the neglect by "for profit" billionaires.
资本家盯上了你的房子和养老金。没人愿在这种地方工作，毕竟"营利至上"的亿万富翁根本不在乎服务质量。
THEY HAVE BEEN SAYING THIS BEFORE I WAS A NURSE. now I am a nurse and they are still saying this and we are going through it now. Healthcare staff pay is not enough. Sometimes these boomers also are abusive. Sometimes the family is unbearable. Sometimes the SNFs are underserved greedy and understaffed.
我当护士前就听人说这些，现在自己成了护士问题依旧存在。医护人员工资太低，有些婴儿潮世代老人脾气暴躁，家属难缠，护理机构又贪婪又缺人手。
24 hour home care is close to $250k per year.
24小时居家护理一年要25万美元。
All we are doing is working our ass off for someone to clean our ass when we are old. Keep saving and not enjoy your life, your accounts will be drained by private companies who will take care of you when you are old. Find a balance and have fun now.
我们现在拼命工作，就为了老了有人帮忙擦屁股？拼命存钱不享受生活，等老了账户又被私营公司榨干？还是趁现在找平衡及时行乐吧。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
Need Nurses who actually care and not on their phones the whole time. American nursing home patients rarely get visitors might as well go to tropical countries near the beach. Your relatives wont visit you anyway.
我们需要真正用心的护士，而不是整天玩手机的。反正住美国养老院也没家人探望，不如去热带海岛——横竖都是孤独终老。
It's always private equity screwing over people FFS
怎么又是私募基金在坑人，真是够了！
This is a heartbreaking, depressing, unhappy story
这故事看得人心碎又压抑。
We are currently trying to keep my mom at home. She suffers from dementia but is still mobile. My parents rely on their social security benefits and a small pension. We have been seeking someone to come in several times a week to help my dad, particularly with tasks like bathing my mom. My dad is 90 years old and has been taking care of my mom full-time for several years. Unfortunately, Medicare does not cover home care services, so they are having to pay out of pocket for these services, which is causing financial strain for them.
我们正努力让患痴呆症但还能走动的妈妈居家养老。父母靠社保和微薄养老金生活，想找护工每周帮忙几次——特别是帮我90岁的爸爸给妈妈洗澡。但医保不报销居家护理，自费压力让他们不堪重负。
Lord help us all cause we are not ready
上帝保佑吧，我们根本没准备好面对这些。
Don't boomers have a good savings? What else do they need
婴儿潮世代不是存了不少钱吗？还要怎样？
The one thing we should have socialism for above all else is education and healthcare. Private equity has ruined these spaces these are a need for people who are not dollars but are living breathing people with emotions and feelings.
最该实行社会主义的就是教育和医疗。私募基金毁掉了这些本应服务于人——而不是美元——的领域，毕竟这里关乎的是有血有肉有情感的生命。
Vultures circling the corpse.
秃鹫围着将死之人打转。
Baby Boomers got the money to pay
反正婴儿潮世代有钱付账。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
Baby Boomers got the money to pay
婴儿潮一代有的是钱买单
What do you mean young people don't want to make me T-bone steak for the price of French fries?
年轻人凭什么不愿意用薯条的价格给我煎牛排？这要求很过分吗？
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
Its a cultural shift. Lower birth rates and the decline of intergenerational households in the last 100 years.
这是文化断层——过去百年间生育率持续走低，多代同堂的家庭模式也逐渐消亡。
What they gloss over is that, in hospice care, once the money is secured and services begin, theres hardly any outcome-based oversight the patient simply dies as expected. Thats why its so lucrative for private equity. 6:41
他们刻意回避的是：临终关怀行业一旦钱款到账服务启动，就几乎没有效果监管，反正病人最后都会按预期离世。正因如此，这行当简直是个金矿，私募资本自然趋之若鹜。
No discussion of how poor diet and lack of exercise is leading people to need additional care. No discussion of resuscitation of 90 year olds with CPR so they can spend 1 month more alive on a breathing tube.
没人讨论垃圾食品和缺乏运动如何加剧护理需求，更没人质疑给90岁老人做心肺复苏、插管续命一个月的合理性。
We must prepare for the risk of living longer.
