The document discusses alternatives to long-term care insurance (LTCI) for covering long-term care costs, including self-insuring using personal savings and income, using life insurance policies that allow access to death benefits for long-term care costs, and applying for Medicaid assistance. It notes that while LTCI provides dedicated coverage for long-term care, it can be expensive with a risk of paying premiums without ever needing the insurance. The alternatives aim to use existing assets like life insurance or qualify for government aid through Medicaid to help pay for long-term care.