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Other countries which apparently have decent aging care facilities - Norway (or maybe not), Sweden, Denmark, Japan - are all historically homogenous cultures with high societal trust, but America today is a desolate wasteland, not homogenous at all and with very low societal trust, so deciding on some government policy to improve things is simply not going to work.
I think they have just about the lowest birth rate in the world.
They need cheap housing and a ban on feminism.
Low fertility rate seems desirable until their population drops to a reasonable number.

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#diversity