Saturday, April 21, 2012

LGBT people need to plan carefully for long-term care

Michael J. Glassman has a special article in the “bladebusiness” section, p. 55, of the April 20, 2012 issue of the Washington Blade, “LGBT Community needs long-term care”, link here

The truism is, of course, that LGBT people may seem less likely to have children upon whom they can “depend” as caregivers if they become disabled while elderly. 

The article points out that some insurance companies are offering some discounts for long term care insurance premiums to members of a couple that has been together for at least three years, and when both qualify medically for normal coverage.

Glassman’s article discusses some technical and legal details for seniors with C-corps and self-employment in long term care planning. 

I haven’t heard specifically anything about HIV and long term care issues.  But because medications are so successful for some people, there could eventually be a population of seniors with HIV needing long term care. 

From a psychological viewpoint of the caregiver, HIV issues such as buddy programs involved very different dynamics from eldercare (as I have done both).  At one time, in the 1980s and early 1990s, people with infection usually could not live long.  Anti-retroviral medications (protease inhibitors) have so thoroughly turned around the prognosis that many, maybe even most people return to  (or remain in) full independence and employment for years or even decades, and then may face problems similar to others in old age. 

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