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Where do I find help for him at a reasonable price

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What does “check on” mean? And when you get there, what is worst case and best case scenario? Figure out the end game before you hop on that train, because there may be no getting off if you do.
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Yes, if sister has family, let them handle her needs. If your being asked to come out say you can't caring for brother.

I am the oldest. 7 yrs between me and next brother, 11 between me and youngest. They both have children, one a wife. There is no way at 73 I would care for them. Other options would have to be found.
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This is a lot on your shoulders! Are you big sister to your brother that you take care of? If so, if he's 81, then you're at least 82 or 83. PLEASE take care of yourself too!

Why are you the only one who can check on your sister? Is she living alone? You might need to get the local authorities involved for a wellness check if her needs are immediate.

Your brother could be place in a facility for respite care. Are you burnt out? Are you able to keep taking care of him - both safely and sanely? If not, might be time to get, at the very least, some in home care or have him go to adult day care.

Good luck.
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BigSister84, can you tell us more about your sister in Arizona? Is she still living on her own, does she have caregivers, or is she living in a senior facility? Does she have family in that area?
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