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  #36  
Old 01-03-2008, 05:21 PM
Ron Peterson
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Default Re: long term health care plans

On Dec 21 2007, 6:02*pm, sandybeth <sandy...[at]yahoo.com> wrote:

- quote -

> ... *We presently
> have a huge dilemma with mother-in-law who is age 91 and needing LTC.
> 6 of us so are currently sharing her caretaking. *Live-in help costs
> anywhere from $400/week to $2000 a week here in lower Michigan, so we
> are trying to decide what to do. *Mother-in-law has enough money to
> pay for 2 years at $1000/week. *Her SS money is pretty much used up by
> house bills & medical co-pays.


You might consider her getting an immediate annuity. $100,000 should
buy an $1,615 / month policy.

--
Ron

  #35  
Old 01-02-2008, 11:18 PM
Chris Cowles
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Default Re: long term health care plans

"Thumper" <jaylsmith[at]comcast.net> wrote in message
news:jojqm3ld5643ogheb44vmalcm8hrt5a9lk[at]4ax.com...
- quote -

> Correct. In my case my wife is 17 years younger than I and I don't
> wish to use all our assets on nursing home care. One important
> thing
> to me is though, the possibility of avoiding a nursing home
> altogether
> using the home health care provisions of my plan.
> Thumper


My mom has a State Farm LTC policy that forgives the annual premium if
she's in a residential care situation. While receiving home care she
has to pay the premium and the 20% deductible.

We worked out a budget showing that her present lifestyle is
sustainable essentially permanently if she moves into assisted living.
In addition to not paying for the policy, expenses related to her
condo disappear in that case. The policy pays for the duration of her
lifetime. Should her personal assets be exhausted my brother and I can
bear the expense remaining after the LTC reimbursement and her SSI
benefit.

She's already picked one (Coral Oaks in Palm Harbor, FL) and is on the
waiting list. It's quite nice.
--
Chris Cowles
Gainesville, FL

  #34  
Old 12-23-2007, 11:55 PM
Don
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Default Re: long term health care plans

On Sun, 23 Dec 2007 15:55:32 -0800, Elizabeth Richardson wrote
(in article <rzCbj.309761$kj1.90803[at]bgtnsc04-news.ops.worldnet.att.net> ):

- quote -

> You've questioned the continuity of mutual funds twice in this thread. What
> form of investment vehicle do you anticipate will replace them?


I am not predicting they will go out of business, just saying this
possibility should be considered along with other unlikely events. Back in
the late 1970's and early1980's nobody really believed Savings and Loan
Associations would go out of business.

  #33  
Old 12-23-2007, 10:55 PM
Elizabeth Richardson
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Default Re: long term health care plans


"Don" <dwzimm[at]telus.net> wrote in message
news:0001HW.C394310C02C472F0B01AD9AF[at]news.telus.net...

- quote -

> What if mutual funds become a thing of the past? Some of
> these unlikely events actually may be more likely than having a stroke.


You've questioned the continuity of mutual funds twice in this thread. What
form of investment vehicle do you anticipate will replace them?

Elizabeth Richardson

  #32  
Old 12-23-2007, 10:37 PM
Don
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Default Re: long term health care plans

On Sun, 23 Dec 2007 09:31:15 -0800, Thumper wrote
(in article <qpvsm390ua318ls5eh6alalv8prkeu0p25[at]4ax.com> ):

- quote -

> What if I have a stroke next year?
> Thumper


I would look at a lot of "What If's" in addition to that one. What if there
is a major recession and recessions begin to get worse every 5 years? What if
all the banks fail? What if mutual funds become a thing of the past? Some of
these unlikely events actually may be more likely than having a stroke. All
are relevant to planning your finances.

  #31  
Old 12-23-2007, 08:51 PM
Don
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Default Re: long term health care plans

On Sun, 23 Dec 2007 12:29:43 -0800, Will Trice wrote
(in article <476EC518.8030707[at]notmonitored.com> ):

- quote -

> Why is the belief that one should not invest/insure with the hope that
> government medical programs will expand significantly in the near future
> a personal prejudice, when the opposite is not?


