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Ric Edelman, founder of Edelman Financial Engines

Life Health > Long-Term Care Planning

A Third of Older Americans Face This Health Threat. Advisors Can Help.

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What You Need to Know

  • The statistics are alarming: One in three Americans 85 or older has Alzheimer's disease.
  • With empathy, advisors can broach this topic and help clients prepare financially and emotionally.
  • The array of strategies at advisors' disposal is vast.

In the United Kingdom, the leading cause of death since 2011 is dementia.

The statistics are alarming: One in three Americans 85 or older has Alzheimer’s disease.

For many married clients, one partner will suffer from the disease or another form of dementia while the other becomes a caregiver.

The journey from early symptoms to death spans an average of 12 years, and patients can require 24/7 care, because they often are physically fine: They remain ambulatory, can turn on a stove, drive a car, pick up a firearm.

This makes them a danger to others and also to themselves; “Wandering” is a common occurrence where patients simply walk out their front door — often necessitating the need for search and rescue teams to find them.

Thus the need for supervision, to ensure that they don’t harm themselves or others.

If you have a parent with such a brain condition, you know the financial and emotional toll. And let’s be clear: There is no reliable diagnostic tool, few treatments at huge cost and of questionable benefit, no cure and no vaccine. The illness is 100% fatal.

Fortunately, research has shown that lifestyle changes can go far in delaying the onset of symptoms and reducing their severity when present. A proper diet, no drinking or smoking, moderate exercise, ample sleep, low stress and strong relationships have proved helpful.

The key, though, is to incorporate this lifestyle as early as possible. A new study from the New England Journal of Medicine reveals that people might have Alzheimer’s 20 years before they develop symptoms. The U.K. set a goal to diagnose two-thirds of patients early, but that remains elusive.

This is why financial advisors must engage with clients on this important topic. In addition to the emotional toll, the financial burden is often devastating. Round-the-clock care can cost $150,000 per year. Spouses often find themselves forced to forgo promotions and shift to part-time work — or leave the workforce entirely — to serve as caregivers.

Children spend an average of $7,200 annually on caring for a parent.

What Advisors Can Do

An advisor is the individual best positioned to alert clients that their future is likely to involve dementia or Alzheimer’s. This can include being persuasive in helping them decide to improve their lifestyle, and to increase their savings or alter their portfolio allocation so they have a better financial defense against the costs associated with this illness.

These are difficult conversations to be sure, but they are essential. Advisors can approach the topic with empathy, sharing stories of their own families if relevant, to help them prepare — both financially and emotionally.

The array of strategies at your disposal is vast: long-term care insurance, durable medical directives and health care proxies, investment income approaches and more. This is among the best ways to provide value to clients.


Ric Edelman is an author and founder of the RIA Edelman Financial Engines. He now leads the Digital Assets Council of Financial Professionals.


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