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Article snippet: At any given moment, there is a large group of citizens who want nothing more than to make absolutely certain that they are impoverished enough to qualify for Medicaid sooner rather than later. Someday, you might be one of them. Welcome to the (perfectly legal) world of Medicaid planning, the plain-vanilla term for the mini-industry of lawyers and others who help people arrange their financial lives so they don’t spend every last dime on a nursing home. Once properly impoverished under the law, then Medicaid, which gets funding both from your state and the federal government, picks up the tab. Whatever twists and turns the retirement, it is Medicaid that pays for most of your nursing home or home-based care. The bill that contains the caps that Republican senators have proposed, which would remake Medicaid, seems for now to have a low chance of passing. But even if no bill survives, politicians on both sides of the aisle fear what demographics will do to the program’s costs. Most Americans haven’t saved enough to pay for decades of post-retirement living expenses and years of expensive end-of-life care, so it stands to reason that Medicaid will come under increasing strain. In my first Medicaid column on June 30, I asked for your questions about the program, aging and long-term care, and you sent me more notes about the ethics of Medicaid planning than on nearly any other topic. About half of you were outraged by the ethical implications, and the rest wanted to k... Link to the full article to read more