Very true. While not everyone is the same as there are active and fit people in their mid to late 80s who travel internationally, most people do slow down at that age and travel takes on a different risk. The average age of my parents' friends is around 80 and most people are living at home, not in retirement communities, most are still doing some low key travel a few times a year, mainly to see family, some international trips, some to second homes. There's a rhythm to their lives that isn't extravagant but comfortable and I don't doubt most are spending less than their incomes. Having said that, there is an increase in talk about putting deposits down for an apartment in a CCRC as people advance in their 80s, and it's because they do slow down and you don't want the headache of maintaining a house and suddenly a modest size apartment inclusive of all the bills isn't such a bad idea nor as costly as it might initially seem. On the other hand, I also know some people that age who downsized not to a CCRC but to a nice condo. However, I did ask chatgpt what the probabilities are for a healthy 45 year old UMC male for his health in retirement. The result was: 40-50% largely independent until death or near death 30-40% need some assistance (home care, assisted living, limited nursing support) for a period of time before death 20-30% experience a major physical or cognitive decline requiring prolonged, expensive nursing home level care. This would include advanced dementia such as Alzheimers, severe stroke, Parkinsons with major functional impairment. However, while there are differing durations for how long you survive with catastrophic health decline, the average is usually a few years. You could be incredibly unlucky and be one of the handful that live for 10 years in this condition, but in the US the median length of stay in nursing homes before death is 1-2 years. Though this would be after a few years of partial care in your old home. The biggest problem a healthy UMC person faces when planning for retirement is that we now live so long that you risk developing physical and cognitive decline in your late 80s. This is a minority risk as you have a 70-80% chance of dying with minimal aid needed or partial aid in the last few years. |
Why is that so cheap? Is it in a ghetto? My parents pay $61k per month for theirs. |
AI is fabulous. All intelligent people use AI to be better informed and to help make better decisions. The problem for the future will be the gulf between people who use AI to be even smarter and those who shun AI, who will fall behind. Anyway, pertinent to this thread is that AI is revolutionizing healthcare. It may mean that a lot of the aging problems requiring substantial expensive care may actually be mitigated through AI. |
Yes to this. There are a lot of strong healthy dementia patients who lived over 20 years, needed someone to care for them My grand ma started mild cognitive dysfunction around 70s she s really heathy. First she couldn’t drive because she couldn’t find her way back home. So my grands parents moved from Canada to Thailand where she has a driver. After that she kind of in and out of it, accusing people and maids of stealing her stuffs such as bras and panties. But she was really able body like she can cook, she can do self care. But she definitely couldn’t live alone because if she goes out for grocery she wouldn’t be able to find her way back. Around her late 80s, she could care for herself such as shower or clean up properly. But she can walk, she can have superficial conversation and converse with peoples seamingly normal. She has a live in maid and my grandfather ( he could be Arely walk but still sharp) she passed away at 94. So the time that she was in dementia and needed 24hours care was about 20 years. Fortunately she moved to Thailand she she had help and our family was able to care for her. So 2-3 years is very optimistic. That didn’t take in to any account for someone healthy with dement-and all the family helps prior to being in facility. |
Anecdotal is not the same as a statistic. The data is pretty clear what the typical life expectancy is when you enter full nursing care. There are always exceptions. You can plan your life and retirement around being one of the exceptions. Up to you. But you did illustrate what most people do, which is some years of family care provided by a spouse and local children, before permanent full time care if it gets to that point. Then it's bye bye, see you in the next world. And you're in the same place as everyone else. |
She's in late stage dementia. She's been in memory care for almost 2.5 years. Fell last summer and since then I've had to provide private overnight care for her (12 hours each night). Really it's for fall prevention because for some reason they consider any rails or preventative measures to be a restraint so I pay to have someone watch her sleep and make sure she doesn't try to get out of bed (or fall out of bed). It's over $14000 per month for memory care and just over $3k a week for overnight care. The silver lining is I've been able to convert some of her 401k into a roth due to the entirety of the medical care being deductible. She'd be mortified. |
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I feel like the folks paying for 10 years of in home care are outliers.
My moved moved to assisted living at 82, cost went from 6500 to 8k month as she needed more help. She was in a very nice facility in terms of her apartment, food amenities etc. however as her dementia became more pronounced we had to mover her to memory care and switched eventually to a smaller and more expensive place which was about 11k month. She was in memory care a total of a year, and died at 85. While the last three years of her life were expensive relative to before it wasn’t millions. She had a pension of 3.5k month, a small social security (1.5k) and retirement accounts. We didn’t even need to sell her house, though it was in the table. So yes, plan for long term care but most people will need not millions for it. There are some life insurance products with a ltc rider that may be worth it (10 or 20k upfront for 300k ltc costs and if unused kids can get back something). |
So you're paying someone to sit there and watch her sleep? Can I get this job? $12000 a month to do nothing? |