• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
CommentaryPersonal Finance

Millennials could soon see their parents become their biggest expense–and American families are woefully unprepared

By
Sarita A. Mohanty
Sarita A. Mohanty
Down Arrow Button Icon
By
Sarita A. Mohanty
Sarita A. Mohanty
Down Arrow Button Icon
December 30, 2023, 12:08 PM ET
In 2002, adults over 65 spent $48,000 (adjusted for inflation) a year on average. Today, the average is $58,000.
In 2002, adults over 65 spent $48,000 (adjusted for inflation) a year on average. Today, the average is $58,000. Terry Vine - Getty Images

Most millennials and Gen Xers have little idea of what’s going to happen when their parents hit retirement age. That’s about to become an increasingly real problem, particularly for those with parents in the middle-income stratum.

A retirement affordability crisis is escalating in the U.S. Three out of four middle-income older Americans won’t have enough to pay for assisted living services without selling their homes within a decade, according to data analyzed by NORC at the University of Chicago, supported by a grant from The SCAN Foundation.

Baby boomers–a massive generation–are moving into older adulthood. NORC found that there will be 16 million middle-income older adults by 2033. As NORC’s research summary explains: “Many will struggle to pay for the health, personal care, and housing services they need. … Even with home equity, nearly 40% will not be able to afford assisted living.”

Rethinking risk

These expenses have become more onerous for older Americans over time. In 2002, adults over 65 spent $48,000 (adjusted for inflation) a year on average, according to data from the Bureau of Labor Statistics. Today, the average is $58,000, a more than 20% increase. The average rent and medical costs for those in assisted living currently stand at $65,000 a year.

As noted in a Harvard University report, “In 2021, older households with annual incomes between $15,000 and $30,000 had a median of $1,000 per month available to cover other expenses after paying for housing. Those earning less had incomes that, on average, were insufficient to meet their housing costs, to say nothing of other basic needs.”

Racial disparities are only compounding this situation, with people of color experiencing more financial hardship as they age.

Most people want to see their parents stay in their own homes. The same goes for their parents: 89% of Americans over 55 want to age in place, according to a survey by Today’s Homeowner.

Meanwhile, more than half of all Americans feel they’re not on pace to retire comfortably. With younger generations unsure about funding their eventual retirement, they are woefully unprepared to also support their parents.

Something has to give. If you’re in the sandwich generation–Gen X and older millennials–and want to share in the responsibility for their parents’ retirement, you should begin by thinking of your parents’ retirement plans in the context of your own. 

Most financial advice suggests people calculate what they’ll need in retirement, and then plan their savings around that number. That’s good counsel, but it’s likely they’re only applying it to themselves and their dependents. Instead, caregivers should recalculate that number and discuss it with their parents.

Tragically, many middle-income older adults might actually benefit from spending down their savings so they qualify for Medicaid, which would enable them to receive government support for assisted living and healthcare.

In addition to understanding that Medicare will not pay for everything, caregivers should have a strong grasp on what their costs will be.

To avoid being caught off-guard by towering monthly expenses, caregivers can derisk by establishing a rainy day fund for their parents’ retirement. Such a fund can be structured differently depending on one’s risk tolerance. Some might choose to only set aside money for their parents’ living costs, while others might want to have emergency funds available for more serious situations.

Having tough conversations

Figuring this all out means having hard conversations with parents. It’s critical that everyone’s on the same page as soon as possible.

For many parents, it’s embarrassing to consider receiving help from their children. Others may feel guilty about burdening them. But families that prefer to brush these discussions under the rug could be in for unexpected and catastrophic surprises when a loved one falls ill or becomes unable to take care of themselves. When this happens, the last thing anyone wants to think about is money.

If it helps, they can be framed more as joint financial planning sessions. That makes everyone feel that they’re playing a vital role. I’ve had such conversations with my parents, and they always went best when I approached them with an inquisitive and open attitude.

These conversations weren’t easy, but they went a long way toward reassuring me about our joint financial health going forward.

Supporting policy changes

Solving this problem on a macro level means working to support policies that aid caregivers.

In particular, the bipartisan Credit for Caring Act, introduced in 2021, would mark a significant step in alleviating the burden on caregivers. The bill provides a tax credit of 30% for qualified caregiving expenses over $2,000, with a maximum credit of $5,000. And it has widespread support from organizations such as the AARP, Alzheimer’s Association, United Way, and Walgreens.

