My Mother-in-Law, who is 85, is using a lot more of these kinds of services now. To be fair, staying in her paid off house and using those is still much cheaper than moving to an Assisted Living facility. That kind of thing is one reason I don't necessarily assume a "flat" budget indefinitely in ER, though, there are already things I did when I was younger that I would not want to have to do today (insulating the attic, major car repairs, etc.).