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
Tennessee 4-H’ers Allie Paschall and Ramey Boone join us to discuss summer opportunities in 4-H, youth leadership development, and community involvement across Tennessee.
North Dakota FFA President Cole Anderson joins us to discuss the upcoming state convention, leadership lessons, and what FFA means to students across the state.
Fred Nichols with Huma joins us to discuss the 4 R’s of nutrient stewardship and how farmers are adapting best practices in today’s evolving ag economy.
Dave Walton with the American Soybean Association joins us to discuss China’s new ag purchase commitments, E15 policy concerns, and spring planting conditions.
Jenna Stanton with the United States Cattlemen’s Association joins us to discuss beef import concerns, cattle market signals, and the latest developments surrounding U.S. beef trade.
RealAg Radio Host Shaun Haney joins us to discuss the latest U.S.-China ag trade agreements, market reaction, and what producers should watch moving forward.

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:

Dr. Jeffrey Gold discusses the recent hantavirus outbreak linked to a South American cruise ship and Nebraska’s monitoring efforts on this week’s Rural Health Matters.
Cattle analysts say the U.S. beef cattle herd rebuild still faces major hurdles despite some minor positive signals noted in certain regions.
Andy Tauer from the National Pork Board discusses efforts to boost pork demand and how the industry is responding to trade restrictions related to pseudorabies.
Dr. Robert Ellis joins us to discuss economic challenges in agriculture, available resources for farmers, and ways producers can evaluate practices to strengthen their operations.
While there is no guarantee a House vote will happen today, the measure has officially been placed on the congressional calendar.
President Trump and Treasury Secretary Scott Bessent are expected to discuss commodities, trade and regional stability during meetings in Asia.