Archive for Elder law
ALZHEIMER’S CAN’T STEAL MAN’S LOVE OF THE GAME
We recently came across a wonderful article about a man with Alzheimer’s disease and his continuing passion for soccer. Most of us have seen, or at least heard of, the havoc that Alzheimer’s wreaks on the memory of its victims. This man, John, is no different; he is progressively losing the ability to remember who he is. However, he somehow remembers that he loves soccer.
John has been going to a local park twice a week, for the past 25 years, to play a regular pickup game of soccer. With the help of his wife and daughter, and the compassion of his fellow players, he still participates in every game. Although he is no longer coordinated enough to do much with a soccer ball, and may forget which team he is on, it is clear that John has a wonderful time playing and he leaves the field smiling.
We have heard similar stories from some of the wonderful facilities that we work with and applaud them and any other caregivers who help Alzheimer’s patients continue to do what they love. However, we believe that we must continue to fight for a future without Alzheimer’s disease. If you want to join the fight, it is not too late to join us for the 2013 Walk to End Alzheimer’s this Saturday, November 16, or to support the cause with an online donation.
ELDER ABUSE: A SCARY STORY FROM AUSTRALIA
In our last newsletter, we wrote about potential issues for a dutiful child caring for an elderly parent, but what about the risk that the caretaker child is neglectful or even abusive? This week we wanted to share a truly horrifying tale of an Australian woman’s failure to care for her elderly mother.
Cynthia Thoresen, as many aging widows do, moved into her adult daughter’s house when living alone became too daunting. The daughter, Marguerite, obtained a government benefit to help with Cynthia’s care, which became her only income. A couple of years later, Marguerite stopped taking her mother to doctors and filling her prescriptions. Already Marguerite is not looking like the dutiful caretaker child, but it gets much worse.
Sometime in November 2008, Cynthia fell in the house and broke her leg. When Marguerite finally called an ambulance approximately 3 weeks later, Cynthia was screaming from the pain. We will spare you the gory details of Cynthia’s condition, except to say that she had lain in bed with a broken leg and without any medical care or personal hygiene all that time. Cynthia died in the hospital a few weeks later from a blood clot caused by the broken leg.
Shockingly, Marguerite has not faced any legal consequences for her mother’s death. What is even more appalling is that she claimed to have been honoring Cynthia’s wishes by keeping her out of a nursing home. Although no plan can guarantee against elder abuse, we believe that thorough disability planning (legal, financial, and practical) can significantly limit opportunities for such horrific neglect.
YOU ARE INVITED: WINE TASTING TO HELP END ALZHEIMER’S DISEASE
Alzheimer’s disease is currently attacking more than 5 million Americans and remains the sixth leading cause of death in the United States. We at Cramer Law Center have seen the devastating effects the disease can have on our clients, both those who suffer personally and those who are caregivers. Some of us have lost our own loved ones to Alzheimer’s disease.
Last year, our personal encounters with Alzheimer’s inspired the Cramer Law Center team to participate in the Walk to End Alzheimer’s. We were all moved by the experience and, with your help, we raised over $600 for the Alzheimer’s Association!
We are happy to announce that we will be walking again in the 2013 Walk to End Alzheimer’s. In order to meet this year’s fundraising goal of $800, we will be hosting a wine tasting at our office on Thursday, October 24, 2013 from 4:30 p.m. to 7:30 p.m. Please join us for the wine tasting, the Walk, or both. For more information on the Walk or to make a donation, click here.
MAY IS ELDER LAW MONTH!!
May has been declared to be National Elder Law Month and Older Americans Month. We think that makes this the perfect time to discuss how we and other elder law attorneys can serve “older Americans” (defined as those who are at least 60 years of age).
What is Elder Law?
Elder law addresses the needs of the elderly, the disabled, and their families. This includes planning for future age- and disability-related issues, such as how to safely remain in the home or placement in a long-term care facility. Specifically, elder law attorneys help clients secure peace of mind through estate planning, disability planning, and planning involving government programs such as Medicaid and Veteran’s Administration benefits. We also handle situations where it either has become too late for planning (due to a disability or death), as is common in guardianship and probate cases, or when a plan is being challenged.
