I moved to Japan 13 years ago. My mother developed early-onset Alzheimer's in 2021, and I'm her only child. I relocated her to Japan. It has been immensely stressful but I know she's getting better care and this also avoided the US healthcare system completely bankrupting our family and robbing us of our chance to build multi-generational wealth.

But living in a country with an outsized elderly population/terrible demographics, I can clearly see how the problem will eventually cripple most economies without significant technological augmentation. Large multi-generational families living in very close proximity at least provides for essentially unpaid labor who can share the burdens to prevent caregiver burnout.