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Nursing home care in the U.S. can run families $10,000 a month, a cost Medicare won’t pay for. When Anna de la Cruz's parents both developed dementia around the same time, her family split into two paths: a Medicaid ‘spend down’ in the U.S. for her mom, and a move to a memory care facility in Mexico for her dad.

Anna De La Cruz writes a newsletter about caregiving called Gen Xandwich. Laura Silverstein is a senior care manager with Silver and Sage Consulting NW. Wendy Jane Carrell, a care advocate, runs Wellness Shepherd. 

To find a care manager near you, try searching the Aging Life Care Association.

This episode was produced by Zoe Azulay.

Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus.

And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com.



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