When they were running for president, Senators Bernie Sanders and Elizabeth Warren advocated providing universal health care coverage by expanding Medicare to cover all Americans. Such a single-payer system would be a great improvement over our current over-complicated system, but it would do little to expand long-term care coverage for our seniors and others with disabilities. That's because Medicare provides very limited long-term care services.
Medicaid (MassHealth in Massachusetts), on the other hand, covers nursing homes, a significant amount of home care, and some assisted living care. Making everyone automatically eligible for Medicaid would greatly expand the availability for such services, greatly ease the process of applying for benefits, and reduce the need for much elder law planning.