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

Related Stories
Changes to several Risk Management Agency programs are set to begin with the 2027 crop year.
For farmers, better data may not solve every local rail problem, but it can make service failures easier to document.
Emily Oberbroeckling says producers in northeast Iowa have made strong planting progress while continuing to monitor moisture conditions.
RFD News Farm Legal Expert Roger McEowen shares the major role of timing clauses in farmland sales, leases, and succession planning.
Jeff Frazier of Scoular discusses the early High Plains canola harvest, acreage growth in Kansas and Oklahoma, and theoutlook for planting and production.

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:

RealAg Radio’s Shaun Haney joins us to discuss Canadian farmer sentiment, saying many are also struggling with profitability and long-term outlook in agriculture.
Several fires have merged into Kansas’ largest active wildfire as crews continue battling shifting winds and dry conditions.
The Texas Agriculture Commissioner says crews are still working to contain fires while farmers and ranchers begin assessing damage.
Volunteer firefighters describe devastating scenes as crews continue battling multiple fires across the region.
USMEF President and CEO Dan Halstrom joins us to discuss China’s renewed access for U.S. beef facilities, the outlook for exports, and key conversations taking place at this week’s Spring Conference.
The work could apply to ready-to-eat meals and delicate foods such as freeze-dried berries.