Another factor that has changed dramatically is simply the capability of modern medicine to keep people alive in adverse circumstances. Going back 50 years I would guess that people died much sooner once they had failing health simply because there was nothing that could be done—unlimited budget or not. Now there is a lot that can be done, but naturally, at a cost.
Then there is the grandaughter. She is unwilling to face the reality that grammie is dying. She will not permit, in fact will throw a hissy fit, insisting that everything possible be done. She has absolutely no understanding of what is happening. She insists things will improve if the medical staff just does it’s job and makes grammie better.
All stops are pulled out, every test known to man is administered. Dialysis replaces failed kidneys, etctc.....
90 days later grammie is dead. The cost of remedying the hissy fit is astronomical. The process achieved nothing beyond making the granddaughter feel better about herself. The exercise in self esteem building cost tens of thousands of dollars and achieved nothing.