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	<title>Comments on: Kennedy&#8217;s Long-Term Care Plan: A Huge Step in the Right Direction</title>
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	<link>http://Blog.elderlawanswers.com/?p=68</link>
	<description>Dedicated to legal and financial issues affecting seniors</description>
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		<title>By: Edelmira Summerville</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-6779</link>
		<dc:creator>Edelmira Summerville</dc:creator>
		<pubDate>Thu, 25 Mar 2010 00:39:12 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-6779</guid>
		<description>The American Gov. is killin&#039; us.  Doesn&#039;t everyone get that this monster of a bill absolutely will raise taxes for all of us and even invent brand new ones for us all?</description>
		<content:encoded><![CDATA[<p>The American Gov. is killin&#8217; us.  Doesn&#8217;t everyone get that this monster of a bill absolutely will raise taxes for all of us and even invent brand new ones for us all?</p>
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		<title>By: Mariette Thune</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-6777</link>
		<dc:creator>Mariette Thune</dc:creator>
		<pubDate>Thu, 25 Mar 2010 00:13:41 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-6777</guid>
		<description>God love the US Congress.  They&#039;re trying to deliberately drive up taxes and drop our wages.  What do you think companies are gonna do when it costs more to hire an employee?</description>
		<content:encoded><![CDATA[<p>God love the US Congress.  They&#8217;re trying to deliberately drive up taxes and drop our wages.  What do you think companies are gonna do when it costs more to hire an employee?</p>
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		<title>By: Andrew Anderson</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-3923</link>
		<dc:creator>Andrew Anderson</dc:creator>
		<pubDate>Mon, 30 Nov 2009 04:19:43 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-3923</guid>
		<description>Health reform will not cover very much long term care, at least nothing close to what long term care insurance covers.</description>
		<content:encoded><![CDATA[<p>Health reform will not cover very much long term care, at least nothing close to what long term care insurance covers.</p>
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		<title>By: Rebecca</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-2450</link>
		<dc:creator>Rebecca</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-2450</guid>
		<description>My husband has Alzheimer&#039;s and severe COPD -- he is 79 years old.  When he was diagnosed with Alzheimer&#039;s in 1996, we immediately applied to a number of companies for long term care coverage for him.  At that time, I learned that Alzheimer&#039;s is basically at the top of the list of uninsurable diseases for LTC purposes.  Actually, I understand that theory since my husband has had Alzheimer&#039;s for 13 years.  I have been adamant that my husband stay home and not enter a nursing home.  So far, I&#039;ve been able to keep that promise to him and myself.  Because I work a full-time job, in recent years as both conditions have worsened, I have had to hire a health aide to stay with my husband for 7 hours a day, 5 days a week.  This is at a cost of $131.25/day.  I am billed twice a month and expected to pay the bill within 10 days of receipt.  So far I&#039;ve been able to do it.  I would not, however, been able to swing it if I hadn&#039;t started saving a couple of years before I needed to hire the health aides.  Although I do not expect the taxpayers to foot the bill for my husband, it would be nice to see some assistance -- even $50/day.  I know that I will probably need to increase the hours of the health aide within a year or two and I am currently scrambling to figure out how I will do it (I know I will as I always have).  I am able to take advantage of the $5,000 flexible spending account for dependent care at my job and I will write off a portion on my taxes.  For those of us out here who are not considered &quot;poor&quot; and who are trying to do the right thing, any benefit would be appreciated.  I have wondered why there is no tax credit (as there is for parents with children under age 17) for those people like me who are footing their eldercare with no complaints.  My question is:  if this bill (or anything like it) passes into law, will it be offered to any senior citizen, no matter what their illness is?  (NOTE:  At age 50, I purchased long term care insurance for myself seven years ago.  Again, I&#039;m trying to do everything I can to avoid the taxpayers paying for me.)  Thank you.</description>
