It’s been fascinating to watch this thread and see what folks have to say. What Whitney writes about the cultural reasons for how and why we in the U.S. care for disabled children and aging folks seems accurate. I’d like to add that part of the reason for caring for family members outside of the home may be economic.  We in the U.S. can often afford to when others may not be able to.  Caring for seriously disabled children and fragile adults can be enormously difficult and not all people are able to do it.  Sometimes, sadly, the best available care isn’t at home.  It’s a very difficult problem to solve and maybe shouldn’t be thought of as a Bulgarian or American difference, but a difference in resources of many kinds. And Andreytcho, Whitney is probably also right about your attitudes.  We’ve all know that it is fashionable for tech-savvy young guys to be remarkably cynical, but whether you are aware of it or not, those attitudes rarely improve life.