Nearly half (47%) of Americans in their 40s and 50s either have a parent over age 65 and are simultaneously raising or financially supporting a child.[1] Pew Research recently found that roughly one-quarter of adults who have an aging parent or spouse identify themselves as caregivers.[2]
The conversations that tend to get delayed
These are often the hardest topics to bring up:
- Who will make medical decisions if needed?
- How will long-term care be funded?
- Where should parents live as needs change?
- What level of financial support is expected or possible?
- How will responsibilities be shared among siblings?
- Do we know where everything (ie. documents, accounts, assets, passwords, etc.) is kept?
These are not purely financial questions. They are family structure questions. Research from the National Study of Caregiving found sandwich-generation caregivers experience substantially higher financial and emotional stress than other caregivers.[3]
Why families delay these conversations
Although these conversations are critical to help with peace of mind and smoother transitions there are a few consistent reasons why they tend to be left undiscussed:
- Emotional discomfort – It’s not fun to talk about injury, decline, or death. Even when everyone knows the conversation is practical and necessary, it can still feel heavy. Adult children may also worry that bringing up money, assets, or estate details will make them seem “eager” to talk about what they might eventually receive, even if their real intent is simply to avoid confusion later.
- Fear of appearing disrespectful – Many families avoid the topic because they do not want parents to feel pressured, questioned, or treated as if they are no longer capable. What is meant as preparation can be received as intrusion if it is handled poorly, so people stay quiet in an effort to preserve dignity and avoid conflict.
- Uncertainty about “the right time” – These conversations rarely feel natural on an ordinary Tuesday. If there is no immediate crisis, it can feel premature. If there is a crisis, it can feel too late. That ambiguity makes it easy to postpone the discussion, even when everyone could benefit from having basic clarity in place.
- Assumption that “we’ll figure it out later” – Families often assume that decisions can be made when the need arises. But when that moment arrives, emotions are higher, information is harder to gather, and options may be more limited. “Later” can quickly become a rushed decision made under stress rather than a thoughtful plan made in advance.
But later often arrives suddenly, triggered by a health event or crisis.
What changes when planning happens early
Early conversations do not remove complexity, but they do change the environment in which decisions are made. That in itself may help avoid additional challenges.
Instead of reacting under pressure, families can:
- Understand preferences in advance
- Clarify financial realities ahead of time
- Seek to reduce disagreement during stressful moments
- Coordinate responsibilities more smoothly
A simple framework for families
A helpful starting point is breaking the conversation into four areas:
- Health preferences – What level of care is acceptable or preferred? This includes understanding whether a parent would want aggressive medical intervention, in-home support, facility-based care, or a different approach if their health changes. The goal is not to make every decision in advance, but to understand the values that should guide those decisions when emotions are high.
- Housing expectations – Aging in place, assisted living, or family support? Families should talk through what each option would realistically require, including home modifications, caregiver availability, cost, proximity to family, and safety concerns. A preference to remain at home may be very reasonable, but it still needs a practical plan behind it.
- Financial resources – What exists, and how is it structured? This means knowing what accounts, insurance policies, income sources, debts, assets, and important documents are in place. It also means understanding who has access, where records are stored, and whether the family has a realistic picture of what care could cost.
- Decision authority – Who steps in if decisions need to be made? This includes identifying who has legal authority, who is best positioned to coordinate care, and how siblings or other family members will be included. Clear roles can help reduce confusion, resentment, and delays when quick decisions are required.
Even partial clarity in each area is valuable.
The takeaway
Families rarely struggle because they didn’t care enough. They may experience additional challenges when important conversations have been delayed or avoided. In these situations, greater clarity is often the difference between calm coordination and chaotic confusion.
1. https://www.pewresearch.org/social-trends/2013/01/30/the-sandwich-generation
2. https://www.pewresearch.org/social-trends/2026/02/26/family-caregiving-in-an-aging-america
This article is provided for informational and educational purposes only and should not be construed as personalized advice. The views expressed are those of the author as of the date published and are subject to change. Readers should consult their own financial, legal, tax, and healthcare professionals, as appropriate, before making decisions.
Investing involves risk and the potential to lose principal. Financial planning techniques discussed in this article are educational in nature and do not guarantee improved financial results, achievement of financial goals, or any specific financial outcome. Individual circumstances and results will vary.
Investment advisory services are offered through Investment Adviser Representatives registered with Mariner Platform Solutions, LLC (“MPS”), an SEC-registered investment adviser. Kadima Wealth and MPS are separate entities and are not affiliated. Registration as an investment adviser does not imply a certain level of skill or training.