		<content:encoded><![CDATA[<p>My husband has Alzheimer&#8217;s and severe COPD &#8212; he is 79 years old.  When he was diagnosed with Alzheimer&#8217;s in 1996, we immediately applied to a number of companies for long term care coverage for him.  At that time, I learned that Alzheimer&#8217;s is basically at the top of the list of uninsurable diseases for LTC purposes.  Actually, I understand that theory since my husband has had Alzheimer&#8217;s for 13 years.  I have been adamant that my husband stay home and not enter a nursing home.  So far, I&#8217;ve been able to keep that promise to him and myself.  Because I work a full-time job, in recent years as both conditions have worsened, I have had to hire a health aide to stay with my husband for 7 hours a day, 5 days a week.  This is at a cost of $131.25/day.  I am billed twice a month and expected to pay the bill within 10 days of receipt.  So far I&#8217;ve been able to do it.  I would not, however, been able to swing it if I hadn&#8217;t started saving a couple of years before I needed to hire the health aides.  Although I do not expect the taxpayers to foot the bill for my husband, it would be nice to see some assistance &#8212; even $50/day.  I know that I will probably need to increase the hours of the health aide within a year or two and I am currently scrambling to figure out how I will do it (I know I will as I always have).  I am able to take advantage of the $5,000 flexible spending account for dependent care at my job and I will write off a portion on my taxes.  For those of us out here who are not considered &#8220;poor&#8221; and who are trying to do the right thing, any benefit would be appreciated.  I have wondered why there is no tax credit (as there is for parents with children under age 17) for those people like me who are footing their eldercare with no complaints.  My question is:  if this bill (or anything like it) passes into law, will it be offered to any senior citizen, no matter what their illness is?  (NOTE:  At age 50, I purchased long term care insurance for myself seven years ago.  Again, I&#8217;m trying to do everything I can to avoid the taxpayers paying for me.)  Thank you.</p>
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		<title>By: Margolis</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-2005</link>
		<dc:creator>Margolis</dc:creator>
		<pubDate>Tue, 14 Jul 2009 19:34:54 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-2005</guid>
		<description>Tom,

Sorry I didn&#039;t vet your post quickly enough.  Given the amount of spam on the web, comments don&#039;t get posted unless I review them first, and I didn&#039;t get on line and see yours until today.  We&#039;re always happy to hear opinions of all sorts.</description>
		<content:encoded><![CDATA[<p>Tom,</p>
<p>Sorry I didn&#8217;t vet your post quickly enough.  Given the amount of spam on the web, comments don&#8217;t get posted unless I review them first, and I didn&#8217;t get on line and see yours until today.  We&#8217;re always happy to hear opinions of all sorts.</p>
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		<title>By: George Braddock, CLTC</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-1991</link>
		<dc:creator>George Braddock, CLTC</dc:creator>
		<pubDate>Mon, 13 Jul 2009 16:14:01 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-1991</guid>
		<description>I take issue with your characterization of the Kennedy long-term care plan as a &quot;Huge Step in the Right Direction&quot;. I see it more as a clumsy mis-step in the wrong direction (more on that below). But first, on what basis have you concluded that most Americans can&#039;t afford long-term care insurance? That&#039;s a popular misconception that discourages individuals from investigating for themselves, and punishess taxpayers who get stuck paying for nursing home beds for those who don&#039;t save or insure for the risk. In my experience as a certified long-term care planner, the majority of Americans can afford at least basic coverage, but are disinclined to pay for it as long as the perception remains that Medicaid or someone else will provide free care if and when they need it.

