Healthcare Reform Detailed in Congress

Democrats have proposed a complete overhaul of the nations health care system, but Republicans are not so quick to jump on board. Mostly because they feel that it will not only cost the country too much money, but will limit freedom of choice for most Americans.

The Republican party has recently jumped into the healthcare reform debate with a proposal called the Patients Choice Act. This would provide a tax credit to allow for an individual to be able to purchase health insurance in more competitive private plans. They seek to balance the Democratic ideals for reform which they claim might cause a restriction of job creation thus restricting economic growth.

Legislation to reduce health care expenses and making insurance more accessible is what President Obama has asked from the Congress. He, along with other Democrats, desires health insurance coverage for all uninsured folks and increased competition for the private insurance corporations.

There is contentious discussion amongst the parties regarding details but both have some common ground as all realize there has to be a change. The similarities are creation of insurance exchanges which creates comparison based shopping for insurance plans. Also, both parties want to see more emphasis of expenses put toward prevantable diseases, trying to correct it before it becomes a more expensive problem.

Congressional leaders hope to pass some sort of health care reform over the summer months. They vow that no matter how the plan is written it will help more Americans afford the health care that they desperately need.

Simplifying Long Term Care

What is Long-Term Care? When people consider the subject of long-term care, they often think about nursing homes. In fact, long-term care has little to do with nursing homes. Understanding the difference can help you protect your family and finances.

The Consequences of Living Longer

Long-term care is a continuum of care services and housing that you will need later in life. Think you won’t live a long life? Think back 25 years ago. If you had cancer or a stroke, you simply died. Few ever heard of Alzheimer’s. Today, it is the leading cause for long-term care services. The longer you live, the more likely you are to need care. The question is not who will take care of you, because your family will most often, but rather what will that care do to your family and finances.

Long-Term Care is Usually Custodial Care

Long-term care is defined as needing assistance with your activities of daily living (toileting, bathing, dressing, eating, transferring from one point to another, and continence). It also includes cognitive impairment so severe that the individual needs constant supervision. If you need custodial care, chances are it will be delivered in the community, not in a nursing home. Many of you have heard compelling statistics from The New England Journal of Medicine stating that 43% of those over age 65 will need nursing home care. What the article actually said is that that number may spend some time in a facility. The fact is, few end their days in one. Every study conducted finds that care is overwhelmingly provided at home. The key question, of course, is who is going to pay for it? Who Covers the Cost?

Medicare & VA

Medicare, the primary health care program for retirees pays only for skilled or rehabilitative care, not custodial care in any venue. Medicaid, a federal and state program for financially needy individuals will pay for custodial care, but primarily in nursing homes. Funding for home care and assisted living is very limited and based on availability of funds. Veterans believe that the VA will pay for home care, adult day care, or assisted living. As with Medicaid, funding is limited and generally based on service-related disability. In fact, the federal government has as much said this to veterans by encouraging them to purchase long-term care insurance through the new Federal Long-Term Care Insurance program. The result is that consumers are forced to pay privately for their care. Unfortunately, the best thought-out retirement plan rarely takes into consideration living a long life. Put another way, those assets and income have been allocated to pay for retirement, not for the consequences of living a long life. This results in the need to invade principal and divert income. As a result, one of a seniors’ greatest fear, outliving their assets, literally may come true.

The Role of Long-Term Care Insurance

The use of long-term care insurance thus becomes an important part of planning for disability caused by living a long life. The product has two roles: helping keep families together and allowing your retirement portfolio to execute for the purpose for which it was intended, namely retirement. From a family perspective, who will provide your care? Like it or not, children will play a key role. Long-term care insurance (LTCI) doesn’t replace the need for family involvement in providing care but rather builds on it. It pays professionals to assist the person with the toughest tasks such as toileting, bathing, feeding and continence. This, in turn, allows the family to provide care better and longer at home. That leads to a critical question: have YOU planned for the consequences of living a long life? From a financial point of view, LTCI allows your retirement plan to stay intact. That is particularly important given the recent steep decline in portfolio value. The product, in effect, protects the balance of your account value. LTCI also protects income. Although you may qualify for Medicaid to pay for nursing home costs by transferring assets, your income (pension, social security, IRA and or 401k payout) cannot be protected. When buying this insurance, look for a long-term care specialist. Consider their training, educational credentials, and commitment to help solve your long-term care needs. The key is whether they talk first about a plan or a product. If they are interested in the plan, you are dealing with a professional. If they focus first on product and price, consider getting another opinion.

How You Can Use Long Term Care Insurance

Most of us never want to imagine growing old, being sick or needing long term care. But for 70 percent of people, this is something that they have to face. And the sad thing is that many of them are not insured with long term care insurance.

What is long term care insurance? It is an insurance policy that pays for your stay in a nursing facility or long term care facility. As people begin to live longer, the need for long term care facilities has become apparent. For this reason, it is wise for you to purchase long term care insurance.

You can use long term care insurance in many different ways. Some include the following:

After an accident If you have a catastrophic accident, the last thing you need to do is worry about the cost of the medical facility where you are being treated. In most cases, after the danger period is over, you will be transferred to a nursing home or rehabilitation facility. This can be costly and your insurance may only pay a portion for this care.

This is where long term care insurance can benefit you. It can pay what the insurance company does not cover. This way, you will not be paying out of pocket for your care.

After an illness Long term care is not often final care. In many cases, someone recovering from an illness needs nursing care around the clock but is stable enough to be moved from the hospital. In such cases, people are often sent to long term care facilities. Medicare and insurance only cover a portion of these costs. If you cannot pay, you will be forced to go on public aid – after you have sold everything you own. This can be financially devastating to you when you recover.

Long term final care If you get to a point in your life where you have an irreversible condition and need nursing care, you can get a policy that will last over 4 years. This will pay for your care in the final stages of your life and not eat away at your savings. You will not be a burden to your loved ones and will still be able to leave some money to your heirs.

None of us likes to think of these scenarios, but they happen every day. This is why it is so important to consider long term care insurance Long term care insurance can help you in many ways and allow you to retain what you worked so hard to save.

Government Health Care, An Option Or A Necessity

The issue of health care is something that is on the minds of many Americans. While the government wrestles with the idea of a nationalized health plan, there are many who think that this will limit choices and the competitive health care industry. Unfortunately, when you look at the other options there really aren’t any. There are many who believe that this is not necessary; however, it is important to understand that we all pay to get these people health care one way or another.

There are over 45 million people in this country who had no insurance in 2005. Many of those will pay their bills to the best of their ability, the other 43 million spent for those people will be broken down in these categories. Government programs will take care of a third, and what’s left is handled with higher premiums for those people who do have health insurance.

Looking at this a person would think that their medical outflow would be less than if there were a federal plan to pay for. The reality may be different than this thought process, what if a person enters the emergency room, they have a ruptured blood vessel their brain and this is causing internal bleeding. The medical staff there will do everything they can do to keep her alive, but in the end she dies anyhow. The family answers questions from the hospital who are trying to determine the story, they discover Mary had high blood pressure but had to choose between her meds and food for her family. If she had had the medication she more than likely wouldn’t have been in this situation. The cost of trying to treat and ultimately trying to save her life in those few hours is very expensive compare to what a annual cost of the medication would’ve been.

This is a story where no one profits. Everyone will be paying for this scenario Mary went through in the emergency room. There were many hours spent by the medical staff even when the picture looked grim. An in the end, Mary’s children are left with no mother.

When you look at a scenario like this, isnt it just a better choice to help Mary pay for that high blood pressure medication?