Long-term care insurance makes the most financial sense for people with meaningful assets to protect from rapid spend-down and enough stable income to afford premiums without cutting essential expenses. People with very low income or assets may be better served by Medicaid and community programs. High-net-worth households may choose to self-insure. Most buyers value LTCI for the control it provides — particularly the ability to choose where they receive care and to avoid burdening family members. This decision is best made alongside a fee-only financial planner who specializes in retirement and long-term care planning.