Travel, golf, hunt and fish, spend time with the kids and grandkids, sell the big house in the suburbs for a smaller house in the country or a condo in the city. As a Wealth Manager, these are some of the many plans I hear when asking the simple question: "What are your plans for retirement?" When I bring up the question of "What are your plans for taking care of your health and healthcare in retirement?" It is almost always followed by that glassy eyed stare that lets you know that this was not even part of the picture until I brought it up. This is not surprising because after all, those grandiose commercials and ads put out by the various insurance and investment companies, you know the ones I'm speaking of, right? The ones where the older couple are walking hand in hand along the beach into the sunset, or running around with the grandkids.
Unfortunately, this vision of retirement will not be realized by many people. Instead, the previous images will be replaced with images of hospital rooms, dialysis clinics, nursing homes, or even a bunch of brown plastic prescripion medicine bottles that represent the zillion or so pills that must be taken everyday. While this is a reality not many people would like to imagine it will become a reality by many people, or their spouses at some time during retirement. To not have a plan for the "not so fun stuff" is playing a game of financial "Russian Roulette" with your retirement. Only in this game of Russian Roulette, there are two or three bullets loaded in the cylinder, not just one. In this article I'm going to do an overview where healthcare was in the past, where it is now, and conclude with the three components of healthcare planning that I typically address in the healthcare segment of my retirement plans. In the upcoming months, as time allows, I will address each segment in more detail as outlining them all right now in this article would be time and space prohibitive. Feel free to use some or all of my suggestions in your plan, but please make sure that healthcare is addressed in your retirement plan. You are only given one shot at retirement, and you have to do it right the first time. You can't fold, and wait for a better hand next deal.
THE WAY IT WAS
The best way to illustrate where we are is to illustrate where we are is to first look at where we were. Back in the days of the big paternalistic companies and shorter lifespans of the industrial age, healthcare in retirement was never an issue. In fact, many people retired at age 62 and died by age 67. Some made it into their 70s, and only a lucky few made it into their 80s or 90s. Companies like U.S. Steel, GM, and Ford all included post-retirement healthcare in their benefit plans along with a defined benefit pension to supplement their government provided social security. Since each generation was about the same size or slightly larger than the previous one, the "pay as you go system" worked well as the current generation of workers were able to adequately fund the previous generation of workers for the limited time they required coverage. Life was good until...............the game changed to...............
THE WAY IT IS NOW
The decline of the industrial age and the dawn of the information age saw the decline of the big companies with the awesome benefit plans, and more towards the independent "every man for himself" mindset that we currently are experiencing. With the huge Baby Boomer generation heading into their golden years, and a much smaller Generation X and the leading edge of the Echo Boomers having to finance the Baby Boomers retirement, the rules of the game changed significantly, and in many ways they had to. Also, dying five years after retiring is now more the exception than it is the rule. Now the average life expectancy lasts into the early to mid 80s, and with a current married couple reaching the age of 65, there is a 25-50% chance that one of them will be alive to see 90-95! While improvements in medicine and diet are allowing us to live longer lives, the quality of that life is not keeping pace. People are now contracting illnesses and medical conditions that were never much of a problem in the past because either people didn't live that long, or the illness itself killed them. Alzheimer's disease patients, Parkinson's disease patients, stroke patients and cancer survivors (even in to the 1980s, "cancer" and "survivor" were not terms that typically went together) are living a rather long time with these illnesses. The big companies that provided healthcare from employment until death have now not only stopped doing that for the current crop of retirees, many are trying and succeeding in getting out of providing health benefits to the previous generation of retirees. The automobile and airline industries come to mind here. Unfortunately, while the game has changed with the times, many people are still playing by the old rules, and the USA in general is just starting to recognize the the healthcare tsunami that is about to hit.
THE 3 COMPONENTS OF HEALTHCARE IN RETIREMENT
When dealing with healthcare in retirement, the simplest way to deal with such a broad topic is to break it down into three components:
1. Acute Care-The type of care needed to treat an immediate health disorder that could result in disability or death if not treated immediately. It also typically includes preventative measures such as annual checkups, vision and dental checkups, and prescrition medications.
2. Chronic Care- The type of care needed to treat a health disorder that can't currently be cured and, that the person will have to live with for the remainder of their lives.
3. Wellness- Includes measures that people can take to prevent or slowdown the ravages that aging places upon your health.
Since each of the components are in-depth topics by themselves and would be difficult to outline in one sitting, I will address each of these topics separately over the next few months, time permitting. Please stay tuned for the follow-ups to this article that will describe each of the three components in more detail.
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