LTC Bullet:  The Top 10 LTC Bullets of All Time

Friday, August 14, 2015


LTC Comment:  Your Center for Long-Term Care Reform presents to you our top 10 LTC Bullets of all time, after the ***news.***

*** TODAY'S LTC BULLET is sponsored by Claude Thau, a GA whose proprietary tools help advisors find clients and reduce the “Ping-Pong” in the LTCi sales process. Help clients make informed final decisions about buying LTCi in 15-20 minutes!  Gauge a client's true interest in a combo product immediately!  Change work-site LTCi sales from a series of proposal deliveries to a single interactive consultation!  Claude is the lead author of the Milliman Broker World LTCi Survey, one of Senior Market Advisor's 10 "Power People" in LTCi in 2007, a past Chair of the Center for Long-Term Care Financing. Test Claude by calling 800-999-3026, x2241 or email him at to ask questions or get references. ***

*** PHYLLIS SHELTON REPORTS on her 6th webinar covering “How to Do Successful Internet Selling and Technology Tips” here.  Get the details on this session and consider subscribing to her series of webinars at the bottom of the link. ***

*** THIS JUST IN FROM ILTCI:  “The 2015 conference session recordings are now available! [Here] is a link where you can access all the sessions and download the recordings as needed.  Thanks so much for your attendance at this year's conference. We hope to see you next year in San Antonio, TX for the 16th Annual ILTCI Conference, March 13-16, 2016!”  See for further details.  Your Center for Long-Term Care Reform staff hope to see you there.  We never miss these excellent industry events. ***

*** CLTCR Premium Membership  --  Center for Long-Term Care Reform premium members receive our full suite of individual membership benefits including:  our LTC Bullets and E-Alerts; access to our Members-Only Zone website and Almanac of Long-Term Care; subscription to our Clipping Service; and email/phone access to Steve Moses for 24-hour turnaround queries.  Our Premium Membership is designed to give you a competitive advantage in your long-term care profession. Your increased knowledge of the critical issues and challenges we face in the field of long-term care service delivery and financing equals improved professional success for you and better LTC services for your clients and for those who have no choice but to rely on scarce public resources.  Premium Membership is $250 per year, paid up front or monthly by automatically recurring credit card payments.  Contact Damon at 206-283-7036 / to start your Premium Membership immediately or go directly to our secure online subscription page and sign up for as little as $21 per month. ***


LTC BULLET:  The Top 10 LTC Bullets of All Time

LTC Comment:  Once a week, usually on Fridays, we publish our LTC Bullet.  The Bullets are often policy pieces, sort of like op-eds.  You can always find the five latest Bullets here and archives of all 1,092 Bullets (so far), by date here and by topic here.  These nearly-1,100 articles are a valuable historical resource.  Please make use of them.  Search for key terms using Control-F on your keyboard.

Today, we present to you what we feel are our top 10 LTC Bullets of all time, in this retrospective of the most interesting and dramatic LTC Bullets that we’ve published since the Center’s founding in 1998.  We’ll highlight at least one Bullet from each of seven major topics:  “The LTC Problem and Solutions”; “Reality Check:  The Facts on LTCI”; “Medicaid Planning”; “LTC Services”; “Politics and Legislation”; “Demographics and Other Data”; and “CLTCR News.” 

Read the summary quotes and check out the original Bullets at the links provided.  Here are our top 10 LTC Bullets in chronological order.  We hope you find this resource useful.


June 6, 1998:  LTC Bullet:  New York Times Misinformed on LTC Insurance.  “This morning's New York Times contained an article about long-term care financing. The article accurately conveyed the gravity of long-term care as a personal and public policy issue. Unfortunately, some information in the article regarding private long-term care insurance was inaccurate and misleading. Furthermore, the author of the article cited exclusively sources who promote public financing and denigrate private financing of long-term care. The following is a letter to the editor of the New York Times regarding the long-term care article from Stephen A. Moses, President of the Center for Long-Term Care Financing in Seattle, Washington.”


January 25, 1999 Scary Numbers.  “Center President Stephen Moses wrote the following article at the end of 1998. A few days later, the Clinton Administration put aging and long-term care on the public policy agenda in a big way. The Administration deserves credit for raising and confronting these critical issues sooner rather than later. ‘Scary Numbers’ explains why long-term care financing is so important. An abbreviated version of this article, adapted to the style of an op-ed piece, was published in the January 11, 1999 issue of National Underwriter's Life & Health Edition.”


February 3, 1999 Perils of Medicaid.  “A reporter from a prestigious financial planning publication contacted the Center for Long-Term Care Financing yesterday. She asked us to provide evidence that Medicaid nursing home care can be risky for consumers. Some Medicaid planning attorneys had told her that clients they artificially impoverish to qualify for the welfare program do not experience access and quality problems. We thought our readers would appreciate seeing the same evidence of potential Medicaid-related deficiencies gleaned from the gerontological literature that we provided to the reporter. That information follows [in this LTC Bullet].”


