A study by the Urban Institute reports that declining family sizes, childlessness and rising divorce rates will limit the availability of future family caregivers. As a result the demand for paid long term care services will increase. Long term care services provide assistance when physical or mental disabilities impair the ability of an individual to care for themselves. This occurs more frequently among older adults especially those over age eighty. The challenge will be the ability of individuals able to pay for long term care placing an additional burden on the already strained Medicaid system. This places the substantial burden of parent care on children. If you want to choose your own care it’s time to start planning for your own long term care needs, regardless of your current age.