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Promises That Can Bend Without Breaking

May 27, 2014 by Honey Leveen Leave a Comment

Bending Without BreakingPromises That Can Bend Without Breaking is the title of a Modern Love column in the New York Times. I am a faithful reader of Modern Love. Each column features the most intimate, interesting, and unusual aspects of loving relationships.

This column features a couple, married 28 years, who live in an assisted living facility. They are only 49 and 50 years old. He is perfectly healthy, but his wife is suffering from dementia that is comparable to mid-stage Alzheimer’s disease.

As odd and unusual as it is to see people this young living in an assisted living facility, this is the right solution for them. With this arrangement the husband can be with his wife and safely continue his full-time job.

The column reads like an obituary of sorts, and that’s what it essentially is. The couple had a wonderful, joyous, interesting marriage for most of their 28 years together until the wife’s health issues occurred about six years ago.

Because they have the income (he is still working) I must guess they can afford assisted living, which normally runs $4,500 – $6,000 per month. (Here is Genworth’s current Cost of Care Survey.) I am nearly certain she does not own long-term care insurance.

The author talks about the marriage commitment, “until death does us part.” No doubt this commitment is much easier for this couple to uphold because sufficient money is available.

This column also illustrates the fallacy of a common objection to long-term care insurance (LTCi) purchase: “I’m too young; I’ll wait to purchase LTCi.” Sadly, at age 43, the wife in this story became uninsurable. Then she began to need the care LTCi would have paid for.

People who are insightful and mature enough to purchase LTCi in their 30’s and 40’s save a lot of money on their LTCi by capturing much lower premiums.  They also lock in their policies when they are still insurable, so they don’t have to deal with unexpected tragedies without the resources of an LTCi policy.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, long-term care, LTCi, Modern Love, New York Times, NY Times, Robert St. Amant, www.honeyleveen.com

Why Staff (Is All That) Matters in Choosing a Nursing Home (Not!)

May 14, 2014 by Honey Leveen Leave a Comment

Nursing Home CareIn all of my 23 years specializing exclusively in long-term care insurance (LTCi), the Houston Chronicle has done scant reporting on LTCi and long-term care planning. They’ve done a story on how to financially plan for aging and left out mentioning LTCi altogether. On the rare occasion they’ve made mention of LTCi they’ve gotten vital facts wrong.

In a city as large as ours, I’m very embarrassed about the Houston Chronicle’s dearth of coverage of LTCi, a subject that would help its readers. I believe New York, Washington, DC, Chicago, and many smaller cities than Houston, have had good coverage of LTCi lately. Houston still hasn’t.

In her recent Houston Chronicle column, “Why Staff Matters in Choosing a Nursing Home”, reporter Cindy George advises using various online tools to help you “shop” for a facility that won’t neglect or abuse your loved one. She makes this task sound as easy as, say, researching a computer or vacation online.

If you do the proper research, her article implies, your loved one won’t be subject to neglect, abuse, or the murders or beatings that have recently occurred at two Houston nursing facilities. Or maybe your loved one will be subject to just some abuse and neglect, but not beatings or murders? To accomplish this just use the tools she provides; it’s that easy.

Here’s what I wrote to her on my Facebook page:

“Cindy George of the Houston Chronicle, I know you’re trying to help by offering advice on how to choose a functional nursing home, in light of the recent nursing home violence we’ve had in Houston. Your advice may make readers feel good in the short term by giving them the impression there are decent odds they might have any control over the quality of their care if they cannot afford to pay for it. I would like to help add depth to your reporting and hope you will accept my invite to lunch or coffee.”

The problem with stories like “Why Staff Matters in Choosing a Nursing Home” is that it lulls people into believing doing correct facility research and shopping is all they’ll need to access quality long-term care. Responsible long-term care planning is not necessary. The government is there and will be there to pay for quality long-term care.

