Maybe it will be an inverted sellout. That is, the younger generation that is screwed by our selfish behavior now, will perhaps in 15 or 20 years massively slash medicare and social security for senior citizens and simply say, sorry we cannot afford your care… so since you put us in this mess, we will create mega sized institutions with nominal care that will be a fraction of the cost of your care. You can go there to live and be cared for, or your families can take care of you.