Fong Law Group

Aging in Place: Reality or Dream? 老有所屬：是現實還是夢想？ (中英對照)

“As lifespans increase, our elders grow in number, and government elder benefits become more politically tenuous, the need for empathetic family elder caregivers keeps increasing.

Seniors crave their independence and a sense of place. Almost all wish to remain in their own homes and to “age in place.” Being independent in your senior years benefits everyone. However, if aging brings illness, professional home caregiving may be unaffordable, says The Winston-Salem Journal in the article “Who will help me to age in place?”

Even though they want to remain independent, family member participation may be necessary for this to happen. Family caregivers may live with aging parents, serving as guardians, trustees or power of attorney agents on their parent’s behalf. They may perform many tasks, including cooking, cleaning and monitoring their medical or home care. They may take care of the home and take aging parents on outings.

Loyalty to aging parents runs the gamut, from daily contacts and living together, to children who vanish as soon as they are financially independent. While our biology may dictate that close family members are genetically predisposed to care for us most, it’s not everyone’s experience.

If your goal is to have parents, children and grandchildren all spend time together as the generations move through their lives, the time to start is while you are parenting. The most important thing you can do to increase the likelihood of having family members who value each other and care for each other, is to raise children with love and kindness.

You should limit the amount of time that children spend with electronic devices. Making family connections and teaching caregiving skills within the family, requires time and attention. Teach your children empathy and caregiving through gardening, caring for plants and pets and letting them see how you take care of siblings, parents, grandparents, friends and the less fortunate through volunteer work.

Our children learn more from what they see, than what we say. By teaching your children to respect and care for those they love, you will be creating a family legacy based on your values. This will be as much a part of them, as any inheritance you can leave them.

Part of caregiving is taking care of the legal and financial side of your life. Ensure that your family members have an estate plan in place, including a will, financial power of attorney and health care power of attorney. Caregiving for others involves preparing for the ups and downs of life. This shows your children that there are things we do for ourselves and for others that make life easier for those we leave behind. It is an important life lesson for each generation.

Reference: The Winston-Salem Journal (March 5, 2019) “Who will help me to age in place?”

“隨著人的壽命越來越長，老人的數目也日漸增加，政府老人的福利變得更加政治化，對理解老人的家庭護理人員的需求不斷增加。

老人渴望有一個獨立及舒適環境。幾乎所有人都希望可留在自己的家中終老。在你年老時可獨力照顧自己則令家人受惠。然而，如果年老帶來疾病的話，專業的家庭護理費用可能負擔不起，The Winston-Salem Journal在文章“Who will help me to age in place?”中說。

即使他們想獨立，也可能需要家人幫助。照顧老人的家庭成員可以與年邁的父母一起生活，代表其父母擔任監護人，受託人或財務代理人。他們可以執行許多任務，包括烹飪，清潔和監控他們的醫療或家居護理。他們也可以打理房子，並帶年邁的父母外出。

對年老父母忠誠的幅度可以從日常接觸和共同生活到在經濟上獨立後就消失的子女。雖然在生物學角度上親密的家人是最關心自己的，但並不是每個人都一樣。

如果你的目標是讓父母，子女和孫兒一起度過，那麼應在你養育子女的時候開始。如果你想能讓家人互相尊重並互相照顧，最重要的就是要用愛及仁慈去撫養子女。

您應該限制子女花在電子設備上的時間。在家中建立關係和教導互相照顧的技能,透過園藝，照顧植物和寵物教導你的子女同情心和如何照顧其人，這都需要時間和精神。​​讓他們看看你如何照顧兄弟姐妹，父母，祖父母，朋友和當義工照顧不幸的人。

我們的子女從他們看到的東西中學到的東西比我們說的多。通過教育子女懂得尊重和關心他們所愛的人，你便可以用自己的價值觀創造你的家庭遺產。這將是其中的一部分，因為他們將繼承你留下給他們的任何東西。

處理好你法律和財務方面也是照顧的一部分。確保您的家人有資產計劃，包括遺囑，財務授權書和醫療授權書。照顧他人包括為人生的高低潮作準備。這讓您的子女看到你是如何為自己和其他人做事，讓在生的人生活可以更輕鬆。這對每一代人來說都是重要的人生課程。

參考: The Winston-Salem Journal (March 5, 2019) “Who will help me to age in place?”