December 10, 2002 What About the Rate Stability of the U.S. Government?  “The strongest criticism levied today against private LTC insurance is that premiums on in-place business may have to increase someday if claims experience turns out to be worse than anticipated. This, critics say, could devastate long-time policy holders who cannot afford steep premium increases in their old age and who no longer qualify medically for new coverage. Well, that is a valid concern that insurers and regulators are taking very seriously. But what about the far more ambitious, and less achievable promises that the U.S. Government has made to seniors through Social Security and Medicare? David Wessel, in his November 21, 2002 Wall Street Journal column ‘Capital,’ titled ‘U.S. Promises Are in the Hole’ raised that question.  [Excerpts follow in this LTC Bullet.]”


March 4, 2004 No Wonder They Don't Buy LTCi.  “Do Medicaid estate planners really advise adult children to grab their parents' money, yank them from private-pay assisted living facilities, stick them in a nursing home on welfare, and transfer the cost to taxpayers and providers? Read an actual Medicaid planning ‘engagement letter’ that does exactly that.”


December 19, 2005 House Passes Historic LTC Reform; Center Helps Tip Balance; AARP Spurned  “At 6:00 AM Eastern, after pulling an historic all-nighter, the House passed long-term care reforms that exceeded our highest hopes.  Bottom line, we got everything the Senate proposed, plus everything the House proposed, and then some.  We're still on tenterhooks, however, waiting to see if the full Senate will go along.  Stay tuned to C-Span coverage of the budget bill for the suspenseful conclusion of this public policy cliffhanger.  

“Your Center for Long-Term Care Reform had a thing or two to do with this progress too.  We spent half time in Washington, DC this Summer briefing (primarily) Senate Finance Committee staff on the importance of these reforms.  Our ‘Rule of Law’ column titled ‘Welfare for the Well-To-Do’ ran over the weekend in the Wall Street Journal and was widely circulated on Capitol Hill Saturday and Sunday before the vote.  Read on for a copy of that op-ed.  As you know, we've repeatedly exposed AARP's irresponsible attacks on members of Congress who seek to save Medicaid for the poor by diverting the affluent to responsible long-term care planning.”  


March 7, 2006:  What I Believe About Long-Term Care.  “[W]hat follows is my [Steve Moses] address to a session at the meeting called ‘Shaking the Money Tree’ which was organized by LTCi veteran and MedAmerica Business Development Vice President Gail Holubinka.  Gail's idea was to have four speakers representing different perspectives on the LTC financing issue describe their vision of the topic.  She asked us to explain our underlying beliefs and to build from that foundation logically toward a description of our proposed solutions to the LTC financing crisis.” 


February 8, 2010 LTC Bullet: The Enemy of LTC Truth.  “Einstein disdained ‘unthinking respect for authority,’ but he wasn't alone. President John F. Kennedy said:

‘The great enemy of truth is very often not the lie--deliberate, contrived and dishonest--but the myth--persistent, persuasive and unrealistic. Too often we hold fast to the clichés of our forebears. We subject all facts to a prefabricated set of interpretations. We enjoy the comfort of opinion without the discomfort of thought.’

“The field of long-term care financing is a perfect case in point. What exactly are the ‘persistent, persuasive and unrealistic’ myths of long-term care?”  Read this LTC Bullet to find out.


January 6, 2009:  An LTC Tour Retrospective.  “I can't move on to bring you our huge new plans for 2009 without pausing just once more this week to look back on our LTC Tour of 2008.  Today, I invite you down memory lane with ‘An LTC Tour Retrospective.’ On Thursday, we'll give everyone a summary, and Center members a TRANSCRIPT, of the LTC Tour's educational centerpiece: our two-hour mini-version of the Center's full-day ‘Long-Term Care Graduate Seminar.’”  See also this article that appeared in Broker World.


February 3, 2012 LTC Bullet: How to Fix Long-Term Care.  “The Center for Long-Term Care Reform’s late summer, early fall [2011] project in Washington, DC produced seven important deliverables. As described in our project report titled ‘Near-Term Prospects for Long-Term Care Financing Reform,’ these work products included:

1.Pay for the Doc Fix by Fixing Medicaid LTC
2.Save Medicaid LTC $30 Billion Per Year AND Improve the Program
3. & 4. Letters from members or committees of Congress to both the GAO and the DHHS Inspector General requesting studies relevant to our project's objectives.
5.Medicaid Long-Term Care Benefits: Friendly Fire in the Class War’: Steve Moses’s testimony published by Congress.
6.Challenges to Effective Long-Term Care: Cost and Affordability’: Steve Moses’s speech to the 13th annual Health Sector Assembly in Sundance, UT.
7. Six ‘Briefing Papers’ on ‘How to Fix Long-Term Care’ with an ‘Overview’ linking to each.

“Today’s LTC Bullet conveys our ‘Overview’ of ‘How to Fix Long-Term Care.’ Subsequent LTC Bullets will deliver each of our six Briefing Papers in serial form. We hope that by reading this material you will gain a better understanding of why America’s long-term care delivery and financing system is so dysfunctional and what it will take to fix the problem. Thanks for supporting the Center for Long-Term Care Reform.”

Read this Bullet and “How to Fix LTC.”