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Give us old people a pill to take when we have had enough!
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Reply to Puma1953
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Barbaradoll Jun 2, 2024
I want one when it’s my time
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People who can afford it get the assisted living.
Those who can't, stay home now and end up in nursing home. Her income may not even be enough for NH, but state Medicaid is very likely to cover the difference.
If there's a chance of using Medicaid, keep records of expenses she pays that, don't give her home to any family member or sell below value. Don't do gifting to others. Those things create penalty periods for Medicaid to start. Medicaid looks back 5 yrs in most states.
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Reply to my2cents
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In setting out the well-known criticisms of age care in the USA, looking at it from the outside, I should have added that it is a very difficult issue and every system for dealing with it has its problems. In other countries, these include:
- Poor quality funded services.
- Not enough funded services, or none at all.
- Much lower incomes for medicos providing services.
- Much higher taxes to fund better services.

It’s always a problem, and always a balance exercise. Everyone wants high quality services ('just like a hotel'), but no-one wants high prices
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Reply to MargaretMcKen
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All of the answers here are valid. When my mother needed assisted living she was getting less than $2500 in benefits per month. She never owned a house and had few assets to downsize. She did however have seven children. Using her benefits six of us got together and paid the difference of that cost and home care until she could no longer function in assisted living and needed to move to a nursing home for long term care. It amounted to about $400/ month for each of us.

when she needed LT care, we applied for medicaid and they now pay the difference that her benefits don't pay. Her VA benefits have changed over time and been (believe it or not) decreased and because of that Medicaid has increased their contribution.
Attaining Medicaid was a long hard struggle but now that it's in place it is helping. We live in MA.

Im not sure how else to be helpful but feel free to add followup questions if we can be of help.
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Reply to Zoebyrd
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Assisted living’s current model relies on assumptions that become more untenable with each generation. Current residents grew up in a time when mom didn’t have to work outside the home for a family of four to six to have a house, two cars and a vacation to Disneyland every year.

Most ALs offer marketing promos on the value of downsizing as they assume people will bring the house. If you don’t have that, well, they just move on to the next customer.
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Reply to PeggySue2020
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