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N A E L A - National Academy of Elder Law Attorneys

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Are You Ready for Your<br />

2:30 Appointment?<br />

(continued from page 4)<br />

exploitation, housing concerns,<br />

financial issues concerning payment<br />

for acute and long term<br />

care, or facing issues <strong>of</strong> end-<strong>of</strong>-life<br />

estate planning. A myriad <strong>of</strong> <strong>Elder</strong><br />

<strong>Law</strong> issues specific to the old-old<br />

client and the family <strong>of</strong> the old-old<br />

client exist. Medicaid is, <strong>of</strong><br />

course, only one <strong>of</strong> the many<br />

important legal issues facing aging<br />

clients.<br />

What should this<br />

sixty-year-old client<br />

expect from an <strong>Elder</strong><br />

<strong>Law</strong> attorney? Is he<br />

indeed seeing the right<br />

type <strong>of</strong> attorney? Are<br />

<strong>Elder</strong> <strong>Law</strong> attorneys’<br />

skills and training<br />

appropriate to meet his<br />

needs as he contemplates<br />

retirement and<br />

prepares for the legal<br />

and financial issues he<br />

must face as he enters<br />

this entirely new stage<br />

<strong>of</strong> his life?<br />

Let’s look at what<br />

this client needs. First,<br />

he needs to have his<br />

estate plan reviewed.<br />

His life has changed, since his<br />

children are now grown, and his<br />

father has some financial dependence<br />

upon him. Being in a second<br />

marriage, he may need consultation<br />

about ways to provide for his<br />

spouse while still protecting his<br />

estate for the ultimate benefit <strong>of</strong><br />

his own children. He knows nothing<br />

about estate taxes, although<br />

he has heard the number<br />

$600,000 somewhere. His current<br />

will provides for an outright gift to<br />

his spouse <strong>of</strong> his entire estate<br />

with no tax planning, no provision<br />

for his father and no provision for<br />

any ultimate gift to his own children<br />

other than as beneficiaries in<br />

equal shares if his wife does not<br />

survive. Indeed, his wife’s will<br />

provides that the residue <strong>of</strong> her<br />

estate is divided equally among<br />

her children if her husband does<br />

not survive.<br />

Second, he would certainly<br />

benefit from durable powers <strong>of</strong><br />

attorney for health care and financial<br />

management as well as from a<br />

living will that sets forth his personal<br />

preferences for end-<strong>of</strong>-life<br />

care. The counseling you provide<br />

regarding the selection <strong>of</strong> agents<br />

will be invaluable to your client.<br />

Third, he would benefit from<br />

an assessment <strong>of</strong> his financial<br />

resources in terms <strong>of</strong> his possible<br />

retirement, a review <strong>of</strong> his life<br />

insurance, and advice on whether<br />

his investments are appropriate<br />

for a person facing fixed-income<br />

living in retirement. The man’s<br />

need for life insurance, for example,<br />

has probably changed substantially<br />

from the time it was<br />

bought to put his children through<br />

school, a goal now mostly met.<br />

Fourth, he will likely appreciate<br />

information about what to<br />

expect with his father’s care<br />

needs, the coverage available for<br />

his expenses under Medicare and<br />

potentially Medicaid. Helping him<br />

understand available community<br />

5<br />

resources to assist with his<br />

father’s declining abilities will also<br />

be helpful, as well as consideration<br />

<strong>of</strong> powers <strong>of</strong> attorney from<br />

his father to him for future use if<br />

needed.<br />

Fifth, discussion <strong>of</strong> the benefits<br />

<strong>of</strong> long-term care insurance,<br />

what to look for in a policy, what<br />

to avoid and what to insist upon<br />

as basic coverage will help him to<br />

work better with the insurance<br />

salespersons he will undoubtedly<br />

encounter, each<br />

with his or her<br />

own preferred<br />

product and each<br />

with less-thancomplete<br />

advice.<br />

Sixth, and<br />

finally, and perhaps<br />

most important,<br />

this client<br />

should be advised<br />

that you are now<br />

his lawyer for all<br />

matters as he<br />

enters the retirement<br />

stage <strong>of</strong> his<br />

life, that you are<br />

experienced and<br />

skilled in all <strong>of</strong> the<br />

issues that we<br />

face in later life,<br />

including issues <strong>of</strong> estate planning,<br />

paying for long-term care,<br />

prescription drug coverage under<br />

Medicare, protection <strong>of</strong> resources<br />

in the event <strong>of</strong> long-term care<br />

expenses, managing issues <strong>of</strong><br />

mental or physical disability within<br />

the family, and issues <strong>of</strong> housing<br />

options if the current home<br />

becomes inappropriate for extended<br />

periods. Furthermore, you are<br />

there to advise on insurance questions<br />

or refer him to trusted advisors<br />

who <strong>of</strong>fer quality advice. He<br />

can ask you for a referral to an<br />

advisor who can evaluate his<br />

investments for appropriateness<br />

for retirement. You are there for<br />

him, for his wife, for his father, for<br />

(continued on page 6)

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