The more mercenary the culture, the more problematic it is for those who are economically-unproductive to survive. I saw this coming for countries like Singapore and China. Where money is everything, and sometimes even more important than one's life. Ironically, the Confucian concept of filial piety (absent in western culture, or at least not dogmatically-preached like the Chinese) is as old as the Chinese civilization. The dogmatism is not working out so well, eh? And no match for the power of the moolah. No money, no talk
Elderly care or the lack of is a world-wide problem but for the western world like USA, it can be due to geographical factor where people are more spread out and have a preference for independent lifestyle. This can mean living far away from the family. Add to that, a lack of retirement savings and insufficient social safety net. And there is no option to hire affordable live-in help, unlike Singapore.
On the other hand, many elderly Singaporeans are not as independent as their western counterparts and some can be needy and clingy. But what works in their favor is the compactness and high density of Singapore. They do not need to maintain a car to be mobile. Within a stone's throw away, they have access to throngs of humanity........ hawker centers, markets, parks and higher possibility (a number game right, with larger pool of people?) of (true) friendships and company?