Poll Finds Americans Focus More on Short-Term Planning for Long-Term Healthcare

A recent survey highlights a significant gap in awareness and preparation for long-term healthcare among Americans aged 50 and over. Many individuals either rely on Medicare to cover costs it typically does not, or believe they can address long-term care issues at a later date. The poll indicates that nearly two-thirds (62%) of older adults assume Medicare will fund nursing home care, despite the program generally not covering such expenses. Similarly, only 29% expect Medicaid to cover their nursing home needs, even though it finances approximately two-thirds of long-term care in nursing facilities.
Furthermore, a substantial portion of seniors — about 45% — believe their need for long-term care is distant and unlikely to happen soon, with over half (52%) not worried about potential needs. However, statistics show that approximately 70% of people surviving to age 65 will require some form of long-term care, including assistance with daily activities or medical support.
The University of Michigan’s National Poll on Healthy Aging, supported by AARP and Michigan Medicine, underscores these misconceptions. The survey also found that only half of those aged 50 and above have taken steps to prepare, such as appointing healthcare proxies or identifying potential caregivers. Most prefer to receive help at home from family or friends, with fewer considering assisted living or nursing homes. Conversation about long-term care plans with loved ones remains limited, with just over half having discussed these issues.
Differences emerge across age groups: younger seniors (50-64) are less proactive, with only 37% taking preparatory actions. Health status also influences perceptions; seniors with health problems or disabilities are more aware of their potential need for long-term care but still face confidence gaps in planning. Impressions of long-term care facilities are mostly negative, with many doubting their ability to afford such services.
Experts emphasize the importance of early planning and better information dissemination. Healthcare providers are encouraged to discuss long-term care options proactively, and the availability of advance directive resources can facilitate better preparation. The survey results aim to inform policymakers and organizations working to improve access to long-term care options, ultimately helping older adults and their families make informed decisions.
Source: https://medicalxpress.com/news/2025-05-poll-reveals-short-term.html
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