Trusts are not an issue here. As with many older adults ,living past their life expectancy, there is no money for trusts, or even groceries. If money existed for trusts, I would certainly use it for their care.
As for insurance companies, they have the big bucks. So do casinos. The odds are never in favor of the subscriber. Although medical insurance is necessary, Blackjack is not.
I disagree with Ed in the fact that insurance is so expensive because of rising costs. It is more In league with absurdity of charges. You cannot bring your own prescription medication to a hospital. Instead, the hospital provides the medication at absorbent’s cost. The charges from a hospital are simply over the top. Insurance companies pay an alternate amount. Much less than charged. If a person does not have insurance, therefore she/he is charged the given amount, she/he could face bankruptcy. The affordable care act did open insurance to those that otherwise couldn’t get it. Yet is wasn’t quite affordable. High prices, high deductibles. Many employers , now only offer part time jobs, due to the lack of cost effective provisions of insurance companies. “Obamacare” was a good start, we need more. I’m not a bit socialist is most areas, only about healthcare. We dearly need more government intervention. Yet, in England, the NHS is beginning to fail in its quality of medical care provided. I have no facts, just friends in England that are witnessing and complaining. I live in a snow bird community. Many Canadians come to Florida for required surgery. They carry US healthcare policies because of the long waitlists for surgery, in Canada. Yet many Americans get medications from Canada , considering they have lower costs for prescriptions. Another ex. Is the disparity in AIDS medication. So high in the US yet low in Africa.
Medicaid facilities are in a lower league than Medicare facilities, in spite of Florida’s SMMA program. The issue here, Medicare doesn’t cover long term inpatient healthcare. For that, a long term healthcare, (an additional insurance policy) is required. That long term care policy is a fortune. The cost of that policy is always subject to increase. I have witnessed many adults that just stopped paying into these policies, for that reason only.