There are legal ways to transfer and put in trust monies so that nursing home care can not bankrupt people (who spent their lives as taxpayers, generally) - which you can certainly be for or against but I don't think it's as simple as you're making it.
Due to the way health care is handled in this country, decent nursing home care generally falls into two categories - private, which can run tens of thousands of dollars a month, or medicare-funded, for which one has to have close to no assets to avail themselves of.
So, first, if you've worked all your life and saved to be able to leave something to your children, your assets (including your home) can be run through in less than a year just so you can have basic nursing home care.
Or, if you fall in the midrange, where the care you could afford would only be either a month or two or a very substandard private institution, you have to somehow dump the money and home you worked for to be able to get any care, because you can't afford any decent private care and are not destitute.
Hence, yes, there are legal avenues to set up trusts and whatnot to allow people - who have generally worked all their lives and paid into the system - to get the benefits of that system. Like I said, think of it what you will, but this isn't generally about multi millionaires hiding assets in island nations and taking advantage of whatnot, it's people trying to protect fairly modest inheritances that wouldn't really matter in a private situation.
cornflake, that is not how it works with nursing homes. If you have funds available you use them and when they are gone you switch to medicare. I have been through this with my two great aunts and my mother in law. Both great aunts had about 50k in the bank which got them roughly 10 months in the nursing home. During that time paperwork was prepared and submitted to medicare. When their funds ran out medicare took over. They did not transfer to a different nursing home or even a different room. My aunts received excellent care at their nursing home and my mother in law receives excellent care at hers. Just because they are on medicare does not mean they receive low levels of care.