Search on this blog for “Nursing Homes” to learn a lot about why the government can’t – and won’t – pay for meaningful, adequate long-term care.

Government financing for long-term care is decreasing. Nursing home failures, neglect, abuse, tragedies, are increasing.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Cindy George, Honey Leveen, Houston Chronicle, Lexington Place, Medicaid, Medicare, Nursing Homes, SNF, www.honeyleveen.com

“Police Say Nursing Home Resident Killed 2 With Arm of Wheelchair”

April 26, 2014 by Honey Leveen Leave a Comment

Wheel ChairThe breaking news that immediately seized my eye on the front page of the April 23, 2014 Houston Chronicle was,  “Police say nursing home resident killed 2 with arm of wheelchair.”

The murders took place at Lexington Place nursing facility.

This is an article I wrote about Lexington Place. I’ve been there a few times and have toured it. The article was published in an insurance trade magazine in August, 2011.

What’s interesting is that hardly anyone ever comments on my blogs or online articles. This had been the case with all the articles I wrote for this magazine, except for this one, which described a few aspects of life inside Lexington Place. This particular article motivated many peers from all over the country to comment, all in positive ways. They all thanked me for telling the story straight.

According to my source, almost all of Lexington Place’s residents were/are Medicaid recipients. That means that Lexington Place was/is in a particularly precarious situation. Medicaid reimburses at rates that are beneath what it actually costs to provide care for nursing home patients.

If you search this website for “nursing homes”, you’ll find much factual information on why nursing homes are suffering. Essentially, most Medicaid-funded nursing facilities are the red and continue to suffer funding cuts.

Here, I opine: there is something about money being in short supply that causes businesses to panic. Then fear sets in. Then dysfunctional management occurs. This is what I believe occurred at Lexington Place.

I believe Lexington Place admitted people it probably shouldn’t have, in hopes of keeping its census high. If funding gets cut, a volume approach is often the remedy, whether this makes sense in the big picture, or not.

I believe, based on information I was given by a trustworthy former employee there, that Lexington Place is also woefully understaffed. That is what I was told, that’s what I reported in my August, 2011 story.

My question remains: if people complained about the murderer’s violent tendencies, why was his behavior not dealt with in a more reasonable manner?

The murderer bludgeoned his victims with the arm of a wheelchair. I presume the deaths were not sudden, but rather, drawn out in a process involving screaming, for quite a while. Where were the caregivers?

I think the answer to the above question must be screaming similar to that of the murder victims is a normal occurrence at Lexington Place.

 

Filed Under: Elephant in the Room, Information About LTC, Medicaid Planning Tagged With: Honey Leveen, Houston Chronicle, Lexington Place Nursing Facility, Medicaid, Nursing home, www.honeyleveen.com, www.lifehealthpro.com

Long-Term Care Insurance is Good for America!

April 9, 2014 by Honey Leveen Leave a Comment

AmericaI want to share part of a powerful address that Tom McInerney delivered at the recent Society of Actuaries Long-Term Care Conference. His talk had great impact on me.

Mr. McInerney is the CEO of Genworth Financial, a leader in the long-term care insurance (LTCi) marketplace. He stated the federal government faces at least $40-70 trillion in entitlement liabilities (Medicare, Social Security and Medicaid). A 2009 GAO Report supports a $45 trillion number. A more recent Heritage Foundation report estimates $45 trillion for Social Security and Medicare alone. All three of these programs are “Pay-As-You-Go”, which means they need to be paid for through current payroll or income taxes.

Our current federal tax revenues are $2.7T per year (see CBO Report FY 2013 estimate). If you add $40 – 70 trillion of entitlement to our existing $17 trillion deficit, even a doubling of taxes, which would further slow our economy, wouldn’t put much of a dent on the public sector’s true liabilities of $60 – 80 trillion! To add to this dilemma, we currently have a ratio of fewer than three workers per retiree supporting Social Security. According to the Social Security Administration, this ratio gets worse every day.

