The Logbook · Insights

Field notes from 36,000 feet.

Perspective on the serious illness, palliative, and caregiving market: who buys, how policy moves, and what it takes to cross the Atlantic with your story intact.

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Featured · Transatlantic 5 min read5 Nov 2026

Navarra wants to make palliative care a right. US states should be watching.

On November 4, Navarra published a draft law making palliative care a legal right, funded by the regional government and evaluated by an independent observatory. The same day, CMS finalized palliative care coverage under Medicare home health. Here's what Navarra and US state Medicaid programs can learn from each other.

Luke C. Scuitto Luke C. ScuittoFounder · Seat 1A
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Map of Spain with the region of Navarra highlighted in the north, on the French border, and a route from Barcelona to Pamplona
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42.82° N · 1.65° W
Where is Navarra? One of Spain’s 17 regions, on the French border. Capital Pamplona. About 680,000 people, close to the population of Vermont.
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On the Radar · Curated from the field

What we're reading at altitude.

The policy moves, market data, and ecosystem news worth your attention across US and European agetech, caregiving, and serious illness care. Each comes with a one line read on why it matters.

At a glance·Altimeter As of 19 Oct 2026
Agetech market $286B Global, 2026. About 10% a year real growth to 2031. SilverEconomy.com ↗
Unpaid caregiving $1.01T Given by 63M US family caregivers, more than all of Medicaid spends. AARP ↗
Caregivers overwhelmed 77% Feel financially stretched. 57% have cut work hours. Aeroflow, Oct 2026 ↗
Agetech equity · Q1 $89M 6 rounds, down from $318M across 17 a year earlier. Tracxn ↗
Agetech VC by country · 10 yrsTracxn ↗
United States $5.31B
United Kingdom $1.6B
Australia $498M
Germany $252M
France $245M
Spain $6.7M
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The need keeps growing. The money is getting pickier.

Over half of agetech venture money has gone to US companies, and Spain has raised under $7M in ten years. For European teams, that gap is the case for coming to the US with a clear buyer and real outcomes.

Who already paysSee the full funding map → GUIDE Dementia Model+$2,625/yr respiteCaregiver training codesBillable since 2024Family Caregiver Support$209M · FY2026WA CaresUp to $36,500/person
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