There are other options for middle class families to choose from other than paying for services out of pocket. Long term care insurance is becoming a more popular option for many Americans. For example, California is one of the many states that take part in "Partnership for Long Term Care". This program gives credit to individuals that purchase long term care insurance. This is an advantage because most LTC policies pay a fixed amount. The benefit is a payment of the actual expenses incurred, also the credit extends to assisted living facilities, nursing homes and in home services.
References
Harris, H. & Pear, R. (2011, October 24). Still no relief in sight for long-term needs. Retrieved from http://www.nytimes.com/2011/10/25/health/25seniors.html?_r=1
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