Let me add that our legislators know that Medicare, Social Security, and Medicaid need reform urgently. But for their own reasons, neither party will broach this subject. I have blogged about this here and here. With each passing day, the entitlement crisis grows worse, and Mr. McInerney states that counseling that we should rely exclusively on a taxpayer-funded solution to pay for long-term care in the US is irresponsible. I don’t think it’s irresponsible. I think it is off-the-deep end unrealistic and irrational to believe publicly paid long-term care is possible! Yet such irrational, “feel good” solutions seem to prevail.

Here’s a blog that gives an example of the prevalence of such irrational points of view. It’s called “Reaming Diane Rehm“. During her show on long-term care, Diane Rehm paid most of her attention to a supporter of government paid long-term care. She did not have a single representative of the insurance industry on this show, yet plenty of time was spent smashing and bashing LTCi. I pointed out some of the many false and irrational statements made on this show in a professionally written letter I sent to Diane Rehm by surface mail and email; I never even got an acknowledgement from her or her staff.

Meanwhile, Americans haven’t saved enough to cover their long-term care costs. The private long-term care insurance market can’t cover everybody, but it can cover some of us. The more LTCi policies issued, the less pressure on Medicaid budgets and other entitlement spending in the future.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Congressional Budget Office, Diane Rehm, Diane Rehm Show, Genworth Financial, Heritage Foundation, Honey Leveen, Medicaid, Medicare, Social Security, Society of Actuaries, Tom McInerney, www.honeyleveen.com

It is Proven That Not Planning for Long-Term Care Ahead of Time Can Cause Harm to Those You Love

April 1, 2014 by Honey Leveen Leave a Comment

Caregiving Hard On CaregiverDon’t say I didn’t warn you about the hazards of not planning responsibly for your long-term care (LTC).

Unpaid care, normally provided by family and friends, is not calculated into the Gross Domestic Product (GDP), but if was, it would represent a significant percentage of the GDP.

According to www.longlivetexans.com/index.php/site/facts-figures, TX ranks number two nationally in the amount of uncompensated care provided by caregivers. We also have a very high incidence of Alzheimer’s Disease.

It’s unpaid care that can kill. Much, if not most care in the US is provided by family and friends on an unpaid basis and often at huge physical, emotional, and financial sacrifice to the amateur caregivers.

A new study by the AARP Public Policy Institute and the United Hospital Fund reports on just how much care, and what type of care employed family members (unpaid caregivers) provide. Here’s the link to the study. The findings are alarming. Despite workplace obligations, nearly half of all employed family caregivers perform many of the tasks we normally associated with licensed health care professionals, including a range of medical/nursing tasks, such as medication management, wound care, using meters and monitors, and more.

This report also describes the characteristics and stress levels of working versus unemployed family caregiver. No surprise: employed caregivers suffer more stress.

People who own long-term care insurance and need long-term care create less stressful, more dignified, considerate outcomes for themselves and those they love. They have more long-term care options to choose from. Watch some of the videos here to learn why.

I will never understand why well educated people, with successful careers and decent incomes, who can afford reasonably priced long-term care insurance, often go out of their way to avoid having even a preliminary conversation about responsible long-term care planning with me.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: AARP TX Public Policy Institute, Alzheimers Disease, Honey Leveen, United Hospital Fund, www.honeyleveen.com

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Open Quotation Mark"Honey - Whenever I need a clarification regarding our “LTC” you are “Johnny on the spot” responding in a very prompt manner, reassuring me, informing me in a concise way, patient with me as I massage the understanding in my own words. Your knowledge is current and expressed with confidence, offered in your conscientious and upbeat personality. Quotation Mark ClosedIt is a pleasure to work with you. Thank you for your expertise." ~ Nancy Damon, Houston, TX
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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
404 Royal Bonnet
Ft. Myers, FL 33908

Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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