"Now when [survivors] are at the stage where they're older, more infirm, frail and still at home, they need more than ever," he said. "The one thing that I believe [the German negotiators] recognized more than ever is that survivors more than ever are overwhelmingly fearful of being institutionalized. So when we talk about home care as another element for help for older people, it's become more and more paramount. And we've seen how people at this stage of life are in many cases bedridden, [they have an] overwhelming fear of leaving the home they're comfortable with, the neighbors they're comfortable with, their family, and ending up in an institution … to the extent they can possible stay out of it, they will do so as best as they can. We at our part have gone to the Germans and requested them to raise the level of response to this need, and they also realize that there's no such thing as giving someone home care this year and not next year."