LTC Bullet: What Have You Done for Me Lately?

Thursday, August 1, 2002


*** Here's a tip on a forthcoming conference--scheduled for December 9-11, 2002 in Washington, D.C.--that sounds interesting. In their own words: "The National Caregiving Conference and Tradeshow focuses on the issues, challenges and business opportunities for the financial, insurance, legal & legislative, home health care, housing and employer solutions industries in the $200 billion caregiving industry." More info at The Center for Long-Term Care Financing has been invited to participate on three panels at this conference: (1) Legal and Legislative Track: The role of legal professionals in assisting families with financing long term care (12/9 3:00 - 3:50 p.m.); (2) Insurance Track: The advantage of employers and other groups embracing the long term care needs of an aging population and workforce (12/10 11:00 - 11:50 a.m.); and (3) Insurance Track: Long term care insurance, why the market has been so slow to respond (12/9, 2:00 - 2:50 p.m.). We've accepted this opportunity to get the word out on rational long-term care policy. LTC Bullets readers who register for this conference and use the following code (FC-0224) will get a $100 discount on the $995 registration fee AND the conference organizers will donate an additonal $100 to the Center. Win/win. ***

*** New content added to the donor-only zone today includes "The LTC Week in Review for July 29 to August 2: LTC E-Alerts #186-#190" (donor-zoners can jump right to The Zone by clicking here and entering your user name and password: )

LTC E-Alert #186--High Tech LTC

LTC E-Alert #187--Court OKs Big Medicaid Asset Transfer

LTC E-Alert #188--State Budgets Woeful

LTC E-Alert #189--OSHA Targets SNFs

LTC E-Alert #190--Scully Warns Govs, Abandon Hope of Medicaid Help

To Zone In, mail your tax-deductible contribution of $100 or more to the Center for Long-Term Care Financing, 2212 Queen Anne Avenue North, #110, Seattle, WA 98109. Then email your preferred password and username (up to 10 characters each). He'll confirm in short order and you'll be in The Zone even while your "check is in the mail." ***

*** Here's an example of a typical LTC E-Alert from the Center's donor-only zone. We include it here because of the strong general interest in the LTCI tax deductibility legislation:

LTC Comment: Legislation for above-the-line tax deductibility of LTCI premiums that is moving through Congress is a pale substitute for what's really needed. But at least something is moving. Keep an eye on further developments, in The Zone.

"LTC Insurance Proposal Moves to Senate. WASHINGTON, DC, July 29 (Eli Digital) The House passed tax legislation last week offering deductions to middle-income taxpayers who apply for long-term health care insurance, reports the Associated Press. Under current law, taxpayers qualify for deductions if they itemize them, and if the deductions account for more than 7.5 percent of their income, when combined with all other medical expenses. Approved on a 362-61 vote, H.R. 4696 permits deductions for individuals earning between $20,000 and $40,000 in adjusted gross income, and for couples earning between $40,000 and $80,000 filing jointly, whether or not they itemized their deductions. House members opposing the bill cite the $5.3 billion reduction in federal revenue over 10 years, and observers still are doubtful of the bill's chances in the Senate, states the AP. The group Americans for Long-Term Care Security called on the Senate to make major modifications to the bill. Changes include allocating deductions without income limitations, offering tax credits for individuals with LTC needs or their caregivers, and authorizing insurance within employer-sponsored cafeteria plans." Source: LTC Daily Analysis Briefs, July 28, 2002, prepared by for members of ***


*** Please read this Bullet and send us lather (compliments) or a shave (criticism) as you see fit. We'll use your positive feedback to help seek financial support for the Center from corporate donors. We'll use any negative feedback to correct our course and adapt to readers' preferences. Thanks for your time, attention and support. ***

Around this time every year, we give LTC Bullets readers a report on what the Center for Long-Term Care Financing has done for you during the past year. We solicit your comments, criticism and questions. We also invite your endorsements and testimonials if you think we've earned them. We do this is preparation for the Center's 2002-2003 fundraising campaign that begins this month.

The Center for Long-Term Care Financing's mission is to ensure access to quality long-term care for all Americans. We pursue this mission by promoting public policy that targets scarce public resources to the needy and encourages everyone else to plan early and save, invest or insure for long-term care.

Our strategy is to enlist the private sector's profit motive to relieve the fiscal burden on the public sector's service objectives. That's why we encourage long-term care insurance, home equity conversion and private investment as means to reduce avoidable dependency on Medicaid's nursing home benefit.

