Anonymous wrote:
I work in health policy.

The Paragon Health Institute is a conservative health care think tank that will have a lot more sway over policy in the Trump administration.

Here is a recent white paper of theirs about how to reform long-term care in the U.S. They think Medicaid is the reason long term care is so expensive and that the country would be better off if all but the poorest families were required to pay for it on their own (without Medicaid’s help) or through new long-term care insurance arrangements. Better buckle up kids, this ride won’t be for the feint of heart.

Long-Term Care: The Solution

https://paragoninstitute.org/medicaid/long-term-care-solution/

“Congress should remove Medicaid as an end-of-life, wealth-preserving, fail-safe for the middle class and affluent. Medicaid should not reward people who neglect to plan responsibly for LTC by both paying for services and providing asset protection. New public policy should incentivize early planning for LTC that employs private wealth, including savings, home equity, life insurance, and a revitalized private LTC insurance market. Recent research documents lower risk of severe LTC expenses and indicates that consumers have more funds available to pay privately for LTC than previously believed. These facts suggest a way to revitalize the senior living market financially to the benefit of LTC consumers and providers alike. With more private LTC financing, fewer people will become dependent on Medicaid. Medicaid can then become a better payer of last resort than it is now. This paper explains how and why this new approach is plausible, practical, and preferable given current demographic and financial conditions.”

Anonymous wrote:
I work in health policy.

The Paragon Health Institute is a conservative health care think tank that will have a lot more sway over policy in the Trump administration.

Here is a recent white paper of theirs about how to reform long-term care in the U.S. They think Medicaid is the reason long term care is so expensive and that the country would be better off if all but the poorest families were required to pay for it on their own (without Medicaid’s help) or through new long-term care insurance arrangements. Better buckle up kids, this ride won’t be for the feint of heart.

Long-Term Care: The Solution

https://paragoninstitute.org/medicaid/long-term-care-solution/

“Congress should remove Medicaid as an end-of-life, wealth-preserving, fail-safe for the middle class and affluent. Medicaid should not reward people who neglect to plan responsibly for LTC by both paying for services and providing asset protection. New public policy should incentivize early planning for LTC that employs private wealth, including savings, home equity, life insurance, and a revitalized private LTC insurance market. Recent research documents lower risk of severe LTC expenses and indicates that consumers have more funds available to pay privately for LTC than previously believed. These facts suggest a way to revitalize the senior living market financially to the benefit of LTC consumers and providers alike. With more private LTC financing, fewer people will become dependent on Medicaid. Medicaid can then become a better payer of last resort than it is now. This paper explains how and why this new approach is plausible, practical, and preferable given current demographic and financial conditions.”

Anonymous wrote:

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

That question is not one they consider their job to answer

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

But care in the homes could just get shittier than it already is. Why do you think a Trump administration would be kind to the vulnerable, elderly disabled exactly?

The Trump admin rolled back staffing ratios in nursing homes, ratios used to minimize the transmission of infections, etc. Campaign contributions helped there. Worked well in COVID.

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

Anonymous wrote:Will the elder homes loose employees with the planned deportations? I wonder if prices will go up even more.

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

But care in the homes could just get shittier than it already is. Why do you think a Trump administration would be kind to the vulnerable, elderly disabled exactly?

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Look, I grew up in a country that went through an unimaginable social collapse when I was a teen. Old ppl weren’t thrown into the streets to die though. Some were scammed out of their homes but most somehow made it. Family and hospitals took care of them. It may not have been great care but it was something. I am sure we will all survive though we may need to tolerate our elderly at our homes for a while.

And how does that work when both parents need to go to work?

My friend ended up locking her mother in the house and turning off the gas stove because she and her spouse had to work, kids were in daycare, and there were no Medicaid beds.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

I think OP is suggesting that there will not be "Medicaid nursing homes," not how will they get admitted.

The hospitals aren’t going to just evict ppl into the street. Certainly not at 70+ and nursing care level