Its rather a constant management of ever increasing problems ranging from small to massive ones, and eventually losing either gradually or suddenly. Absolutely no dignity from the system.
Switzerland at least has enough sanity to allow assisted suicide so all world rich and powerful come here to die. As rather strict christian country that's what showing actual respect looks like.
My Mom is 79 and often says she doesn't know anyone when she goes out. Her eyesight and hearing are both poor but not to the point of not seeing or hearing at all. But she said in stores, church, anywhere she goes there is nobody she recognizes even older people. So if you make it to old age and are in good health not stuck in a home and are mobile and can converse with people it can be very lonely if you are not good at making friends at that stage of life.