This chapter focuses on the relevant differences between the LTC regimes in Germany and the Netherlands. It analyses the emergence of transnational LTC care arrangements in both countries. A difference between the two countries is that in the Netherlands, there is a stronger reliance on formal and institutional care than in Germany, where relatively many elderly persons are cared for at home with a much higher reliance on family carers. The chapter also focuses on migrant care workers in private households with elderly people in need of care and the establishment of old-age facilities abroad that focus on the elderly from 'Western' countries. In both Germany and the Netherlands – as in other countries – LTC for the elderly is provided in the form of a mix of services offered by the state, families, the market, and civil society. However, the distribution of responsibilities and costs between, in particular, state and family differs notably.