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How to prevent burnout and financial stress when caring for an elderly parent or relative

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How to prevent burnout and financial stress when caring for an elderly parent or relative

An estimated 48 million Americans are caring for someone over the age of 18. Many of them are family members caring for an elderly parent or older relative — and the value of that unpaid care is estimated at about $600 billion dollars a year, according to a recent report by AARP.

Daphne Taylor, Debbie Taylor and Shelia Miller know the cost of caregiving firsthand. These sisters started caring for their 87-year-old mother after she had a stroke four years ago. Coincidently, the three had all retired around that same time. Miller and Debbie Taylor live in Alexandria, Virginia, while Daphne Taylor resides in Washington, D.C.

“We started out saying, ‘Okay, this is our life now,’ and we’ll do trial and error,” said Debbie Taylor, now 63, recalling how the sisters stepped in to provide around-the-clock care to keep their mother at home. 

“It was all a learning process,” said Daphne Taylor, 65, a retired project manager. She took the lead in creating spreadsheets to coordinate care, track medications and note her mom’s progress. She says the ups and downs of her mother’s health and coordinating necessary services has been frustrating. “I was always able to get done what needed to be done in the working world,” Daphne said.

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Sisters Shelia Miller, Debbie Taylor and Daphne Taylor of the Washington, D.C., area care for their mother, Ernestine Taylor.

Managing health-related and long-term care expenses is also a challenge. Trying to arrange care quickly and efficiently, the sisters have paid out-of-pocket for medical equipment, transportation and supplies that were not covered by Medicare or insurance, including a $5,000 hospital bed. 

“We’re trying to take care of our mom 24/7,” Debbie said. “There’s just no way in the world that you have time to try and figure this all out.” 

The alternatives to being the primary caregivers for their mom are also expensive. The median cost for a private room in a nursing home is more than $100,000 a year — and more than $60,000 a year for a home health aide, according to a Genworth survey.   

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Meanwhile, family caregivers spend more than a quarter of their annual income on caregiving costs, according to a 2021 AARP report. Many of them have stopped saving money or taken on more debt to pay for those expenses.

Planning ahead for long-term care can reduce some of the financial strain, says certified financial planner and CNBC FA Council member Barry Glassman, but few families actually do it. “It’s tough because a person in their 80s doesn’t really know when they may need help, or what help they may need, if at all,” said Glassman, who is president of Glassman Wealth Services, with offices in Vienna, Virginia, and North Bethesda, Maryland. 

Still experts say taking these five steps can help prevent burnout and financial stress for many family caregivers.

1. Seek help from the government, non-profits 

Medicare and most health insurance plans generally don’t pay for long-term care. However, if an elderly individual is eligible for Medicaid or a U.S. veteran, there’s a good chance a family member can get paid for caring for them. 

Family caregivers may be able to be paid by Medicaid, depending on their state of residence. The amount of funds can vary contingent on the elderly person’s needs and the average wage paid to home health aides in that state. Go to the American Council on Aging’s website at medicaidplanningassistance.org to find out if your loved one is eligible for a Medicaid long-term care program that pays family members.

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In many states, former service members can manage their own long-term care, including choosing a caregiver, who may be a family member — and their military pension can also cover caregiving costs. The U.S. Department of Veteran Affairs’ Caregiver Support Program website can provide more information on how a caregiver of a military veteran can qualify for financial assistance. 

Consider getting respite care for your loved one, too. Although options for family members to get paid for caregiving are limited, you may be able to get help by paying someone else to give you a bit of a break. Check out state and federal funding, as well as private sources that may be available to help you pay for respite care on the ARCH Respite Network and Resource Center website. 

Research other government health and disability programs in your state, as well as disease-specific and non-profit organizations that may offer financial resources for caregivers, on the Family Caregiving Alliance website.  

2. Take advantage of tax breaks

If your elderly parent or relative lives with you and qualifies as a dependent, you may be eligible to claim them as a dependent on your federal tax return. 

You can deduct medical and health-related expenses for yourself, your spouse and your dependents that exceed 7.5% of your adjusted gross income on your federal income tax return. Qualifying expenses may also include including home modifications, equipment, and transportation.

