retirees who need frail care.

Welcome to the forum Catlady

I hope other members will bring their input to your discussion.

Best Regards

Person who  "can no longer take care of yourself, need frail care etc." can hire full time help for $240 per month.
For a year it will be $240 *12 = $2880 plus according to ecuadorian labor law $240 *2 = $480
$3360 alltogether for one year - full time help
I think some other payments required, but I am not sure.

Doctors do "house visits or house calls" here

Thank you Lilya for your input.  That sounds interesting.  Is it the norm to get this full time help rather than moving into an institution for elderly?  Definitely a better solution when you are able to stay in your own environment!

Ecuadorians are very family oriented. Grannys/grandpas live with the families until the end. When we were living in our Centro Historico condo - there are moms-pops bakery one block from us. Every single morning, seven days per week younger family members would bring grandpa -very frail looking guy to the bakery.
He would sit there in the bench, sometimes asleep, holaring when customers arrive. In the evening they would take him back home.
We called him Granpa Din-Don. It was real pleasure to say hi and buy to him.
One day we came over and he is not there. Que pasa - donde esta abuelo? The answer was - died last week.