Category Archives: Aging

Seniors may feel financial pinch

By CHERYL S. SPLAIN News Editor

Tax_Debt_SmallCENTERBURG — The difficult financial times experienced over the last two years have affected virtually everyone in one way or another, and seniors are no exception. For some seniors, however, the financial pinch could become a little tighter.

For seniors who owe federal debts, the U.S. Treasury is allowed to withhold benefits from Social Security checks or disability payments. Under the 2008 Farm Bill, these withholds have become easier because the statute of limitations for most of these debts has been eliminated. The exception is for unpaid income taxes, where the limit is still 10 years.

“Before, there was a 10- year limit on how far Social Security could go back and collect debts,” said C enter- burg attorney Tom Cooper. “Now, up to 15 percent of the person’s Social Security check can be taken, but [the check can] never go below $750 a month.”

For example, he said, if a person’s Social Security check is $850 a month, the lesser of 15 percent of the

$850 ($127.50) or $100 ($850 minus the $750 threshold) can be withheld.

Unpaid student loans, small business loans, income tax and farm debt all can be withheld from a senior’s check. Historically, most of this type of debt was recovered by withholding seniors’ income tax refunds. In 2008, however, $420 million — about 10 percent — was collected from money withheld from Social Security benefits, compared to 1 1/2 percent in 2001.

“What you think is, who wouldn’t want people with debt to Pay it back? But they don’t realize what they are doing when they turn people lose with computers and form letters … it becomes a different situation,” said Cooper. “They estimate it will save the government a fair amount, but I wish there was a different way to do it.”

Cooper said that it is tough enough for a senior on a fixed income to have money withheld from his or her check, especially if health problems compound the financial picture, but perhaps a bigger worry is if money is withheld by mistake.

“If you owe it, that’s a hard

enough problem,” he said. “The big thing is, if it’s a mistake, it’s a hard problem to deal with.

“These things take years to work through,” he said. “You write letters and they go nowhere. You can spend loads of money on legal fees, even if you are right.

“I have heard stories of people who spent small fortunes to get back very little; usually they are doing it on principle,” he added. “These things happened 30 to 40

years ago, and you are not remembering so well what happened. Things are not exactly crystal clear. It can be confusing if the ink has faded.”

Cooper said there is nothing seniors can do to prevent money being withheld.

“You have to deal with it, and maybe if [seniors] get mad enough they can get it fixed,” he said. “I think there’s going to be a lot of headaches and heartaches in this thing.”

Gracious Dependence: Do We Have What It Takes?

by guest blogger Gail McConnon
imgEvery year medical science comes up with new ways to help us live longer – for good or not so much. We seem to think that’s what we want, don’t we?

But what are we really getting in the bargain for longer life . . and do we have what it takes to graciously accept what we get?

Where am I heading, you ask? I’m inviting you for a short stroll down the road of scientifically-assisted longevity, and the dependence that’s bound to follow . . upon family . . friends . . strangers.

I’m asking you to take a quick look at how “prepared” you are to become dependent on others to care for you while you’re doing all that aging through all the extra years you asked science to give you. You certainly don’t think extra time comes without a price?!

And even if you don’t buy into the scientific enhancement of your years, you know you can’t escape the indulgent lifestyle you’ve been leading all these years.

Let’s face it: If science doesn’t kill you, your habits most likely will.

In any case, chances are fairly good that few of us will make it to the end of our years as the independent creatures we see ourselves to be. Most of us are going to end up dependent – to some degree or other – on the good will and caring of someone else.

Start Getting Acquainted With Dependence

Be it short of long term . . assisted living . . LTC . . with family involvement or not . .it’s going to behoove us to get acquainted the better side of dependence.

What’s that?! What better side?! I’m sorry for the confusion. What I’m saying is that we’ll be doing ourselves a real favor by learning to open the gifts of gracious dependence (i.e., discovering the grace to be gained in being dependent on others).

Okay, you think I’m loopy, right? That’s fair. After all, everything up through life’s first half is focused on you as an individual . . standing on your own two feet . . making a name for yourself . . being in total control.

