Medicare is a national social insurance program, administered by the U.S. federal government, that guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease. Medicare offers all enrollees a defined benefit. Hospital care is covered under Part A and outpatient medical services are covered under Part B. Medicare Part D covers outpatient prescription drugs. According to the 2012 Medicare Annual Report, the Trustees project that Medicare costs will grow substantially until Trust fund exhaustion occurs in 2024. This model is obviously in need of urgent repair.

What Millennials Already Know About Growing Old

from TIME Magazine,

They’re the first generation who will spend a third of their lives as “old people”.

We think of them as forever young. But millennials are the first generation in human history who can not only anticipate reaching the age of 90 in large numbers but who will spend about one-third of their lives as what we now refer to as “old people.” This is a hugely significant change, and one that comes with many implications. Even today, with the exception of occasional hand-wringing about Social Security and Medicare, policymakers spend no time thinking about what it means for the U.S. to have an estimated 8 million people in their 90s by the year 2050. We’ve never had to ask what the 20s and 30s should look like when lives extend into the 90s and, for many, beyond 100 years. Are millennials living their lives differently from earlier generations?

We find good news about millennials. Smoking rates are starkly down, and exercise is up. More than young people in the past, millennials have friends they count on in tough times. More millennials have college degrees than do prior generations, and there is no better predictor of functioning well at advanced ages than education. Yet when we turn to financial security, there are alarming signs. Millennial poverty is up, and employment is down, college debt is more than five times what it was just 20 years ago, and for those saddled with debt a more frightening financial picture emerges. Both home ownership and participation in retirement savings accounts, the two avenues that Americans follow to secure their financial futures, are starkly down in a generation that needs to prepare for lives of unprecedented length. More than a quarter of millennials report that they could not cover a $3,000 emergency, whether with their own savings or by borrowing from family or friends, and thus live day to day with the knowledge that one mistake or accident could lead to financial ruin.

Many people have noted–and disparaged–the fact that so many millennials still live with their parents. Millennials are also less likely to be married or have children than were Gen X-ers or boomers at the same age. But these habits could be the right approach for a generation that could find itself working into its 70s or beyond and perhaps never retiring. Viewed that way, living with parents isn’t a sign of failure but an adaptation to new family structures that include fewer siblings and cousins but more generations under the same roof.

If millennials face six decades of work instead of four, and lives that could stretch even longer, leaving home at 18 or even 22 may make little sense.

Being financially prepared not just for emergencies but for periods between jobs will be even more important than it is today. Modest investments in savings vehicles, like Roth IRAs, which allow after-tax contributions to grow without ever being taxed again, can allow compound interest to work magic across many decades. Opening tax-advantaged education accounts can help people return to school as they interweave work with education. Living with Mom and Dad could allow millennials to save for down payments on houses. Imagine buying a house at 35 (instead of 25) and paying off the mortgage at 65, just as you approach the last third of life, offering flexibility to help children, travel, make philanthropic gifts or return to school. That’s a bright prospect. But it takes planning. Which isn’t in our nature. Very elderly people often remark that they arrived at old age by surprise–most of their peers didn’t make it. Which is a reminder: the next time the conversation turns to longevity, let’s talk about the young.

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