re: One problem NEVER discussed by politicians: Taking care of elderly family

If you don't plan for it that happens. Back in the day they just tossed you arse out and lay you in the potters field they called em.

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You missed the point where the OP believes the taxpayers should foot the bill instead of the elderly having to cash in assets to pay for their care before medicaid kicks in.

In other words to OP is upset because in his opinion the "inheritance" is being squandered by end of life care and wants the tax payers to foot the bill.

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I was responding to the poster who was making the dumb blanket statement about people not keeping their elderly parents at home. Even when they do keep them at home, it can still be a huge expense.

I made no statements in support of the other issue you mention.

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I don't know all the ins and outs but my personal experience:

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Is your mother on traditional medicare or medicare advantage?

My mother was on traditional medicare, she was briefly in rehab. Medicare would have paid for 20 days in rehab and a doctor could appeal to extend it.

I have heard stories of people in these situations having trouble with Medicare Advantage. I am 61, I'll be making that choice for myself in a few years.

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One problem NEVER discussed by politicians: Taking care of elderly family

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What are you talking about? Social Security and Medicare are literally the biggest expenditures in the federal budget.


Now, if you want to argue those programs need to be improved, I definitely won't argue with you. But it clearly isn't ignored.

The point is that they were talking about medicare paying for it so it wouldn't be removed from one's estate.

My mother is 83 and scheduled to go to Thailand next year and live in a resort like atmosphere. I don't trust caregivers in the US especially in nursing or assisted homes. Thailand is like the fifties in the US where they still revere the older people. Below is just a general view of costs associated there. Much more workable financially. The medical service and equipment in Thailand far exceeds the same in the US


Cost Breakdown by Tier

• Budget / Local Level: ?12,000 – ?25,000 per month ($350 – $700 USD)
• Details: Often family-run or basic local nursing homes in rural areas or provinces outside major hubs (such as Isan). Includes shared accommodation, basic daily care, and meals.
• Mid-Range Level: ?25,000 – ?45,000 per month ($700 – $1,250 USD)
• Details: The most common choice for families. Typically features 24-hour care, on-site registered nurses, comfortable rooms, and recreational activities in popular areas like Chiang Mai, Chonburi, or Bangkok.
• Premium / Luxury / International Resorts: ?45,000 – ?180,000+ per month ($1,300 – $5,000+ USD)
• Details: Resort-style senior living, specialized memory/dementia care, or private villas with high staff-to-resident ratios (sometimes 1:1 or 1:2), swimming pools, physical therapy, and English-speaking or Western-trained management.

Key Factors Affecting Price

• Location: Facilities in Bangkok, Phuket, or high-end expat areas cost 20–30% more than rural or northern provinces like Chiang Mai.
• Level of Dependency: Intensive care needs—such as bedridden patients, round-the-clock 1-on-1 nursing, tube feeding, or advanced dementia care—add 30–50% or more to base rates.
• Room Selection: Shared wards are the cheapest, while private rooms, suites, or detached pool villas significantly increase the monthly price.
• Hidden/Extra Costs: Many facilities bill separately for prescription medications (?2,000 – ?10,000/month), adult diapers and supplies (?1,500 – ?4,000/month), specialized physical therapy sessions, or hospital transport. 1000 baht is 30 dollars

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Medicaid grabs all the family assets

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Wrong. Medicaid does not grab anything. It just Waits until all the Family Assets are gone to kick in