More than Documents and Litigation
Because of the many different government programs and legal options that may be available to clients, elder law attorneys take a comprehensive approach to planning. Every client will have a different situation, usually with multiple issues to be addressed and more than one set of laws and rules to consult.
As a result, elder law attorneys spend a significant amount of time with older individuals and discuss extremely personal preferences and fears. This creates an opportunity for us to be a resource to our clients. By getting to know other people in our community who provide services to older Americans, such as independent and assisted living facilities, home health care providers, hospice care providers, and even other attorneys, we can give our clients practical as well as legal guidance and counsel them every step of the way.
LAWYER’S BEHAVIOR AT TRIAL IS NOT EVIDENCE OF ELDER ABUSE
Here is an interesting case from California that caught our attention. An 83 year old man filed for a protective order against his 56 year old daughter because of alleged abusive treatment. In the court hearing over the matter, the daughter’s attorney’s confrontational cross-examinationof the elderly gentleman was found by the trial court to be consistent with the daughter’s desire to treat her father in such a fashion. He then granted a protective order which stated that the daughter could not contact, molest, attack, strike, threaten, assault or otherwise disturb the peace of her father. The daughter appealed the case arguing that her attorney’s behavior and her lack of response to it should not be used as evidence by the trial court. The appellate court agreed and said that the trial judge was wrong to base his decision on the lawyer’s conduct.
While this decision is good news for us lawyers, it does highlight the fact that we are too often aggressive and confrontational, particularly in guardianship, probate, and other elder law cases. It is important that all lawyers recognize when in the probate court that we are not trying high profile criminal or personal injury matters. We are involved in disputes among family members where emotions are already running high and we should avoid making matters worse. We can represent our clients effectively in elder law matters without being either abusive or confrontational.
WHY THE ELDERLY – AND THEIR LOVED ONES – SHOULD CARE ABOUT SEQUESTRATION
You have probably heard about sequestration, the latest in the fiscal cliff saga that started late last year. Although the term sounds complex, “sequestration” simply refers to automatic government spending cuts that are set to go into effect today, March 1, 2013. These cuts will take $1.2 trillion out of the federal budget over the next 10 years.
The spending cuts will be spread across government agencies and will affect the budgets of various programs, including one that is vital to the elderly across the country: Meals on Wheels. Meals on Wheels provides over one million hot meals every day to seniors in need. They even deliver meals to the homes of those who have limited mobility. Unfortunately, spending cuts will reduce the number of meals that can be delivered and hinder the program’s mission of ending senior hunger.
Meals on Wheels is as important in our area as anywhere else; Florida is in the top 10 states for senior hunger risk. There are several agencies in Northeast Florida that participate in Meals on Wheels and together deliver hundreds of thousands of meals each year.
Sequestration was set to occur at the end of 2012, but was pushed back to March 1 as part of Congress’ year-end fiscal cliff deal. Even if Congress “punts” again, and defers the spending cuts to later this year at the last minute, the elderly and their loved ones should be aware that these cuts likely will affect them eventually. For more information, including how you can help, see: http://www.mowaa.org/.
Please feel free to post comments on our Facebook or Twitter or to make an appointment if you have individual questions or concerns.
Cramer Law Center offers full, flat fee estate planning services including wills, trusts, durable powers of attorney, health care surrogate designations, living wills, designations of preneed guardian, and more.
The next “Truth About Estate Planning” workshop will be held at the Cramer Law Center located at 4217 Baymeadows Rd., Suite 1, Jacksonville, Florida 32217 on March 5, 2013 at 10:45 a.m. Please call us at (904) 448-9978 to reserve your seat.
CONTESTED GUARDIANSHIP: NOT EVEN THE RICH AND FAMOUS ARE SAFE
While even the simplest guardianship is an expensive, lengthy, and public undertaking, a contested guardianship can be much worse. A contested guardianship is a case in which there are multiple interested persons (usually family members) with different ideas of what is best for the incapacitated person (the “ward”). As you might imagine, contests like this can drive up the financial and emotional cost of the proceeding, delay results, and air a family’s “dirty laundry” in open court.
