Long-term care insurance

[Coronita]

[quote=Hobie]While I disagree in principle to offing oneself, I now have a very different perspective on quality of life issues. Maybe if explicitly discussed in a medical directive so as the fam can hope to understand the wish to avoid pain, quality of life, burden to others, etc. and better cope. Then the bitter pill may be a bit more tolarable to all.

Qualification: Between you, your fam, God, and probably your long term doctor only. No government involvement at any level.[/quote]

Well, the way I look at it, if you have really have a debilitating illness, and there’s no chance of recovering to a reasonable quality of life, there really isn’t a point. Your QOL sucks, it becomes both a financial burden and a burden on everyone else’s life. For example, late stage dementia, or terminal cancer or anything terminal for that matter. It’s painful for the individual, it heartbreaking for everyone else..

I have an advance directive, but I’m not sure how far it goes. My understanding it describes what to do in the situation an individual is an a vegetative state and on life support. It authorizes people to pull the plug. But it doesn’t apply to the situation in which you are alive and suffering.. I’m not sure if CA is a right to die state or not…

Edit: actually, since 2016, CA is a right to die state..
https://en.wikipedia.org/wiki/California_End_of_Life_Option_Act

[Hobie]

Looks like you can deduct long term insurance from a health saving account. But…..

With annual premiums north of say $4000/yr you are only allowed to use ~$780 from your HSA, which is the deductible amount. Something, but nowhere near enough to encourage this method. PIA recordkeeping too.

Or, you can itemize and claim full expense for policy outside of HSA but you will probably bump up against the 7.75% AGI cap.

Again, not favorable.

https://www.kiplinger.com/article/retirement/T036-C001-S003-health-savings-account-long-term-care-insurance.html

[FlyerInHi]

One of my aunts is 102 and still wears make up and dresses up to receive guests. She looks better than her daughter. Ask her to share photos of the past and she runs upstairs to fetch the albums.

Do you tech guys not believe is longevity breakthroughs to come up?

[The-Shoveler]

Maybe, maybe not

Nothing is certain, nothing last forever.
(well maybe instances in spacetime)

Some get lucky some don’t, sometimes being lucky is its own curse.

All my mothers old friends are no longer alive (other than complaining about that once in a while she is mostly happy).

She may out live some of her children.

[scaredyclassic]

Wait.are my best days behind me

[The-Shoveler]

LOL I guess it depends on what it is you want IMO.

At some point you do kind of have to just go for it.

Clock is ticking.

Me I am happy about 80% of the time doing what I am doing (I guess that is enough).

I got no big plans.

[scaredyclassic]

I’m not particularly averse to dying. It’s fairly repetitive at this point, life.

My wife says I’ll feel different if I’m actually dying. But is that really the time to ask my preferences?

I’m not averse to living either, but only if I’m pretty healthy. I think my tolerance for pain, decay and difficulties is low, but, people adapt.

Still, there may yet be something worth sticking around for. I want to see where ebikes are technologically in 2025.

I want to make a few more bucks.

I’d like to got to jalama beach. I’d like to get it under control. I’d like to not care anymore

I want to want something. Or want to want to learn. I’d like to want to want to want to want to want to want to want.

I want stop wanting.

I want to be free from want ut I dont want to want it.

I’d like to see it all work out. I’d like to see it work its way in. I’d like to borrow some money. I’d like to not be wiped out.

I’d like to be supported in the lifestyle to which i have become accustomed and accosted and police blottered, farther and farther from where i started,

I dont want to be a martyr or a religious sex symbol, gimbling and gyrating all up and down the uncertain state.

I want david berman to set this post to music, but that’s not possible .

I want the silver jews renamed to “long term care insurance”, which actually isnt a bad name for a band or a self help book.

I want to rent a room at our lady of perpetual care’s house but sadly I’m stuck in mister temporary assisted living’s town.