As for the CLASS Act, how can you say it&#039;s cheaper than private LTC insurance, when so few details about the plan have been provided? Evidently, you&#039;re unaware that it&#039;s already possible to buy modest plans in the private sector that cost $65-$110 a month, and they don&#039;t have a FIVE YEAR WAITING PERIOD, nor are they limited to HOMECARE ONLY, such as the Kennedy proposal. While it&#039;s good that the HELP Committee is bringing attention to our country&#039;s utter lack of preparedness for the longevity threat, it&#039;s harmful to tout a bare bones $50 a day benefit (with no inflation protection available) as a meaningful solution for the masses. Harmful because some will settle for inadequate coverage when they could have afforded and would have preferred PROPER PRIVATE COVERAGE had they known of the government plan&#039;s serious drawbacks. I pity the people who will no doubt remember only one thing from news accounts of the CLASS Act: &quot;cheap long-term care.&quot; For many, that will be reason enough not to explore the private LTC insurance option. That&#039;s a sad prospect for their families and sad for taxpayers who&#039;ll once again be burdened when a well-intentioned but poorly conceived government social program fails.

P.S. Most Americans are in the mistaken belief (if they think about it all) that Medicaid is an entitlement like Medicare and Social Security. It is not, it is welfare. That&#039;s why the name Medicaid ends with &quot;aid&quot;. Nursing home beds at public expense were never intended for the middle class or higher. To the extent that some people artificially impoverish themselves or lead wasteful lives to qualify, they are literally stealing from the poor. They do so by competing with them for the precious few dollars left in a grossly underfunded program.</description>
		<content:encoded><![CDATA[<p>I take issue with your characterization of the Kennedy long-term care plan as a &#8220;Huge Step in the Right Direction&#8221;. I see it more as a clumsy mis-step in the wrong direction (more on that below). But first, on what basis have you concluded that most Americans can&#8217;t afford long-term care insurance? That&#8217;s a popular misconception that discourages individuals from investigating for themselves, and punishess taxpayers who get stuck paying for nursing home beds for those who don&#8217;t save or insure for the risk. In my experience as a certified long-term care planner, the majority of Americans can afford at least basic coverage, but are disinclined to pay for it as long as the perception remains that Medicaid or someone else will provide free care if and when they need it.</p>
<p>As for the CLASS Act, how can you say it&#8217;s cheaper than private LTC insurance, when so few details about the plan have been provided? Evidently, you&#8217;re unaware that it&#8217;s already possible to buy modest plans in the private sector that cost $65-$110 a month, and they don&#8217;t have a FIVE YEAR WAITING PERIOD, nor are they limited to HOMECARE ONLY, such as the Kennedy proposal. While it&#8217;s good that the HELP Committee is bringing attention to our country&#8217;s utter lack of preparedness for the longevity threat, it&#8217;s harmful to tout a bare bones $50 a day benefit (with no inflation protection available) as a meaningful solution for the masses. Harmful because some will settle for inadequate coverage when they could have afforded and would have preferred PROPER PRIVATE COVERAGE had they known of the government plan&#8217;s serious drawbacks. I pity the people who will no doubt remember only one thing from news accounts of the CLASS Act: &#8220;cheap long-term care.&#8221; For many, that will be reason enough not to explore the private LTC insurance option. That&#8217;s a sad prospect for their families and sad for taxpayers who&#8217;ll once again be burdened when a well-intentioned but poorly conceived government social program fails.</p>
<p>P.S. Most Americans are in the mistaken belief (if they think about it all) that Medicaid is an entitlement like Medicare and Social Security. It is not, it is welfare. That&#8217;s why the name Medicaid ends with &#8220;aid&#8221;. Nursing home beds at public expense were never intended for the middle class or higher. To the extent that some people artificially impoverish themselves or lead wasteful lives to qualify, they are literally stealing from the poor. They do so by competing with them for the precious few dollars left in a grossly underfunded program.</p>
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		<title>By: Tom Hebrank, President of FPA of Georgia</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-1988</link>
		<dc:creator>Tom Hebrank, President of FPA of Georgia</dc:creator>
		<pubDate>Mon, 13 Jul 2009 11:26:18 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-1988</guid>
		<description>I am disappointed in this site. I left a blog describing the real problems with this plan and it was removed. Apparently, Elderlaw Answers is a forum to push the agenda of Harry Margolis and not a public forum for professionals to discuss the true advantages and disadvantages of this proposal.  