A recent celebrity example of a contested guardianship is Fredric von Anhalt’s guardianship (called a “conservatorship” in California) over his wife Zsa Zsa Gabor. Gabor’s daughter asked the court to appoint her as her mother’s guardian instead, accusing her stepfather of sedating and isolating her mother and mishandling her finances. All of this and more has been discussed in court, and is memorialized in the public records and gossip columns. Von Anhalt, who appears to have generally taken good care of his wife, has had to justify all his actions and pay for his defense.
As in the Gabor case, the point most often in dispute in a contested guardianship is who is best suited to take care of the ward as his or her guardian. This issue is usually resolved by the court at the time it determines that the ward needs a guardian. However, a serious debate between family members over who should serve as guardian can extend a hearing that should take fifteen minutes into a trial that spans over several days. Additionally, challenges can continue throughout the guardianship, like they have in the Gabor case.
The good news is that everyone, rich and famous or otherwise, can avoid guardianship altogether with proper planning. A comprehensive estate plan may include documents such as a revocable living trust, a designation of health care surrogate, and a power of attorney that can serve as an alternative to guardianship, when well-drafted. The plan also may include a designation of pre-need guardian, which allows you to name the loved one(s) you would want to be your guardian, if a court should ever decide you need one.
2012 LONG-TERM CARE BY THE NUMBERS
Long-term care has been on our minds this month at Cramer Law Center because November is National Long-Term Care Awareness Month. To further your awareness, here are the latest long-term care statistics for this year:
- Annual Rate for Private Nursing Home Room….$90,520
- Annual Rate for Semi-Private Nursing Home Room….$81,030
- Annual Base Rate for Assisted Living….$42,600
- Annual Rate for Private Nursing Home Room….$94,535
- Annual Rate for Semi-Private Nursing Home Room….$83,950
- Annual Base Rate for Assisted Living….$38,808
*Jacksonville, Florida Average:
- Annual Rate for Private Nursing Home Room….$81,395
- Annual Rate for Semi-Private Nursing Home Room….$75,190
- Annual Base Rate for Assisted Living….$39,192
These numbers are staggering as-is, but it gets worse. Some nursing homes and many assisted living facilities have an additional charge for patients needing memory care for Alzheimer’s or dementia. And although assisted living facility base rates look appealing next to nursing home rates, they don’t include services such as personal care and medication management, each of which can cost hundreds of dollars per month.
Have you planned for long-term care? There is no time like the present to contact your financial advisor and inquire about how best to prepare your finances to meet these potential expenses. You should also meet with an attorney to discuss the legal planning that will best protect you and your loved ones in the event such long-term care becomes necessary.
Click to view the full survey, including data for all 50 states and many major metropolitan areas: https://www.metlife.com/assets/cao/mmi/publications/studies/2012/studies/mmi-2012-market-survey-long-term-care-costs.pdf
THE VALUE OF CONSISTENT PLANNING
With the Walk to End Alzheimer’s coming up this weekend and National Long-Term Care Awareness Month starting today, elder law is on our minds. So, this is the perfect time to share an elder law story that illustrates the value, and importance, of consistent planning.
Our client, “Diana”, thought that her father, “Fred”, had taken care of his disability planning by executing a power of attorney, naming Diana as his agent, several years ago. However, when Diana’s mother, “Mary”, died, Mary’s former caregiver took control of Fred and his affairs. The caregiver introduced Fred to an attorney who revoked the power of attorney to Diana and drafted a new power of attorney, as well as other documents, in favor of the caregiver.
Diana was forced to spend a significant amount of money to go to guardianship court to fight for the right to help her father take care of himself. The caregiver has isolated Fred from his family and tells him awful lies about his daughter. She may even have influenced Fred to change his estate plan. This is a dire scenario, but unfortunately not an uncommon one.
We include comprehensive disability planning documents in our estate planning packages as a matter of course. More importantly, we have our clients re-execute all of their documents every two years so that we build a record of consistency. If Fred had given a power of attorney to Diana in 2006, 2008, and 2010, his intent would be clear and the court likely would have thrown out the new power of attorney early on, allowing Diana to protect Fred and his assets from the predatory caregiver.