Elder
Law
is a legal term coined to cover an area of legal practice that places an
emphasis on those issues that affect the growing aging population.
The three major
categories that make up elder law are:
-
Estate planning and
administration, including tax questions
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Medicaid, disability and
other long-term care issues
-
Guardianship,
conservatorship and commitment matters, including fiduciary
administration.
Other issues found under the umbrella of elder
law include such areas as estate planning; wills; trusts; guardianships;
protection against elder abuse, neglect, and fraud; end-of-life planning;
all levels of disability and medical care; retirement planning; Social
Security benefits;
Medicare and Medicaid coverage;
Medicaid planning (United States); consumer protection; nursing homes
and in-home care; powers of attorney; physicians' or medical care
directives, declarations and powers of attorney; landlord/tenant needs; real
estate and mortgage assistance; various levels of advice, counseling and
advocacy of rights; tax issues; and discrimination.
Careers that are developing around the area
of Elder Law include lawyers, paralegals, legal assistants, legal
secretaries, guardians ad litem (GAL), various types of psychologists, care
givers, financial planners, policy makers and legal advocates, benefit
specialists, Better Business Bureau, Attorney General's Office, Consumer
Protection Agency, political watch-dog groups, health care providers,
researchers, funeral planners, grief counselors, case workers, abuse & fraud
investigators, educators, product developers, transportation providers,
entertainment and tour guides, real estate agents, mortgage brokers,
insurance providers, or simply elder companions.
Essentially any career field can create a benefit to the aging of modern
society.
The form of elder care provided varies greatly among countries
and is changing rapidly. Even within the same country,
regional differences exist with respect to the care for the
elderly.
Traditionally elder care has been the responsibility of family
members and was provided within the extended family home.
Increasingly in modern societies, elder care is now being
provided by state or charitable institutions. The reasons for
this change include decreasing family size, the greater life
expectancy of elderly people, the geographical dispersion of
families, and the tendency for women to be educated and work
outside the home. Although these changes have affected
European and North American countries first, it is now
increasingly affecting Asian countries also.
In most western countries, elder care facilities are
freestanding. They may also be part of a continuing-care
retirement community, seniors apartment complex, or wing of a
nursing home. Ownership and operations of these facilities
vary also. In the United States, most of the large
multi-facility providers are publicly owned and managed as
for-profit businesses. There are exceptions; the largest
operator in the US is the Evangelical Lutheran Good Samaritan
Society, a not-for-profit organization that manages 6,531 beds
in 22 states, according to a 1995 study by the American Health
Care Association.
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