Articles Posted in Elder Law

One of the most important parts of elder care is ensuring that you or your loved one is financially secure in later years. A wide variety of financial tools and plans are available to help structure this care for seniors, but as of July a new tool has been introduced for retirement planning that has not been widely available before – longevity insurance.

What is Longevity Insurance?

Longevity insurance is also known as a deferred-income annuity. You pay a lump sum of money as a premium to an insurer in exchange for a lifelong stream of income that begins years later, even as late as your 70s or 80s. Before July, longevity insurance could not be widely used in 401(k) or other individual retirement plans because those types of plans require that the holder start making withdrawals at age 70½. The rules have now been changed that allow workers to purchase these annuities if they use a portion of their retirement money and begin to make withdrawals by age 85.

Some of the leaders in providing shelters for victims of elder abuse are meeting for the first time at a conference in an effort to combine forces and give more refuge to seniors in need. Eight shelters have formed an alliance that are meeting in suburban Cincinnati to discuss the growing problem of elder abuse as well as ways to better combat the issue. The shelters in the alliance have been participating in monthly conference calls to discuss their programs, and this is the first time that they will all be meeting in person to talk about their elder abuse shelters. They plan on sharing best practices, are bringing in expert guest speakers, and work together to create an even better network of elder abuse shelters.

Elder Abuse and Prevention

Estimates from leading researchers are that at least two million seniors are abused, exploited, and neglected every year in the United States alone. In addition, nearly everyone agrees that many more cases of elder abuse go unreported or undetected. The number of seniors over the age of seventy is expected to more than double to about 64 million people by 2050. Elder abuse occurs most often at the hands of a family member or other people close to the victim.

Casey Kasem was known mostly for his long and illustrious career in radio. Almost everyone remembers his years on “American Top 40” or hearing him as the voice of Shaggy in the cartoon, Scooby Doo. However, his final years on earth also left his fans with a cautionary tale about caregiving and the problems that can arise.

During the last couple of years of his life, Casey Kasem’s family was torn about his caregiving needs. On one side were his children from his first marriage, and on the other side was his second wife. Their bickering led to very public court battles, and it culminated in his wife moving Kasem without telling his children of his location. In the end, one of his children was appointed his custodian, and thankfully his entire family was able to see him before he passed.

Family Conflict and Caregiving

The World Health Organization estimates that by 2050, the number of people who live past their 80th birthday will be roughly 395 million, more than quadruple the current number. Additionally, the Alzheimer’s Society has found that over 80% of residents in nursing homes and assisted living care now have dementia or some type of serious memory problems. These types of issues demand constant care and considerable cost. With an increasing number of seniors worldwide and the skyrocketing costs, younger generations are looking for new options in elder care. A growing trend in elder care is to send seniors to living care facilities abroad in countries such as Thailand, where the costs of care are lower and the care is more comprehensive.

Benefits of Elder Care Abroad

The biggest reason that people are looking at elder care abroad is cost. In the United States, live-in care can cost anywhere from $3,000 to $6,000 per month. Assisted living or nursing home care can be even more expensive. In other countries, elder care costs are just as high. In the United Kingdom, cost ranges from US $3,600 to $5,000 per month, and in Switzerland elder care costs run monthly on average from US $5,000 to $10,000. However, in places like Thailand the cost of elder care runs at maximum around $3,000 per month and the level of care are much more comprehensive. At that price three or four caretakers look after a single patient, and 24-hour care is very feasible.

In a ruling Monday, Judge Daniel S. Murphy ordered that renowned radio personality Casey Kasem must be fed, hydrated, and medicated at the discretion of his doctors. This order is the latest in a string of court battles between Kasem’s wife and children about his medical care. Casey Kasem suffers from a form of dementia similar to Parkinson’s and is no longer able to communicate with his family. Last month his wife, Jean, moved him from his care facility in Santa Monica to a friend’s home in the state of Washington without disclosing his whereabouts to his children, and after the incident Kasem’s daughter, Kerri, was named as his temporary conservator. This latest order comes from Kerri’s request that doctors begin end-of-life procedures for her father. Kasem’s wife vehemently opposed the request and argued that she feels like he would want to live as long as possible.

All of these arguments could have been avoided if Casey Kasem had filled out an advance directive that gave clear directions for his final wishes about his medical care.

What is an Advance Directive?

Choosing to move into a continuing care retirement facility (CCRF) is one of the biggest decisions you can make in your later years. A lot of factors go into getting financial matters in place and ensuring that a particular facility is right for you. However, there are some resources and tips that can make the process of choosing a continuing care facility a little more manageable.

Resources for Finding a Reputable CCRF

According to the National Investment Center for Seniors Housing & Care Industry in the United States there are over 2,000 continuing care facilities with more than 600,000 residents. CCRFs can be nonprofit or for-profit entities. For a list of nonprofit care facilities, you can research your options at Leading Age, and for a list of all facilities including those for-profit you can research communities (for a $24.95 fee) at the Retirement Living Information Center.

Last week New York City announced plans to expand its legislative program that helps senior tenants freeze their rent and make living on their own more affordable. Mayor Bill de Blasio has cited a lack of affordable housing as a major problem, and the elderly who live on a fixed income are particularly disadvantaged when it comes to rent increases. In the past, elderly renters have not participated due to language barriers, lack of computer access, and challenges travelling to get the proper paperwork. However, new funding and a public awareness campaign are helping more seniors sign up for the program. The campaign is also aimed at the adult children of elderly renters in hopes that they will help their parents sign up for the program.

What is SCRIE?

SCRIE, or the Senior Citizen Rent Increase Exemption, is a program that began in New York City in 1970. The program allows renters in New York City to freeze their rent at its current level if certain qualifiers apply. In exchange for the frozen rent, landlords of these apartments are given property tax rebates. State legislation is now contributing millions of dollars in financing over the next two years to expand the initiative and provide more information to seniors.

According to new research, over forty percent of Americans are caring for their elderly family members, and most are doing so in addition to managing their careers. Cartoonist Roz Chast illustrated these difficulties in her memoir detailing the care of her parents in their final years. However, more employers are realizing the need to help their employees who are similarly struggling with balancing elder care in addition to their jobs, and as a result elder care benefits in the workplace are on the rise.

The Families and Work Institute recently published a new report, the 2014 National Study of Employers, which detailed the growing trends in elder care support and benefits in the workplace from 2008 to 2014. Some of the key findings of this report include:

· 75% of employers surveyed provide time off for employees to provide elder care without jeopardizing their jobs · Employers are now more likely to report that they offer elder care resource and referral programs · More employers are offering DCAPs (Dependent Care Assistance Programs) and access to respite care

Yesterday we discussed the various programs, agencies, options available to help families with aging seniors. In addition to assistance programs, it is important for caregivers of older adults to make sure that their loved one’s wishes will be met at the end of life or if the older adult becomes mentally incapacitated. Preparing for management of finances also is important. These matters can be addressed in the following documents–

Living Will- a living will is a written statement about an individual’s wishes regarding medical treatment should he or she become incapacitated. This includes statements about a person’s wishes regarding “Do Not Resuscitate” (DNR) orders, intubation, feeding tubes and hydration, and other critical care matters.

Health Care Proxy (also called Durable Power of Attorney for Healthcare)- The Health Care Proxy is a written document where the older adult appoints someone he or she trusts (such as a family member or close friend) to decide about medical treatment for the older adult if he or she cannot make that decision. The agent is instructed to act on the older adult’s behalf and in his or her best interests.