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Many of Us Are Setting Ourselves Up for Undignified, Bleak Final Years

March 17, 2014 by Honey Leveen Leave a Comment

Final YearsIn my March 6, 2014 blog, I reported that TX ranks third in the country in the incidence of Alzheimer’s Disease (AD) and second in the country for number of Alzheimer’s deaths. It turns out, this could be wrong.

A provocative new study reported in the March 12, 2014 New York Times,  suggests that Alzheimer’s disease causes six times as many deaths as the official statistics would indicate!

Here’s a quote from the new study:

“Alzheimer’s disease and other dementias are under-reported on death certificates and medical records,” said study author Bryan D. James, PhD, of Rush University Medical Center in Chicago. “Death certificates often list the immediate cause of death, such as pneumonia, rather than listing dementia as an underlying cause.” James added that attempting to identify a single cause of death does not always capture the reality of the process of dying for most elderly people, as multiple health issues often contribute.”

People with AD need more expensive long-term care than anyone else. According to the American Association for Long-Term Care Insurance (www.aaltci.org), the number one reason people collect from long-term care insurance (LTCi) is due to Alzheimer’s Disease (AD). Insurance companies pay out more money on AD claims than for any other cause.

Unfortunately, most people don’t own long-term care insurance. Most people figure out how expensive, stressful, and time consuming caring for an AD patient is, the hard way.

Here’s additional news that does not bode well for most of us, who are woefully unprepared for retirement and long-term care.

It is unrealistic to expect the government to pay for long-term care. That’s the subject of a different blog.

Here’s a link to Terry Savage’s February 25, 2014 Huffington Post column describing why retirement is becoming a luxury fewer and fewer people can enjoy.

Here’s a March 12, 2014 New York Times article describing why income inequality often disables wealth transfers at death. From the article, “The top 1 percent of households owns about 35 percent of American wealth, more than the entire bottom 90 percent does.” At death, the wealth of the 1% is not trickling down to the rest of us.

Long-term care insurance (LTCi) can be reasonable in cost. To me, what’s not reasonable, is needing long-term care for anything but a short time, and not owning LTCi.

My advice is to read, heed, and be honest about your future by preparing responsibly for your long-term care.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: AALTCI, Alzheimers Disease, Huffington Post, New York Times, Terry Savage

I Predict A Bleak Future For Many Who Refuse To Face Reality Early Enough

March 6, 2014 by Honey Leveen Leave a Comment

Bleak FutureThis blog falls into the “Denial is not just a river in Egypt” category.

Thanks to Dr. Robert Roush of The Huffington Center for Aging for giving me the link to www.longlivetexans.com/index.php/site/facts-figures. All quotes in this blog come from this link.

  • “​In Texas, 340,000 individuals are now living with Alzheimer’s disease (AD) and that number is projected to increase to 470,000 by 2025.”
  • “Nationally, Texas ranks third in the number of AD cases and second in the number of AD deaths.” 

Currently, the link shows, the incidence of AD for those ages 85 and higher, is 50%.

  • “Moreover, Texas ranks second nationally in the amount of uncompensated care provided by caregivers. By year end (2012), the direct and indirect costs of AD and other dementias are projected to exceed $200 billion, nationally.”

It’s unpaid long-term 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 people and families. Unpaid care is not calculated in the Gross Domestic Product. I can find studies proving that unpaid caregivers die before the people they’re caring for with increased frequency. Unpaid caregivers also lose their health with greater frequency than the general population does.

  • “The incidence of AD is rapidly increasing.  This will have significant economic and human ramifications on our society.  While other causes of death have been declining in recent years, deaths due to AD have been rising.  Between 2000 and 2008, deaths due to heart disease, stroke, and prostate cancer declined by 13 percent, 20 percent, and 8 percent, respectively, whereas deaths attributable to AD increased by 66 percent.10″

A chart you can click on from www.longlivetexans.com/index.php/site/facts-figures is called, “Projected Changes Between 2000 and 2025 in Alzheimer’s Prevalence by State”. It indicates that between 2000 and 2025, the prevalence of AD in TX may increase by as much as 81%.