Now, here I am, telling you the real grace to be gained in life’s second half comes from the inside.

Let’s face it: Unplanned and unplanned for things happen as we get older.

The lifestyles we flaunted up till now are starting to turn on us.

The multitude of stresses we swallowed as we climbed that corporate or professional ladder . . and raised families . . and piled our plates higher and higher with the stuff we had no business biting into a few years back . . have been waiting patiently all this time to teach us the lessons we pretended we’d never have to learn.

Let’s be honest with ourselves, though. Those lessons are starting to come home. And some of us – or at least some of our middle-aged friends and family members – are learning hard lessons as bodies and finances and marriages and all the rest start to break down.

And even though we watched as our parents aged through life’s second half, we kept believing we were immune. Or, maybe we just kept wishing we were immune.

While it is never too early to be prepared, putting things off can have very unintended results that can cause serious anxiety, family feuds, and significant monetary losses. Seek out the advice from an Elder Law Attorney today and make sure your goals and your plan are in sync so you can rest assured that you are prepared!

Taking Care of Your Parents: The Challenges of the Sandwich Generation

by Kathy Cooper

Screen shot 2010-05-20 at 10.47.36 AMI recently read an article in Forbes that talked about the Sandwich Generation, you know, having older parents to take care of while you are still caring for your own children. Thom and I have lived in an extended family most of our lives, so this is a scenario we know well. It is challenging to have to support your parents, Forbes called it “parenting your parents”. Somehow we all think that our parents will be strong and independent forever. Obviously, this could not be further from the truth. There are some times that really stand out … maybe you can relate:

  • There was the time that Mildred, Thom’s grandmother, got interested in the sweepstakes. We found out when we started to receive a bunch of magazine subscriptions to magazines that we would never buy.
  • Then there was the time that Arlene, Thom’s mother, ran into the backhoe that was parked along the side of the road. Her vision was not good and she refused to wear her glasses.
  • More recently, my mother bought about a case of Scrubbing Bubbles – not all at once, but two or three at a time. She would buy them each time she went to the store, thinking that we really needed Scrubbing Bubbles. We ended up giving them to friends, family and co-workers because we could not use that many in a hundred years!

If you have not yet had these experiences, believe me, you will. What can you learn from this? The Forbes article said it best “planning ahead is key to good eldercare”. Make sure that you have worked with an elder law attorney to get your parents’ affairs in order, long before you have to face the challenges of the Sandwich Generation.

Raise The Death Benefit?

by guest blogger John Aebi
A bill has been introduced to increase the social security death benefit:

From The Sun of San Bernardino, CA:

Americans who lose a spouse would get Life-Health-nsurance-Companies-300x225more money from Social Security under a bill introduced by Rep. Joe Baca, but critics worry the plan would put more pressure on an entitlement system already on the verge of going broke.

When a Social Security recipient dies, their surviving spouse receives a one-time payment of $255, but they miss out on their spouse’s regular Social Security check for that month.
Baca, D-San Bernardino, wants to change that, giving surviving spouses a larger “death payment” and a check for the deceased’s final days. …
Baca’s bill – called the Benefit Adjustment of Social Security Income Compensation, or BASIC – calls for increasing the size of the death payment from $255 to 47 percent of the deceased person’s typical monthly Social Security income, with $255 as the minimum payment.
The bill also calls for paying Social Security benefits for each day – not just each whole month – a recipient lives. At present, Baca’s office said, the spouse of a Social Security beneficiary who dies May 15 will not receive their spouse’s check for May. Baca’s plan would send a check for half the month, on top of the death payment.

I doubt whether this bill has a chance of passing in this economic climate but we need to do something about the death benefit – either abolish it or make it more meaningful. At the moment, it probably costs about as much to administer it as it does to actually pay the benefits. If we are going to have a death benefit that it ought to be several times the Primary Insurance Amount (PIA), that is the monthly amount paid to the primary beneficiary on an account. The present amount ($255.00) just isn’t very helpful and costs too much to administer.