It is only an issue if either of the two beliefs prevents one from
considering all the alternatives. I think it is fair to say that people in
finance (and business generally), including financial planners, tend to be
conservative and to look to the tried and true ways of the past for guidance.
But in historical periods of rapid change this mind-set can be a
disadvantage. Probably "liberals" are more attuned to the possibility that
government sponsored health plans are on the way and to other major changes
to come, and this flexibility may be an advantage in financial decision
making. But I agree with what you say about the uncertainty of the future.

  #30  
Old 12-23-2007, 07:29 PM
Will Trice
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Default Re: long term health care plans



Don wrote:
- quote -

> My objection is mainly
> to someone who allows personal prejudices to interfere with flexibility in
> decision making.


Why is the belief that one should not invest/insure with the hope that
government medical programs will expand significantly in the near future
a personal prejudice, when the opposite is not?

Every planner brings opinions at this level to the table. Consumers are
free to take advice or not, and to work with planners whose advice makes
sense on the consumers' individual level. For me, a planner who plans
based on hope rather than on rational thought strikes me as worse than
useless.

Don't get me wrong, I'm not calling you irrational. We could very well
have a health system like Canada's sometime in the future (though I
personally doubt it for the near term). But to properly take into
account the existence of this hypothetical health system within your
financial plan, you must be able to make an educated guess as to the
magnitude and timing of the benefits you will receive, or could receive.
I don't think any reliable data exists with which to make this kind of
extrapolation. Of course, if real government programs start to make
headway, then financial course corrections may become wise. It's not
like one of these plans will happen overnight. Until then, I will plan
as if your hypothetical health system will not be available to me, and
then I'll be pleasantly surprised if it is.

-Will

william dot trice at ngc dot com

  #29  
Old 12-23-2007, 04:39 PM
Don
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Posts: n/a
Default Re: long term health care plans

On Sun, 23 Dec 2007 07:54:51 -0800, Will Trice wrote
(in article <476E84A3.4060302[at]notmonitored.com> ):

- quote -

> OK, under these conditions, what advice would your hypothetical planner
> give?
> "You can cut back on your savings because I hope that you'll have
> expanded government-funded health benefits, including long term care,
> when you retire."


No, I only suggested that less might be put into LTC insurance and
relatively more into equities. Don't cut back on savings but maybe spread it
around in different ways. I would say figure out the absolute most you can
save in a month, and then save 10 percent more than that.

Agreed that a responsible planner will consider all possibilities. Nobody can
predict exactly what is going to happen in the future. It would be foolish to
invest based on the assumption that in the future the operation of financial
markets and the choices available to an investor are always going to be same
as they are now or have been for the last fifty years. My objection is mainly
to someone who allows personal prejudices to interfere with flexibility in
decision making. If I were a young person seeking financial advice, I would
not want that advice from someone who blindly assumes that "government health
plans will never come," or that "folks will never allow taxes to increase,"
or "mutual funds are always the best long-term investment." Most especially I
would not want advice from someone whose vision is limited to one company's
offerings of mutual funds. It is an axiom that past performance does not
guarantee future results. Similar reasoning should extend also to asset
classes, political decisions, taxation matters, and so on.

  #28  
Old 12-23-2007, 04:31 PM
Thumper
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Default Re: long term health care plans

On Sat, 22 Dec 2007 20:33:54 -0600, Don <dwzimm[at]telus.net> wrote:

- quote -

> On Sat, 22 Dec 2007 13:17:41 -0800, Will Trice wrote
> (in article <476D7EE1.8080004[at]notmonitored.com> ):
> > I would hazard that most financial planners would not give advice based
> > on "hopes" for the future. And hopes that the government will expand
> > current federal medical programs in the near future may be unfounded.
> > Programs such as Medicare are getting into trouble financially. Given
> > the American distaste for taxation (not that anyone really likes to be
> > taxed), paying for current levels of service, let alone additional
> > services, will be troublesome.

