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Wealth patterns among elderly Americans: implications for health care affordability
James R Knickman1, Kelly A Hunt, Emily K Snell
1Robert Wood Johnson Foundation, USA.
Health Affairs (Project Hope)
|May 22, 2003
Summary
Future elderly income and assets appear sufficient for health care costs. However, middle-class "Tweeners" require policy attention for their limited discretionary health and long-term care funds.
Area of Science:
- Health Economics
- Gerontology
- Public Policy
Background:
- Estimating the financial capacity of the elderly to cover healthcare expenses is crucial for policy development.
- Emerging healthcare technologies and services present evolving cost considerations for aging populations.
Purpose of the Study:
- To estimate the future ability of the elderly population to afford necessary healthcare services and new technologies.
- To identify specific demographic groups within the elderly population who may face financial challenges in accessing care.
Main Methods:
- Utilized the Long Term Care Financing Model to project future income and assets of the elderly.
- Analyzed projected financial resources against potential out-of-pocket healthcare and long-term care expenditures.
Main Results:
- Future projections indicate sufficient income and assets for a significant portion of the elderly to cover discretionary health and service costs.
- A specific subgroup, termed "Tweeners" (middle-class individuals with limited discretionary assets), emerged as financially vulnerable.
- These "Tweeners" may struggle to afford uncovered health and long-term care needs despite general positive outlooks.
Conclusions:
- While overall financial prospects for the elderly appear favorable for healthcare, targeted policy interventions are necessary.
- Policymakers must address the unique financial vulnerabilities of the "Tweeners" to ensure equitable access to necessary health and long-term care services.
- Future financial planning for the elderly should consider the specific needs and limitations of middle-income individuals facing high healthcare costs.