Caring for an aging parent can be very stressful, especially when you and your siblings don’t see eye-to-eye. Unfortunately, conflict over parent care is very common — 69% of people who’ve taken care of an aging parent say they fought with a sibling over that care. And sadly, 18% have even lost relationships with their siblings thanks to caregiving conflicts.
So, what can you do if you find yourself in this situation?
Let’s say Kim’s siblings have managed their father Dan’s care for about 15 years, but they never involved Kim. In fact, they actively prevented her from weighing in. Now Kim’s dad is 94, his money is gone, and her siblings have put him in a nursing home with a $7,500 per month price tag.
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Unfortunately, the siblings can’t pay, so they’ve turned to Kim and asked her to foot the bill since she has a good job. But since Kim had no input into the facility or the decisions that got the family to this point, she’s not sure where to go from here.
The good news is experts have some advice for her.
Kim needs to ask some tough questions
Kim definitely shouldn’t just pay for Dan’s care. Instead, she should do a few things first.
“I’d be asking some questions before writing a check,” Jennifer Szakaly, founder of Caregiving Corner, told Moneywise. “What exactly are you paying for? Who is making the decisions? What does Dad want? And does someone have legal authority to make financial or medical decisions on his behalf?”
If possible, Kim should talk with Dan directly about his preferences. “As long as a parent has the capacity to make their own care decisions, they should remain involved in making them,” Dr. Lauren Grawert, a clinical advisor at Retreat of Boston, told Moneywise.
Roger Diefendorf, an attorney at Forum & Lex, P.C., agrees. “If your father is able to participate, have him participate,” Diefendorf told Moneywise. “When I have acted as a mediator, and the parent has been involved, the siblings usually cease fighting about their parents and start collaborating.”
If Dan lacks mental capacity, Diefendorf said Kim should find out who’s in charge at this point. “You’ll want to know who has authority over your father’s affairs before adding any money,” he said. “If your father granted a power of attorney, he’ll have an agent — likely one of your siblings — that owes him a fiduciary duty and must only act in his best interest.”
If you suspect a sibling is violating a fiduciary duty, Jeffrey Loew, managing partner at Trust Law Partners LLP, said that court action may be required. “If you’re unable to talk with your dad or your siblings appear to be acting in a way that’s harmful for him, you may have to consider going to court to have that sibling removed and replaced,” Loew said.
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Kim can pay, but with some caveats
While Kim’s issues with her siblings may be justified, she ultimately must decide whether she’s willing to support her dad.
Patrick Simasko, an elder law attorney and financial advisor at Simasko Law, suggests confirming that Dan has exhausted his own financial resources first. “You must first spend his money before contributing your own,” he said. “Medicaid may help cover care expenses, but these are asset-based benefits, which is why you need to spend his money down first.”
If her dad is actually broke, Kim should help him apply for Medicaid through his state to potentially cover his care. Kim may also ultimately decide to offer whatever support he needs, despite the conflicts with her siblings if Medicaid won’t pay. After all, the fight was with her brother and sister, not Dan, and she may feel like she owes Dan some help since he raised and provided for her.
“In some rare cases a court could find that you owe a duty to assist in your parents’ care,” said Loew. “Approximately 30 states have laws called filial responsibility laws that require a child to provide support for a parent if certain conditions are met. While these laws often aren’t enforced, their existence still reflects the societal belief that kids should help their parents.
Still, given the history surrounding her siblings, she must do so in a way that makes her confident her money is providing for Dan directly. Kelsey Simasko, attorney at Simasko Law, suggested a “pay to play” approach.
“Pay the bills but don’t hand over the money,” she said. “If your dad needs assistance and you’re willing to help out, you need to make your siblings send you the bill, and you pay the bill directly. Do not send cash and hope that they’ll pay his bills with it, and do not write a check and ask them to account for what is being done with your money. Pay the bills directly.”
If Kim does that, she can play a pivotal role in her father’s care during a vulnerable time. And she can feel good knowing she did the right thing even if her siblings can’t necessarily say the same.
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Christy Bieber is a US based personal finance and legal writer who has 15 years of experience. She has written for many publications including Forbes, Kilplinger, CNN, WSJ, Credit Karma, Insurify and more.