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You may also qualify for a dependent care tax credit for a percentage of up to $3,000 in qualified care expenses for one person or $6,000 for two people. 

3. Ask about employer benefits that can help

You may be able to save even more money by taking advantage of health savings accounts and flexible spending accounts offered by your employer — and using that money to pay for qualified medical, dental and vision expenses for a dependent. 

You generally have to be enrolled in a high-deductible health insurance plan to contribute to a HSA — which allows for up to $7,750 in contributions for a family in 2023. If you’re 55 and older, you can contribute an extra $1,000. Contributions are tax-free, earnings are tax-free and you can withdraw the money tax-free for qualified medical expenses, too. You can make contributions to an HSA for 2023 until the tax deadline next April. 

It’s tough because a person in their 80s doesn’t really know when they may need help, or what help they may need, if at all.

Barry Glassman

president of Glassman Wealth Services

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You may be able to contribute your pre-tax income to a health flexible spending account, as well as a dependent care flexible spending account. A health FSA covers qualified health-care expenses. The contribution limit is $3,050 in 2023. A dependent care FSA allows you to put away pre-tax money to cover in-home or daycare expenses for a dependent of any age while you are at work, up to $5,000 per household in 2023.

Consult a tax professional to find out if those accounts, as well as other tax breaks ,will provide some financial relief to your caregiving situation.  

Find out if your employer offers other caregiving benefits, such as paid time off for caregiving, mental health and counseling services, remote work and flexible schedules.

4. Find support from a group or care specialist

Emotional stress and burnout can add to the financial strain of caregiving. Connecting with other caregivers in a support group may alleviate or help you better manage the multi-faceted aspects of caregiving. Search online for caregiver support groups that meet in your area or virtually. 

A care manager may be another avenue of support you can engage even before a crisis. “We can be their ‘black umbrella,’ being there in the corner for them when it starts to rain,” said Anne Sansevero of the Aging Life Care Association. “But they have it in their closet, and they’ve got everything organized.” 

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Care managers are often social workers or nurses who can help with creating, evaluating and monitoring a plan to help you care for your loved one. They can make referrals and provide you with a list of resources in your area for in-home care, adult day programs and other services. The fee can range from $125 to $350 an hour, Sansevero said. 

5. Plan ahead for costs and decision making

Designer491 | Istock | Getty Images

Finally, a key strategy to saving money and reducing the emotional stress of care is planning early. 

If your older parent or relative is reasonably healthy and under the age of 70, consider helping them buy long-term care insurance if they can’t afford the premiums on their own, recommends CFP Ivory Johnson, founder of Washington, D.C.-based Delancey Wealth Management and a CNBC FA Council member. 

Cash flow, family dynamics and personal preference are all factors to consider when looking at a long term insurance. And be sure to understand the fine print. “You can absorb all the risk, you can transfer all the risk, or you can do a little of both,” said Susan Hirshman, director of wealth management at Schwab Wealth Advisory and the Schwab Center for Financial Research. “There’s not one general rule.” 

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And discuss with older parents their wishes for who will make health and financial decisions if they are unable to do so. Know where they keep the legal documents that spell out these wishes — health-care proxy or power of attorney, living will or advanced medical directive, and durable power of attorney for their finances. 

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MicroStrategy’s ‘financial engineering’ powers ascent to Nasdaq 100

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MicroStrategy’s ‘financial engineering’ powers ascent to Nasdaq 100

MicroStrategy has raised almost $20bn from investors this year to buy bitcoin, fuelling a meteoric rise for the once-obscure software company into the Nasdaq 100 index of large-cap US technology stocks.

A combination of selling shares and convertible bonds has funded a one-way bet on a rocketing bitcoin price that, despite a sell-off in recent days, has driven its shares up more than 400 per cent this year. Such is the investor demand that the company now has a market value of around $80bn, despite owning around $41bn of bitcoin.

Debt fund managers have been clamouring to get their hands on the convertible bonds, believing they offer exposure to the soaring share price while also providing protection if the price goes into reverse. The stock’s Nasdaq 100 inclusion will compel index-tracking funds to buy billions of dollars more of the company’s shares.

