Have You Had “The Talk”?
By Nancy R. Larson, Attorney
Have you had “THE
People of all ages need to plan for the
inevitable. After a 37 year old friend
was diagnosed with liver cancer, it was a shock when doctors came in to talk
about the patient’s last wishes rather than to discuss the diagnosis, says
HIPAA expert and attorney Dina Bernstein from O’Fallon. “At 37 you don’t think you’ll have to deal
with your own mortality. It made me
think about myself differently and was helpful in initiating a discussion with
my parents”, says Bernstein.
Estate
planning is a lifetime process. Ideally
plans are made while in good health and not in the midst of a crisis; however,
as long as a person has mental capacity, documents appointing someone to make
health and financial decisions can be executed.
Planning
for disability is as important, if not more important, than planning for
death. “Trying to get my mother to think
about disability and end of life planning was a challenge, made more difficult
by a life threatening diagnosis”, says food editor Lori Bowen Tillock of O’Fallon.
“If a person makes no plans and the disability is ongoing, who will be
in charge?”.
Typical of the sandwich generation, Tillock
finds herself in the position of caring for her young son as well as her ailing
mother.
If
you have made no plans and your disability is ongoing, it is likely the Probate
Court will appoint a Guardian to act on your behalf. A guardianship is a public proceeding in
which a person is found to be incapable of making health care and financial
decisions for themselves. The expense
and public nature of a guardianship make a power of attorney an attractive and
affordable alternative.
“Through
inaction you send a message to your family that says you don’t care”, says Dr.
Terri Riutcel, head of the psychiatric clinic at
Scott Air Force Base. “My dad died
without a will and it was really difficult for everyone. Not only did we lose my dad and have to deal
with our grief, but we had to deal with the resentment and fear of having no
direction in resolving complicated farm matters.”
Sitting down with parents to discuss such issues can be
awkward, but such talks are necessary to avoid surprises and poor
decisions. The National Association of
Area Agencies on Aging released a guide suggesting topics for boomers to
discuss with their parents that should include:
·
Making sure
parents have powers of attorney for health care and finances, wills, and
possibly a trust.
·
Knowing the
location of estate planning documents, tax returns, investments, and banking
records.
·
Determining
sources of income including Social Security, pensions and retirement plans.
·
Reviewing long
term care insurance policies or determining if it should be obtained.
·
Finding out what
community based resources are available that will help parents stay at home,
i.e. in house care and assistance, meal delivery, and adult daycare.
At
a minimum, a person should have a healthcare power of attorney, a financial
power of attorney, a will and sometimes a trust. Having “THE
Nancy R. Larson is an
attorney with offices in