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
Strong balance sheets still matter, but liquidity, planning, and lender relationships are critical as ag credit tightens, according to analysis from AgAmerica Lending.
New Resource Makes It Easier for People to Access Data on Rural Development funded Projects in Rural Communities
In a landmark ruling delivered in late 2025, the U.S. Supreme Court significantly narrowed the scope of the National Environmental Policy Act.
Trade volatility and shifting export destinations increase marketing risk for producers heading into 2026.
Rising rural business confidence supports local ag economies, but taxes and labor shortages remain key constraints.
CoBank Knowledge Exchange’s Jeff Johnston shares the group’s positive perspective on expanding data centers into rural areas and weighs the risks and rewards for those communities.

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:

Matt Brockman, Communications Director for the Fort Worth Stock Show and Rodeo, joined us with a look at how the legendary event is moving forward—weather and all.
Strong White House backing supports ethanol demand, but timing now hinges on Congress resolving procedural — at the same time as they push toward a spending bill to avert another federal government shutdown.
Roger McEowen, with the Washburn School of Law, offers an in-depth look at two of the top legal issues of 202. Today, he walks through last year’s Waters of the United States (WOTUS) ruling and “lawfare.”
Lewis Williamson of HTS Commodities joined us with an update on the historic winter storm impacts and his outlook on today’s ag markets.
Marilyn Schlake with the UNL Department of Agricultural Economics joined us for a closer look at the evolving role of livestock sale barns.
RFD NEWS correspondent Frank McCaffrey recently spoke with Dr. Mike Vickers, a South Texas rancher, who says illegal border crossings have dramatically declined in the last year.