But I’m not buying long term care insurance. I got the earthquake insurance, the dental insurance, the car insurance, the life insurance, the AAA towing insurance but i forgot I needed long term caring and now it’s too late because the cost of caring is too damn high.

Roll the die, babee. I want to go to the top of the charts. I want to shut down but I want to stay open for business. I want to slash my prices but keep adding value.

[FlyerInHi]

I have a friend who is 50yo. His wife is 21. If they stay married, she’ll take care of him I suppose.

[temeculaguy]

I notice a lot of the comments mention “I” as far as one’s wishes go. I pay the premiums because I am not going to tell my wife’s adult children that her alzheimers was too much so I decided to have her put down. I lost sleep for a month because I put a 14 year old terminally ill dog down, don’t ask me to do that to a person. We can all be brae about ourselves, but if you have a spouse, it changes the decisions making process.

[scaredyclassic]

[quote=temeculaguy]I notice a lot of the comments mention “I” as far as one’s wishes go. I pay the premiums because I am not going to tell my wife’s adult children that her alzheimers was too much so I decided to have her put down. I lost sleep for a month because I put a 14 year old terminally ill dog down, don’t ask me to do that to a person. We can all be brae about ourselves, but if you have a spouse, it changes the decisions making process.[/quote]

Ok, you sold me.

[scaredyclassic]

Ltci is terrifying, depressing and maybe a RIP off now. Put it all together and who wouldnt want to live in denial. If you’re collecting, your life realllly sucks. You’re in need of way more than some help, you’re helpless, which is frightening, like being paralyzed.

The thought of going broke spending money that yields so little pleasure. Yuck.

Maybe it’s best to be divorced and partition out assets, take a life estate in your home and feed to kids, all well in advance of your decline?

Must be planners who deal with this.

Man I hope I die. My tiny empire, crumbling to pay for help with my poop.

[The-Shoveler]

My Mother has “scan” health plan (I think there is a small extra premium for LTC) up to 6 months nursing home and in-home help.

This helped us greatly during her brief stays after some necessary surgery (still they try to throw you out the door ASAP and way before you are really ready, probably the same for any ltc insurers, if they can find a way to kick you out they will IMO).

If it becomes necessary maybe contact
https://www.nhscare.com/

Maybe this is where it pays not to have a big gov pension.

[Coronita]

[quote=scaredyclassic][quote=temeculaguy]I notice a lot of the comments mention “I” as far as one’s wishes go. I pay the premiums because I am not going to tell my wife’s adult children that her alzheimers was too much so I decided to have her put down. I lost sleep for a month because I put a 14 year old terminally ill dog down, don’t ask me to do that to a person. We can all be brae about ourselves, but if you have a spouse, it changes the decisions making process.[/quote]

Ok, you sold me.[/quote]

+1

[FlyerInHi]

[quote=scaredyclassic]

Man I hope I die. My tiny empire, crumbling to pay for help with my poop.[/quote]

I am obsessed with money not because I love money but I want to live a long time. I also want to buy longevity treatment when new discoveries are made. I doubt health insurance will pay.

[Myriad]

[quote=temeculaguy]I notice a lot of the comments mention “I” as far as one’s wishes go. I pay the premiums because I am not going to tell my wife’s adult children that her alzheimers was too much so I decided to have her put down. I lost sleep for a month because I put a 14 year old terminally ill dog down, don’t ask me to do that to a person. We can all be brae about ourselves, but if you have a spouse, it changes the decisions making process.[/quote]

I guess if you’ve never had a conversation with your parents, that’s what will happen. I’m 39 and my mom and I already agree that she would not prefer to have to sit in hospice until she dies. What’s the point of staying alive if there’s no quality of life.
I haven’t done the calculation on insurance yet, but I wonder if it’s just better to self-insure. The problem I see is whether the LTC premiums will keep rising after you get a policy and how easy it will be to get actual payments 40 years from now.

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