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> I think healthcare in the US is riddled with ways to "accidentally"* spend the entire accumulation of your wealth, leaving absolutely nothing to the next generation.

...

> * - I personally don't think it's an accident at all, I think it's very, very intentional.

Its extremely intentional wealth stealing, and it's even worse than just lost generational wealth transfer. Filial responsibility laws mean that your illness and long-term care are your children's financial burden: https://en.wikipedia.org/wiki/Filial_responsibility_laws .

In the worst cases, people estranged from their parents for decades end up bankrupted. Depending on what state your grandmother lived in - your mother may have been on the hook even if she hadn't chosen to keep working to care for her mom.[1]

The idea that paying for elderly parents' expensive (intentionally or accidentally) care is a choice only applies to people in less than half of the states. These laws make the only choice "pay the provider directly now" or "pay the provider costs and late fees, etc via the courts". So anyone who wants to claim that the people who care for their parents are chosing to do so is claiming wrong - if your parent spends their last days in one of 26 states, the parent is chosing what your wealth is used for.

[1] I hope that didn't come across as suggesting your mom was only making a financial choice, or that she didn't make her choice out of love. I'm sorry you lost your grandmother and I hope your mom enjoys her retirement.



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