
""My siblings and I are watching our parents age, and it feels different than how our grandparents aged. Our mom has made it clear she'll never go into a care facility, and while she has the financial means to make that choice, I'm struggling with the reality of what that means for us. I love her deeply, but I can't afford to care for her full-time, nor do I have the medical training or emotional bandwidth to do it well.""
"This summer, President Donald Trump signed the One Big Beautiful Bill Act, a $4.5 trillion package that slashes federal spending and delivers the biggest cuts to Medicaid and safety-net healthcare in US history. Experts warn that nearly $1 trillion in Medicaid cuts, the expiration of Affordable Care Act (informally known as Obamacare) subsidies, and new work requirements will leave millions of older adults and their families struggling to access care - or forced to shoulder it themselves."
"Over the next decade, nearly 12 million Americans are expected to lose insurance, including critical Medicaid coverage. Another 5 million will face skyrocketing health premiums as ACA subsidies expire, pricing many out of private insurance. At the same time, funding for nursing homes and home health aides is being gutted, making it dramatically harder for states - especially those with large elderly, immigrant, or rural populations - to provide even basic care. The new law also blocks enforcement of minimum staffing requirements in long-term care facilities, a move experts warn will further undermine quality and s"
Millions of middle-aged adults face heavier, lonelier eldercare responsibilities as many older relatives refuse institutional care while families lack time, money, and medical training. The One Big Beautiful Bill Act, a $4.5 trillion package signed in summer 2025, slashes federal spending and reduces Medicaid and safety-net healthcare funding. Nearly $1 trillion in Medicaid cuts, ACA subsidy expirations, and new work requirements will push millions off coverage and raise premiums. Funding for nursing homes and home health aides is being cut, enforcement of minimum staffing is blocked, and states with large elderly, immigrant, or rural populations will struggle to provide basic care.
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