Senior Scams Range from Promised Luxury Cars to Stolen Homes

“Police Detective Rosalee Reid told of one scammer who tried to entice her to give up her personal information, so he could attempt to drain her bank account by promising her she’d “won” $750,000 and a white Mercedes Benz.”

Too bad this particular scammer had no idea to whom he was speaking. The officer played along, asking when she could get the car, and telling the scammer it was snowing and she didn’t want to get that on her brand-new Mercedes. After too many questions, the scammer hung up on her, reports the New Haven Independent in an article “Senior Study Scam Avoidance 101.”

Unfortunately, not every senior is that savvy, when it comes to being scammed. According to the Federal Trade Commission, Americans lost more than $900 million in 2017 – that’s $63 million dollars more than in 2016 — to fraud, and many of the victims are seniors, who are routinely targeted.

Some of the cases are debt collection fraud, where a phone caller says they are calling from the IRS or the U.S. Marshall Service, stating vehemently that the person they are calling owes money to the government. The threat of jail time is frightening to enough people, that they fall for it.

Seniors are advised over and over again: the IRS does not call to make threats, and it’s definitely not calling to demand payment in gift cards from a major retailer. However, the scammers speak with authority and are extremely convincing. As a result, many people fall into the traps.

What makes scammers more frightening, is when they use a small piece of the senior’s identity. They may read the home address and insist that they will come to their home to collect the debt. They could also mention a family member, one who has passed away lately, and claim that they know everything about the person.

Another scam is to call and say that a beloved grandchild is in prison or has been kidnapped and needs money fast to pay ransom or bail to get out of jail. If this occurs, immediately hang up and contact the person or someone who can verify their safety, to make sure they are okay.

If someone has been arrested, they have the right to make one phone call. Authorities are not likely to be calling a person’s grandparents for bail money.

Another major source of fraud comes from those who know the senior or befriends them, solely to get their money or even their home. There are tales of caregivers, who become more and more involved in a senior’s life, often pushing their family members away and isolating the individual, so they can’t ask for help. Be wary of new people who are pushy about being helpful, especially if they ask to use your credit card or debit card to run errands for you.

Sadly, there are also many instances of family members who are charged and convicted for financial elder abuse, using their relationship with aging parents or other relatives to gain access to their finances. Be wary, warn experts, even when it is a family member. Read your credit card bills and bank statements carefully, to make sure that your money isn’t disappearing. Keep personal finance information secure.

Reference: New Haven Independent (Feb. 5, 2019) “Senior Study Scam Avoidance 101”

Getting Paid as a Family Caregiver Through Medicaid

Caring for an ailing family member is difficult work, but it doesn’t necessarily have to be unpaid work. There are programs available that allow Medicaid recipients to hire family members as caregivers. 

All 50 states have programs that provide pay to family caregivers. The programs vary by state, but are generally available to Medicaid recipients, although there are also some non-Medicaid-related programs. 

Medicaid's program began as "cash and counseling," but is now often called "self-directed," "consumer-directed," or "participant-directed" care. The first step is to apply for Medicaid through a home-based Medicaid program. Medicaid is available only to low-income seniors, and each state has different eligibility requirements. Medicaid application approval can take months, and there also may be a waiting list to receive benefits under the program. 

The state Medicaid agency usually conducts an assessment to determine the recipient's care needs—e.g., how much help the Medicaid recipient needs with activities of daily living such as bathing, dressing, eating, and moving. Once the assessment is complete, the state draws up a budget, and the recipient can use the allotted funds to pay for goods or services related to care, including paying a caregiver. Each state offers different benefits coverage. 

Recipients can choose to pay a family member as a caregiver, but states vary on which family members are allowed. For example, most states prevent caregivers from hiring a spouse, and some states do not allow recipients to hire a caregiver who lives with them. Most programs allow ex-spouses, in-laws, children, and grandchildren to serve as paid caregivers, but states typically require that family caregivers be paid less than the market rate in order to prevent fraud. 

