Health

IF YOU’RE IN a financial hole, is it prudent to keep digging?
There are 60 million Americans covered by Medicare, including 20 million who have opted for Medicare Advantage. These beneficiaries paid for their coverage through payroll taxes during their working years, and they currently pay with premiums and out-of-pocket cost sharing, as well as through taxes on Social Security benefits.
Still, this covers only a portion of total costs. In 2013, 38% of Medicare’s costs came from payroll taxes and 13% from Medicare premiums,

LONG-TERM CARE is the elephant in the room that many of us try mightily to ignore. It’s a potentially huge expense: A semi-private room in a nursing home costs an average $89,297 a year, according to Genworth Financial.
But what should we do about it? For answers, I turned to Christine Benz, director of personal finance at Chicago financial researchers Morningstar Inc., where she’s worked for more than 25 years. Benz has written extensively on long-term care (LTC).

SOME PEOPLE SEE Medicare-for-All as the utopia for health care, resulting in lower costs, higher quality and universal coverage. Others see M4A—a common shorthand for Medicare-for-All—as destroying health care in America, with total control residing in the hands of government bureaucrats.
Neither assessment is correct. Consider eight points:

Every health care system in the world has problems. Each system struggles with rising costs driven by factors like aging populations, development of new drugs and new medical technology,

IT’S OPEN ENROLLMENT season for many employer health plans, Medicare and plans offered through the health care exchanges. The window of opportunity can range from a few weeks to perhaps a month.
Sadly, in my experience, most people wait until the last day or two and then make a quick decision. Even worse, they ignore the communications they receive and make no decision, leaving in place for another year the coverage they currently have.

BEGINNING IN 1961—and for the 48 years that followed—I administered, designed, managed and negotiated health plans covering some 40,000 employees. In the late 1970s, cost became a growing issue. Over the years, we tried every trendy thing to control costs, from HMOs to wellness programs to shifting costs to employees. Nothing worked then and nothing seems to work today.
Before you jump to the most common conclusion, there was no insurance involved in any of the plans I managed.

READ THE MEDIA AND you’ll likely be convinced that health care costs in retirement will be overwhelming. One example: The Motley Fool says the average couple will need $400,000 for retirement health care expenses—if they’re healthy.
Pretty scary stuff. But let’s be realistic: Every ongoing living expense stated as a lump sum looks scary. For instance, my total property taxes over my retirement will come to $435,000, excluding annual increases.
Not reassured? Consider this from a recent study by the Employee Benefit Research Institute: “For the majority of surveyed people,

LIKE ALMOST EVERYBODY else, my wife and I faced large health care cost increases this year.  It wasn’t all from changes in our health insurance. We’re getting up there in years. We go to the doctor more often. Not all hospital charges are covered by Medicare or our health insurance. And there are some costs that aren’t covered at all–namely dental, ear and eye problems.
We’re fortunate: We can afford the cost growth. Many of our acquaintances can’t.