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Mainstream Media Ignores the Elephant in the Room Again

January 13, 2014 by Honey Leveen Leave a Comment

Retiree BoomI was momentarily excited when I read the following headline, “The World Braces for Retirement Crisis” on an AP article published December 30, 2013. I optimistically expected a story that would at the very least mention the possibility that catastrophic medical and long-term care costs would be part of the coming retirement crisis. No such luck.

Once again, I was disappointed (but not entirely surprised). The article only reported on shrinking, no longer existing retirement and pension plans that will force people to have to work longer. It didn’t make even a tiny, tangential connection between shrinking pensions, longer work lives, and how much these factors will exacerbate the existing high odds and costs of needing long-term care.

As I have reported in this blog time and time again, mainstream media usually fails to address this 5,000 pound elephant in the room: the impending Silver Tsunami of Baby Boomers in first-world countries throughout the globe, who will have long-term care expenses that they are pitifully unprepared for (see the italicized footnote below).

It’s very frustrating. The public tries at every opportunity to deny the compelling, high odds they might need long-term care. Mainstream media too often aids and abets these efforts, as this article does.

 “Congressional Budget Office, 11/07   [https://www.cbo.gov/sites/default/files/11-13-lt-health.pdf]  *Total spending on health care would rise from 16% of gross domestic product today to consume nearly half of the GDP in 75 years.   * Federal spending on Medicare and Medicaid would rise from 4% of GDP today to 19% in 2082.   This new study shows significantly higher federal spending on Medicare and Medicaid under current law than other official projections do, which typically assume that spending grows much more slowly in the future than it has in the past. Although projections by CBO and by the Medicare trustees track each other relatively closely for the next two or three decades, by the end of 75 years, Medicare spending under CBO’s projections is about 50% higher. The study concludes that, without changes in federal law, federal spending on Medicare and Medicaid is on a path that cannot be sustained.”  Source:  Galen Institute, “Health Policy Matters” e-newsletter (11/16/7).  Find in sources at:  CBO on Health Spending Outlook 1107. URL: https://www.cbo.gov/sites/default/files/11-13-lt-health.pdf

Filed Under: Associated Press, Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: Associated Press, Congressional Budget Office, Honey Leveen, long-term care, Silver Tsu, www.honeyleveen.com

Veterans’ Admin Helps Pay for LTC

January 3, 2014 by Honey Leveen Leave a Comment

WW2 VeteranA December 23, 2013 New York Times article titled, “Winning Veterans’ Trust, and Profiting From It” describes a program that’s a darling to many trade contacts I have here in Houston in the long-term care industry because it helps fill vacant assisted-living apartments and nursing-home beds.

The program pays benefits that may be worth more than $20K/year per person from the Veterans Administration Aid and Attendance program. To qualify, you must have a low income, you or your spouse must be a World War II veteran, and there must be a need for long-term care.

One’s income may be naturally low, or made “artificially” low. I know a colleague who helps people qualify for this Veterans’ program. He works for one of the companies mentioned in the article. He makes most of his living offering free assistance with the VA Aid and Attendance program application process.  To get applicants’ incomes low enough to qualify for the program, he can sell annuities that are exempt from inclusion in the qualification process, thereby enabling his client to qualify for VA Aid and Attendance benefits.

Quoting from the article, “For the advisers and retirement homes, the attractions are clear. The V.A. program paid $5.1 billion to 514,000 veterans or their survivors this year, up from $3.4 billion in 2007, according to the Department of Veterans Affairs. The number of veterans or their spouses receiving the aid and attendance benefits, the stipend for assisted living, has surged by 30 percent — leaping to 206,000 in 2012, from 158,000 in 2006.”

According to the article, qualifying for the VA Aid and Attendance program is not very difficult. Checking and monitoring for appropriate applications is lax (in other words, the VA is understaffed; we already knew this).

This is another example of bureaucratic ineptitude and economically unsustainable legalized theft.

It’s unwise to expect our government to be able to pay for your long-term care.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC, New York Times Tagged With: Honey Leveen, New York Times, VA, VA Aid and Attendance Program, Veterans Administration, www.honeyleveen.com

New Study Shines Light on Family Long-Term Care Providers

December 30, 2013 by Honey Leveen Leave a Comment

Family CaregivingA 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. The findings are alarming. They show that despite their 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.

