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Long Term Healthcare: "Unaffordable" Says Report

Home care and other long-term care services have quickly become increasingly unaffordable

Are you a "middle income" Senior whose got a long-term health care policy? Noticed your rates going up?

You're not alone.

The teeter-totter costs between home care and assisted living have shot up nearly 50% in the last seven years, putting the cabosh on a 10-year affordability run for middle-income older adults looking to buy long-term care, a new AARP’s report finds. 

And, if that's not enough, findings show that affordability varies dramatically across states. Older adults in states with the least affordable long-term care can pay for about half the amount of care that older adults in states with the most affordable. As costs rise faster than older adults’ household incomes, many families must deplete savings, rely on unpaid family caregivers, or go without needed care. 

“Home care and other long-term care services have quickly become increasingly unaffordable in recent years,” said Alan Weil, Senior Vice President for Public Policy at AARP. “The result is a widening gap between what care costs and what older adults and their families can afford – and we've got to fix this, because the consequences can be life-threatening.” 

The numbers don't lie

Long-Term Care Is Unaffordable for Middle-Class Americans
AARP Public Policy Institute · March 2026

Long-Term Care Costs Are Crushing Middle-Class Americans

A year of home care consumes nearly an entire year's income — and prices have surged nearly 50% in just five years.
Median 65+ Household Income
$59,648
per year (all sources)
Avg. Social Security Benefit
$23,700
per year (retired workers, 2024)
Median 75+ Household Savings
$50,000
total financial assets (2022)
Annual Cost of Care vs. Median Household Income (2024)
Adult Day Services
$26,000
Homemaker Services
$51,480
Home Health Aide
$53,040
Assisted Living
$70,800
Nursing Home (shared room)
$111,325
Nursing Home (private room)
$127,750
Median income ($59,648)
Bars scaled to max cost ($127,750)
How Long Does $50,000 in Savings Last?
A lifetime of savings. Gone in months.
Home Care
(30 hrs/wk)
~11 mo.
savings last
about 1 year
Assisted Living
~8.5 mo.
savings last
under a year
Nursing Home
(shared room)
~5.4 mo.
savings gone
in months
Nursing Home
(private room)
~4.7 mo.
savings gone
in months
Based on median financial assets of $50,000 for age 75+ households (Federal Reserve Survey of Consumer Finances, 2022). Bar length represents months of care funded out of savings, relative to a 12-month baseline.
~50%
rise in cost of home care & assisted living
2019 → 2024
22%
rise in median older household income over the same period
2019 → 2024
2×+
more expensive in the highest-cost state vs. the lowest, for every care type
State variation, 2024

Is there any way around this?

In addition to the rising cost, the researchers uncovered some other pretty ugly metrics.

The second big sting is that what Americans earn on average is not enough to pay for long-term care. The study said that a Senior 65+ who makes in the neighborhood of $60k is going to exhaust almost all of that on the annual median cost of home care services which is now running upwards of $50,000

If you've got enough in the bank to cover that, you're ok, but most of those 75+ only have about $50k in financial assets – barely enough to cover a year of home care or only a few months of nursing home care.

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