In addition to Medicaid programs, some states have non-Medicaid programs that also allow for self-directed care. These programs may have different eligibility requirements than Medicaid and are different in each state. Family caregivers can also be paid using a "caregiver contract," increasingly used as part of Medicaid planning. 

In some states, veterans who need long-term care also have the option to pay family caregivers. In 37 states, veterans who receive the standard medical benefits packagefrom the Veterans Administration and require nursing home-level care may apply for Veteran-Directed Care. The program provides veterans with a flexible budget for at-home services that can be managed by the veteran or the family caregiver. In addition, if a veteran or surviving spouse of a veteran qualifies for Aid & Attendance benefits, they can receive a supplement to their pension to help pay for a caregiver, who can be a family member. 

All of these programs vary by state. Contact your attorney to find out what is available in your state. 

Add This to Your New Year’s Resolutions

“It’s one of the most important conversations that none of us want to have.”

The conversation with loved ones about growing older and the chances that we or our spouses are going to need help with the activities of daily living, is something that needs to be talked about before being faced with that situation. It’s difficult at best, says The Des Moines Register in the article “In 2019, resolve to have a difficult conversation,” but very necessary.

The person who is contemplating needing help, may want to start the conversation but the person who may be called on to help may find it too difficult to consider. Who wants to think about their parents getting frail and needing help going to the bathroom? No one.

The person who is starting to feel the impact of aging, may already be aware of some limitations. However, talking with their children or potential caregivers, may change the conversation from “someday” to “soon.” The loss of independence is one of the big milestones, just as gaining independence is a milestone earlier in life. That’s a hard thing to accept for both sides.

Those who have lived through this process of needing to become caregivers, say that it would have been easier, if they would have known what their loved ones wanted. So, would have been knowing what kind of help their loved ones could afford. It’s better to have time to research available resources in advance, rather than operating in crisis mode.

This is what your conversations need to address:

• Medications, physical health, emotional well-being and health care providers
• Their wishes, if their health declines slowly or rapidly. Do they want to stay at home? Who would they want to help with daily care?
• Finances: Can they afford to pay for care at home? Has any Medicaid planning been done? What government programs are they eligible for? Do they have a CPA or financial advisor?
• Estate plan: Where is their Last Will and Testament? Is there a Power of Attorney, Living Will or Medical Directive in place? Who is their estate planning attorney?
• Documents, including birth certificates, Social Security, insurance cards, safe deposit box keys, computer passwords, etc.

We prefer to think we’ll live a long healthy life and then die peacefully in our sleep, with no advance notice. However, that is not what happens to most Americans. Seven out of 10 people over age 65 will need help from others at some point, and most will need it for at least three years. Therefore, make having this conversation part of your New Year’s resolutions. When the time comes, you and your caregivers will be glad that you did.

Reference: The Des Moines Register (Dec. 19, 2018) “In 2019, resolve to have a difficult conversation”

Lessen the Stress of Becoming Widowed

“It is no surprise that dealing with the emotional impact of the death of a spouse is overwhelming. For many widows, handling the financial implications of her husband’s death may be too much to bear. However, that is what most widows must do.”

A recent study from Merrill Lynch and Age Wave on widowhood shows that a mere 14% of 3,300 respondents said they were making financial decisions on their own, before their spouses passed away. That is a very low number of women in charge of their financial lives as married women, says Press & Guide in the article “Financial planning can help ease impact, stress of widowhood, study shows.”

Widows are tackling major challenges in the days and weeks after the loss of a loved one. That includes everything from funeral costs, mortgage or rent payments, other costs of running a household and for many, medical costs. With nearly half of those in the study reporting a household income drop of 50% or more after the death of a spouse, that is an enormous burden to take on during a time of great grief and upheaval.

The women are also facing the tasks of juggling Social Security, pensions, life insurance and making sure that their late spouse’s retirement accounts are all correctly transferred into their names.

There is often a lack of preparation for this situation. Many are simply not prepared for how complicated it is to deal with the loss of a spouse.

The study reports that couples who plan for this situation, have their level of worry cut in half. Only 38% of the widows in the study who had conducted financial planning, worried about not being able to support themselves immediately after the death of their spouse. That compares to 64% of widows who had not planned at all.

