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Planning a wedding is exciting. Mapping out a vacation is fun. Figuring how to afford care for your confused, elderly father? That one may never cross your mind — at least, not until you need more money to care for him. "Never thought about it," Natasha Shamone-Gilmore, 58, says about her younger self. "Never ever." She thinks about it a lot these days. Shamone-Gilmore, a computer trainer in Maryland, now shares a modest home with her husband, 24-year-old son and 81-year-old father. Like millions of other middle-aged Americans, she had long regarded her parents as robust adults, more than capable of managing their own affairs. "My mom was a very active woman; my dad ... was a Safeway employee for 40-something years," she said. But time does what it does, and today, her father needs a caretaker. So she has had to step into that role and figure out how to make it all work financially.
Shamone-Gilmore's family is one of three multigenerational households being profiled by NPR this spring. Their stories will help highlight the importance of family financial planning. The series, Family Matters, began last week and will continue in installments each Tuesday into June. While aging is inevitable, planning for the costs associated with dependency in the latter phase of life doesn't come easily to most Americans. "People dread talking about it because we don't like to face our mortality," says Jack Hetherington, a certified elder-law attorney in suburban Philadelphia. He estimates that fewer than 1 person in 5 takes even the first steps needed to prepare legally and financially for taking care of an incapacitated parent. Consider this contrast between expectations and reality: Only 13 percent of some 4,000 U.S. workers surveyed for the 2011 Aflac WorkForces Report believe that the need for long-term care would affect their families.
And yet providing long-term care is, in fact, common. Nearly 10 million adult children are caring for aging parents, according to the MetLife Mature Market Institute. Other adult children are contributing to the cost of a parent's assisted-living care, which MetLife says averages about $3,500 a month. "The percentage of adult children providing personal care and/or financial assistance to a parent has more than tripled over the past 15 years," the research group found. Of course, in today's tough economy, it also is common for elderly adults to be supporting their adult children. But in some ways, that's easier to accept: Parents often plan to leave whatever wealth they have to their children anyway. The flow of wealth from older to younger generation feels natural to many. But with Americans living so much longer now, the younger generation has to do more thinking about how they might care for parents who have exhausted their savings. "That's a tough one," says Paul Taylor, director of the Pew Research Center's Social and Demographic Trends project. "You have lots of uncertainties in your own life, let alone worrying about paying for your parents' care."