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T&E TALK: Make Health Care Decisions While You're Still Healthy

Scott T. Ditman, CPA/PFS 03.27.2017 | T&E TALK

Estate planning is about more than just what happens to your assets after you pass away. It’s also about protecting yourself and your loved ones by having a plan for making critical medical decisions in the event you’re unable to make them yourself.  And the time to act is now, while you’re healthy. If an illness or injury renders you incapacitated, it will be too late.

Without a plan that expresses your wishes, your family may have to make medical decisions on your behalf or petition a court for a conservatorship. Either way, there’s no guarantee that these decisions will be made the way you would want, or by the person you would choose.

2 Documents, 2 Purposes

To ensure that your wishes are carried out, and that your family is spared the burden of guessing or arguing over what you would decide, put those wishes in writing. Generally, that means executing two documents:

  • a living will; and
  • a health care power of attorney (HCPA).

Unfortunately, these documents are known by many different names, which can lead to confusion. Living wills are sometimes called “advance directives,” or “health care directives.” And HCPAs may also be known as “durable powers of attorney for health care” or “health care proxies.”

Regardless of terminology, these documents serve two purposes:

  • to guide health care providers in the event you become terminally ill or permanently unconscious; and
  • to appoint someone you trust to make medical decisions on your behalf.

A living will expresses your preferences for the use of life-sustaining medical procedures, such as artificial feeding and breathing, surgery, invasive diagnostic tests, and pain medication. It also specifies the situations in which these procedures should be used or withheld.

An HCPA authorizes a surrogate — your spouse, child, or another trusted representative — to make medical decisions or consent to medical treatment on your behalf when you’re unable to do so. It’s broader than a living will, which generally is limited to end-of-life situations, although there may be some overlap.

Put Your Plan into Action

No matter how carefully you plan, living wills and HCPAs are effective only if your documents are readily accessible and health care providers honor them. If you would like to discuss living wills and HCPAs as they apply to your circumstances, contact me at SDitman@BerdonLLP.com or call your Berdon advisor.

Scott T. Ditman, a tax partner and Chair, Personal Wealth Services at Berdon LLP, advises high net worth individuals and family/owner-managed business clients on building, preserving, and transferring wealth, estate and income tax issues, and succession and financial planning.

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