AARP’s Conflict of Interest In Health Care

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Below is link to an article by Carol Costello of CNN about AARP’s endorsement of the recent House health bill.  As she points out AARP is currently a large health insurer and has it’s own agenda in mind… not necessarily the interests of its senior members.  She points out that AARP generated over 3 times the revenue from insurance sales as what it took in from membership dues.  Clearly there is a potential conflict here.  If this bothers you as much as it bothers me, please write AARP or don’t renew your membership next time.  Perhaps they will get the message.

Should I Marry Again?

by Attorney Thom L. Cooper

dimeo_elizabeth_11Often after our clients lose a loved one they find someone else with whom they want to spend the rest of their life. Getting married again late in life can offer renewed happiness & purpose, but it can also result in heartbreak without planning.

As Elder Law Attorneys we are often asked: “Does this marriage make sense from a financial point of view?” The answer, like so many things in life, is that it depends. For example should your new spouse go into a nursing home they can require you to spend your assets to pay for your new spouse’s nursing home bills.  The state may also put liens on your home. Even a pre-nuptial agreement doesn’t help in a nursing home or catastrophic health care situation. In addition, if a widow is entitled to VA benefits due to her husbands prior service, those benefits may be cut off after a new marriage.

In spite of some of the above negative consequences there are things you can do legally to avoid many of the legal pitfalls as described above. It is absolutely critical in considering remarriage to receive advice from both a domestic relations attorney and an elder law attorney.

If you are interested in receiving a free checklist of some of the issues to consider upon remarriage, please sign up and we will e-mail it to you.

How Can I Prepare Myself and My Family for a Medical Emergency?

by Kathy Cooper

emergency2I sometimes describe my mother as a cat.  I am sure she has gone through at least ten lives since I was a teenager.  She’s passed out at the mall and fallen down the stairs at the at West Point Cadet Chapel during my cousin’s wedding.  We’ve had to call the emergency squad to an untold number of restaurants when she’s had a mini stroke and slipped off her chair.  It seems like she’s had an operation on most of her internal organs and I know she’s had pneumonia at least five times in my memory.  Nevertheless, she continues and most of the time she scoots around our house with her walker with little trouble or fuss.

The reason I share this with you is to remind you about the importance of being ready for an emergency with your loved ones.  Don’t let them go out without important contact information and make sure you have the authority required to access to their medical records and to make decisions in a critical situations.  Having a lot of experience with emergencies, I can tell you that you will need at least the following:

Emergency Contacts Information

What is it? Names and phone numbers of your emergency contacts

Why do you need it? If you pass out at the mall or have an accident on the freeway, you will want to have your representatives ready to provide information and decisions.

What do you do with it? Carry it with you at all times, in your wallet or purse.

Don’t forget … Check the phone numbers periodically to make sure they are up to date.  Also, remember to include cell phones which are often the best way to reach your loved ones.

Healthcare Power of Attorney

What are they? A legal document naming the person or persons who can make healthcare decisions for you if you cannot.  This is normally a family member or friend.

Why do I need them? If you are unconscious and cannot tell your doctor what you want done when a decision needs to be made , the hospital can only take direction from the person you have designated as your Healthcare Power of Attorney.

Where should I keep them? Keep your original Healthcare Power of Attorney with your important legal papers.  Give a copy of your Healthcare Power of Attorney to the person or persons who will act for you.  They should keep a copy in a location where they can get to it easily in an emergency as they will need them at the hospital to prove that they can speak for you.

HIPAA Authorization

What is it? A legal document authorizing a person you choose to have access to your medical records.

Why do I need them? Your Healthcare Power of Attorney will need your  HIPAA Authorization to prove to the hospital or medical emergency personnel that they have the right to look at your medical records to help them make medical decisions on your behalf when you are unable to do so.

Where should I keep them? Keep your original  HIPAA Authorization with your Healthcare Power of Attorney in your records for safekeeping and give a copy to the person you have designated to act as your Healthcare Power of Attorney.