我们必须为"活得太久"的风险做好预案
Two words: private equity.
答案就俩字：私募资本
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
"Greed is Good" Gordon Gekko
"贪婪无罪"——戈登·盖柯（电影《华尔街》角色）
Baby boomers been through the most. But my parents are still thriving.
婴儿潮一代经历够坎坷了，不过我父母现在过得挺滋润
Because in America we dont plan for the future.
因为美国人压根不做长远规划
The Entrepreneur community MUST focus on developing a new sustainable business model to assist with dignity, compassion, understanding and mercy our Seniors.
Just imagine those countries that don't even have a health safety net for Seniors.
That should be the focus of every innovation hub around the world.
创业者们必须开发出兼具尊严、同理心和可持续性的养老新模式。想想那些连基本医疗保障都没有的国家吧，这才是全球创新机构该攻克的方向。
i really hate seeing for profit structures in healthcare.
医疗行业搞营利模式真让人作呕
Not sure why. They had 70 plus years to save up. They purchased homes for 2 raspberrys.
搞不懂有啥可抱怨的，这群人攒了70多年钱，当年买房就跟买俩树莓似的便宜
When it all financially fails in about 7 years we should wined it down and roll it out.
等这套体系七年后彻底崩盘，就该推倒重来了
same story happening throughout the economy
enshittifaction everywhere
remember folks, we dont have a shortage but a low wage problem and a corporate America problem
全美经济都在上演相同剧本——万物皆可摆烂。记住朋友们，我们缺的不是资源，而是合理薪酬和正常运作的企业体系
In the EU, Northern Countries let's say, they put Elderly Parent's, in a Home... In Italia, for example, you have Bandantes, pay 1000 Euro a month, 24 hour care, in your OWN HOME... I believe, cuz, I have no kid's, so, I believe, when I still had my Parent's, was a plane crash, I was 13, if they would be here, I will take care of them, I will even shower them, you know, that is what you are supposed to do, cuz, when I was a kid, I could not take care of myself, so, my Parent's, so, once the roles are reversed, if I still had them, I will take care of my Parents, and be ON SPOT, check everyday, do everything, clean, everything, I will do everything, just be happy you HAVE PARENTS, everyday I have nightmares, from the plane crash, yeah, I wish they we're here, let it be, cannot change what happened...
北欧国家习惯把老人送养老院，但在意大利，每月花1000欧就能请护工在家提供24小时看护。作为独居者，我常想：如果13岁时没经历那场夺走双亲的空难，现在定会亲自照料他们，就像他们曾养育幼时的我。可惜现实没有如果——所以请珍惜尚有父母可奉养的日子吧，这比噩梦缠身的我幸运太多。
huh? childcare is expensive, living is expensive, senior care is expensive, etc. Everything is just expensive in a stable society, and that's how it works. if a society is stable, therefore, large population are paid decently well (some may disagree but US dollar goes very far elsewhere, and is one of the best ones around). If people are decently paid, then cost of things are elevated based on basis that management level are well paid, and profit/retain earning has to meet shareholder expectation (both the riches people & everyone else with a 401K). It's natural things are expensive, the idea that childcare exist means there are a lot of people who make more than enough to offset childcare cost after accounting for all taxes.
If it can't be good and cheap unless it's not legal. We can't be complaining about things being expensive, then in another video talking about how wages too low. any increases to wage will further make things more expensive. Higher minimum wage increase living cost for all, that's just a fact. It's debatable if higher minimum wage is called for, but it's not debatable fact that cost of end product is higher if cost basis is higher when all else remain constant. Perhaps there is a way to achieve a better outcome through method such as 100% on corporate earning higher than $x dollar. I'm not arguing that it's not doable or doable, i am just saying that cost basis impacts end production sticker price.
