Very interesting , thanks all ..
How is en elder qualified to give advice , to maybe someone who is fading, not attending meetings ?
He may not be. It is luck of the draw. Elders are poorly trained for their job and there is little standardization of care, as well as little consequence from above no matter what they say or do to the lowly ones in their care.
It is a poorly managed system that escapes normal societal controls such as training and licensure etc because it is a "religion".