Living Will

What is it? A legal document that whether you want heroic efforts to keep you alive to be taken if you are in a permanent coma or at end of life and cannot express your wishes.  This is the document that Terry Schiavo did NOT have.

Why do I need them? The Living Will indicates whether or not you will be kept alive with a feeding tube giving you food and water if that is the only thing keep you alive.

Where should I keep them? Keep the original Living Will with your important papers and give a copy to your Healthcare Power of Attorney.

Prescription Information

What is it? A list of current medications, dosages and the doctors who prescribed them along with their phone numbers. Also, note any alergies, believe me, you will forget them in an emergency.  If you are in an emergency you can  simply take the prescription bottles in a plastic bag.

Why do I need them? This is one of the first questions they ask you at the hospital.  They do not have this information there and it can delay treatment if they don’t have it.

Where should I keep them? If you keep a list, it should be easily accessible so that you can take it to the doctor to update it when your prescriptions change.  You will need it with you in an emergency.

A good elder law attorney will prepare these documents for you as part of your overall estate plan.  Call or email us if we can assist you in getting your affairs in order.

Alzheimer’s – Coping with the Holidays and Your Loved One

by Daneen Cline

For most of us, the holiday season is a joyful time full of good food, family, friends, parties and gift giving. The level of stress increases for each of us during this time; there is so much that needs done and so little time in which to accomplish it all. There is pressure to make the perfect meal, to find that one unforgettable gift for a loved one and make sure your home is beautifully decorated for the season and spotless. For those families that also have a loved one who has been diagnosed with Alzheimer’s or Dementia the stress level increases considerably. Here are some suggestions to keep the stress level low and the enjoyment of the holiday season high.


www.alz.org


If we can help reduce your stress level by providing information or planning assistance, just call.

Keeping Mom at Home

by Kathy Cooper

About two months ago, my 85-year-old mother who lives with us, was feeling very tired. She could hardly lift her arms or get out of her chair. We checked her blood pressure and found that it was 225/105 so we immediately took her to the hospital. She was admitted and that was when the really strange behavior began.


I stopped to see her after work. She was very agitated. She was trying to tell me about a fire that was spreading over most of the world. Had I heard from Uncle Ellis? Where was Cousin Phil? What happened to Jeff and his wife and baby? She screamed at me go home now. Only I could save them … something about the alarm … why didn’t I understand … “Please, please, you must go now!” she said. As she tried in vain to convince me of the danger, she wrung her hands and finally put her head in her hands and wept. I called in the staff at the hospital who gave her a tranquilizer to calm her.


The next day was the same: the fire, the missing people in our family, her total frustration with me. I spoke with the physicians at the hospital who recommended she begin dementia medicine. It seemed strange that one day could make such a difference. How could she be my sweet, even-tempered mother one day and this picture of fear and frustration the next? Although she had suffered some aphasia from previous strokes, she had never been out of touch with reality before this.


We resisted the dementia medicine and I am glad we did. Our daughter, a fourth-year medical student, spoke with our family physician about the possibility that these behaviors were caused by a urinary tract infection (UTI). After examining my mother, our family doctor agreed and began to treat her for the UTI. As the infection cleared, so did her mind. Within a couple of weeks, she was back to herself and was able to return home with us. Although the fire remains a memory, she is no longer haunted by it or acting out because of it. We did not need the dementia medicine: she was not demented.


The purpose of this story is to alert those of you who have older parents or work with older patients. Urinary Tract Infections, or UTIs, are one of the primary causes of misdiagnosed Alzheimer’s Disease and age-related dementia. My mother was suffering from delusions caused by a UTI, not dementia. Delusions occur suddenly and are usually temporary; they are the result of infection. Read this article for more information: “UFO Abduction or UTI?”


Don’t let this happen to your loved one. A misdiagnosed delusional state caused by a UTI can mean your loved one can lose their way of life. They may be needlessly confined to a nursing home, not to mention the associated anguish, guilt and expense.


