Helping Financial Advisors Plan Future Medical Decisions
By Ann Miller RN, MHA
[Executive Director]
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Your Life – Your Choices [authors]
- Robert Perlman MD
- Helen Starks MPH
- Kevin Cain PhD
- William Cole PhD
- David Rosengren PhD
- Donald Patrick PhD
Link: Your life – your choices
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Filed under: Estate Planning, Ethics, Experts Invited, Op-Editorials | Tagged: allow natural death, Estate Planning, Helen Starks MPH, Kevin Cain PhD, living wills, natural death, Robert Perlman MD |
















Dr. Pearlman, et al,
Your publication can function as a great conversation-starter. After all, that is often the greatest obstacle to communicating about end-of-life issues among family members; simply breaking the ice and starting to talk.
Brian J. Knabe MD CMP™
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Catch 22
Advance directives, which include living wills, health care powers of attorney and do-not-resuscitate orders, are important documents needed for proper estate planning for individuals. The proper execution of such documents saves loved ones from the added grief of having to determine the wishes of a vegetating family member. Prior case history has proven that the absence of such documents as a living will can only cause chaos, heartache, legal expense and other unnecessary problems [Pozzuolo, Joseph R., Lisa M. Lassoff, and Jamie Valentine. “Why Living Wills/Advance Directives Are An Essential Part Of Estate Planning.” Journal Of Financial Service Professionals 59.5 (2005): 75-84. Business Source Complete. Web. 17 Aug. 2012.].
The second consideration regarding living wills is that historically living wills, even when properly drawn up and executed, are ineffective. Care preferences in living wills are often ignored when patients approach the end of life [Winter, Laraine, Susan M. Parks, and James J. Diamond. “Ask A Different Question, Get A Different Answer: Why Living Wills Are Poor Guides To Care Preferences At The End Of Life.” Journal Of Palliative Medicine 13.5 (2010): 567-572. Academic Search Complete. Web. 17 Aug. 2012.] The end-of-life circumstances are unlikely to resemble the standard living will scenario.
So Catch 22. You really should have advance directives in place, but the reality is that they are ineffective.
David K. Luke MIM
CMP candidate
http://www.CertifiedMedicalPlanner.org
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