@fleetwoodiv I've come to the conclusion in my mind, that we shouldn't feel bad whatever decision we have to make. We're only human, and every human and their capacity for caregiving, and accepting what is and what will be, is different. I talked with my husband about his MCI, and what if and when it progresses, and if I can't provide the level of care he will need. Sometimes doing what's right feels so wrong - especially if we have to put them in a facility to give them the socialization and/or stepped-up care they need, while making sure as a caregiver, we love and care for ourselves. I'm going to do everything in my power to take care of my husband as long as I can. But I realize if I can't any longer, I need to do what's right by both of us. I don't think you've lowered your wife's standard of living. You've just taken what was and made it a new "what is," based on your situation. Courage to make the tough decisions we have to now make, clarity to figure out what we need to do even if it doesn't feel like the right alternative, at that time, and God's light with your wife every day and with you, and all of us as caregivers, as we go through this new, and every-changing normal. Best,