Reply to I didn't fully comprehend the cost of eldercare

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]If this hasn't been stated already -- even if he were to living in a facility, most facilities would require privately arranged and privately paid-for 24 hour care.[/quote]

You are conflating someone in independent living who finds themselves in need of more care with full nursing care.

If the independent facility will even allow for additional care, then yes, you have to pay for it on top of the monthly facility charge. Not all will allow outside help. If the person is in assisted living, then they might need care augmentation. But if the person truly needs 24/7 care, then they need to be in a nursing home, which is 24/7 care. Though generally it is not very good care no matter how expensive the place is. I do know of people who have augmented care in memory care, but still, it isn't 24/7. 
[/quote]

But isn't a nursing home more expensive than having 24/7 care in your own home that you own mortgage-free?[/quote]

Nothing is “mortgage free” once you pay off your mortgage insurance and property tax often is more than the original mortgage.

Also at many nursing homes if you run out of $, they keep you.

If u run out of money in your house you go to a Medicaid facility.[/quote]

Addressing both PPs.
No, nursing home is not more expensive that at home 24/7 care--which would be considered the highest level of care. At home is costly in itself, and requires a high degree of oversight, even if you're paying for the services that manage the care. And as the second PP said, the household with all its bills and maintenance has to be managed in addition to the eldercare.

If you have very good at home care and have the money to pay for it, it definitely can extend life. But in so many of these cases, the person would be better off with the life not extending to the point of being bedridden and barely aware of what is going on. I have a wealthy neighbor man whose only child lives in another state. He has a 4 person crew (the same 4 people for years) run by a woman. This is her business, and he is her only client. Overnight male who does the heavy lifting and bathing. 7am - 3pm female. Then 3pm-9pm. The 4th person is the relief, fill in. He used to do PT, but the man no longer can do anything. They have kept him alive for years, and it is in their best interest to do so. I know this sounds cold, but he has zero quality of life. I can't imagine he would want this, but who is to stop it.

And PP is right that you are better off going into private pay nursing well before you run out of money, since they analyze your assets to see how long you can pay before they accept you. If they accept you, many will keep you on at the end and accept Medicaid payments if you run out of money.

Presumably, if you have a house and no spouse (this complicates things immensely when money is an issue) you can sell the house to then pay for care. But, at that point it is really hard to manage all this if the person/elderly has refused to move thus far.

All to say that there is nothing easy about any of this--for the elder and the kids.[/quote]

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