Widowers (men whose wives have passed) face unique challenges. If their wives pass first, they may be faced with taking on their own caregiving. Statistically, women outlive men, so the widowers have to adjust to losing a caregiver. There may be new financial costs they would not have had to bear, if their wives were still alive.

The first step: meet with an estate planning attorney. Make sure that a will and power of attorney are created, along with any other necessary planning documents. Both spouses should be familiar with all accounts, and both names should be on the accounts and all deeds. Don’t forget to organize all important papers in a file drawer at home or in a safe deposit box. Know where everything is and how to access it.

Having long-term care insurance in place and making sure there are assets available for caregiving, should be a part of everyone’s plan for longevity. Even if you don’t need home health care or to live in an assisted living facility, someone will eventually need to provide some level of care.

Reference: Press & Guide (Nov. 19, 2018) “Financial planning can help ease impact, stress of widowhood, study shows”

A Cautionary Tale of Alleged Elder Abuse

“Mary Weiss lost her son, while he was enrolled in a controversial drug study at the University of Minnesota. The case drew worldwide attention. Weiss is now facing the loss of her home and retirement savings, after being taken advantage of by someone she trusted, according to police.”

This is a sad story that illustrates how even the smartest person can be vulnerable and preyed upon by someone they know and trust. Mary Weiss has endured the violent death of her son, four strokes and a heart attack, says Fox 9 in its report titled “Woman, who helped change research protocols at U of M, allegedly loses savings to caregiver.”

The person she depended on throughout it all, is the one who is suspected of taking advantage of her trusting nature. She says she was financially ruined and her nest egg of $150,000 is gone. Debt from credit cards and loans taken out in her name without her consent is mounting.

Weiss gained international attention for her battle with the University of Minnesota researchers who ran a research study of a psychiatric drug. Her son took his own life, while enrolled in the study. Because of her fight, the University made a number of changes to its research programs.

The man she believes has ripped her off, stood by her during that battle, speaking to reporters on her behalf. However, now he has been charged with one count of theft by swindle by the Washington County Attorney, following an investigation by the Cottage Grove Police Department.

Howard lived with Weiss, although they were not romantically involved, for 10 years and had become her caregiver. She had suffered a series of strokes and gave him power of attorney over her financial matters.

Weiss knew that Howard had a record, including a theft by swindle conviction, but she never thought he would do something bad to her.

It was Weiss’ niece who discovered the problem this past spring, when she was going through a year’s worth of bank statements. ATM withdrawals, lottery ticket purchases, loans and credit cards were all done in her name. Washington County Human Services did a separate investigation and notified Weiss that an allegation of financial exploitation had been substantiated.

Howard denies taking anything without Weiss’ consent.

Weiss is currently living in a nursing home and is recovering from a fall. She said that she would like to return to her townhome but is not sure she will be able to afford to do that. She wants others to understand that this can happen to anyone, even with full control of their senses and no dementia.

Elder financial abuse is a growing problem, as the number of seniors rises. Having a family member who is actively involved and looking out for aging family members is one of several ways to prevent elder abuse from a stranger. However, it is often a family member who is committing the crime.

Reference: Fox 9 (Oct. 22, 2018) “Woman, who helped change research protocols at U of M, allegedly loses savings to caregiver”

A Cautionary Tale of Alleged Elder Abuse

“Mary Weiss lost her son, while he was enrolled in a controversial drug study at the University of Minnesota. The case drew worldwide attention. Weiss is now facing the loss of her home and retirement savings, after being taken advantage of by someone she trusted, according to police.”

This is a sad story that illustrates how even the smartest person can be vulnerable and preyed upon by someone they know and trust. Mary Weiss has endured the violent death of her son, four strokes and a heart attack, says Fox 9 in its report titled “Woman, who helped change research protocols at U of M, allegedly loses savings to caregiver.”

The person she depended on throughout it all, is the one who is suspected of taking advantage of her trusting nature. She says she was financially ruined and her nest egg of $150,000 is gone. Debt from credit cards and loans taken out in her name without her consent is mounting.

Weiss gained international attention for her battle with the University of Minnesota researchers who ran a research study of a psychiatric drug. Her son took his own life, while enrolled in the study. Because of her fight, the University made a number of changes to its research programs.

