Federal and state programs such as Medicare and
Medicaid were never designed to provide or pay for the chronic eldercare needs
most of us encounter eventually, if we live long enough. The assumption
underlying these programs is that they will pay for acute eldercare services
such as hospitalization and outpatient care. As our population has aged over
the past decade, payment to providers of home care and nursing home care for
those with long-term care needs has been reduced in an effort to balance the
budget.
The results of these cutbacks have been
devastating and the future of long-term eldercare services for all but the
affluent minority is bleak. The past two years alone have seen hundreds of
home care agencies shut down because of financial problems nursing home owners
have been filing for bankruptcy in alarming numbers and there is a severe
shortage of both home care and nursing home staff due to low wages. We simply
do not have the manpower available to provide the eldercare services that are
needed to today.
Nonetheless, an increasing number of
Americans will need to spend a few years in an assisted living facility or a
nursing home. Some of us will only need these acute services for a short time,
but others will need them for a decade or longer.
This section on "elder money" will focus on
a variety of financing alternatives from a financial perspective rather than a
legal or tax perspective.
Return to Elder Money Index
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