Working together, we can prepare most Americans to pay privately for long-term care. This outcome will benefit rich AND poor seniors, LTC providers, insurers, and tax payers. When most people can pay privately for long-term care, Medicaid will be able to provide better access to higher quality care across a wider range of services for a smaller clientele. Everybody wins.

So, what exactly has the Center for Long-Term Care Financing been doing to pursue our common mission since this time last year?

* WE PUBLISHED 86 "LTC BULLETS." The purpose of the Bullets is to educate, motivate, and persuade. We send them to a wide range of LTC experts including insurers, providers, media, legislators, all state governors, policy makers, lawyers, financial planners, senior advocates, think tanks, and academics. The Bullets now go to over 4600 subscribers, up from around 1800 when the Center began in April 1998. Today's Bullet is number 375 in the series. We hope the LTC Bullets can remain free of charge for everyone and we seek your financial support of the Center to make that possible.

* WE DEBUTED THE "DONOR-ONLY ZONE" IN AUGUST 2001. The purpose of The Zone is to provide additional information of value especially to LTCI producers who are willing to help support the Center financially at the $100 or higher level. We added "LTC Week in Review" to the donor zone in October 2001 and since then, we've published 190 "LTC E-Alerts." In February 2002, we added the "LTC Reader" and "LTC Data Base" features and since then, we've published 27 of each. The Zone provides "one-a-day" mental vitamins to help committed LTC professionals stay current on the whole spectrum of long-term care issues. Find out how to qualify and sign up at

* WE LAUNCHED THE LTC GRADUATE SEMINAR PROGRAM IN MARCH 2002. Since then we've conducted programs in Chicago, Baltimore, Philadelphia and Pittsburgh and we have programs planned for Seattle, Portland, Dallas, Houston, New Orleans, New York, Boston, St. Louis, and Florida. The LTC Graduate Seminars are designed to give experienced and successful LTC professionals advanced training on the history, status quo, and options for change of long-term care service delivery and financing in the United States. The more you know about how long-term care in the U.S. came to be in the mess it's in today, the better able you will be to help families cope and to advocate for the necessary changes in public policy.

* WE ARE WRITING A BOOK ON LONG-TERM CARE SERVICE DELIVERY AND FINANCING. We announced in April 2002 that the Cato Institute has retained the Center to write a book provisionally titled "The Unnecessary Tragedy of Long-Term Care." This book will put to rest once and for all the myths that LTCI is unaffordable and that that ever-greater government financing of long-term care is the only solution. Donor-zoners can read the successful book proposal at This volume has the potential to blow the lid off the market for LTC insurance, to save Medicaid financing for long-term care from its impending collapse, and to improve access to quality long-term care for rich and poor alike. Help us make it happen!

* WE LAUNCHED THE "LTC ACADEMY." The LTC Academy offers seven events to educate and motivate LTCI producers, providers, policy makers, and the public. Each event is designed to raise consciousness about LTC risk and about ways that individuals and government can confront it. The Center for Long-Term Care Financing invites corporate sponsorship of these programs. Read about them at While you're in the neighborhood, have a look at the nine programs we offer from the Center's Speakers Bureau too:

* PUBLICITY. One of the Center's most important roles is to get the word out through the media about the importance of planning for long-term care. We're quoted in hundreds of publications every year, most of which we never learn about unless readers fax or email us copies. Some examples this year include the Sacramento Bee, Insight, Investment News, National Underwriter, Financial Advisor, Senior Market Advisor, Best's Review, Provider, Hawaii Reporter, Knowledge Digest, and Health Care News, to name just a few.

* INTERVIEWS. One of the reasons the Center for Long-Term Care Financing is so successful in getting the word out through media about the importance of LTC planning is that our readers and supporters frequently refer reporters to us. Keep it up! We've provided extended interviews most recently to reporters from WJR Radio in Detroit, Forbes, US News and World Report, Atlanta Journal Constitution, The Charlotte Observer, Kiplinger Retirement Report, The Older Americans Report and BNA Health Reports. Dale Bell of Wiland/Bell Productions interviewed and filmed Center President Steve Moses for a PBS special on caregiving titled "And Thou Shalt Honor . . ." to be aired October 9, 2002 (

* BYLINED PUBLICATIONS. In the past year, Center President Stephen Moses published eight articles and a book chapter on critical long-term care topics. Some examples include "Long-Term Care Due Diligence for Professional Financial Advisors" in the September 2001 issue of The Journal of Financial Planning (you can read a version of this article at; "As I See It: Self-Funded Consumer Accounts May Provide Answer to Affordability" in the March 2002 issue of Assisted Living Today; "The LTC Wake-Up Call" in Advisor Today, May 2002; "LTC Workforce Blues: What You Don't Know . . . Might Hurt You," in Health Insurance Underwriter, June 2002; and "The Long-Term Care Partnership Program: Why It Failed and How to Fix It," a chapter in Nelda McCall, editor, Who Will Pay for Long Term Care?: Insights from the Partnership Programs, Health Administration Press, Chicago, Illinois, 2001.

