No it does not, that is why people need to find their own balance, just like in saving for retirement and not living for or providing for today. I do not look forward to ever living in a retirement type home, or spending the rest of my days bed-ridden in one, and or limited by what they allow me to do. I want to make my own choices, just as I have in the rest of my life, right or wrong, they are my choices to make.
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My biggest fear of getting old is, losing the ability to make my own decisions. I find it interesting these days that people are willing to give up their ability in order to feel a little more secure in a world where there is no such thing as security.
I hope my mind holds on til the very end. Like you I can not fathom why so many people have given up on making their own choices. What good is life when you only get to live it another persons whim.