After reading Elderlaw Answers over the years, I was perplexed about how one sided it was. Now I understand. Opinions that conflict with your personal ideology are removed. 

How disappointing for the elder law community.</description>
		<content:encoded><![CDATA[<p>I am disappointed in this site. I left a blog describing the real problems with this plan and it was removed. Apparently, Elderlaw Answers is a forum to push the agenda of Harry Margolis and not a public forum for professionals to discuss the true advantages and disadvantages of this proposal.  </p>
<p>After reading Elderlaw Answers over the years, I was perplexed about how one sided it was. Now I understand. Opinions that conflict with your personal ideology are removed. </p>
<p>How disappointing for the elder law community.</p>
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		<title>By: Tom Hebrank</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-1981</link>
		<dc:creator>Tom Hebrank</dc:creator>
		<pubDate>Mon, 13 Jul 2009 01:55:27 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-1981</guid>
		<description>While it sounds good at first blush to have a gov&#039;t program that provides a $50/day benefit for LTC, it will ultimately have a deletrious effect for many reasons.  Who will determine if someone qualifies to receive the benefit?  How will fraudulent claimants be prevented.  Disability models that hand out cash have always been susceptible to high incidence of fraud that are difficult to control.  That&#039;s a major reasons why the disability insurance business has had so many difficulties. Additionally, those participating will be deceived to think that this program will cover all that they need for LTC planning.  I have seen many people who, usually through ignorance and lack of education before getting employer LTCi programs, bought a $100/day policy through their employer without inflation protection and thought they had LTC planning covered. When people go to competent financial planners who assess their client&#039;s benefit package and told these people why these policies are inadequate, these people are flabbergasted that their employer&#039;s plan was so inadequate.  (Employer plans usually are inadequate in the education provided, but that&#039;s another problem)  Education for the general public about LTC costs and issues is a major problem that I don&#039;t see this program alleviating. This plan will have very similar results to some employer plans that so often result in $100/day, no inflation protection policies. 
1. the benefit will be far inadequate. 
2. consumers who participate will be misled to think that this is all the LTC protection they need 
3. this plan does not include an increase in benefit to provide inflation protection that every consumer organization will tell you is a fundamental necessity when getting any insurance plan (it is interesting that this article does not even mention that point) 

In addition,  most people will refuse to participate and this pool will be primarily low income people who are offered below market premiums and those whose health renders them uninsurable for private LTC insurance.  The default Opt-in will not be the panacea that many expect. This is NOT like a 401k where it is always beneficial to participate.  People will quickly learn to &quot;opt-out&quot;.  

Lastly, a high degree of fraudulent claims will accompany this program.  Whenever there is a potential for fraudulently obtaining &quot;free&quot; cashflow, it will bring out the worst in people and many will defraud the system.  Rather than just handing out cash, current LTC insurance is generally reimbursement oriented which makes fraud much more difficult. 