I am telling you about this experience because I don’t want it to happen to you or a loved one. What we do at the Thom L. Cooper Company is not medicine … but our clients are affected by medical conditions like this. Our mission is to help families protect their assets from catastrophic health crises such as this that can deprive them and their heirs of the money they have worked a lifetime to accumulate. Since this happened to my mother, I have found that there are others who have been through a similar experience, but no one wants to talk about it. It’s strange and disturbing. Luckily, this is a situation where knowledge can make a difference.

Six things to look for when choosing a Nursing Home For Your Loved One

by Daneen Cline

When a family is forced to face the realization that they are no longer able to safely care for their loved one at home they then face the daunting task of choosing a nursing home to place them in. This is something that the majority of us never give a thought to until we are actually faced with it and… if we did spare a thought for it, we would probably assume it was no big deal. After all, isn’t there a nursing home on every other corner in most urban areas? How hard can it be to find one we like that will take care of Mom or Dad? The problem with this line of thinking is that it assumes the only thing weighing on your mind at the time will be finding an excellent nursing home to place your loved one in. It doesn’t take into account the emotional onslaught that occurs for most people when the nursing home placement of a loved one is necessary.

As someone who is very familiar with nursing homes (the first 15 years of my career was spent working for a company that owned 7 nursing homes) I was in no way prepared for the experience of placing my mother in one. After a prolonged hospital stay for a myriad of problems, my mother was very weak and frail. The Doctor suggested a nursing home placement for some rehabilitation to build her strength up. My mother readily agreed to it and the choice of nursing home was obvious, it would be the one my eldest sister worked at. Easy, right? I had a mother who was willing to go and a facility to send her to where I knew she would be treated like a VIP because of my sister’s employment there. In actuality, it was one of the most difficult things I have ever had to do. I was totally unprepared for the emotional aspect of placing Mom in a nursing home. Leaving her there that first night was one of the hardest things I have ever done, and it didn’t get any easier as time went on. Fortunately, my mother was able to come home after a month, life returned to normal for my family and the entire experience made me a more empathic Case Manager because I now have personal knowledge of how difficult it is to place a loved one in a nursing home.

While nothing can really prepare you for the emotional toll of placing a loved one in a nursing home, there are things you can do that will make you feel more comfortable with the nursing home you finally choose.

1) Choose a nursing home that is located conveniently to family members. This makes it easy to drop in often and visit. This is important because you want to be actively involved with your loved ones care and you want the nursing home to know that you will be a frequent visitor.

2) Schedule a tour of the nursing home. Call the Admissions Director and have them give you a tour of the entire facility. Follow that up with 2 or 3 unannounced visits to the facility. These visits should occur at different times of the day. Any facility not willing to give you an “impromptu” tour is better scratched off your list!

3) Read the annual survey the facility received from the Ohio Department of Health or your state department of health. Most state laws requires that every facility be surveyed annually and that every facility post that survey in a place that residents and visitors have access to. These reports will tell you if the facility had any citations and what steps they took to correct them.

4) Read and understand the Resident Bill of Rights, e.g. http://codes.ohio.gov/orc/3721.13.

5) Talk to the staff members and watch how they interact with the patients under their care. They are going to be your loved ones primary care givers. Do they like their jobs? How long have they been employed there? Do they treat the patients in a friendly, but respectful manner?

6)Finally, be realistic. No matter how wonderful the nursing home is, your loved one will be one of many that they are responsible for caring for. You will be disappointed and frustrated if you expect the same level of one on one care your loved one received at home. Does this mean they don’t get quality care? Of course not! It simply means that Dad might have to wait a few minutes for a glass of ice water to be brought to him or that Mom will have to wait her turn for assistance with her shower.

If you are willing to take the time to research potential nursing homes you will be more comfortable with the one you ultimately choose, your loved one will sense this and they in turn will be more comfortable in their new home.

If you would like information on nursing homes for your specific area please contact:

Centerburg Office – Lisa Nelson, Outreach Coordinator 1-800-798-5297

Both Lisa and Christine have extensive knowledge of the nursing homes in their areas and will be happy to assist you in your search for the nursing home that best meets your needs.




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