哈？育儿贵、生活贵、养老贵...稳定社会里万物皆贵才是常态。社会稳定意味着多数人收入尚可（别杠，美元购买力在全球仍属顶尖），而体面薪资必然推高商品服务价格——管理层要高薪，企业要满足股东预期（包括普通人的401K养老金）。存在育儿服务本身就说明：很多人税后收入足以覆盖育儿开支。想要物美价廉除非走非法途径。我们既抱怨物价高又要求涨工资根本自相矛盾——涨最低工资必然推升生活成本，这是铁律。或许该对企业超额利润征重税？不过成本决定售价这点毋庸置疑。
Youre the only country who doesnt have free health care . Unreal the best country on earth with the most expensive healthcare
全球唯一没有全民医保的"最伟大国家"，却有着最昂贵的医疗系统——魔幻现实主义的完美写照
So it's vecause the greed of Murican corporations!
所以都怪美国企业太贪婪！
I bought LTC for yield and is already in this business. For me personally, i am going to hire a Girl Friday to assist me.
我投资长期护理行业是为赚钱，但等自己老了就雇个全能助理——公私分明嘛
All health care should be non-profit. Making money off the sick, elderly, and dying should be illegal.
医疗就该全搞非营利！靠病人、老人和将死之人发财简直该判刑
I hope I do not live this long. It's miserable..
但求别活那么久，太遭罪了
We need to take some notes from Midsommar....
或许该学学《仲夏夜惊魂》里的操作...
THERE IS HOPE FOR OUR ELDERS. AFTER I SOLD MY ASSISTED LIVING HOME COMPANY I STARTED A MODULAR CONSTRUCTION COMPANY AND WE ARE NOW BUILDING AFFORDABLE ADU,S IN MY STATE SO ELDERLY FAMILY MEMBERS CAN STAY AT HOME USE HOME HEALTH CARE AND SAVE THOUSANDS OF DOLLARS LIVING IN AN ADU.. OUR ADU,S ARE AFFORDABLE..700 DOLLARS A DAY FOR HOSPEIC CARE IS A REAP OFF FROM HELL.
老年人还有救！我卖掉养老院后转行模块化建筑，现在本州推广经济型附属住宅单元（ADU）——让老人住自家后院，既享受家庭护理又省下每天700刀的临终关怀黑心钱，我们的ADU方案才是真·实惠
You didnt have childrenyou are toast
没子女？那你完犊子了
family culture.
归根到底是家庭观念问题
Only thing I heard is that they are holding a lot of the wealth let them use that
我只听懂一件事：这群人攥着大把财富，该他们自己掏钱了
The Government over promised and under delivered? /shocked
政府开空头支票？/震惊（才怪）
Yeah - one of the biggest mistakes you can make is relying on the government to take care of you in old age.
Young you needs to make sure old you is prepared. Just the truth
信政府养老？这是人生最大错觉。年轻时的你必须为年老的你存够资本——现实就是这么残酷
untreated infections in elderly making them more debilitated? weakness and poor health from psychiatric prescxtions in elderly (In 2009 it was discovered Dr. Michael J. Reinstein, a Chicago psychiatrist, prescribed more Clozaril (brand name clonzapine) than the entire state of Texas, he was getting kickbacks for a prescxtions described as 'a drug of last resort'?)?
老人感染不治疗导致失能？精神类药物滥用造成体质恶化？（2009年曝光的芝加哥精神科医生Michael J. Reinstein，其开的氯氮平处方量超过整个得州，这种"最后手段"药物让他赚翻了回扣）
Erin Marie Olszewski nurse whistleblower exposé 2020 NYC, Nicole Sirotek nurse whistleblower videos NYC? descrobing what was happening throughout the USA?
还记得2020年纽约护士Erin Marie Olszewski和Nicole Sirotek的吹哨视频吗？她们揭露的乱象正在全美上演
Shut up, CNBC
CNBC闭嘴吧
Can wait to profit out of end of life care!
等不及要从临终关怀行业捞钱了！
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the problem taking itself out
问题会自我了结的（指老人自然消亡）
These are such ghoulish considerations.
这些算计透着坟场般的阴冷
Maybe if the owners would put their profits to the business, it wouldnt be so expensive nor run down and lack of staffing.
老板们若肯把利润投回业务，哪会有天价费用、破败设施和人手短缺？
I feel like we will have AI caretakers when I get to the 65+ age group.
等我们这代65岁时，估计能靠AI护工了
They voted for this so ️
都是他们自己投票选出来的结果️
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My daughter is caring for my wife at her sisters house.
