That's great that you have that kind of assets. Realistically though, pretty much everyone one can eventually qualify for Medicaid to cover LTC. You just have to burn through those assets first to qualify. Which is what LTC insurance really is for, to protect those assets. No assets (such as the OP's situation), nothing to protect.
How many children do you have and what are their ages? We pay about $50 a month for long term, although we don’t really need it now (the term ends in 2 years) at the time, we were new home owners, had 3 kids under the age of 6, and 2 more on the way. The death of either one of us (or both) would’ve been financially devastating. My parents did everything right, had a solid 2 million in assets at retirement, including health insurance. Unfortunately my super uber clean eating exercising daily mother developed an aggressive cancer at 69, leaving behind her overweight unhealthy husband with Alzheimers. She got more in her pension check after making the decision that her public service health spousal benefits would end if she was deceased. His money was spent down quickly with a 24/7 in home health aid, after 4 years we were about to put him into assisted living with 3 years of self pay (over $100,000 a year) so that when his money ran out he wouldn’t be put in a crappy Medicaid bed (the house had been put partially in mine and my sisters name to protect the assets for my mom guessing the future). He had a heart attack and passed away a few weeks before that happened. Otherwise, he was pretty much good to go (except he would’ve hated to be in even a lovely assisted living home and I’m so glad that never happened).
Medicaid beds aren’t crappy. The newest facilities work to get as many Medicaid beds as possible because it’s guaranteed money for their facility. Each area is assigned Medicaid beds and the facilities in that area can apply to get the funding from the state. No one except the administration and billing personnel know who is private pay and who is Medicaid. My husband did billing for a nursing home group for 7 years.
I agree "crappy Medicaid beds" is a common misconception. My father had dementia and 2 years ago he had a medical event that made us realize he needed to be in a Memory Care facility almost overnight. We were trying to get him from Rehab into LTC. Even though he would have been self-pay, his choices were still very limited and the same as if he were on Medicaid. We were very surprised that we had a hard time getting him a bed anywhere, never mind at a "good" facility. We kept saying but he has money and they kept telling us that it didn't really make a difference. Unfortunately, he passed before he was released from Rehab.
Hard to say I guess depending on your assets and the cost of your LTC. Typical need for LTC is 18 months at at average cost of $2727 (and yes, that seems low to me). So about $54,000. I just would be surprised if people of the age to need LTC didn't have at least that much equity in their homes.
FWIW, the Italy trip was me. You said you only skimmed but I feel a need to explain. All of our debt has been paid off except for our mortgage which has about 8 yrs remaining. 
I read that too, but as a married couple they appear to be financially imature.
Yes, I did just briefly look and it seemed to be mostly about expensive vacations which seemed very odd for a thread about getting out of debt. I do understand how your posts could be motivation for others just starting out ("Yay! We've paid off all our debt and are now able to go on a dream vacation.") But it definitely seemed like many of the posters mentioning vacations were still deeply in debt.
That has been my vibe as well with the dismissive attitude toward any suggestions anyone has made along with the "we're doing better than most other people" comments. The OP also has mentioned multiple times over various threads that he fully recognizes that the GF is too extravagant/expensive, but that's what his wife wants so there's no compromising on that.
The medical issue can definitely explain a lot, including his responses on this thread. It's interesting that it appears his wife is also on the Debt Dumper thread. So I would say it is a combination of both.
It's your money and you're paying yourself back with interest. I really don't see what the big deal is. Take your wife to the Grand Floridian if that's what you want to do.
He's also planning a 2nd WDW trip later this summer.
Yes. While his initial reason for the 401k loan might have been related to medical expenses, he's now essentially using his future self's money to pay for vacations now. If the 401k isn't paid off ASAP, those vacations are going to cost him 10s of thousands of dollars in the long term.
