- Sep 26, 2000
- 28,561
- 4
- 0
There is a difference between Medicare and Medicaid.
Medicare doesn't pay for long term nursing care.
Medicaid does.
In order to qualify for Medicaid assistance you must not have any money. However, in order to allow people with houses to use Medicaid for long term nursing care AND still have their house to go back to if they recover enough, Medicaid lets you keep your house and still get the nursing care paid for.
The change is that now after the person dies, Medicaid wants the money that they COULD have demanded if you had not recieved the waiver to keep your house, since now you are dead and no longer need it.
umm the family doesn't have to pay any costs. The elder's assets are used up and then the government takes over.
Makes sense to me.
Seems like people here are pissed off because they want to inherit something while others pay for their elder's care.
Screw that!
Makes sense to me.
Seems like people here are pissed off because they want to inherit something while others pay for their elder's care.
Screw that!
And what happened to the person with Alzheimer's wife(or husband)? Kids? Grand kids? Brothers and sisters?
I don't remember Nancy Reagan dumping Ronald Reagan in a nursing home.
I can never do that to my own parents, and I hope my children don't do it to me.
And like I said, focking ridiculous.
Well, Lothar, Nancy Reagan obviously didn't have any financial considerations whatsoever wrt Ronnie's care... She also had a huge ranch house, probably hired an entire staff just to care for him near the end.. in addition to the staff they probably had, anyway...
Do you have those resources? Do you think most people can afford that kind of care? Are there people who care provide care at your house 24/7/365?
My grandparents lived in an eldercare facility for several years. It was only a few blocks from where most of my family lives... They had dinner almost every sunday at my mom's place, often at my sister's place, very frequent visits from the rest of us, even those who lived out of town, and were actually better taken care of than we could have provided on our own... Even towards the end, when my grandmother had no idea where or who she was, family still brought her those extras, still visited, still loved her...
Good care is hard to get in major metro areas, easier in small to mid sized cities. Any facility that takes medicaid patients can't charge private-pay people any more than they do the govt, either, which limits options, splits the market into two very differently priced segments... Private care facilities are extremely expensive, at least 50% more, and the sky's the limit... When it became apparent to everybody, including my grandparents, that being cared for was the best choice, my mother took over their finances, liquidated the house, invested that money and their savings, used that to for their care and all the other stuff they needed... that fund shrank over the years, but they wanted for nothing, and there was still a substantial sum left when it was all over...
Sometimes, there's really no other way to go, whether we like it or not...
Do you have those resources? Do you think most people can afford that kind of care? Are there people who care provide care at your house 24/7/365?
My grandparents lived in an eldercare facility for several years. It was only a few blocks from where most of my family lives... They had dinner almost every sunday at my mom's place, often at my sister's place, very frequent visits from the rest of us, even those who lived out of town, and were actually better taken care of than we could have provided on our own... Even towards the end, when my grandmother had no idea where or who she was, family still brought her those extras, still visited, still loved her...
Good care is hard to get in major metro areas, easier in small to mid sized cities. Any facility that takes medicaid patients can't charge private-pay people any more than they do the govt, either, which limits options, splits the market into two very differently priced segments... Private care facilities are extremely expensive, at least 50% more, and the sky's the limit... When it became apparent to everybody, including my grandparents, that being cared for was the best choice, my mother took over their finances, liquidated the house, invested that money and their savings, used that to for their care and all the other stuff they needed... that fund shrank over the years, but they wanted for nothing, and there was still a substantial sum left when it was all over...
Sometimes, there's really no other way to go, whether we like it or not...
The ideal thing would be to have family members themselves providing the care.
http://en.wikipedia.org/wiki/Voluntary_caregiver
Of course if the disabled person doesn't have any spouse or has only 1 or 2 children, it will be a very hard thing to do and now that I think about it, maybe I've only been looking at it from my own prespective and came of too strong.
I know my family has enough members (both immediate and extended), so nursing home won't happen.
