by Thomas D. Begley, Jr., CELA
This article continues the discussion of special problems for the elderly. (Here is a link to Part 1.)
- Long-Term Care. About 70% of Americans will require some form of long-term care be it home care at $22 to $25 per hour, assisted living at $4,500 to $8,500 per month, or nursing homes at $10,000 to $12,000 per month. Only about 6% to 8% of Americans have long-term care insurance. Expenses of long-term care will wipe out most families very quickly. The Affordable Care Act has already covered between 10 and 13 million additional individuals. That number would be much larger except that 22 states refuse to expand Medicaid eligibility to their states. The Affordable Care Act, or Obamacare, was merely not health reform, it was insurance reform. Much of the legislation was designed to protect insurance companies. A better solution would have been a single payer health care system. This would have been much more efficient for doctors, hospitals, and other health care providers. Essentially, it would be Medicare for everybody. Individuals would still have the right to choose their own health care providers, but all bills would be paid by an agency of the federal government. The federal government would not control the care, simply the payment. Another factor contributing to rising health costs is that the federal government is not allowed to negotiate prices with pharmaceutical companies under Medicare Part D. Other agencies of the federal government, such as the Veterans Administration, are able to negotiate prices and receive significant discounts.
- Transportation poses special problems for senior citizens living in the suburbs. The suburban lifestyle is based on the automobile, and once the elderly can no longer drive, their ability to live independently is curtailed by a lack of public transportation in suburban and rural areas. Public policy should favor the development of multi-modal transportation systems that are highly inter-connected.
- Housing is the largest category of consumer expenditures for households age 65 and older. Expenditures for age 65 years and older break down as follows:
Health Care 14.74%
Cash Contributions 7.9%
 The Bureau of Labor Statistics Consumer Expenditures in 2012, www.bls.gov.