马斯克说：哇，美国真是一个充满机遇的土地！

 

 

 

少数族裔多在高房价高油价人口密集地区，白人遍布小地方，中间值还是没低多少。

全是亚裔，最会忽悠的最高，其他勤劳踏实努力的也不差。不过他貌似在给亚裔拉仇恨。

印度人做生意开旅馆的多，做医生的也多，中国人还相对做学术的更多

印度人CEO也多

台湾人不是中国人啊。。嗯。越南人没有这么低。。做小生意的

大把现金不报税。。

亚裔教育水平高，又愿意干苦活

虚胖，泡泡，到老了根本不够用，今天的一篇文章：Can a nursing home seize your savings

https://finance.yahoo.com/news/nursing-home-assets-500k-ira-110000850.html 除非·你是穷人，非常穷的穷人，否则，你的一生积蓄，基本就是花在养老和病床上。 马斯克不用担心，但绝大多数人还是，哈哈。   Can a nursing home seize your savings? What if your money is in a trust or a Roth IRA? For married and single retirees alike, these are important questions with nuanced answers. First for the good news: A nursing home cannot simply take your retirement accounts or savings. Short of legal action due to an unpaid bill, you can distribute your assets as you see fit. However, you will have to plan ahead to optimize your end-of-life finances, particularly because in some cases its possible the government could seize assets post-death to pay for nursing home expenses. Long-term care, especially stays in nursing homes, can be costly. Options for covering these costs include paying out of pocket, private insurance and Medicaid. Your assets, even if they’re in a Roth IRA or certain types of trusts, can potentially impact your eligibility for the latter. If you need help planning for your long-term care needs, consider working with a financial advisor. Plan Ahead for Long-Term Care Long-term care, which can include everything from homemaker services and help from a home health aide to nursing home care, is expensive. In fact, the median monthly cost of a private room in an American nursing home is estimated to be $9,584 in 2023, according to GenWorth, an insurance company that offers long-term care coverage. Those costs are expected to increase to nearly $13,000 per month by 2033. That’s well beyond what most people can afford from their retirement income, and many times what Social Security pays. That’s why it’s important to plan ahead, says Alec F. Root, a chartered financial analyst (CFA) with DBR & Co. “As with estate planning in general, it is helpful to have these conversations sooner rather than later, especially before one’s health changes and potentially impacts their ability to properly insure themselves,” he told SmartAsset. “Five to 10 years prior to retirement is generally a good time to discuss this subject. A strong estate plan will detail the terms of late-life care, while a good financial plan will account for nursing home care and final expenses.” Medicare won’t cover the costs of a nursing home or other facilities. Instead, generally, the best way to afford long-term care may be through dedicated long-term care insurance. The earlier you purchase this coverage the less expensive this will be. For a healthy 55-year-old, you can expect to pay between $950 and $1,500 per year for this coverage, according to the American Association of Long-Term Care Planning. At 65, those averages jump to between $1,700 and $2,700 per year. So prepare ahead of time. Remember, a financial advisor can walk you through your options for paying for long-term care and potentially even help you purchase an insurance policy. Medicaid Covers Long-Term Care But Has Asset Caps   A Medicaid recipient is wheeled through a nursing home. If you can’t afford long-term care insurance, the next most common option is Medicaid – the government program that provides medical care for low-income households. While its coverage tends to be limited, it does pay for nursing homes, as well. However, it’s important to be aware that through the Medicaid Estate Recovery Program (MERP), it’s possible that someone’s assets may be recoverable by the government to repay nursing home expenses. Medicaid also has strict income and asset caps, and every state has its own eligibility requirements and scope of coverage. For example, in New York, your income cannot exceed $1,677 per month and your total assets cannot exceed $30,182. However, the state does not count your IRA or Roth IRA toward those total assets. Note: Medicare, the health care program for all Americans over 65, does not pay for long-term care facilities. On the other hand, in Massachusetts, your income cannot exceed $1,215 per month and your total assets cannot exceed $2,000. There, the state does include your IRA among those total assets. Keep in mind that if you have an IRA you’ll have to take required minimum distributions (RMDs) by age 73. These withdrawals will count toward your annual income cap. Roth IRAs, on the other hand, are not subject to RMDs but states may count the portfolio among your total assets, as Massachusetts does. But if you need help calculating your RMDs or managing your Roth