Grandparents overseas

[Rockcake1]

Parents lived abroad for 20 years. Haven’t returned to visit us in 18 years. Four grandkids they hardly know. How do we help them now they need some help? We have visited them many times - much expense.

Find them some local carers?

THEY find themselves local carers.

Well yeah, I just meant of the OP wanted to offer some help.
My in laws live abroad. We love them, and are happy to spend money going to see them every year. We can’t offer any practical help/care for them though, that’s just the way it is.

You don't, because you can't. They chose to live abroad and be out of touch

OP, are you looking for advice or to vent? Because letting us know they haven't visited in 18 years has nothing to do with helping them find care in their old age.

Practically speaking, you could offer to gather some resources for them to look over and even set up some meetings with some local agencies that provide home care for your parents to attend. You aren't going to be able to do much else from thousands of miles away.

If them not having been a part of your life is an issue, I think speaking to a counsellor would be a good thing for you to explore. If you want to help your parents, being resentful or angry (which it sounds like you are) about the past is only going to be a barrier. You might have to learn how to emotional disconnect in order to help them and protect yourself.