An earlier report by the same authors found that nearly half of family caregivers (working and non-working, combined) nationally performed such medical and nursing tasks. This new report shows that family caregivers who also work, perform medical/nursing tasks at about the same rate non-working family caregivers do.

These findings surprised the researchers, who expected more of a difference between the extent to which employed and not-employed caregivers perform medical/nursing tasks.

The report also examines the characteristics and stress levels of working versus unemployed family caregivers. No surprise here: employed caregivers have more stress.

Much of the stress family caregivers face would be alleviated with the presence of long-term care insurance.

Filed Under: Denial, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: AARP Public Policy Institute, Honey Leveen, Long Term Care insurance, LTC Insurance, LTCi, United Hospital Fund, www.honeyleveen.com

New Studies Measure State Long-Term Care Vulnerability

December 23, 2013 by Honey Leveen Leave a Comment

Steve MosesCould it be that after decades of steadfast battle to be heard, Steve Moses, President of the Center for Long-Term Care Reform, is finally being listened to and sought after? Glory be!

I guess the timing is finally right. Governments on state and national levels realize how rapidly time is running out before the predominantly government-paid system of long-term care (LTC) we’ve complacently become accustomed to, implodes.

The Center for Long-Term Care Reform, which Steve runs, has been recently commissioned by GA, VA and NJ to study and produce indexes that measure long-term care vulnerability. If people will stop, look, and digest the results, they are terrifying.

The great thing about the recently published GA and VA studies and the indexes of long-term care vulnerability they produced, is that legislators and policymakers (and anyone else interested) now have analytical tools that will help assess and quantify the future sustainability of their state’s long-term care service delivery and financing system.

Here’s a link to the GA Study: http://www.georgiapolicy.org/ftp_files/IndexofLong-TermCareVulnerability.pdf. The index of long-term care vulnerability is found on pages 27-28.

More information about the studies and about the Center for Long-Term Care Reform may be found at: www.centerltc.com.

Filed Under: Helpful Information About LTC, Information About LTC, Medicaid Planning Tagged With: Center for Long-Term Care Reform, Honey Leveen, LTC Insurance, Medicaid, Medicare, Steve Moses

Studies Explain Why Americans Won’t Plan for Their Long-Term Care

December 23, 2013 by Honey Leveen Leave a Comment

Long Term CareMy prior blog describes two recently published studies, commissioned from the Center for Long-Term Care Reform. For those of us who study long-term care financing, the studies are quite frightening. They quantify how economically vulnerable states are for long-term care (LTC) expenses. The studies were for GA and VA, and a forthcoming study will examine NJ. More information on these studies may be found at the Center for Long-Term Care Reform.

An op-ed piece for the Columbia County News-Times, by Steve Moses, president of the Center for Long-Term Care Reform, was published on December 11, 2013. In his piece, Steve describes how easy it is for a citizen with business savvy and means to get the government, through Medicaid, to pay for their long-term care. Even though publicly funded long-term care is of inferior quality, it is “free”, or rather, it is free only at the expense of taxpayers, while the citizen often preserves much of their wealth though clever legal strategies.

The fact that it is fairly easy to get the government to pay for long-term care anesthetizes the public and prevents it from responsibly planning for long-term care in advance, with long-term care insurance (LTCi). But the gimmicks for free LTC will certainly backfire as more states confront the dilemma of greater demand for Medicaid funds than they can possibly meet, and when the seniors who manage to get into Medicaid nursing homes become aware of the miserable environment in which they will spend the rest of their lives. In stark contrast, someone who needs LTC and owns LTCi will have many more options and access higher caliber care. Studies show LTCi owners also access care sooner, and with less panic and emergency than Medicaid (Welfare) recipients.

Here’s a link to the study done for Georgia: www.georgiapolicy.org/ftp_files/IndexofLong-TermCareVulnerability.pdf.

Filed Under: Denial, Helpful Information About LTC, Information About LTC Tagged With: Center for Long-Term Care Reform, Honey Leveen, LTC Insurance, LTCi, Medicaid, Steve Moses, www.honeyleveen.com

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