assets, consider speaking with a financial advisor. Trusts and Investments Can Offer Imperfect Protection If your wealth exceeds these caps, you may have to spend almost all of it in order to qualify for coverage. Then again, there are ways to preserve your assets if you need Medicaid to cover your nursing home expenses. “Traditional investments can be vulnerable to these financial threats, and that’s precisely why we need to explore alternative avenues,” said Dutch Mendenhall, CEO of RAD Diversified and author of Money Shackles. You can move your money into assets that your state’s Medicaid program does not count against eligibility limits. Beyond a Roth IRA potentially shielding your assets from Medicaid, many households look to put their money in trusts. Doing so can reduce your on-paper wealth, making you potentially eligible for Medicaid coverage. “Using a trust, such as an irrevocable trust, is a formidable weapon in your arsenal to shield your assets from the voracious appetite of long-term care costs,” said Mendenhall. “Placing your assets in an irrevocable trust effectively removes them from your ownership, making them less susceptible to being counted as part of your financial assets during eligibility determinations for Medicaid, he added. “This separation can be a game-changer, potentially preserving your wealth.” But only an irrevocable trust will work for Medicaid qualification. Assets in a revocable trust, meaning one that you can change or revoke while you’re still alive, still count toward your overall household wealth. The typical vehicle for this is a form of irrevocable trust known as a Medicaid asset protection trust. Be aware that there’s usually a ‘look-back’ period during which Medicaid considers your financial transactions leading up to your long-term care application. The assets you transfer into a trust may be subject to this scrutiny, so planning in advance is crucial. Most, if not all, states look back five years. And if you need help establishing a trust or deciding what kind to set up, find a financial advisor with estate planning expertise. Bottom Line   Long-term care insurance is one way to potentially pay for costly stays in nursing homes。This is a complicated answer to the complicated question of whether a nursing home can take your savings. While nursing homes can’t seize your assets, the costs of this care are high and can quickly drain your savings. Experts recommend preparing for these costs with diversified investments, income-generating assets and long-term care insurance. If that’s not an option, using a trust to qualify for Medicaid can be a potential avenue for getting coverage. But the specifics will range widely based on your personal situation, your assets and the state in which you live. Medicaid Management Tips While we didn’t have time to explore the topic fully here, some other options for protecting your assets from Medicaid can include annuities, life estates and even your own home. A financial advisor can help you determine whether you could potentially qualify for Medicaid. Finding a financial advisor doesn’t have to be hard. SmartAsset’s free tool matches you with up to three vetted financial advisors who serve your area, and you can have a free introductory call with your advisor matches to decide which one you feel is right for you. If you’re ready to find an advisor who can help you achieve your financial goals, get started now. Keep an emergency fund on hand in case you run into unexpected expenses. An emergency fund should be liquid -- in an account that isn't at risk of significant fluctuation like the stock market. The tradeoff is that the value of liquid cash can be eroded by inflation. But a high-interest account allows you to earn compound interest. Compare savings accounts from these banks. Photo credit: ©iStock.com/katleho Seisa, ©iStock.com/SilviaJansen, ©iStock.com/Hailshadow The post Can a Nursing Home Take Our Assets? We Have a $500k IRA and a Trust to Protect Us appeared first on SmartReads by SmartAsset.        

他为啥用2018年的打他？ ：）

2018年的data？

也许，老留也得像本土美国人学习，乘玩得动走得动吃得动（血压血脂血糖还不高时，三高那敢吃？），把钱花光，然后享受美国福利？

老马飘了，星期一清空了TSLA@262

4月初买的@152

我就是怕这个！去年做个皮肤小手术，保险之后自付4千多。大病可咋整？

亚裔细分？

皮肤小手术? Was it a benign skin tumor removed?

CEO还是很少。 更多的是经理

先怀疑是不好的东西，所以彻底拿下来。病理检查后说是良性的。

Something like

Dermatofibroma (pathology report) ? 

I am just guessing. 

Or some kind of nevus. 

可能就是，report上说是Skin Lesion

请教李医生

在皮肤病 牛皮癣 Psoriasis 的治疗上，美国与英国有什么明显区别？

我小孩有 牛皮癣 Psoriasis，看过的医生都是遵循英国的药物和方法，目前在用 Enstilar (Calcipotriol 50mg/g, Betamethasone 500mg/g)，只能做到短期缓解症状。也曾经做过光疗，光疗期间症状缓解，一停止后就症状恢复。

我想了解一下美国的治疗药物或方法有什么可以借鉴，或者你有什么建议。谢谢。

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