Its index inclusion after the close of trading on Friday — it is part of a trio replacing IT firm Super Micro Computer, Covid-19 vaccine maker Moderna and gene-sequencing company Illumina — is further vindication for founder Michael Saylor, who has become one of the most evangelistic proponents of bitcoin since his company began buying it four years ago.

“It’s some incredible financial engineering,” said a convertible bond portfolio manager invested in MicroStrategy. “[Saylor has] created this incredible situation where a stock trades at three times the price of the underlying bitcoin and then he just sells more shares every day and buys more bitcoin.”

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Donald Trump has promised to make the US a ‘bitcoin superpower’ and ease the regulatory crackdown on cryptocurrency © Justin Chin/Bloomberg

For Saylor, who once tweeted that bitcoin’s “days are numbered” but later recanted, this year has been an extended opportunity to build on his plan to make MicroStrategy a “treasury” for what he calls “the most valuable asset in the world”. In October he announced plans to raise $42bn over the next three years, all to pay for more bitcoin.

The cryptocurrency’s value has more than doubled this year following the arrival of spot bitcoin exchange traded funds in the US and Donald Trump’s presidential election victory in November. Trump’s promises to make the US a “bitcoin superpower” and ease the regulatory crackdown pushed the value of the coin from less than $64,000 at the end of September to more than $108,000 this week, although at one point on Friday it fell close to $92,000.

“My attitude [on bitcoin] has gotten better every quarter,” Saylor told the Financial Times. “Now you have a president[-elect] who is ending the war on crypto.”

MicroStrategy’s success has been helped by the huge premium that investors place on its shares, with the company currently trading at roughly double the net asset value of its bitcoin holdings.

This allows it to issue stock at a premium and buy ever more of the cryptocurrency. Although existing shareholders end up owning a smaller percentage of the company, the underlying value of their shares increases because MicroStrategy now owns more bitcoin per share.

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Line chart of Share price, $ showing MicroStrategy shares have climbed 370% this year

Convertible bonds have also become a key way for MicroStrategy to raise money. Such instruments usually pay a fixed coupon but also convert into shares at an agreed price, allowing investors to benefit from equity’s unlimited upside while providing the perceived downside protection of bonds.

The highly volatile nature of the stock has so far worked well for both the company and investors. It means the company can issue bonds with a higher conversion premium than usual and even offer zero coupon on the debt. Investors, meanwhile, have been drawn to the potential exposure to the firm’s soaring share price and the perceived downside protection.

As MicroStrategy’s shares surged earlier this year, bond investors who had lapped up its March convertibles quickly became equity holders as their bonds were converted. In November, Saylor returned to market for the fifth time this year, issuing $3bn of convertibles for zero interest and a 55 per cent conversion premium.

MicroStrategy Inc. headquarters in Tysons Corner, Virginia,
‘It’s arbitrage feeding arbitrage,’ said one convertible bond trader who has bought MicroStrategy’s bonds and shorted its equity © Stefani Reynolds/Bloomberg

For investors who had snapped up MicroStrategy’s earlier debt, the company’s return to market could hardly have worked out better, as it allowed them to take profits on their shares and buy new bonds.

“This was an absolute home run for us. We got to lock in all of the upside of the past six months, and now we bring in downside protection,” said one convertible bond fund manager who owns MicroStrategy bonds. “There is no better outcome for a convertible bond manager.”

So-called convertible arbitrage hedge funds, which buy such bonds and then short the shares — bet on a falling price — have also provided a ready market for the firm’s mass issuance.

Their strategy is essentially a bet on volatility. They try to make money on their short position if the share price falls, with losses on the convertible limited by the bond’s downside protection. And if the shares climb, the aim is for the short position — which is smaller than the convertible bond exposure — to lose less money than the gain on the equity upside.

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“It’s arbitrage feeding arbitrage,” said one convertible bond trader who has bought MicroStrategy’s bonds and shorted its equity. “Our arbitrage is OK. It’s decent. But [Saylor’s] arbitrage is brilliant.”

Traders exploiting the volatility of MicroStrategy’s shares have been helped by billions of dollars of inflows into highly levered exchange traded products that track the stock but amplify investors’ potential gains and losses. Two MicroStrategy ETFs, including the Defiance Daily Target two-times long MSTR ETF, own about $10bn of the company’s stock via swaps and options. 

