24.09.2015 Views

racetracks

I want to be left alone! - The Times-Tribune

I want to be left alone! - The Times-Tribune

SHOW MORE
SHOW LESS
  • No tags were found...

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

R E S T A U R A N T A N D B A R<br />

Fine Dining<br />

1140 R OUTE 315, S UITE 101<br />

W ILKES -B ARRE , PENNSYLVANIA 18711<br />

O PERATING H OURS :<br />

D INNER :<br />

M ONDAY T HROUGH T HURSDAY 5:00 PM - 10:00 PM<br />

F RIDAY - S ATURDAY 5:00 PM - 11:00 PM<br />

L UNCH :<br />

M ONDAY T HROUGH F RIDAY 11:00 AM - 2:00 PM<br />

F OR R ESERVATIONS , P LEASE C ALL<br />

570.270.9292<br />

The ethics of asking for Medicaid<br />

By Lynn Evans<br />

When does it become ethical to “spend<br />

down”your assets to qualify a loved one for<br />

Medicaid? Is there ever a “right”set of circumstances<br />

to do so? Is entitlement to<br />

these benefits a right of every American?<br />

Or should your end-of-life care and its attendant<br />

costs be your responsibility?<br />

Many financial professionals<br />

today are facing these and more<br />

difficult questions when their<br />

clients or their clients’ children<br />

come to them for help in making<br />

Mom or Dad qualify for government<br />

aid in nursing care costs.<br />

The dilemma is in the question.<br />

Is it ethical to do this?<br />

Suppose the family assets consist<br />

of a farm, which has been in<br />

the family for the last two hundred<br />

years. If the next generation is<br />

actively farming the land and generating<br />

a living from the farm, is it right for the<br />

government to be the auctioneer at the<br />

death of the elderly farmer who had no<br />

assets, in an effort to recover the costs<br />

for his stay in a nursing home?<br />

If not, then what about the children of<br />

the corporate executive who expected to<br />

inherit Dad’s generous stock portfolio<br />

when he passed on and demanded from<br />

their attorney that he make Dad eligible<br />

for Medicaid to preserve their inheritance?<br />

Do we have a sense of right for the first<br />

case and disdain for the second? Why?<br />

What about being responsible for our<br />

own medical care and its costs?<br />

Is that concept as irrelevant a moral<br />

standard as the mortgage-free home?<br />

Probably so.<br />

In the last generation, people had multigenerational<br />

households with the traditional<br />

wife/mother at home.<br />

The daily care of all family members fell<br />

on her shoulders with children doing their<br />

fair share. The multi-generational family<br />

rarely exists anymore and care of elderly<br />

parents is relegated to the occasional visit<br />

from the progeny who live hours or days<br />

away.Grandchildren are committed to<br />

sports, music lessons and private tutoring<br />

to guarantee great SAT scores.<br />

Our current societal values dismiss the<br />

inclusion of care for the elderly as a top<br />

priority, so we transfer that responsibility<br />

and cost to the local agencies and the<br />

federal government. And then we rail<br />

against the authorities when they deny<br />

the care for free.<br />

What’s missing in this equation?<br />

Maybe the answer is a better long-term<br />

care program, which gives incentive to the<br />

American public to pay the premiums for<br />

care that extends into the home, rather<br />

than only the traditional Clorox-perfumed,<br />

heaven’s waiting rooms we call nursing<br />

homes. Not to put the knock on the nursing<br />

home industry. They do a heroic job<br />

with limited funds. Very limited funds.<br />

And the work is not fun.<br />

Given that no one among us<br />

wants to be in these dreadful<br />

places, it tears at our heartstrings<br />

to make the decision to<br />

put Mom or Dad in one and<br />

wonder why there is no alternative.<br />

There could be.<br />

As the Baby Boomer generation<br />

nears the age where the<br />

nursing home looms as a distinct<br />

possibility, their immense<br />

Evans<br />

power as a consumer group<br />

will affect the choices we now have.<br />

But until that happens, where do we<br />

draw the line?<br />

Granted, the needs of the “community<br />

spouse” (a lovely euphemism for the<br />

spouse left at home when the other is in<br />

a nursing home) have to be taken care of<br />

and being able to preserve some type of<br />

financial security for that person is paramount.<br />

So how much is enough?<br />

Elder care attorneys who specialize in<br />

this type of planning have some tried and<br />

true methods to make this happen. And<br />

still within the guidelines of the federal<br />

government, but it’s not that much.<br />

Even though the Feds set the guidelines,<br />

the state has the ultimate say in what that<br />

amount is. It currently lands somewhere<br />

around $90,000 in assets (the house?) and<br />

only $2,000 in cash. So should that person<br />

be penalized because his or her<br />

spouse needs long-term care?<br />

Is it fair to force poverty on this community<br />

spouse in order for her husband to<br />

get the care he needs, which she can’t<br />

provide? What happens if she then has to<br />

go into a nursing home, too?<br />

There are lovely options like gifting to<br />

children, trusts, inter-spousal transfers,<br />

immediate annuities, and so forth.<br />

Although all of them are legitimate<br />

options, each of them carries great risk of<br />

coming back to haunt you. The only viable<br />

option is a long-term care policy, which<br />

allows for home medical care as well as<br />

nursing home stays.<br />

Lynn S. Evans, certified financial planner, is<br />

president of Northeastern Financial<br />

Consultants, a Clarks Summit-based firm<br />

and licensee of financial life planning tools<br />

and materials.Visit the company on the Web<br />

at www.nefci.com. or e-mail info@nefci.com.<br />

PNC Foundation presents gift to Marywood University<br />

Representatives of PNC<br />

Bank recently presented<br />

a check in the amount of<br />

$20,000 from the PNC<br />

Foundation to Marywood<br />

University. The funds represent<br />

the bank’s final<br />

payment of a $100,000<br />

pledge. Seen at the<br />

check presentation<br />

were, left to right, Peter<br />

J. Danchak, president,<br />

PNC Bank Northeast<br />

Pennsylvania; Sister<br />

Mary Reap, I.H.M.,<br />

president, Marywood<br />

University; and Paul<br />

Kosiba, PNC Bank, vice<br />

president, institutional<br />

investment group.<br />

6 • NORTHEAST PENNSYLVANIA BUSINESS JOURNAL • SEPTEMBER 2003

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!