To be fair the transaction is supposedly something like “old person has added value all their life and now receives some return on investment” but in reality the past (along with other elements of their personhood) typically just disappears once someone loses agency, unless they have a committed and devoted advocate.
Even illness or injury are enough to dehumanize someone, since they make it harder to self-advocate and the system isn’t built to advocate for you — in fact it’s often incentivized to advocate adversarially against you!
I’m saying even the inhuman transactional model at least has a concept carved out for like, long-term investment and savings. Just playing Devil’s advocate really.
Even illness or injury are enough to dehumanize someone, since they make it harder to self-advocate and the system isn’t built to advocate for you — in fact it’s often incentivized to advocate adversarially against you!