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The biggest deterrent to purchasing long term care insurance is the expense. We buy auto insurance and homeowners insurance because we have to but nursing home insurance is optional. Additionally, since these two types of insurance are mandatory, consumers get some help from the industry and the government. Another reason people are so hesitant to purchase nursing home insurance is the timing. Right when you are hoping to reduce expenses and retire, you are hit with huge premiums. Plus some of us still have children to put through college.