我女儿现在她姐妹家照顾我妻子
Come to Asia if possible japan s Korea Thailand you name it might have better healthcares than your country because labour is way cheap here
试试来亚洲养老？日韩泰等国医疗可能比美国强，毕竟人力成本低得多
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Which secret society are medical doctors in?
医生们都加了什么秘密结社？
With all the DOGE and goverment support cuts coming it'll be up to private equity and big pharma companies to look after you, while your kids are too busy working. What can go wrong?
随着政府补贴削减，未来得靠私募资本和药企"关照"老人，而子女们正忙着搬砖——还能更糟吗？
So you end up warehousing me. Can I at least keep my dog? This report is obsolete. Elon's coming to cut all this support.
所以最后要把我当货物仓储？至少让我留着狗吧。这报告过时了，马斯克马上要来砍福利了
Most people dont realize that elderly care is a made up concept. Same as vacations and weekends. Before 1800s-1900s there were no such things. There were no weekends. People worked every day to sustain themselves. No vacation. Nature created humans to survive in the harsh conditions. Elder care consisted of charity of others, family help. People stayed home, sick and old died in their beds. Only the rich, kings, could afford to hire help. Nowadays, government coercion made everyone to contribute to elder care in the form of tax. But its not enough. To hire private skilled home caregivers 24/7 costs minimum $20 an hour. Its $500 a day. $15000 a month. If you are not prepared to pay for that you are out of luck
多数人没意识到"养老"是现代发明，就像双休日和假期——19世纪前这些概念根本不存在。那时人们终日劳作，老病者靠家人或慈善苟活。如今政府强征养老税仍不够用，请24小时专业护工每月至少1.5万刀，没这预算就自求多福吧
Profit profit profit profit-the American way! Greed greed greed greed
利润至上——很美国；贪婪无罪——非常美国
This is why healthcare should not be on a for-profit model, were all screwed in the name of profit
所以医疗绝不能搞营利模式，我们正在被"利润"这个词坑惨
Society misses the pitch when we do not educate our young people starting in high school on life skills that include the practice of saving and investing. Trust me at 73 it is way better to have financial control over your senior years than rely on a government so deeply in debt that means taking care of you is a burden.
社会最大失误是高中不教理财投资。73岁的我告诉你：养老钱攥自己手里，比指望负债累累的政府靠谱多了
Boomers get no say in the matter when I as a tax payer are paying for there're needs and they're doing nothing
我们纳税人养着这群啥也不干的婴儿潮老人，他们没资格指手画脚
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Knowledge supports growth.
知识推动进步
Don't they have children to take care of them when they're old? Our parents had raised and taken care of us while we were young, I think it's our turn to do the same for them when they're old.
他们没子女养老吗？父母养我们小，我们养他们老，天经地义
Everything is expensive there I just saved you time
美国啥都贵（帮你省流了）
Im just thankful these ppl is seeing old age my generation is falling sick & dying so young of horrible disease & illnesses MS ,cancer ,heart disease strokes the list goes on its heart breaking
至少他们活到老了，而我们这代年轻人正被多发性硬化症、癌症、心脑血管病折磨早逝——想想就心碎
Boomers are not the problem, Democrats increased cost of care across the board is, EVERYTHING cost more especially the last 4 straight years, it's Inhumane. Hopefully doge can help
婴儿潮老人不是问题，民主党全面推高护理成本才是元凶——过去四年万物暴涨简直反人类，但愿狗狗币能救场
People like having a boogeyman to blame their problems on but honestly private equity isn't the biggest or even a big reason for rising costs. It's that modern medical treatments are more advanced and costly than they used to be (they're also more effective than they used to be!) and that demand for elder care has gone up due to the population getting disproportionately older and increasing demand. Being old sucks, used to be most people never got to see 65 and never had to experience the worst of it. Well we do, and while those extra years are nice to have you can't expect them to be cheap or pleasant.
人们总爱找替罪羊，但说实话私募资本并非成本飙升主因。现代医疗更先进也更烧钱（当然疗效更好），加上人口老龄化推高需求才是关键。变老本就痛苦，过去多数人活不到65岁自然不用遭这罪。如今我们既享受长寿红利，就得承受随之而来的高昂代价
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