[1] Note that KFF argues that Medicare and Private Insurance should not be included in LTC expenditures, which would drop the total for 2023 from $629.3 billion to $469.3 billion, raise Medicaid’s share from 44.2 percent to 59.3 percent and increase out-of-pocket expenditures from 12.9 percent to 17.4 percent. I disagree with KFF’s reasoning. For their analysis and mine, see respectively Priya Chidambaram and Alice Burns, “10 Things About Long-Term Services and Supports (LTSS),” KFF, July 8, 2024 https://www.kff.org/medicaid/issue-brief/10-things-about-long-term-services-and-supports-ltss/ and Stephen A. Moses, “LTC Bullet: LTC Data Manipulation,” Center for Long-Term Care Reform, August 30, 2024, https://centerltc.com/bullets/archives2024/1388.htm