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> Historically every time the state gets involved it inevitably leads to substantial amounts of neglect and abuse

Yeah, having people without any professional training and zero oversight do the caring is the much safer option. Surely there can't be any abuse there?

The only advantage is that at home no one will see the abuse. And I am talking about abuse by both the carer and the one being cared for. Dementia changes a person often causing them to get violent. Plus caring for another being is exhausting but caring for a close family member even more so because you can not build a professional distance to keep you emotionally healthy. It is thankless and soul destroying work. Even the most caring person can grow bitter over time.

Yes, in state institutions abuse does happen because abuse happens everywhere but there are ways to implement oversight and reduce it. Not so much at home.

Plus in the case of underage children, making them care for family members is called parentifications and a form of abuse that can mess them up for the rest of their life.



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