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
Nick Westgerdes of the American Society of Farm Managers & Rural Appraisers breaks down farmland values, rental rates, and sales trends in Illinois, while previewing the upcoming land values conference for 2026.
As National FFA Week continues, Ag Teacher Appreciation Day serves as a reminder of the lasting impact ag educators have on students, communities, and the future of American agriculture.
Michael Kelsey of the Oklahoma Cattlemen’s Association joined us with the latest on the Oklahoma wildfires, recovery efforts for ranchers, and the role agriculture leaders are playing in supporting rural communities.
Land equity protects solvency but does not replace profitability.
Stephenville FFA students showcase robotics skills at the San Antonio Stock Show, blending teamwork, technology, and competition for the next generation.
It’s National FFA Week, and today we’re celebrating Alumni Day by highlighting some inspiring former FFA members making an impact in agriculture and beyond.

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:

RFD Farm Legal & Tax expert Roger McEowen shares guidance on the 45Z Clean Fuel Production Credit, its impact on renewable energy and agriculture, and what producers should know moving forward.
Singer-songwriter and RanchHER Clare Dunn reflects on the importance of National FFA Week, her time in FFA, and her commitment to advocating for agriculture and rural issues.
Border closures tied to the threat of New World Screwworm continue to stall Mexican fed cattle imports, tightening U.S. feeder cattle supplies over time — triggering feedlot closures that hinder herd rebuilding efforts, threaten the beef supply chain, and shrink production while consumer prices stay elevated.
Brooks York of AgriSompo discusses projected prices and how farmers are adapting their crop insurance strategies as the price discovery period comes to a close.
FFA Western Region Vice President Jael Cruikshank talks about the importance of community service and how National FFA Organization members are making a difference in their communities during National FFA Week.
Ranger Road Fire has burned 283,000 acres across Kansas and the Oklahoma Panhandle and is nearing containment, as ranchers begin assessing cattle and infrastructure losses as they look toward recovery.