'Humane Eldercare Has Become a Luxury Item’
Aug 25, 2026 · 44m
Summary
Host Anna Sale explores the financial and emotional burdens of U.S. elder care with writer Ana de la Cruz, who moved her father to a Mexican facility while her mother remained in the U.S. The episode features care consultants Wendy Jane Carroll and Laura Silverstein, who help families navigate expensive domestic options or international alternatives. They discuss the high costs of nursing homes, the role of Medicaid, and the value of professional care managers in facilitating difficult family conversations.
Topics discussed
Introduction: The dread and complexity of elder care
Ana de la Cruz's story: Parents in crisis and surprise pregnancy
Family history: Divorce, disability, and declining health
The financial trap: Rising costs of US assisted living
Moving Dad to Mexico: Cost savings and emotional distance
Sponsors: NerdWallet, Nutrafol, Mint Mobile, and Skyrizi
Wendy Carroll: Facilitating international elder care options
The guilt and grief of sending parents abroad for care
Life in Mexico: Cultural differences and medical limitations
Sponsor: Aerie bras and fit
Mom's care in the US: Medicaid, nursing homes, and consultants
Laura Silverstein: Senior care manager and advocate
Navigating difficult conversations and end-of-life decisions
Conclusion: Resources, membership, and final thoughts
Sponsors: Bill.com and Cologuard
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