Americans are planning for retirement but not for the 30-year reality of aging at home

Eighty percent of U.S. households with adults aged 60 and older lack the resources to cover long-term care costs or survive a financial emergency. The oldest baby boomers will turn 80 in 2026, marking the start of a demographic wave that will see the 65+ population grow from 61 million in 2024 to over 80 million by 2040. Most Americans want to age at home, but the systems meant to support them are unprepared. Medicare does not cover long-term care, yet many believe it does. Fewer than 5% of U.S. homes have basic accessibility features, and only 18% of older adults make modifications to support aging in place. The gap between lifespan and health span is 12.4 years—women spend about 14 years in poor health, men about 11—during which out-of-pocket health and care costs rise. More than 26 million Americans aged 50 and older live alone, increasing risks of isolation and care gaps. Financial preparedness is necessary but no longer sufficient. Longevity planning must integrate health, housing, care, and social connection through coordinated action. A holistic approach—supported by financial institutions, health systems, employers, communities, and government—can enable aging well at home.