The man she believes has ripped her off, stood by her during that battle, speaking to reporters on her behalf. However, now he has been charged with one count of theft by swindle by the Washington County Attorney, following an investigation by the Cottage Grove Police Department.

Howard lived with Weiss, although they were not romantically involved, for 10 years and had become her caregiver. She had suffered a series of strokes and gave him power of attorney over her financial matters.

Weiss knew that Howard had a record, including a theft by swindle conviction, but she never thought he would do something bad to her.

It was Weiss’ niece who discovered the problem this past spring, when she was going through a year’s worth of bank statements. ATM withdrawals, lottery ticket purchases, loans and credit cards were all done in her name. Washington County Human Services did a separate investigation and notified Weiss that an allegation of financial exploitation had been substantiated.

Howard denies taking anything without Weiss’ consent.

Weiss is currently living in a nursing home and is recovering from a fall. She said that she would like to return to her townhome but is not sure she will be able to afford to do that. She wants others to understand that this can happen to anyone, even with full control of their senses and no dementia.

Elder financial abuse is a growing problem, as the number of seniors rises. Having a family member who is actively involved and looking out for aging family members is one of several ways to prevent elder abuse from a stranger. However, it is often a family member who is committing the crime.

Reference: Fox 9 (Oct. 22, 2018) “Woman, who helped change research protocols at U of M, allegedly loses savings to caregiver”

How to Prevent Financial Elder Abuse 如何防止老人經濟虐待 (中英對照)

“High-profile charges of financial exploitation raise troubling questions. Here’s how to protect yourself and your family.”

Stories of two high-profile elderly Americans have shone a harsh light on the issue of financial elder abuse. However, the rich and famous are not the only ones who are vulnerable. All families need to know what they can do to protect their loved ones, says AARP in the article “7 Ways to Prevent Financial Elder Abuse.”

Stan Lee is a legend, and not just among comic book fans. The 95-year old creator of Spider-Man and many other superheroes has been enmeshed in a legal tangle that includes charges that a memorabilia collector is attempting to isolate Lee in order to gain control of his fortune, which is estimated at $50 million. A Los Angeles court has issued a temporary restraining order against the collector, who says the charges are false.

An American hero, Buzz Aldrin, is battling with his two younger children, accusing them of trying to get control of his estate by saying he has dementia. He sued his own children in court. They deny doing anything wrong and say his memory loss and increasing confusion is to blame.

Experts believe these kinds of cases will grow as America ages and will continue to remain largely unreported, because most families don’t want to report or prosecute these crimes. Ninety percent of the perpetrators are family members or other people the victim knows well, including caretakers and neighbors. As we get older, we’re not as savvy about finances and sharp operators take advantage of this.

Here’s how you can protect yourself and your aging family members:

• Before anything happens, make a plan that includes power of attorney and heath care directives.
• Stay connected with loved ones through regular visits or phone calls. Video chatting is also good.
• Develop a relationship with your parent’s caregiver. Make sure that she knows you are involved.
• Become a “trusted contact” and monitor banking and investment activities.
• Sign up for a service that tracks financial activity and notifies you of any unusual withdrawals or changes in spending habits.
• Set up direct deposit for checks that arrive regularly, so they won’t have to cash them or ask someone else to cash them.
• Don’t sign any document that you don’t understand and don’t be rushed into signing anything.

Having to keep your guard up to protect yourself or a family member, is not how we like to think of our golden years. However, unfortunately it is necessary.

Speak with an estate planning attorney to create an estate plan, including a last will and testament, so your assets or those of your family member are also protected.

Reference: AARP Bulletin (Sep. 2018) “7 Ways to Prevent Financial Elder Abuse”

“有關財務虐待的高姿態指控引發令人困擾的問題。以下是保護自己和家人的方法。”

兩位備受矚目的美國老人的故事在老人經濟虐待問題上引起熱烈迴響。然而，並不是只有富人和名人容易受到傷害。 AARP在“7 Ways to Prevent Financial Elder Abuse.”一文中說，所有家庭都需要知道他們該採取哪些措施來保護親人。

