A Long-Term Care Planner's Confession

Commentary November 21, 2024 at 02:49 AM
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What You Need To Know

  • Most clients want to stay in their own homes.
  • Many will need short stays in rehab centers or nursing homes.
  • Some may need more support than the available informal caregivers can provide.
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I am a daughter whose mother needed long-term care. 

While I've spent decades in the LTCI industry, it's one thing to have intellectual knowledge about long-term care, and it's another challenge entirely to be the one responsible for ensuring your parent receives the best care possible. It was a huge reality check.

Thank goodness Mom had long-term care insurance. During the last eight years of her life, she had four nursing home stays and extensive periods of home care.

She bought her policy in 1990, and every year when the bill arrived, she'd call to ask if she should pay it. My answer was always the same: yes. She'd complain, but she agreed.

All Mom wanted was to stay at home. Her policy made that possible by paying for her care. We never had to liquidate any assets, and I could focus on supervising her care rather than providing hands-on care myself. This was especially crucial since she lived 1,000 miles away until the last year of her life, when at age 98, she finally agreed to move near me.

Even after Mom moved into independent living in a CCRC (a continuing care retirement community), we had a home health care aide see her every morning for four hours to help with bathing and other personal assistance. When she was age 99, we celebrated with a gala birthday party at the facility.

Fifty people joined us, including both her new friends and my longtime friends who knew her from her visits.

The party's theme was "Make new friends, and keep the old. Some are silver, and the others are gold." That should be familiar to any former Girl Scouts; we even used boxes of Girl Scout cookies as centerpieces.

Mom died from a fall three weeks after the party. I'm grateful we celebrated her milestone birthday then, rather than waiting for age 100.

Why This Story Matters Now

The COVID pandemic has accelerated a crucial trend: Most long-term care help is now received at home, not in nursing homes or assisted living facilities.

As the Wall Street Journal noted, "The pandemic is reshaping the way Americans care for their elderly, prompting family decisions to avoid nursing homes and keep loved ones in their own homes for rehabilitation and other care."

I share this story for two important reasons:

1. As someone who authored a scholarly whitepaper on Medicare funding's impact on long-term care, and having served as executive director of a nursing home association before entering the LTCI industry in 1990, I've seen the system from all angles.
2. My insights come not just from professional experience, but from personal challenges: first with my mother, and, more recently with my husband.

The Reality of Home Care

Yes, we all want to stay at home. But this raises critical questions:

  • Who will provide the care?
  • What if the primary caregiver (usually a daughter) works full-time or has young children?
  • How will we manage the well-documented stress of caregiving?
  • If we hire professional care, how will we pay for it?*

This is why long-term care protection is crucial: It provides the income stream needed to cover thousands of dollars in care costs.
I'm grateful my mother had this insurance. Thank goodness, my husband and I have it too. And we have already used his policy. .

Lessons Learned

One key lesson from COVID-19 is the importance of discussing care plans with our families. Long-term care insurance should be central to these discussions. Aging is inevitable, and health changes will happen. Consider these relevant quotes:

"The only person to take care of the older woman or man you will become is the young person you are today."

"It's easy to do nothing. It's the consequences of doing nothing that are hard."

One final confession: I just realized my two sons don't have information about my long-term care policy. I took care of that today. I encourage you to do the same with your family.

Credit: Monkey Business Images/Shutterstock

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