I've asked my mother these questions already during the Terry Schavio debacle and she told me she'd rather go to where she was born and be recieving home care from family members than end up in a nursing home; she'd rather have the plug pulled than live in a vegetative state; etc...
Maybe it's a cultural thing.
Well if you can afford the $2,800 a month you can probably afford to buy a hospital bed and a part time nurse or a nurses assistant. There are a lot of people who can have the foresight to arrange their finances better.
For instance my grandmother died in her own bed. It is a lot more humane to refuse treatment and just cut off your drugs and die a natural death. This is a lot easier to do in a home than in a state run or private facility. You see they get paid by keeping you on happy drugs and alive. They steal your dignity and deny you of any real meaningful life.
There are other ways. Old people can sell their home to their children long before they die for a substantial loss and then there is nothing left to recover, and the children can rent the home back to the parents on paper at a loss and claim the maintenance on their rental property. All it takes is a little planning to avoid the pitfalls.
The home of the elderly can also be converted to a rental property and rented out to help pay for the care of the parent. Then the property can be improved as a rental property with a business tax deduction.
Only an idiot will sit around and wait for the state to take over their property, when it can actually make money.
For instance my grandmother died in her own bed. It is a lot more humane to refuse treatment and just cut off your drugs and die a natural death. This is a lot easier to do in a home than in a state run or private facility. You see they get paid by keeping you on happy drugs and alive. They steal your dignity and deny you of any real meaningful life.
There are other ways. Old people can sell their home to their children long before they die for a substantial loss and then there is nothing left to recover, and the children can rent the home back to the parents on paper at a loss and claim the maintenance on their rental property. All it takes is a little planning to avoid the pitfalls.
The home of the elderly can also be converted to a rental property and rented out to help pay for the care of the parent. Then the property can be improved as a rental property with a business tax deduction.
Only an idiot will sit around and wait for the state to take over their property, when it can actually make money.
I work for a firm that sells Long Term Care insurance. Anyone who has parents that are getting on in life should consider looking into this coverage - it's not the cheapest to own, but it shields your parents from losing their assets to nursing homes/hospices and also guarantees a high quality of life for them when they need it most.
I don't sell the stuff, I work in IT. I do think it is a good product and if your parents/grandparents think that medicare and the 401k will save them, then they're wrong - I went through the same situation as the OP's story with my grandmother last year.
If they're relying on you to take care of them when they're senile and suffering from alzheimer's; well, have fun with that.
I don't sell the stuff, I work in IT. I do think it is a good product and if your parents/grandparents think that medicare and the 401k will save them, then they're wrong - I went through the same situation as the OP's story with my grandmother last year.
If they're relying on you to take care of them when they're senile and suffering from alzheimer's; well, have fun with that.
WhipperSnapper
Lifer
- Oct 30, 2004
- 11,442
- 32
- 91
When all of the adult children and their spouses are working full time, 5 days-a-week during the week, it might be kind of difficult to provide the needed care during workdays. Also, not everyone has the needed caregiving skills and many adult children are old themselves and might not be in proper physical condition to provide care (the 60 year old folks who would be caring for an 87 year old woman).
WhipperSnapper
Lifer
- Oct 30, 2004
- 11,442
- 32
- 91
It would be nice if voluntary, painless suicide were an available and legal option for people who no longer wish to live for whatever reason. I have a grandmother in her late 80's and she's now either completely or almost completely blind. She's very miserable and has wanted to die for years. I'd want to die too if I'd lost my eyesight. It's not that she's poor (far from it) or suffering from other medical problems; she's just miserable without her eyesight.
If I ever get Alzheimer's, I'd want to commit suicide and my wife feels the same way. I suspect that millions of Americans share similar feelings.
If it were legalized, an ugly problem would be created where older people who did not want that were pressured by the family to do it, to avoid draining the family savings.
Having it outside the list of options protects from the bad side of people coming out more.
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