Unlike traditional ETFs, which buy and hold shares, leveraged ETFs rebalance at the end of every trading day to hit their targeted returns. This means that when the underlying asset rises in price, fund managers must buy more of the stock, and vice versa should prices fall.

These end-of-day rebalancing flows can “significantly impact the underlying MicroStrategy stock price, amplifying price moves, thus enhancing volatility”, said JPMorgan strategist Nikolaos Panigirtzoglou.

But some investors are getting nervous. They fear that the virtuous circle that has driven up the share price so quickly could easily go into reverse if the bitcoin price falls substantially.

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“Borrowing dollars to buy bitcoin is just a massive dollar short position, not a new financial invention,” says Barry Bannister, chief equity strategist at Stifel. “As any short seller in history knows, the price of being wrong is ruin.”

“If bitcoin traded down 90-95 per cent and stayed there, there would be no liquidation or debt accelerations,” Saylor told the FT. “Presumably our equity would suffer some dilution, but we still would not sell, or need to sell, our bitcoin.”

The shares could also fall if investors simply decide to place less of a premium on MicroStrategy stock. Since their peak on November 21, the shares are down around 40 per cent, while bitcoin is down just 5 per cent.

One North American hedge fund executive said they had held a position in bitcoin and a bet against MicroStrategy “to capture that spread”. This bet “worked on and off until the trade became a meme”, added the person, who now prefers to short one of the twice-leveraged ETFs.

Some suggest that share sales by insiders undermine the company’s pitch to investors: that bitcoin remains undervalued. MicroStrategy directors have sold a total of $570mn of the company’s stock so far this year, according to company filings.

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MicroStrategy did not respond to a request for comment on the share sales.

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“The subjects change — now it’s crypto — but over the centuries human investment behaviour does not deviate from the script one iota,” said Bannister.

Anyone buying assets “built on thin air” should be prepared to watch their money “vanish”, he added.

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US business equipment borrowings up more than 8% y/y in November, ELFA says

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US business equipment borrowings up more than 8% y/y in November, ELFA says

(Reuters) – U.S. companies borrowed 8.7% more to finance equipment investments in November compared with the same period a year earlier, the Equipment Leasing and Finance Association said on Friday.

New loans, leases and lines of credit signed up by companies in November rose to $10.36 billion, from $9.53 billion in the year-ago period.

The Washington-based trade association, which reports economic activity for the more than $1 trillion equipment finance sector, also said that credit approvals for U.S. companies were at 74% in November this year.

The Equipment Leasing & Finance Foundation, ELFA’s non-profit affiliate, said its confidence index for December reached a fresh three-year high, indicating that executives expect continued strength in lending volumes and further improvements in financial conditions.

The ELFA CapEx Finance Index of leasing and finance activity is based on a 25-member survey which includes Bank of America as well as the financing units of Caterpillar, Dell Technologies, Siemens AG, Canon and Volvo AB.

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(Reporting by Abhinav Parmar in Bengaluru; Editing by Pooja Desai)

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Trump bull market is just beginning: Fmr. TD Ameritrade CEO

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Trump bull market is just beginning: Fmr. TD Ameritrade CEO

Corporate America is gearing up for Trump 2.0, having already gotten a flavor of what Trump has in mind. Potentially crushing fresh tariffs on China, even if it means higher levels of US inflation. Mass deportations come with their own set of economic risks. And soon, potentially, a new leader atop the Federal Reserve. Is there any way a top executive could prepare for uncertain outcomes tied to these initiatives from the Trump administration? How does one lead their teams when uncertainty begins to reign supreme again? Yahoo Finance Executive Editor Brian Sozzi sat down with former TD Ameritrade CEO and former head football coach at Coastal Carolina University Joe Moglia. Moglia is not only considered a market master for his work from 2001 to 2008 building TD Ameritrade into a trading powerhouse but also a leadership expert. Moglia shares his perspective on the record-setting year for markets, what’s next for investors, and how to lead with a clear focus in 2025.

For full episodes of Opening Bid, listen on your favorite podcast platform or watch on our website.

Yahoo Finance’s Opening Bid is produced by Rachael Lewis-Krisky.

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