Rising Long-Term Healthcare Costs Pose Growing Threat to Farm Family Legacies

Roger McEowen discusses how long-term healthcare costs for elderly Americans are reshaping estate-planning decisions for farm families and what producers should consider moving forward.

TOPEKA, KAN. (RFD NEWS) — For many farm families, the land represents far more than a financial asset—it’s a legacy meant to be passed down through generations. But beyond tax challenges and market volatility, rising long-term healthcare costs are emerging as a growing threat to that transition.

Farm legal expert Roger McEowen, with Kansas’ Washburn School of Law, joined us on Monday’s Market Day Report to break down the legal and financial implications for producers.

In his interview with RFD NEWS, McEowen says the cost of long-term care continues to climb, putting significant pressure on farm families who may already be operating on tight margins. Without proper planning, those expenses can quickly erode assets intended to remain within the family.

He emphasized that a “wait and see” approach is often the most expensive mistake producers can make. Delaying estate and healthcare planning can limit available options and increase the likelihood that land or other assets may need to be sold to cover care costs.

A key factor in planning, McEowen noted, is Medicaid’s five-year look-back rule. This provision reviews asset transfers made within five years of applying for benefits, meaning last-minute decisions can trigger penalties and delay eligibility. He also pointed to tools like the Medicaid Asset Protection Trust, which can help shield assets while allowing producers to maintain a level of control over their operation. However, he stressed that these strategies require careful, early implementation to be effective.

The bottom line? Proactive planning is essential. Farmers who work with legal and financial professionals well in advance are in a much stronger position to protect both their operation and their family’s future.

MORE: Preserving the Family Legacy: Long-Term Care Planning for Farmers and Ranchers

Marion is a digital content manager for RFD News and FarmHER + RanchHER. She started working for Rural Media Group in May 2022, bringing a decade of digital experience in broadcast media and some cooking experience to the team.

LATEST STORIES BY THIS AUTHOR:

As the Trump Administration seeks out new global trade partnerships, Congress is considering more support for farmers, which comes as the Federal Reserve warns that farmers need a safety net.
Ag Secretary Brooke Rollins will travel to Europe and Asia to seek new trade partnerships for U.S. crops after China reduced imports due to tariffs.
The $221 million will help farmers and ranchers cover losses from Hurricane Helene that USDA programs didn’t cover. They’ll focus on infrastructure, markets, timber, and future economic losses.
The Tennessee State Fair features a variety of attractions, including rides, tasty foods, and dozens of agricultural competitions to enter and win. But what goes into picking achievements in each category?