According to the American Association for Long-Term Care Insurance (AALTCI) 2012-2013 Sourcebook, Alzheimer’s Disease is the leading cause of long-term care insurance (LTCi) claims at ages 65 and higher. In addition, the AALTCI also says Alzheimer’s LTCi claims are by far the longest duration and most expensive claims paid by LTCi.

Why would anyone not want to have a level-headed conversation about the need for responsible, affordable long-term care planning way in advance of a health decline, when LTCi premiums are still reasonable? Beats me.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: AALTCI, Alzheimer's Disease International, Honey Leveen, Huffington Center for Aging, Long Term Care insurance, LTC Insurance, Robert Roush, www.aaltci.org, www.honeyleveen.com

Happy National Long-Term Care Awareness Month!

November 13, 2013 by Honey Leveen Leave a Comment

LTC Awareness Month November is Long-Term Care Awareness Month. The U.S. Congress has urged “the people of the United States to recognize (this) as an opportunity to learn more about the potential risks and costs … and the options available.” We’re proud to support this important educational campaign.

Long-Term Care Awareness Month was created by the American Association for Long-Term Care Insurance (AALTCi). It’s purpose is to encourage the public to plan for the possibility of needing long-term care well in advance of when it might be needed.

You protect against other risks like a car accident or house fire. A need for long-term care is a risk to your savings and to your retirement. It will impact your family and loved ones. Just as it is smart to plan ahead for retirement, it’s smart to plan now for long-term care.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: AALTCI, AALTCI.org, Honey Leveen, LTC Awareness Month, www.honeyleveen.com

Honey Opines on the State of the Long-Term Care Insurance Industry

April 16, 2013 by Honey Leave a Comment

LTCi State Of The Union by Honey LeveenHere’s a link to a recently published article I wrote for the April, 2013 edition of Health Insurance Underwriter Magazine.

The article is about why I am upbeat about the state of the long-term care insurance (LTCi) industry.

Although HIU is a trade magazine, this piece is a good, and brief, read for the public.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: AALTCI, Health Insurance Underwriter, HIU Magazine, Long Term Care insurance, LTCi

At End of Life, Medicare Beneficiaries Spend Thousands Out of Pocket

September 14, 2012 by Honey Leave a Comment

MedicareAt end of life, Medicare beneficiaries spend thousands out of pocket is the title of an article by Sarah Kliff, published on September 10, 2012, in the Washington Post.

This article reports on a recent study performed by Amy Kelly, a professor at Mt. Sinai School of Medicine.

“As more Baby Boomers retire,” Kelley writes, “A new generation of widows or widowers could face a sharply diminished financial future as they confront their recently-depleted nest egg following the illness and death of a spouse.”

This is because Medicare is among the fastest growing line items in the federal budget, already paying out $500 billion a year in benefits.  But Medicare does not pay for all health care expenses.

Dr. Kelly reports that a quarter of Medicare beneficiaries spend all of their wealth paying for medical and long-term care expenses during the last five years of their lives, with the average beneficiary spending $38,688.

My guess is that most of the $38,688 spending average comes from long-term care expenses, not from medical care or treatments.  In her report, Dr. Kelly mentions that dementia patients have the highest out-of-pocket expenses.  The American Association for Long-Term Care Insurance (AALTCI) concurs and has plenty of statistics proving that the longest lasting, most expensive long-term care insurance claims are from dementia patients. Medicare does a decent (but imperfect) job of paying for acute medical problems and treatments, but Medicare’s biggest shortcoming is in the area of payment for long-term care.

It is tragic to have a long decline after a long, healthy, active life. It is doubly tragic to decline and then see your money fly out the window paying for long-term care expenses. This is rarely what anybody plans to do. However, if you don’t converse about long-term car ahead of time, you are failing to plan. If you fail to plan, you plan to fail.

Filed Under: I'll Just Self-Insure, Information About LTC Tagged With: AALTCI, AALTCI.org, Amy Kelly, Baby Boomers, Honey Leveen, long-term care, LTC Insurance, MD, Medicare, Mt Sinai School of Medicine, Sarah Kliff, Wall Street Journal, Washington Post, www.honeyleveen.com

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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