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The Real Cost of Dementia Care - And Why Your Future Depends on Planning Today

  • Writer: Donna McRae-Smith
    Donna McRae-Smith
  • Apr 21
  • 2 min read

This post is inspired by a short blurb I read in a February-March 2026 AARP publication, titled “The Cost of Dementia” (p. 44).


“When my wife, Linda, started experiencing dementia, she asked me to not put her in a nursing home if I could help it. In late 2023, though she stopped recognizing me. She was afraid of me. Her physician suggested I hire a full-time caregiver. I’d wanted to retire, but I kept working so I could afford that. When her caregiver had to take eight weeks off, I got time off from work but no pay. I started depleting savings. Caregiving is costing me $41,000 a year.

At the same time. I really enjoy that my wife can stay around things familiar to her. Our family and friends visit her weekly. She gets a big smile on her face. That’s very important. -James Parker, 60, Alleghany County, Virginia



Dementia doesn’t just affect memory, it reshapes lives, families, and finances. What many people underestimate is the true cost of long-term care. In the United States, dementia care can exceed $60,000 to $100,000 plus per year depending on the level of support needed. And because this condition often progresses slowly, families can face these expenses for years, even decades.

 

Here’s the uncomfortable truth: without a solid financial plan, those costs don’t just impact you … they fall on the people you love most.

 

When savings run out, the burden often shifts to spouses, children, or close relatives. This can mean emotional stress, career sacrifices, and even financial hardship for your immediate family. It’s not just about money, it’s about preserving dignity, independence, and peace of mind.

 

That’s why building retirement income isn’t optional, it’s essential.

 

Smart investing and consistent saving create a financial cushion that protects both you and your family. Whether it’s through retirement accounts, diversified investments, or long-term care planning, the goal is simple: Never outlive your savings.

 

Ask yourself these questions:

- If I needed care tomorrow, could I afford it?

- Would my family have to step in financially?

- Am I building income that lasts as long as I do?

 

The earlier you start, the more control you keep.

Planning ahead isn’t about fear, it’s about freedom. Freedom to choose your care. Freedom to protect your loved ones. Freedom to grow old on your own terms.

Your future self, and your family, will appreciate your actions and thank you.


Note: Seek the advice of a Licensed Financial professional to guide you on the issue of long-term care planning.


 Personal note: I highly commend Mr. Parker for his selfless actions - happily depleting (his) savings, continuing to work and making sacrifices to provide care for his wife at home. I have encountered many situations where this type of situation created a lot of friction among family members, and the outcome was unpleasant due to the lack of adequate resources.


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