* SPEECHES. In the past year, Center for Long-Term Care Financing staff delivered 19 formal speeches to a wide range of organizations and audiences. Some examples include: the National Chamber Foundation's Long-Term Care Conference, the National Association of State Budget Officers, the American Legislative Exchange Council, the Washington Health Legislative Conference, the National Association of Independent Financial Advisors Elder Care Planning Forum, the 2nd Annual Life Insurance Selling "Selling to Seniors Conference," the DC Chapter of the Financial Planning Association, the American Health Care Association's 2001 National Convention and Exhibition, the Idaho Health Care Association, the Washington Association of Homes and Services for the Aging, the Pennsylvania Association of Non-Profit Homes for the Aging, the California Association of Health Facilities and The California Partnership for Long Term Care, and 31 CEOs of the Private Care Association. Moses also presented educational/motivational programs for LTCI producers and others representing The Standard Insurance Company, Northwestern Mutual, and Golden Rule. Former Executive Director David Rosenfeld testified before the Washington State House of Representatives Health Care Committee.

* BRIEFINGS. Besides delivering formal presentations across the United States, Center staff actively seek opportunities to provide informal briefings on long-term care policy to influential individuals and organizations. Some examples from the past year include: the Director of the Center for Medicaid Services of the Centers for Medicare and Medicaid Services, the Deputy Assistant Secretary for the Office of Disability, Aging, and Long-Term Care Policy and staff, the Director of Health Policy for the House Energy and Commerce Committee, the Director of the American Legislative Exchange Council's Health and Human Services Task Force, the Director of Domestic Policy at the Heritage Foundation, the Director of Health Policy Studies at the American Enterprise Institute for Public Policy Research, the Director of Health Policy Studies for The Cato Institute, the Senior Manager at the Academy for Health Services Research and Health Policy, the Executive Director of the Center for Health Program Development and Management at the University of Maryland, Baltimore County and colleagues, the President of the Galen Institute, the Director of HIAA's Center for Disability and LTC Insurance, the Mississippi Medicaid Director and staff, the Acting CEO of the Assisted Living Federation of America and staff, and the President of the National Pharmaceutical Council, Inc.

* CONFERENCES/SEMINARS. Center for Long-Term Care Financing staff sponsor and/or attend key LTC-related conferences in the fields of insurance, law, aging, accountancy and financial planning. In the past year, we sponsored Long-Term Care Summit Conferences coincident with the 15th Annual Private Long-Term Care Insurance Conference in Miami (August 2001) and the American Health Care Association's national convention in Boston (October 2001). We also attended and reported on the National Investment Center's national convention, LIMRA's "DI and LTC Insurers' Forum," the American Legislative Exchange Council's States and Nation Policy Summit, NAELA's Annual Symposium and many others.

* CONSULTING AND SPEAKING. To help support the Center for Long-Term Care Financing financially, Center staff are available for consulting, writing and speaking. We currently bill Center President Steve Moses's professional time at $175 per hour. Speaking engagements have a flat fee of $5,000 including travel expenses. All proceeds accrue to the Center. We welcome sponsors, with published recognition, for public service programs that we cannot afford to do without financial support. Contact or to commission an article, engage a speaker, sponsor a Bullet, enter The Zone, or retain a consultant.

* CORRESPONDENCE. The Center responds to numerous articles on long-term care in the national media. We write to authors and editors, thanking them for covering this important subject, correcting errors, suggesting new perspectives on the topic, and inviting them to receive LTC Bullets, visit the Center's web site, and contact us when they write on long-term care in the future. In this way, we have built a network of reporters and editors (such as syndicated columnists Jane Bryant Quinn of Newsweek, Terry Savage of the Chicago Sun Times, and many others) who check with us often before writing about long-term care. Our "reality check" series of LTC Bullets, usually authored by Eileen Tell of The Long-Term Care Group, targets particularly bad articles on long-term care in an effort to correct, educate, and improve media coverage of the topic.

*** Everything the Center for Long-Term Care Financing does is aimed at encouraging responsible planning for long-term care. Let us know what you think and please support the Center financially if you can. ***