When Norm and Susan West bought long-term care insurance back in 1998, Susan had just turned 50, Norm was 51, and it seemed like a good idea to plan ahead for how they would pay for potential nursing care. Way, way, way in the future. Fast forward 23 years and the Wests have continued to pay annual premiums, only to see the cost more than double from 2010 to 2020.

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