Nearly 30% of long-term care costs are paid for out-of-pocket, according to research by Avalere Health, far higher than the 10% widely estimated previously. One of the reasons for the discrepancy, according to the public policy and research firm, is that Avalere has included assisted living costs.

In 2006, American families spent an estimated $64 billion on long-term care on top of the $16 billion in insurance that was paid out for such care. On top of this, families and communities took care of their elderly at an estimated $350 billion cost.

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