Even if it is I think the relevant question here is more: does an elderly person on social security, pension, and medicaide have a greater aggregate cost to federal, state, and local governments in Berlin or in Stravadova (I'm not sure if I got that right)?
It'd be interesting to see if perhaps it's better for the feds if they're in rural towns but not the states.
In Albany, NY where I'm from I used to live right near a major hospital and college Albany Medical Center. And there were helicopters flying to it three or four times a day. I'm sure some of those helicopter rides out to taxi those requiring medical assistance are being borne by tax payers. It's a pretty complex question to wrap your head around when there are so many variables. Does an elderly person living in NYC produce a small drag on the economy because they're not contributing as much as the average young professional and increase the cost of rent for those people?
