Wait.
There's a HUGE gap between those.
For instance, back a couple generations, multigenerational living arrangements were the norm. People took care of their own because there was a moral obligation.
Granted, that's probably not even in the top 5 of moral degradation, but it is still a thing.
On top of that, you have more affluent people charitably supporting hospitals and elder centers and orphanages. Don't see much of that, either.
Of course there's a huge gap. But as was implied up thread, if we don't have government support those over 70 with cancer or leave it to the invisible hand to care for the old and indigent, the other option is they die. We hear this all the time any time anyone argues against more welfare, universal healthcare -- either we do this by government or people die. It's certainly not the dichotomy I think exists. As you stated for years, families, churches, charities, etc. cared for their own elderly and disabled. There are plenty of options to (especially) federal government and its usual cold, impersonal, uncaring, ham-fisted "care".