Yes, everything about it is trade-offs. And negotiating among all of us here about which benefit outweighs which disadvantage is tricky at best, partly because each of us knows a great deal of background information behind what we type on the screen, far too much to laboriously write out (for example, everyone can recognize that the story behind your elderly neighbour could be much more involved than what you said). And no matter how “absolute” we try to make certain requirements, there is almost always a good example of why they cannot be absolute. (I just thought of a no-visits restriction in a nursing home that was so tightly applied that someone’s mother ended up dying alone, even though her family kept asking for an exception.)
One of my trade-offs is I have no car and therefore no trunk to load things into, so I need to modify many recommendations in order to make them sensible for my situation.