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Dychtwald speaks out on long term care 

 
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Recently, Senior Market Advisor had the opportunity to speak with Ken Dychtwald, one of the leading experts on aging-related issues. Dychtwald sees many missed opportunities within the field of long term care.

Following are some of Dychtwald’s thoughts from that discussion.

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I’ve found three major obstacles to long term care over the years:

1. Confusion. People still don’t know what LTC is. Doesn’t Medicare cover long term care needs? A recent study of boomers showed that 54 percent of them believed that Medicare would cover LTC. It won’t.

2. Denial. People still say, “it’s not going to happen to me.” Especially if they’re 36 or even 52. But show them the actual statistics and they’ll see that the odds are that 70 percent of people over age 65 end up needing long term care. And 40 percent of LTC costs still go to cover patients aged 18-64.

3. Fear. Nobody likes to talk about getting older, but it’s a conversation you need to have. What might happen if you or a loved one required long term care. Discussions about ill health are so unsettling and that’s caused many people to avoid taking the steps to make sure they are covered.

Like any life insurance, there are pros and cons to LTC, but when you think about the costs of LTC, you also have to think, “who’s going to be changing my father’s clothes and giving my parents a bath when they’re incapable of doing so themselves?” Eighty percent of care in the US is provided by other family members; I would prefer to love my parents but have someone else oversee their daily care.

To financial planners (and most of us), most things in life are predictable. But should you need extended care, well … that’s the wild card. And I’m still dazzled by the degree to which most people are confused about LTCI. It’s not the most important part of your financial plan, but it is an essential component. And I know that many financial planners see LTC as a little niche area in their line of products; if you’re an average person in your 40s, if you’re not taking the time to learn, take action and make the moves on LTCI, you’re making a major mistake.



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    • 12/29/2009 3:13:52 PM
    • Michael W.
    • Very Good Info!!!!
    • Ken you hit the nail on the head and your point is ever so true. Most people under 50 still think that it won't happen to them and most still beleive that their family members will take care of the, especially their kids. Wrong answer! The point about financial planners who see LTCI as an added benefit to their clients portfolio are few in number, it has been my experience that most CFP's and CPA look at LTCI as a "insurance product to be sold for a commission" and that they have enough assets to take care of whatever might be needed and LTCI is not needed. As I look at it, LTCI is an "added asset" that covers the back door of a clients portfolio for the unknown factor that regardless of how big the portfolio is without LTCI it will erode very quickly with just one person needing care and twice as fast if both husband and wife need care and still maintaining a quality of life style. What we really need is a constant pounding of education to the general public to hopefully get it through to them that LTC will happen, but who know when.
    • 12/29/2009 3:37:24 PM
    • Mark John Crews
    • Confusion....
    • Ken's first point is spot. People don't know what LTC is. Long-Term care agents and LTC insurance industry personnel don't know what LTC is. Several years ago when the Intra-industry LTCi Conference was in Austin Texas I informally asked participants what percent of seniors were currently in nursing homes for LTC. No one said 3% (THE FACT). Only 2 said less than 10%. over 40 individuals said 11 - 50%. Understand, everyone there works for a LTC Insurance Company. I asked the same question last year at the Reno Conference. Same results. No one said 3%. Even though by now the Lewin Group's report on Nursing Homes had been out 3 years. 1.) MetLIFE, thru their non-profit Mature Market Institute, publishes a 'educational quide' titled "Long-Term Care Insurance:THE ESSENTIALS". here is the link:http://www.metlife.com/mmi/publications/consumer-publications/long-term-care-inurance-essentials/index.html Read page 4. They list Medicare as on of the 4 basic ways to pay for Long-Term care service. I have contacted them 4times in the last 2 years and they have ignored the facts. Maybe Ken should contact them. I challenge anyone from MetLIFE or MMI (above agent) To prove factually that Medicare pays. I'm sure Daniel Williams would be glad to run that article. 2. Georgetown University's long-Term Care Financing Project also is incorrect on their widely used fact sheet entitled NATIONAL SPENDING ON LONG-TERM CARE (updated Feb 2007). On the pie chart they INCORRECTLY label it National Spending on Long-Term Care By Payor. But the pie chart comes from the numbers on page 2 entitled National Spending for Nursing Home and Home Care. Maybe "you" (the reader) don’t see the difference (and if you don't that proves you need to be educated on LTC) Only 2 things happen in a nursing home A.) REHABILITATION - paid primarily by Medicare. THAT HAS NOTHING TO DO WITH LTC. PERIOD. B.) LTC or Custodial Care - paid primarily by Medicaid. Now to Goergetown's 'credit' they have a footnote, #3, of 170 words say that they are simply blending everything together - even though those things are not LTC. I have spoken with Ms Komisar concerning this and she said "well doesn't everybody understand that Medicare doesn't pay?" wow. 3. Here is a simple fact: Medicare states REPEATEDLY in "MEDICARE & YOU" that Medicare DOES NOT PAY of LTC Services. Check Medicare.gov where Medicare states in BOLD that they do not pay for LTC services. ZERO. NADA. NOTHING. 4. Finally, THe raw number of people in nursing home has been and will continue to decline. In the last 10 years the number has dropped from 1.6 million to 1.3 million (Levin Group) Occupancy rate have dropped from 89% to 84%. 5.) 20% of all seniors are in some level of unpaid CARE at home. People will listen. After all, thanks to MetLIFE (and others) we convinced them that Medicare pays. Think how successful we could be if we told the truth. Mark John Crews Creator of STRATEGIC C.A.R.E. PLANNING(c)
    • 2/3/2010 10:18:34 PM
    • Lois Haynes Tapner
    • LTC
    • I found that people had all the things you mentioned as well as a few others. If the husband said no the wife would follow his lead even if she didn't want to. Some wanted to discuss it with their children and the children without fail would say no "we will care for you". I felt in most cases they were afraid they would lose their inheritance. Another "huge" problem was finding people who could pass the health requirements and I had more turned down by the insurance companies than the client saying no. I fought many battles with underwriters and occasionally won. I went through this with my parents, my father with a stroke and then my mother with dementia and she was in a nursing home for six years but that didn't faze clients because of course it wouldn't happen to them. It took nearly a million dollars to pay for my mother's care. No inheritance left. The healthy didn't want it and the sick couldn't get it.
    • 2/4/2010 6:18:50 PM
    • edwin schleyer
    • ltci
    • thank you for that inspiring article. more of that type of commentary needs to be published to educate and alert the insuring public about the need to take action early in life. as an ltc producer, i make everyone i meet aware of this.
    • 2/4/2010 6:54:01 PM
    • Art
    • LTCI
    • With less than 1/2 of 1% requiring long stay protection policies may not be an answer. Riders may be an alternative in constructing a financial plan. Asset protection may be of some value for LTC if that's appropriate
    • 2/5/2010 12:53:04 AM
    • Wayne Hilchen
    • Long-term Care
    • I've advocated client/members consider the catastrophic costs of a long term care stay. At this time, I have people who purchased LTCI in benefit at this time. For their children it is easy to see why they should have LTC; they see the costs being covered through insurance and it makes sense. Some reel against purchasing, but generally those have not been personally exposed to loved ones who are needing the benefits of LTC.
    • 2/5/2010 10:25:39 AM
    • John White
    • ltc
    • Results of LTC sales as a whole has been pretty dismal. My experience has been with the so call "sandwich generation" people in their 50's, who married late. Many have children in or beginning college, & are also taking care of their aging parents. No way they can take on the cost of a LTC policy. They tend to put off until their 60's or 65. Then it becomes to expensive and/or they can't qualify

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