The U.S. is facing a crisis as millions of baby boomers are approaching the age when the possibility of needing long-term care skyrockets. Our government provides minimal care via Medicare, while you must be almost broke to receive Medicaid. The CLASS Act program, which was part of Obamacare, died before the law went into effect — a prediction I made while Washington’s wonks were muddling behind closed doors. And only a small percentage of boomers have long-term care insurance.
Other
industrial countries are facing a similar shift in demographics. And last
December I shared a report with you on how they’re coping. Here is an
update on three of them …
The United Kingdom
Single-premium
immediate annuities are popular among those who currently need long-term care
and can afford them. They provide a guaranteed, tax-free income that can help
fund LTC bills. Starting next April, the British government is phasing in new
restrictions on access to public LTC benefits. Individuals will have to spend
£72,000 (US$113,000) on LTC services and all but £118,000 (US$184,000) of their
assets before government benefits start. Afterwards, the government will
provide “full state support,” which has limitations.
France
15% of those
over age 40 have private LTCI. And to keep premiums down, waiting periods of 3
years for dementia and 1 year for other covered conditions are common.
Singapore
Singapore
has a mandatory saving plan for all workers that they can use for retirement,
housing, and health care. Workers ages 40 to 69 are automatically enrolled in
an ElderShield LTC benefits program. But the monthly benefit is only 400
Singapore dollars (US$293) per month; nursing home care in the country runs at
least 1,200 dollars (US$878). However, participants have the option of
contributing up to 600 dollars (US$439) into a private plan each year giving
them up to 3,500 dollars (US$2,562) per month in benefits.
Conclusion
Based on
those few brief observations, governments remain the provider of last resort
for long-term care. And the trend seems to be shifting to requiring citizens to
take on even greater responsibility for their own care. Their tools of choice:
Immediate and deferred annuities, and private long-term care insurance.