Hi everyone We have been unable to get an affordable insurance for my mum which means she won't get an extension of her permit to stay here in Germany anymore. My hubby and I have done all that we could, and legally too, to have her stay with us now for nearly five years. Her current insurance expires on August 1 and I have already booked our tickets for departure in the last week of July (awaiting confirmation) - this would be the 6th long haul flight with my AD mother !! Oh, now I must warn that this is going to be a long post - please bear with me For those of you who might not remember my earlier missives on TP, I am an only child and my mum has never known life without me which again, is quite a common phenomenon in the Indian context. My dad died 27 years ago when I was still at school and so mum sort of relied on me for everything. When I got married and came away, she had a breakdown resulting in my bringing her here to stay with me and thanks to my hubby, he did all he could legally to get her a permit and be our 'ward' under extremely adverse conditions. The permit, however, is subject to getting a proper medical insurance. Unfortunately, insurance companies put a limit at age 80 and unless one pays through one's nose (say like 1500 Euros per month) , one can't have an insurance for a foreigner above 80. The risks for the insurance companies, I believe, are too high. Now, although there are some new 'homes' that have come up in an otherwise family oriented society in India, there are only very few care facilities to care for people who have suffered strokes, or are in advanced stages of dementia, or for those who cannot be managed at home. Most people engage nurses, social workers and psychiatric nurses on a private basis and provide home care to the extent possible. My mum is generally able to 'do' things under guidance but she responds only to me and not to anyone else. When I went to India last time with her, I tried to 'place' her with her sister's family for two weeks as an experiment but mum was so agitated, hardly ate or drank that it became difficult for them to manage her. In the end, she had to be hospitalised for severe constipation as she was not able to 'perform' in the toilet and wouldn't allow anyone to help her. In other words, she only allows me to monitor everything, bathe her, dress her etc. Given this situation, I am really in a dilemma as to what to do. Presently, for career reasons, my husband is not in a position to move to India with me. My friends tell me to 'put' my mum in a home - I just can't bring myself to do this, knowing the quality of care that exists. Moreover, having been together for so long, do I leave her to die alone when she needs me most and live with the guilt thereafter ? I know it for sure that without me, she just won't survive. I can't 'sacrifice' my husband for the sake of mum and can't 'sacrifice' mum for the sake of my husband. I suppose if we had children, the decision would have been much easier as they would have been the prime focus. At the moment, I can't seem to think properly. I would be so grateful for some objective viewpoints - I am so desperate. I pray for providential intervention but until then, am willing to listen to anyone who cares to reply to my question : What would you do in my place ? Thank you all !