Elderly people living alone have no one who notices if they fall, get sick, or stop eating for 2 days

Your 78-year-old mother lives alone in her house after your father died. She falls in the bathroom at 9pm on Friday. She cannot reach her phone. Her Life Alert pendant is on the nightstand, not around her neck. Nobody visits until you call on Sunday and she does not answer. You drive over and find her on the bathroom floor, dehydrated, with a broken hip. She was on the floor for 40 hours. This is not a rare event — 36 million falls occur among older adults annually, and 3 million result in ER visits. So what? 14 million Americans over 65 live alone. Many have no daily check-in from anyone. If they stop answering the phone, nobody notices for 1-3 days. Wellness check services exist (daily phone calls for $30-60/month) but they are a single phone call — if the person does not answer, the service calls an emergency contact, who may also not be available. There is no passive monitoring system that detects abnormal patterns (no movement for 6 hours, no kitchen activity, bathroom visits at unusual times) without requiring the person to wear a device they will forget. Smart home sensors exist but setup requires technical skill that elderly people do not have, and the data goes to an app that nobody monitors. Why does this persist? The people who need this most (elderly living alone) are the least able to set it up (technology barriers). Their adult children live far away and do not have bandwidth for daily check-ins. The market solution (Life Alert, Medical Guardian) requires wearing a pendant, which 60-70% of purchasers stop wearing within 6 months. Passive monitoring (motion sensors, smart plugs) generates data but nobody has built the alert system that says 'your mother has not opened the refrigerator in 18 hours — something is wrong.'