Who should make decisions about your medical treatment?
Who may visit you in the hospital?
Who will manage your finances?
Who will care for your children?
Will there be enough money if you are disabled?
If you are incapacitated, someone else must make
health care decisions for you. Virginia law sets out a default list of
people who can make such decisions for you if you fail to provide
instructions. But in reality, only you know who would be best to make
decisions for you, and your preferences about medical treatment and
life-sustaining measures are important.
We urge all our clients to execute an Advance
Medical Directive, naming an agent of their choosing to make health care
decisions and providing some guidance and limits for the agent.
When drafting a medical directive, you provide
information and guidelines about your specific desires regarding
treatment. Some people anticipate circumstances in which they might want
life-sustaining treatment, emergency resuscitation, or even food and
water withheld. Others prefer to keep on fighting, right up to (and
perhaps beyond) the frontiers of current medical knowledge. In addition
to setting forth your desires regarding treatment, and naming health
care agents, you may want to specify who may (or may not) visit you in
the hospital, and who will be responsible for funeral or burial
arrangements.
You also should consider executing a general or
limited durable power of attorney for financial matters, so that someone
can manage your property if you are incapacitated. Many people,
especially married couples, prefer giving a spouse or other trusted
person a straightforward power of attorney that is immediately
effective. Unmarried persons sometimes prefer “springing” or escrow
arrangements, which become effective only after you are incapacitated.
In addition to the powers normally specified in a
durable power of attorney, you might consider granting authority for
your agent to make small gifts (up to $12,000 per recipient per year) on
your behalf to your relatives or other specified recipients.
If you choose a revocable living trust rather
than a will as your primary estate-planning document, your co-trustee or
successor trustee will usually be granted the power to manage trust
assets in the event of your disability. In that situation, a durable
power of attorney serves as an adjunct to the trust document to cover
property not owned by the trust, to permit the transfer of additional
property into the trust, and to increase the flexibility of your estate
plan to meet unanticipated needs that might arise after you become
disabled. Furthermore, the use of a revocable trust can avoid
consequences such as having a guardian not of your choosing petition a
court to withdraw or limit a durable power of attorney. Persons over 65,
and younger persons who anticipate disability in the future, should
consider forming a revocable living trust for property management
purposes.
In addition to having the documents described
above, you should carefully review your financial situation and consider
purchasing insurance to protect your family in the event that you are
disabled. For example, you should consider purchasing long-term care
insurance, to cover the expenses of nursing-home coverage, while you are
still at an age where premiums are relatively low. You may also wish to
consider purchasing such insurance for your parents if they are not
inclined to do so themselves.
“As long as men are
liable to die and are desirous to live, a physician will be made fun
of, but he will be well paid.” –Jean de la Bruyère