Perhaps the largest problem confronting our aging population is the rising cost of health care, particularly the costs borne by Medicare and Medicaid. A chief component of this expense is long-term care. Much of this care for an unmarried (mostly widowed) mother is currently provided by adult children. The provision of family care depends importantly on the geographic dispersion of family members. In this study we provide preliminary evidence on the geographic dispersion of adult children and their older unmarried mother. Coresidence is less likely for married adult children, those who are parents and the highly educated and more likely for those who are not working or only employed part time and for black and Hispanic adult children. Close proximity is more common for married children who are parents but less common for the highly educated. When we look at transitions between one wave of data collection and the next (a 2-year interval), about half of adult children live more than 10 miles away at both points, a little less than one quarter live within 10 miles at both points, and 8 percent are coresident at both points in time. Among the 17 percent who make a transition, about half of the changes result in greater distance between the adult child and mother and half bring them into closer proximity. The needs of both generations are likely reflected in these transitions. In fact, a mother's health is not strongly related to most transitions and if anything, distance tends to be greater for older mothers relative to those mothers in their early 50s.
Authors' AcknowledgementsThe research reported herein was performed pursuant to a grant from the U.S. Social Security Administration (SSA) through the Michigan Retirement Research Center at the University of Michigan (Grant #10-M-98362-5-02), funded as part of the Retirement Research Consortium with a subcontract to the UCLA. McGarry also gratefully acknowledges support from the National Institute on Aging (R01-AG016593). The opinions and conclusions expressed are solely those of the authors and do not represent the opinions or policy of the Social Security Administration, any agency of the Federal government, the Michigan Retirement Research Center, or UCLA. Authors are listed alphabetically. We thank Arturo Harker and Matthew Hill for countless hours of exceptional research assistance in setting up the data and Jenjira Yahirun for her expert help in analysis.The long-term care needs of our aging population will place a substantial burden on our health care system, the finances of the elderly, and the well-being of their families. With nursing homes averaging $75,000 a year and 12 hours a day of home care costing about the same, it is not surprising that the majority of care for the frail elderly is provided informally, typically by family members. For the unmarried elderly, care is most often provided by their adult children. Previous research has shown that children who live near a parent (or who co-reside), provide significantly more care than geographica...