
许多照顾年迈亲人的人正陷入一个痛苦的两难境地:他们愿意牺牲自身的经济安全来照料亲人,但这样一来,等到自己年迈时很可能反而会成为家人的负担。这一“慷慨悖论”正是爱德华·琼斯、Age Wave以及哈里斯民意调查所联合发布的《照护行为带来的经济影响》报告的核心内容,该报告由《商业内幕》独家获得。调查显示,87%提供经济援助的照护者都表示不愿成为家人的负担;另有81%的人称,即便会让自己陷入经济不稳定的境地,他们也愿意全力支持亲人。
Many caregivers for older loved ones are stuck in a painful dilemma: They're willing to put their financial security at stake to care for loved ones today, but that leaves them at risk of being a burden on their families later on as they age. This "generosity paradox" is at the heart of "The Financial Impact of Caregiving" report by Edward Jones, Age Wave, and The Harris Poll, which was shared exclusively with Business Insider. The report found 87% of caregivers providing financial assistance agreed that they didn't want to feel like a burden, while 81% said they were willing to put themselves in a less secure financial position to support their loved ones.
此次调查对象为5000多名美国和加拿大的成年人,他们均为65岁及以上老人或18至64岁残疾人士的经济照护者。据多位接受《商业内幕》采访的照护者反映,这种矛盾的心理给他们带来了巨大的情感压力。许多人向记者坦言,牺牲自身经济安全意味着自己日后健康状况恶化时更有可能需要他人扶持,这让他们觉得自己成了负担。
These results are based on over 5,000 adults in the US and Canada who are financial caregivers of people aged 65 and over or aged 18 to 64 with disabilities. It's a contrast that, according to dozens of caregivers who have spoken with Business Insider, has weighed on them emotionally. Many told reporters that reducing their financial security puts them at greater risk of needing support as their health declines, making them feel like a burden.
他们希望自己的子女不必像自己照顾父母那样,再承担如此沉重的赡养责任。我们诚邀读者向《商业内幕》讲述自己的经历,以便我们全面了解长期照护所需的各项成本。我们想了解:照顾年迈的亲人究竟让您和您的家庭付出了多少代价?请填写此表格参与我们的调查。如今,长期照护的成本越来越多地由家人与亲友共同承担,既包括经济支出,也涉及人力付出。
They hope their children won't need to support them to the same extent that they supported their parents. We are inviting readers to share their stories with Business Insider reporters to help us assemble a comprehensive look at long-term care costs. We want to know how much caring for an older loved one has cost you and your family. Please fill out this form to participate. The costs of caregiving have increasingly fallen on family and friends, both financially and personally.
随着人口老龄化,人们患病的时间越来越长,而长期照护资源却日益紧张。联邦医疗保险并不涵盖大部分长期照护费用,各州对医疗补助的准入标准也各不相同,美国部分地区的医疗补助政策甚至面临被削减的风险。
As the population ages, people are battling health conditions for longer, while support for long-term care has been more strained. Medicare doesn't support most long-term care costs, while Medicaid eligibility varies by state and is at risk in some pockets of the US.
长期护理费用飙升,一些家庭告诉《商业内幕》他们每年在护理机构或居家健康助理上的花费达到六位数。爱德华·琼斯公司的首席顾问瓦内萨·奥克武拉伊韦说:“令人难以置信的大量人想继续为他们的亲人这样做,但他们不希望自己的家人、自己的孩子经历他们现在正在经历的事情。”巴巴拉·马坎蒂的102岁母亲如果进入专业护理机构,每月需要大约2万美元的护理费用,但由于她负担不起,马坎蒂在2025年把母亲接到自己家中。
Long-term care costs have skyrocketed, and some families told Business Insider they're spending six figures annually on nursing facilities or home health aides. "An overwhelming number of people want to continue to do this for their loved ones, but they don't want their own family members, their own children, to go through the same thing that they're going through right now," said Vanessa Okwuraiwe, principal at Edward Jones. Barbara Marcanti's 102-year-old mom would've needed care costing about $20,000 monthly at a skilled nursing facility, but because she couldn't afford that, Marcanti moved her mom in with her in 2025.
马坎蒂说她很乐意照顾母亲,但她表示自己的无私影响了她的抱负和家庭。“我仍然有很多想完成的愿望清单上的事情,”马坎蒂说。“我觉得我的朋友们经常把我排除在外,因为‘芭芭必须处理她妈妈的事情’。我不希望每次出去时,我的妈妈都成为我的约会对象。”这种“慷慨悖论”可以从照护者如何看待自己身上看出。
Marcanti said she has gladly provided for her mom, but said that her selflessness has affected her aspirations and family. "There's still a lot I want to do on my bucket list," Marcanti said. "I feel like I'm often passed over by my friends because 'Barb's got to deal with her mom.' I don't want my mom to be my date every time I go out." The "generosity paradox" can be seen in how caregivers view themselves.