> Your prediction might be reasonable if only Canada and perhaps two or three
> other industrialized nations had national health plans while most European
> nations had US type systems. But the reality is that the USA is an oddity, a
> rich nation with inadequate medical care for large numbers of its citizens.
> Under these conditions, an astute financial planner could be expected to be
> aware that government health insurance is very likely on the way. I would say
> it is inevitable. I should thinkl this possibility would have important
> financial implications and would influence decision making about investments.
> It should especially concern knowledgeable planners reputed to be aware of
> the long term and not just what is happening in the market today or what was
> good last year.


What if I have a stroke next year?
Thumper

  #27  
Old 12-23-2007, 02:54 PM
Will Trice
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Posts: n/a
Default Re: long term health care plans



Don wrote:

- quote -

> Under these conditions, an astute financial planner could be expected to be
> aware that government health insurance is very likely on the way. I would say
> it is inevitable. I should thinkl this possibility would have important
> financial implications and would influence decision making about investments.
> It should especially concern knowledgeable planners reputed to be aware of
> the long term and not just what is happening in the market today or what was
> good last year.


OK, under these conditions, what advice would your hypothetical planner
give?

"You can cut back on your savings because I hope that you'll have
expanded government-funded health benefits, including long term care,
when you retire."

"Now that you're retired, you can invest more aggressively because I
hope that you won't need your cash for health care expenses due to
expanded government programs."

etc.

Perhaps our resident planners can chime in, but these don't seem like
sound strategies for an uncertain future. How uncertain? Well, how
long has the U.S. been in the medical situation you perceive? So even
if you're correct and our situation will inevitably move towards
expanded government programs, how long will it take to get to, say,
Canada's level? I would think that as part of a sound financial plan,
you would plan for the contingency that these programs will not be in
place in time for your use, even if you firmly believe they will come
about eventually.

-Will

william dot trice at ngc dot com

  #26  
Old 12-23-2007, 01:33 AM
Don
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Posts: n/a
Default Re: long term health care plans

On Sat, 22 Dec 2007 13:17:41 -0800, Will Trice wrote
(in article <476D7EE1.8080004[at]notmonitored.com> ):

- quote -

> I would hazard that most financial planners would not give advice based
> on "hopes" for the future. And hopes that the government will expand
> current federal medical programs in the near future may be unfounded.
> Programs such as Medicare are getting into trouble financially. Given
> the American distaste for taxation (not that anyone really likes to be
> taxed), paying for current levels of service, let alone additional
> services, will be troublesome.



Your prediction might be reasonable if only Canada and perhaps two or three
other industrialized nations had national health plans while most European
nations had US type systems. But the reality is that the USA is an oddity, a
rich nation with inadequate medical care for large numbers of its citizens.
Under these conditions, an astute financial planner could be expected to be
aware that government health insurance is very likely on the way. I would say
it is inevitable. I should thinkl this possibility would have important
financial implications and would influence decision making about investments.
It should especially concern knowledgeable planners reputed to be aware of
the long term and not just what is happening in the market today or what was
good last year.

  #25  
Old 12-22-2007, 09:52 PM
Don
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Posts: n/a
Default Re: long term health care plans

On Sat, 22 Dec 2007 03:03:19 -0800, Avrum Lapin wrote
(in article <avrum223-B25E91.19093121122007[at]news.verizon.net> ):


- quote -

> The 80 plus percent of Americans with health insurance worry that any
> national health plan will leave them with lousier medical care. My
> observation of Quebec was that what you had was the equivalent of a
> government HMO with care being rationed by the fact that facilities were
> not available.


I have lived in both countries, and the vast majority of Canadians here in BC
want a government plan as it is and would never vote for a US system even as
they complain about long waiting lists in Canada. I would guess that the
Americans who worry that a national health plan would lead to lousier care
are ones who already are able to pay for excellent care. People in the US
with no health insurance at all have nothing to lose.

