In the recent past, life expectancy has expanded significantly while at the same time the birth rates in Europe remained on a low level. As a result, the European population has grown older. That leads to a fundamental challenge for our societies: How can we cover the need of more longtime care for older adults, in particular when they spent their final years in a severe health condition? How can we match this high demand for longtime care in Europe and what costs are related to this issue? We have to find new solutions and ways to create a sustainable and fair care system for all generations.