When you hear that long term care costs $50,000 a year, or whatever it costs in your area, you need to compare that to what a healthy person that age would spend in a normal year since many of their other expenses will stop when they go into long term care. Personally I live in a moderate cost area and I expect to be spending more than $50K a year in retirement so long term care should not be terribly more expensive than my normal retirement budget. For a couple it is more complicated since there are lots of permutations but you still need to compare it to their normal costs.
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