  #24  
Old 12-22-2007, 09:08 PM
Elle
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Default Re: long term health care plans

"Elizabeth Richardson" <erichktn[at]worldnet.att.net> wrote
snip for brevity
- quote -

> It would be far wiser, including
> financially wiser, to do the things that prevent it rather
> than doing the
> things to treat it. And yes, that includes limiting junk
> food, but it also
> includes exercise. One of the front-running presidential
> hopefuls talks
> about revamping our health care system to that of
> preventive care rather
> than disease care. He is not being laughed off the podium.


I should amend my earlier comments to note that, if some
sort of national health care reform takes place, then its
including as its main thrust a head-on, full-speed effort in
preventive medicine would give me much more hope that costs
and access (fueled by reduced demand) would improve.

Safeway grocery stores CEO Steve Burd has been leading a
movement for health care reform. By my understanding Burd is
known to be, of course, an enthusiastic capitalist and
mostly conservative. The underlying principle of his health
care movement is preventive medicine. He implemented a
preventive plan with Safeway employees, and he has the
numbers (less dollars spent on health insurance; better
overall health for employees) to prove its effect.

Wal-Mart has begun to undertake a similar effort,
emphasizing preventive medicine and giving its employees
incentives (bucks) to quit smoking, lose weight, etc. All in
the name of making a buck. But to say the least, a nice side
effect is that everyone is healthier.

Business owners coming here for advice, take note. Those
working for companies where the costs of health benefits
have been rising, urge your companies to study and implement
Safeway's model.

  #23  
Old 12-22-2007, 08:17 PM
Will Trice
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Posts: n/a
Default Re: long term health care plans



Don wrote:

- quote -

> I wonder if it might be a good idea to put just half as much into LTC
> insurance, in hopes that government assistance will pick up in years to come,
> and invest the other half into financial products with growth potential.


I would hazard that most financial planners would not give advice based
on "hopes" for the future. And hopes that the government will expand
current federal medical programs in the near future may be unfounded.
Programs such as Medicare are getting into trouble financially. Given
the American distaste for taxation (not that anyone really likes to be
taxed), paying for current levels of service, let alone additional
services, will be troublesome.

-Will

william dot trice at ngc dot com

  #22  
Old 12-22-2007, 07:42 PM
Don
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Posts: n/a
Default Re: long term health care plans

On Sat, 22 Dec 2007 12:05:44 -0800, Elizabeth Richardson wrote
(in article <b6ebj.303394$kj1.22983[at]bgtnsc04-news.ops.worldnet.att.net> ):

- quote -

> 65% of all deaths in the US (maybe worldwide, but I don't know that
> statistic) due to diabetes, heart disease and stroke are preventable. Living
> with diabetes is a very expensive. It would be far wiser, including
> financially wiser, to do the things that prevent it rather than doing the
> things to treat it. And yes, that includes limiting junk food, but it also
> includes exercise. One of the front-running presidential hopefuls talks
> about revamping our health care system to that of preventive care rather
> than disease care. He is not being laughed off the podium.


Agreed that prevention and healthful living are highly desirable and would
bring about great savings in the long run. But, still, the crux of the matter
is the lack of health care for disadvantaged people (something like 40
million people or 14% of the US population with no health care at all). And a
much larger percentage who are one serious illness away from loss of health
care and bankrluptcy. What's more, some of the same factors that are
responsible for poor insurance coverage also make it difficult for
impoverished people to get enough healthy food and exercise. If you live in
substandard housing or in the slums it is hard to go jogging after a day's
work, or do push-ups in a small living room with all the kids and cats
running around. In some places it is hard to find good food at the corner
rip-off market.

  #21  
Old 12-22-2007, 07:05 PM
Elizabeth Richardson
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Posts: n/a
Default Re: long term health care plans


"Don" <dwzimm[at]telus.net> wrote in message
news:0001HW.C3929F5A02664D5DB01AD9AF[at]news.telus.net...
- quote -

> try to convince all the
> people to do better financial planning and give up junk food. I wonder how
> many people in those countries would listen to that kind of advice and

keep a
> straight face.