Ultimately, this risks the creation of another government program that will require additional government funding down the road.  Let&#039;s get Medicare and Medicaid funded appropriately first, please.  For LTC planning, lets keep on the road established first by Bill Clinton and all subsequent Presidents. Let continue to educate - its a long process - and accompany with more tax incentives.</description>
		<content:encoded><![CDATA[<p>While it sounds good at first blush to have a gov&#8217;t program that provides a $50/day benefit for LTC, it will ultimately have a deletrious effect for many reasons.  Who will determine if someone qualifies to receive the benefit?  How will fraudulent claimants be prevented.  Disability models that hand out cash have always been susceptible to high incidence of fraud that are difficult to control.  That&#8217;s a major reasons why the disability insurance business has had so many difficulties. Additionally, those participating will be deceived to think that this program will cover all that they need for LTC planning.  I have seen many people who, usually through ignorance and lack of education before getting employer LTCi programs, bought a $100/day policy through their employer without inflation protection and thought they had LTC planning covered. When people go to competent financial planners who assess their client&#8217;s benefit package and told these people why these policies are inadequate, these people are flabbergasted that their employer&#8217;s plan was so inadequate.  (Employer plans usually are inadequate in the education provided, but that&#8217;s another problem)  Education for the general public about LTC costs and issues is a major problem that I don&#8217;t see this program alleviating. This plan will have very similar results to some employer plans that so often result in $100/day, no inflation protection policies.<br />
1. the benefit will be far inadequate.<br />
2. consumers who participate will be misled to think that this is all the LTC protection they need<br />
3. this plan does not include an increase in benefit to provide inflation protection that every consumer organization will tell you is a fundamental necessity when getting any insurance plan (it is interesting that this article does not even mention that point) </p>
<p>In addition,  most people will refuse to participate and this pool will be primarily low income people who are offered below market premiums and those whose health renders them uninsurable for private LTC insurance.  The default Opt-in will not be the panacea that many expect. This is NOT like a 401k where it is always beneficial to participate.  People will quickly learn to &#8220;opt-out&#8221;.  </p>
<p>Lastly, a high degree of fraudulent claims will accompany this program.  Whenever there is a potential for fraudulently obtaining &#8220;free&#8221; cashflow, it will bring out the worst in people and many will defraud the system.  Rather than just handing out cash, current LTC insurance is generally reimbursement oriented which makes fraud much more difficult. </p>
<p>Ultimately, this risks the creation of another government program that will require additional government funding down the road.  Let&#8217;s get Medicare and Medicaid funded appropriately first, please.  For LTC planning, lets keep on the road established first by Bill Clinton and all subsequent Presidents. Let continue to educate &#8211; its a long process &#8211; and accompany with more tax incentives.</p>
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		<title>By: Margolis</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-1897</link>
		<dc:creator>Margolis</dc:creator>
		<pubDate>Tue, 30 Jun 2009 15:13:24 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-1897</guid>
		<description>The premium varies by age and most reports say the average will be $65 a month, with a low figure of $5 a month for students and those below the poverty line.  You can check out an article in the Congressional Quarterly at http://www.cqpolitics.com/wmspage.cfm?docID=news-000003155193.</description>
		<content:encoded><![CDATA[<p>The premium varies by age and most reports say the average will be $65 a month, with a low figure of $5 a month for students and those below the poverty line.  You can check out an article in the Congressional Quarterly at <a href="http://www.cqpolitics.com/wmspage.cfm?docID=news-000003155193" rel="nofollow">http://www.cqpolitics.com/wmspage.cfm?docID=news-000003155193</a>.</p>
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		<title>By: Richard</title>
		<link>http://Blog.elderlawanswers.com/?p=68&#038;cpage=1#comment-1886</link>
		<dc:creator>Richard</dc:creator>
		<pubDate>Mon, 29 Jun 2009 14:29:23 +0000</pubDate>
		<guid isPermaLink="false">http://Blog.elderlawanswers.com/?p=68#comment-1886</guid>
		<description>I have been researching the Class Act and found this post.  Can you explain how you arrived at a monthly premium of $65 for coverage.  I have read the bill and found that for individuals who enroll in first year of the program, the premium would be $30 per month.  for those that enroll after first year but during the first year of eligibility the premium would be $30 per month adjusted for inflation.  for all others the Secretary will establish the premium but I didn&#039;t see $65 per month anywhere.  thanks for your assistance</description>
		<content:encoded><![CDATA[<p>I have been researching the Class Act and found this post.  Can you explain how you arrived at a monthly premium of $65 for coverage.  I have read the bill and found that for individuals who enroll in first year of the program, the premium would be $30 per month.  for those that enroll after first year but during the first year of eligibility the premium would be $30 per month adjusted for inflation.  for all others the Secretary will establish the premium but I didn&#8217;t see $65 per month anywhere.  thanks for your assistance</p>
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