I think there are changes for sure.
I think the present fear is still.... I don't know if that's changed. Perhaps what people actually experience especially as they age.... When they are worried about losing their autonomy and decision-making abilities, the fear overrides any kind of progress, perhaps, that has been made in change of attitude. I think that's why special care needs to be taken to train service providers and to perhaps even add a credential system of some sort to long-term care facilities, so that becomes less of a concern. At least they have that to fall back on as well.