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Boomer or Bust

Steve Weisman. Boomer or Bust: Your Financial Guide to Retirement, Health Care, Medicare, and Long-Term Care. Upper Saddle River, N.J.: Prentice Hall, 2006. 288 pages.

$12.23 from Amazon.com

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This book is a rarity '“ a fun read that also offers a wealth of financial guidance to hard-pressed members of the "sandwich generation" who are planning for retirement, helping their kids and worrying about aging parents.

Many books on the market cover similar territory, but few are as much of a delight as this one. Author Steve Weisman, a former ElderLawAnswers member Massachusetts, draws on his expertise as an elder law attorney and financial planner to uncover the latest tax, investment and planning opportunities and "loopholes" that will help boomers and their parents meet their long-term care needs.

All this could be eye-glazing stuff, but as was the case with his previous book, A Guide to Elder Planning, Weisman keeps the pages turning with an engaging style that includes occasional humor and references to cultural trivia that will be familiar to baby boomers, if not to their children.

In an explanation of how Social Security benefits are taxed, for example, Weisman finds a way to work in Mr. Lucky, a short-lived CBS show from the late '50s for which Henry Mancini wrote the theme music. Similarly, the chapter on "Retirement Investing" includes references to Yogi Berra, Robert Palmer the Platters, The Jeffersons, The Hunt for Red October, Johnny Carson and the board game Risk. Sugar like this helps the medicine go down easily. In this case, readers learn such valuable information as a rule of thumb for how much to withdraw from their portfolio each year and still have enough money to last a lifetime; the optimal ratio of stocks to bonds based on one's age; what target funds are; and how parents and grandparents can use "529 plans" to fund their own education later in life.

Weisman even makes his explanation of Medicare Part D a pleasure to read, which by itself should earn him a Pulitzer Prize. The chapter on "Age Discrimination" also is excellent, as is the discussion of tax deductions available for the care of aging parents. (And, as he wisecracks, which parent is not aging?) Other chapters include: "IRAs and 401(k)s," "Annuities," "Reverse Mortgages," "Home Care," "Long-Term Care Insurance," "Choosing a Nursing Home or an Assisted-Living Facility," and "Medicaid" (including a discussion of the new asset transfer rules).

For busy boomers who don't have a great deal of free time to read but who need practical advice conveyed simply and entertainingly, this is the book.


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Medicaid 101
What Medicaid Covers

In addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.

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How to Qualify for Medicaid

To be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.

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Medicaid’s Protections for Spouses

Spouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.

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What Medicaid Covers

In addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.

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How to Qualify for Medicaid

To be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.

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Medicaid’s Protections for Spouses

Spouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.

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Medicaid Planning Strategies

Careful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.

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Estate Recovery: Can Medicaid Take My House After I’m Gone?

If steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.

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Help Qualifying and Paying for Medicaid, Or Avoiding Nursing Home Care

There are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.

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Are Adult Children Responsible for Their Parents’ Care?

Most states have laws on the books making adult children responsible if their parents can't afford to take care of themselves.

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Applying for Medicaid

Applying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.

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Alternatives to Medicaid

Medicare's coverage of nursing home care is quite limited. For those who can afford it and who can qualify for coverage, long-term care insurance is the best alternative to Medicaid.

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ElderLaw 101
Estate Planning

Distinguish the key concepts in estate planning, including the will, the trust, probate, the power of attorney, and how to avoid estate taxes.

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Grandchildren

Learn about grandparents’ visitation rights and how to avoid tax and public benefit issues when making gifts to grandchildren.

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Guardianship/Conservatorship

Understand when and how a court appoints a guardian or conservator for an adult who becomes incapacitated, and how to avoid guardianship.

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Health Care Decisions

We need to plan for the possibility that we will become unable to make our own medical decisions. This may take the form of a health care proxy, a medical directive, a living will, or a combination of these.

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Estate Planning

Distinguish the key concepts in estate planning, including the will, the trust, probate, the power of attorney, and how to avoid estate taxes.

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Grandchildren

Learn about grandparents’ visitation rights and how to avoid tax and public benefit issues when making gifts to grandchildren.

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Guardianship/Conservatorship

Understand when and how a court appoints a guardian or conservator for an adult who becomes incapacitated, and how to avoid guardianship.

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Health Care Decisions

We need to plan for the possibility that we will become unable to make our own medical decisions. This may take the form of a health care proxy, a medical directive, a living will, or a combination of these.

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Long-Term Care Insurance

Understand the ins and outs of insurance to cover the high cost of nursing home care, including when to buy it, how much to buy, and which spouse should get the coverage.

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Medicare

Learn who qualifies for Medicare, what the program covers, all about Medicare Advantage, and how to supplement Medicare’s coverage.

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Retirement Planning

We explain the five phases of retirement planning, the difference between a 401(k) and an IRA, types of investments, asset diversification, the required minimum distribution rules, and more.

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Senior Living

Find out how to choose a nursing home or assisted living facility, when to fight a discharge, the rights of nursing home residents, all about reverse mortgages, and more.

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Social Security

Get a solid grounding in Social Security, including who is eligible, how to apply, spousal benefits, the taxation of benefits, how work affects payments, and SSDI and SSI.

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Special Needs Planning

Learn how a special needs trust can preserve assets for a person with disabilities without jeopardizing Medicaid and SSI, and how to plan for when caregivers are gone.

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Veterans Benefits

Explore benefits for older veterans, including the VA’s disability pension benefit, aid and attendance, and long-term care coverage for veterans and surviving spouses.

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