Not wishing to judge at all ... just making an observation here
Some families seem to pool financial resources and this helps make the multi-generational household work
eg Italian, Lebanese,Greek, Croatian people where I live will buy a home together. Parents leftover money plus welfare check will pay for non-family caregivers if needed, medications and extras.
This seems to work for southern european and asian cultures but seems not a lifestyle choice preferred by other cultures (from my own observation).
Not wishing to step on toes here .... I understand the pressures many families face and the challenges that render a nursing home the better choice than previous situation.
However .... I would suggest that cultural factors do play a part in this issue.
Having Western Euro, Southern Euro and MiddleEastern roots I can see the cultural issues at play here