As a person ages, they are likely going to accumulate assets. This is usually a good thing; however, if the person is going to need Medicaid to help pay for some of their expenses, it might not be such a good thing. Some individuals don't understand that they can't just give things away right before they need Medicaid. New York has a look-back period for Medicaid that spans five years.
As a person ages, their medical care needs might increase. This comes at a time when their income might be decreasing. By the time they are retired, they might need considerable care, but they might not have the money to cover that care.