My maternal grandmother was a fantastic cook. She had a wonderful kitchen, too. Really old-school, fully equipped, spacious, clean and organized.

Grandma had wonderful treats for us when we visited every week. She introduced me to this delicious, refreshing vegetable called "jícama". Even though she came from Hungarian descent, she knew the local produce! https://en.wikipedia.org/wiki/Pachyrhizus_erosus

Grandma also taught us how to pour a whole box of crappy cereal into a bowl, and fish out the valuable prize. Grandma always had ice water and schlag (Cool Whip) in the fridge.

Why/how did grandma cook so well? I say it was because of love. She loved her husband, who passed when I was 6. She loved her daughter and son-in-law. She loved her neighbors, her community, her sisters in the card club, her parishioners at church. She loved her grandchildren. She made good things for us, without expecting anything in return, though we provided for all her needs until she passed away too.

And that's the issue with "scaling care", because it's a lack of love. Mercenary caregivers only go so far. If you rip children out of their families and rip families out of their cultures and you tear apart cultures and neighborhoods and communities, inserting foreigner* physicians and teachers and managers amongst them, then of course you'll have a crisis of care. Because those bonds of culture, bonds of ethnicity, and bonds of family blood are way more important than the "Almighty Buck".

So, yes, the care crisis will continue, and it shall worsen, because the endgame here is to destroy the family unit and break down every cultural and ethnic tie until all Americans (and Canadians and Australians and Europeans) have melted down into one faceless, assimilated glob of sub-humanity.

* In my experience, the worst foreigners become highly-skilled physicians, especially psychiatrists, because "health care" is the best way to peacefully oppress and penalize a population from within. You can really tear apart communities by fucking them up with medications and detrimental "treatments", all the while they sincerely trust and believe that you're a healer, you're in fact a destroyer of life.