A few months before my wife passed, I was working with a lawyer to see how I could make my wife Medicaid eligible. It was clear that she was never going to recover and needed 24/7 care. I had exhausted all insurance options and was now faced with paying out of pocket. I inquired about divorcing my wife, making her financially destitute and getting her on Medicaid, but my lawyer told me that was not feasible. Most judges would see that as gaming the system (which it is) and would not grant the divorce.
The only other option, which I began to pursue, was to liquidate our assets and spend them down to a level where my wife would become destitute, qualify for Medicare and I would become a "communal spouse", allowed to keep certain assets for myself. It sucked as an option but I was being faced with the possibility that my wife may need 10-20 years of 24/7 care, at about $10K a month.
Had I had a LTC plan in place, I would not have had to consider those options.