Summary

For millions of Americans, long-term care presents enormous financial, logistical and emotional challenges. Private long-term care insurance is prohibitively expensive or simply unavailable, and most older Americans aren't eligible for Medicaid until they exhaust nearly all their financial resources. Medicaid covers long-term care for the neediest, mostly in institutional settings like nursing homes, and is the single largest payer for long-term care. In the absence of broad financial protection, the majority of families must fend for themselves.

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