65% of all deaths in the US (maybe worldwide, but I don't know that
statistic) due to diabetes, heart disease and stroke are preventable. Living
with diabetes is a very expensive. It would be far wiser, including
financially wiser, to do the things that prevent it rather than doing the
things to treat it. And yes, that includes limiting junk food, but it also
includes exercise. One of the front-running presidential hopefuls talks
about revamping our health care system to that of preventive care rather
than disease care. He is not being laughed off the podium.

Elizabeth Richardson

  #20  
Old 12-22-2007, 06:03 PM
Don
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Posts: n/a
Default Re: long term health care plans

On Sat, 22 Dec 2007 08:27:18 -0800, Elizabeth Richardson wrote
(in article <zBabj.302474$kj1.278537[at]bgtnsc04-news.ops.worldnet.att.net> ):

- quote -

> One of the main reasons seniors become impoverished is because they didn't
> do sufficient financial planning when they were younger. As to your health
> reasoning, many younger people in the US have a difficult time today with
> medical costs because they do not try to live a healthy life. This has a
> ripple effect.


Hmmm. I suppose the people and their elected officials in Canada and those
European countries never figured that out. Maybe they are taking the wrong
approach entirely. Maybe they should dismantle their government sponsored
health plans and privatize everything again and then try to convince all the
people to do better financial planning and give up junk food. I wonder how
many people in those countries would listen to that kind of advice and keep a
straight face.

  #19  
Old 12-22-2007, 05:29 PM
Thumper
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Posts: n/a
Default Re: long term health care plans

On Fri, 21 Dec 2007 20:49:16 -0600, "Elizabeth Richardson"
<erichktn[at]worldnet.att.net> wrote:

- quote -

> > > I am surprised that, In all this discussion, no one is looking at the
> > possibility that government health insurance will come about in the not

> too
> > distant future.

> Long Term Care Insurance isn't health insurance. If you need doctor's care
> or a prescription, you need other insurance. LTC is strictly for your
> physical care and well-being and covers you if you are unable to perform
> (usually) 2 or more of the activities of daily living (dressing, feeding,
> toileting, transferring, bathing, there is another one I always forget) or
> you are cognitively impaired. State governments do have programs now to care
> for you in these circumstances, but you must be impoverished. Most of us
> here are trying to avoid being impoverished.
> Elizabeth Richardson



Correct. In my case my wife is 17 years younger than I and I don't
wish to use all our assets on nursing home care. One important thing
to me is though, the possibility of avoiding a nursing home altogether
using the home health care provisions of my plan.
Thumper

  #18  
Old 12-22-2007, 05:27 PM
Thumper
Guest
 
Posts: n/a
Default Re: long term health care plans

On Sat, 22 Dec 2007 08:52:49 -0600, "Elle"
<honda.lioness[at]nospam.earthlink.net> wrote:

- quote -

> I do not have hope
> that meaningful change in the U.S. will occur before some 20
> years pass, because I think both changes to the medical
> school system (have the government mostly finance medical
> education; require more primary care physicians) and a
> cultural attitude shift (more is not better) will be
> necessary.


This is one of the major reasons for a shortage of doctors. Until
around the early eighties you could look over your doctor's shoulder
and see a whole set of US ARMY medical books. Most doctors received
their medical training through the US. Army in exchange for some
service. This has all changed now and has been "privatized."
Thumper


======================================= MODERATOR'S COMMENT:
Posters to this thread should relate comments to general financial planning.

  #17  
Old 12-22-2007, 03:27 PM
Elizabeth Richardson
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Posts: n/a
Default Re: long term health care plans


"Don" <dwzimm[at]telus.net> wrote in message
news:0001HW.C391BF980231DBCCB01AD9AF[at]news.telus.net...

- quote -

> One of main
> reasons that seniors become impoverished is that they become sick and do

not
> have enough health insurance.


One of the main reasons seniors become impoverished is because they didn't
do sufficient financial planning when they were younger. As to your health
reasoning, many younger people in the US have a difficult time today with
medical costs because they do not try to live a healthy life. This has a
ripple effect.

Elizabeth Richardson

 

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