The share of elderly people in the total population is constantly growing, and aging is a process that brings with it changes in the function of age (Despot Lučanin, 2022.). In view of this, it is necessary to have an adapted overall system of social care for the elderly. Long-term care for the elderly is one of the parts of the system that makes up the whole, and it is a ubiquitous problem faced by the social systems of almost all developed countries. Not all countries have a developed system of long-term protection in the same way, and it can differ in different regions of an individual country. The aim of the paper is to analyze the features of the long-term care system for the elderly with regard to different social regimes. The paper compares the cases of Germany, the United Kingdom, Sweden and the Czech Republic as four representative social regimes. The social welfare regime in the social democratic welfare state of Sweden is oriented towards social services, while Germany, as a conservative-corporatist welfare state, has a social welfare regime based on subsidiarity. In the Czech Republic, as a post-communist country, care often remains the responsibility of the family, and the system itself is fragmented and poorly developed. The UK is a liberal type of welfare state and has a needs-based care regime. Based on the presented demographic trends and projections, it can be concluded that the mentioned countries will continue to face the demographic aging of the population in the future, and considering this trend and the changes that come with old age and the dependence on care that they can cause, it is important to adjust the system of long-term care for the elderly.