We live, we grow older. That is a fact of life. Unfortunately it is also a fact of life that growing older generally goes hand-in-hand with a need for extra support. We are often asked how best to organise this, both practically and financially. Will you organise the support yourself rather than utilising social support facilities? And if you do, will you ask what you should take into account? What will it cost you? And what are the shorter and longer term fiscal consequences?