government involvement is the root of the problem, care used to be familial and community responsibility which we abandoned. I'm already paying the highest average tax rate since the war to pay for current pensions that are unfunded and thereby expect future generations to give me their money when I'm old. Poor outcomes
I don't think it has to scale though, maybe it can but it might just perpetuate poor conditions for care workers
I think it could be as simple as a few standardised processes and contracts. If a village wants to try it they follow the steps and set it up themselves
in the UK most villages/small towns without a school have very old residents with no real village population replacement (people die of old age and the big old cold houses are bought by increasingly wealthy retirees leaving urban environments). The current residents need increasing amounts of care and infrastructure but there isn't anybody nearby of working age (compounded by the fact that NIMBY policies have driven village houses to unobtainable prices for average families and rentals are usually very rare).
more of a socio-economic observation but it's a problem that needs solving for each village - the current solution is government subsidy from urban areas to pay for care workers and pharmacy to drive around all day in the countryside to see people for a few mins each
I'm thinking if each rich old person in the village paid a subscription for a dedicated local care team who lived together in a nice house in the village (like 30x people paying £1000 a month to support 5 people) then that would be a balance for a very decent care wage + consistent high quality care
on hardware my understanding is that industry is the closest thing we now have to the computer boom before personal computers. Off the shelf products sold by retailers are pretty poor and not cheap with acceptable margin, often get hacked by demanding users on fixed budgets. High performance stuff requires actual hardware expertise and artisan craft, very expensive, low volume, made to order, and the margin is probably close to minimum wage. It's an industry thats run on passion, my pessimistic take is guitar insurance is likely much easier and far more lucrative.
most care staff are on £12 an hour where I live
a care home ratio of 1 staff to 6 members is good, (1 nurse + 3 carers to 30 people is not uncommon for a shift)