if you opt to stay home to die but youre in terrible pain, who's going to administer the pain meds? whos going to be there 24/7 to clean up or get you whatever

if you opt to stay home to die but youre in terrible pain, who's going to administer the pain meds? whos going to be there 24/7 to clean up or get you whatever you need? what this article is talking about is either very very very expensive home care or a family that basically become full time carers. with our society no longer advocating communal living and a sort of "every man for themselves" attitude throughout life, how is all of this actually supposed to work in reality? -- nice sentiment but unrealistic except for a very lucky few it seems. this is what hospitals are for now.