爱德华·琼斯的调查发现,尽管91%的照护者用自己的钱支持亲人的护理,但只有57%的人认为自己是“财务贡献者”。与此同时,84%的照护者是财务贡献者,他们平均每年投入超过8700美元。这导致大约70%的照护者通过削减或暂停储蓄来牺牲自己的储蓄。许多照护者认为他们的工作是出于爱和满足感而进行的。调查发现,85%的人表示照护让他们有使命感,而61%的人感到内疚,因为他们无法投入更多时间和精力进行照护。
Edward Jones found that only 57% consider themselves "financial contributors" to their loved ones, even though 91% support their care using their own money. Meanwhile, 84% of caregivers are financial contributors, and they devote over $8,700 on average each year. It's led about 70% to sacrifice their savings by cutting back on or pausing their savings contributions. Many caregivers view their work as done out of love and fulfillment. The survey found that 85% said that caregiving gives them a sense of purpose, while 61% feel guilty that they can't give more of their time and energy to caregiving.
根据报告,超过一半的照护者在照顾他们的父母之一,而16%的人在照顾祖父母。近一半的照护者同时照顾年长的亲人和孩子。这些“夹心层”照护者每月平均花费超过100小时来照顾年长的护理对象。
More than half of caregivers support one of their parents, while 16% provide care for a grandparent, according to the report. Nearly half care for both an older loved one and children simultaneously. These sandwiched caregivers devote just over 100 hours a month supporting older care recipients.
配偶照护者每月提供的照护时间最长,达到189小时。照顾配偶会带来自身的挑战,需要在自己的健康与伴侣的需求之间取得平衡。在她中风几年后,69岁的卡拉·贝肯成为她70岁丈夫的照护者,因为丈夫也中风了。在她全职办公室工作的班次之间,她为丈夫做一切事情,而丈夫正在努力恢复行走的力量。雇佣一名护理助理每月花费他们5000美元,医疗用品每月花费500美元。
Spousal caregivers provide the most care hours a month at 189. Caring for a spouse can have its own challenges, balancing one's own health against one's partner's needs. A few years after her stroke, Carla Bacon, 69, became a caregiver for her 70-year-old husband after his own stroke. Between shifts at her full-time office job, she does everything for him as he builds up the strength to walk again. Hiring a CNA costs them $5,000 a month, and medical supplies run $500 monthly.
他们自掏腰包购买了霍耶升降机、移动车辆、治疗自行车和特殊淋浴设备。“我靠希望和祈祷度日,”住在俄克拉荷马州的贝肯说。“我不断提醒自己我已经69岁了。未来五年生活会是什么样子?”在许多情况下,成年子女难以与父母逆转角色。凯瑟琳·科佩拉希望她的家人在她父亲被诊断出患有阿尔茨海默病时能更有准备,包括与父亲进行对话,了解社会保障以及她后来将“非常快速且非常痛苦”地补上的所有其他财务信息。
They've paid out of pocket for a Hoyer lift, a mobility van, a therapy bike, and a special shower. "I operate on a hope and a prayer," said Bacon, who lives in Oklahoma. "I keep reminding myself that I'm 69. What's life going to look like over the next five years?" In many cases, adult children struggle to reverse roles with their parent. Kathleen Korpela wished her family had been more prepared when her father was diagnosed with Alzheimer's, including having conversations with her dad and understanding Social Security and all the other financial information she would end up "very quickly and very painfully" catching up on.
“从成年子女过渡到实际上在抚养父母的角色转变极具挑战性,”科佩拉说。“在不失去自我的情况下,应对这种双重角色身份绝对是一个挑战。”该报告鼓励人们比他们预期的更早进行规划。奥克武拉伊韦表示,家庭应尽早就为何时亲人需要兼职或全职护理进行对话,以让每个人更有信心。在一个案例中,奥克武拉伊韦认识的人在其父母的阿尔茨海默病发展之前没有准备好所需的文件。
"It was extremely challenging to navigate the transition from adult child to effectively parenting my parent," Korpela said. "It was definitely a challenge to navigate that dual role identity without losing myself." The report encourages people to plan ahead much earlier than they anticipate. Okwuraiwe said that families should have conversations early about preparing for when their loved ones will need part-time or full-time care, making everyone more confident. In one case, someone Okwuraiwe knows didn't have the right documents in place before their parent's Alzheimer's developed.
“现在,他们有来自10家不同金融机构的对账单,而可怜的父母正在经历阿尔茨海默病,他们的短期记忆已经丧失,”奥克武拉伊韦说。“他们无法提供关于这些钱应该如何使用的指导。”
"Now, they have statements from 10 different financial institutions, and the poor parent is going through Alzheimer's, and their short-term memory is gone," Okwuraiwe said. "They're not able to give guidance as to what they want done with this money."