We can enjoy life, however long or short it may be. But, you say, budgets are tight. We can't afford to pay the costs of a good quality of life. But we can. That same money, redirected to in-home services, could set people free.
Freedom is cheaper than lock-up.
Think about it. In freedom, I get in my chair and roam the city streets alone. I have a paid assistant, but I have no need for a dietician or recreation therapist or any such personnel. Friends and family help me in countless ways, large and small. Instead of some miserable dayroom, I go to work.