Stan Lee 是一個傳奇, 而且這不僅限於漫畫迷。這位95歲的蜘蛛俠和其他超級英雄的創造者陷入了法律糾紛之中，其中包括指控一位收藏家企圖孤立Stan Lee以控制他估計價值5000萬美元的財產。洛杉磯法院已經對這收藏家發出了一項臨時限制令，儘管收藏家說此指控不真實。

一位美國英雄Buzz Aldrin正在與他的兩個較小的子女打官司，指控他們試圖通過說他患有老年癡呆症來控制他的資產。他在法庭上起訴自己的子女。他的子女說他們並沒有做錯什麼，並指責因他的喪失記憶而引起混亂。

專家們認為，隨著美國人口老化，這類案件將會不斷增加，並且將繼續保持大幅度的不舉報，因為大多數家庭不想舉報或起訴這些惡行。百分之九十的肇事者均是家庭成員或受害者親人，看護和鄰居。隨著年老，我們對財務狀況並不靈敏，而敏銳的騙徒會利用這一點。

以下是保護自己和老年家庭成員的方法：

• 在發生任何事情之前，制定一份包含財務授權書和醫療授權書的計劃。
• 通過定期探訪或電話與家人保持聯繫。視頻聊天也很好。
• 與照顧父母的人建立關係。確保她知道你參與其中。
• 成為“值得信賴的聯繫人”並監控銀行和投資活動。
• 註冊跟踪財務活動的服務，如有任何異常提款或消費習慣的變化都可以獲得通知。
• 為定期收到的支票設立直接存款，這樣就不用親自去兌現或要求他人幫忙兌現。
• 不要簽署任何您不理解的文件，也不要急於簽任何文件。

必須保持警惕以保護自己或家人，這可能不是我們想像的黃金歲月。然而，不幸是這是必需的。

與資產規劃律師聯繫，制定資產計劃，包括遺囑，以便您的資產或您家人的資產也受到保護。

參考:AARP Bulletin (Sep. 2018) “7 Ways to Prevent Financial Elder Abuse”

No Kids? You Need a Plan for Aging

“Choosing an assisted living facility can be frightening prospect for anyone.  However, the fear can be greater for people with no kids to help them through the process.”

When you don’t have kids or close family members, making decisions about an assisted living facility can be lonely and daunting, often leading people to delay planning. For many people, says Financial Planning in a recent article “Planning challenge: aging clients, no kids, assisted living required,” just the thought of moving into an assisted living facility, means they are entering a dark tunnel or, as some say, heading into God’s waiting room.

The challenge is often the same for people whose adult children live far away or those who are not involved with their family. In coming decades, more Americans will find themselves in a similar situation, according to a 2013 study by AARP’s Public Policy Institute.

While most elderly people receive some care from family members, the number of those who are able and willing to help, is not likely to keep pace with increasing demand, the study said.

In 2010, the caregiver support ratio was more than seven potential caregivers for each person in the high-risk years of 80 and up. But by 2030, this ratio is projected to drop to 4 to 1, and will fall even further in 2050, when the last group of baby boomers enters the later years of life.

What can be done?

Start planning early, as early as 65. The earlier you begin examining options for assisted living, visiting facilities and getting to know what you want and don’t want, the better you’ll be able to decide, when the time comes.

Have your estate plan in place. Many facilities require potential residents to be able to demonstrate that their estate plan is done, and all their documents are in order.

What amenities do you want to live near? For some people, being able to visit museums and cultural offerings is an important part of their lifestyle. Others require being closer to established healthcare facilities. Know what matters now and what will matter 10 years from now.

Meet the people who work at the facility. Don’t just talk to the sales staff. Talk to the people in the residence, those who work in the cafeterias, etc. The sales staff will paint one picture.  However, those who work there, are the people you will be dealing with on a daily basis.

Consider buying in before you move in. If the facility has a long waiting list, it may make sense for you to preserve a spot on the waiting list for when you have to move in. Make sure to do all your financial diligence to be sure the deposit is refundable and to be guaranteed to be returned.

Think positive. Having kids can be a double-edged sword. It’s great to have family.  However, with no kids, you are free to go where you wish, with no kids doing battle over where or how Mom or Dad should live.

Reference: Financial Planning (Aug. 8, 2018) “Planning challenge: aging clients, no kids, assisted living required”