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Dying Broke

Articles in this series examine how the immense financial costs of long-term care drain older Americans and their families.

Articles in this series examine how the immense financial costs of long-term care drain older Americans and their families.

Highlights

  1. Dying Broke

    Facing Financial Ruin as Costs Soar for Elder Care

    The United States has no coherent system for providing long-term care, leading many who are aging to struggle to stay independent or to rely on a patchwork of solutions.

     By Reed Abelson and

    CreditWilliam DeShazer for The New York Times
    1. dying broke: The High Cost of Help

      Desperate Families Search for Affordable Home Care

      Facing a severe shortage of aides and high costs, people trying to keep aging loved ones at home often cobble together a patchwork of family and friends to help.

       By Reed Abelson and

      April Abel, a former home health nurse at Roper St. Francis Healthcare, in the home of a patient, Ron Keur, in Summerville, S.C., in 2022.
      April Abel, a former home health nurse at Roper St. Francis Healthcare, in the home of a patient, Ron Keur, in Summerville, S.C., in 2022.
      CreditDesiree Rios/The New York Times
    2. Dying Broke

      Extra Fees Drive Assisted-Living Profits

      The add-ons pile up: $93 for medications, $50 for cable TV. Prices soar as the industry leaves no service unbilled. The housing option is out of reach for many families.

       By

      Anne Palm with her parents, Donald and Florence Reiners, when they both lived at the Waters of Excelsior, an assisted-living facility near Minneapolis.
      Anne Palm with her parents, Donald and Florence Reiners, when they both lived at the Waters of Excelsior, an assisted-living facility near Minneapolis.
      CreditJenn Ackerman and Tim Gruber for The New York Times
    3. dying broke: The Coverage gap

      Why Long-Term Care Insurance Falls Short for So Many

      The private insurance market has proved wildly inadequate in providing financial security for millions of older Americans, in part by underestimating how many policyholders would use their coverage.

       By Jordan Rau and

      Jewell Thomas with her daughter, Angela Jemmott. Ms. Jemmott and her brothers pay $4,000 a month for home health aides who are not covered under Mrs. Thomas’s long-term care insurance policy.
      Jewell Thomas with her daughter, Angela Jemmott. Ms. Jemmott and her brothers pay $4,000 a month for home health aides who are not covered under Mrs. Thomas’s long-term care insurance policy.
      CreditBryan Meltz for The New York Times
  1. ‘I Wish I Had Known That No One Was Going to Help Me’

    Adult children discuss the trials of caring for their aging parents: unreliable agencies, a lack of help and dwindling financial resources.

     By Reed Abelson and

    Robert Ingenito helping his father, Jerry Ingenito, get out of bed at their home in Mamaroneck, N.Y.
    CreditMaansi Srivastava/The New York Times
    Dying Broke
  2. A Guide to Long-Term Care Insurance

    Deciding when, or whether, to buy long-term care insurance can be complex. Here’s what to know.

     By

    The children of Jewell Thomas, right, jointly pay a long-term care insurance premium of more than $2,500 a year, as well as another $4,000 a month for two home health aides not covered by that policy.
    CreditBryan Meltz for The New York Times
    Dying broke: The Coverage Gap
  3. What to Know About Assisted Living

    The facilities can look like luxury apartments or modest group homes, and can vary in pricing structures. Here’s a guide.

     By

    Florence Reiners, a resident of the Waters of Excelsior in Excelsior, Minn.
    CreditJenn Ackerman and Tim Gruber for The New York Times
    Dying Broke
  4. What to Know About Home Care Services

    Finding an aide to help an older person stay at home safely takes work. Here’s a guide.

     By

    April Abel, a former home health nurse at Roper St. Francis Healthcare, in the home of a patient, Ron Keur, in Summerville, S.C., in 2022.
    CreditDesiree Rios/The New York Times
    Dying Broke: The High Cost of help
  5. What Long-Term Care Looks Like Around the World

    Most countries spend more than the United States on care, but middle class and affluent people still bear a substantial portion of the costs.

     By

    An elder care facility in Tokyo, where long-term care insurance is mandatory for citizens age 40 and over.
    CreditBehrouz Mehri/Agence France-Presse — Getty Images
    Dying broke

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