In addition, more states are enacting mandatory paid family leave laws for private employers. As of September 2023, eight states required caregiver leave, and five more are set to implement these policies by 2026.

Writing letters to political representatives, speaking up at town halls, and talking to the media about caregiver struggles can also help influence policymakers’ views on caregiver support.

Some people are also pushing for caregiver leave policies at their workplaces in states without mandatory leave policies. Though employers offer these voluntarily, the more paid leave policies are enacted, the more the idea becomes normalized.

Confronting the affordability crisis for older adults will require a combination of small steps like these and courageous changes among society’s most influential institutions. With dedicated effort, we can help ensure our parents have what they need to age gracefully.

Sarita A. Mohanty is president and CEO of The SCAN Foundation, an organization committed to addressing systemic factors that influence an older individual’s financial security.

More must-read commentary published by Fortune:

  • Economic pessimists’ bet on a 2023 recession failed. Why are they doubling down in 2024?
  • COVID-19 v. Flu: A ‘much more serious threat,’ new study into long-term risks concludes
  • Access to modern stoves could be a game-changer for Africa’s economic development–and help cut the equivalent of the carbon dioxide emitted by the world’s planes and ships
  • The U.S.-led digital trade world order is under attack–by the U.S.

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

Join us at the Fortune Workplace Innovation Summit May 19–20, 2026, in Atlanta. The next era of workplace innovation is here—and the old playbook is being rewritten. At this exclusive, high-energy event, the world’s most innovative leaders will convene to explore how AI, humanity, and strategy converge to redefine, again, the future of work. Register now.
About the Author
By Sarita A. Mohanty
See full bioRight Arrow Button Icon

Latest in Commentary

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Commentary

The Strait of Hormuz crisis shows energy security is now a boardroom issue
Commentaryoil and gas
The Strait of Hormuz crisis shows energy security is now a boardroom issue
By Victor NianMay 10, 2026
8 hours ago
trump
CommentaryWhite House
Trump thinks he’s flying to Beijing with leverage. China spent 6 years making sure he doesn’t have any
By Steve H. HankeMay 10, 2026
18 hours ago
joaquin
Commentary250 Years of Innovation
Johnson & Johnson CEO: America’s innovation advantage starts with health 
By Joaquin DuatoMay 9, 2026
2 days ago
reed
CommentaryRetirement
Tim Cook and Reed Hastings just showed every CEO how to leave gracefully
By Paul HardartMay 9, 2026
2 days ago
golf
Commentarybooks
How playing golf alone can make you better at your job
By Gary BelskyMay 8, 2026
3 days ago
naomi
Commentarymental health
Naomi Osaka: the things I didn’t do to succeed
By Naomi OsakaMay 8, 2026
3 days ago

Most Popular

‘This is the way’: Elon Musk endorses Warren Buffett’s famed 5-minute plan to fix the national debt
Economy
‘This is the way’: Elon Musk endorses Warren Buffett’s famed 5-minute plan to fix the national debt
By Jacqueline MunisMay 10, 2026
16 hours ago
OpenAI CEO Sam Altman says Gen Z and millennials are using ChatGPT like a 'life advisor'—but college students might be one step ahead
Tech
OpenAI CEO Sam Altman says Gen Z and millennials are using ChatGPT like a 'life advisor'—but college students might be one step ahead
By Sydney LakeMay 10, 2026
17 hours ago
'Employers are increasingly turning to degree and GPA' in hiring: Recruiters retreat from ‘talent is everywhere,’ double down on top colleges
Future of Work
'Employers are increasingly turning to degree and GPA' in hiring: Recruiters retreat from ‘talent is everywhere,’ double down on top colleges
By Jake AngeloMay 9, 2026
2 days ago
Red flag test: former CEO explains why he rejects job candidates who say they can start right away
Success
Red flag test: former CEO explains why he rejects job candidates who say they can start right away
By Orianna Rosa RoyleMay 9, 2026
2 days ago
Trump thinks he's flying to Beijing with leverage. China spent 6 years making sure he doesn't have any
Commentary
Trump thinks he's flying to Beijing with leverage. China spent 6 years making sure he doesn't have any
By Steve H. HankeMay 10, 2026
18 hours ago
Ted Cruz says the quiet part out loud: Trump accounts are Social Security personal accounts as GOP senator reveals 'dirty little secret'
Politics
Ted Cruz says the quiet part out loud: Trump accounts are Social Security personal accounts as GOP senator reveals 'dirty little secret'
By Jason MaMay 9, 2026
1 day ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.