Death, Sex & Money Death, Sex & Money

'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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