A
person uses a Healthcare Power of Attorney to appoint someone else to make
medical and treatment decisions for them if they are unable to communicate
their own wishes. In the case of married couples, this document still has
great value because if their spouse is unavailable, a person's "next agent
in line" is able to make decisions without several brothers and sisters or
both parents arguing over treatment. In the case of a same-sex or unmarried
couple, this document is critical if you want your partner to make these
decisions for you.
Everyone
has heard the horror stories about how someone's partner went into the
hospital for an emergency and the hated parents or siblings made all of the
medical decisions.
It may seem obvious to anyone that knew the patient that they
would want their partner to make these decisions for them. However, the law
forces doctors to seek decisions from the "next of kin" UNLESS a
healthcare power of attorney form has been filled out appointing someone
else the healthcare agent.
This
form generally covers instances where you are unconscious and a decision is
needed regarding surgery or other treatment. Healthcare Power of Attorney
documents compliment Living Wills in making sure your healthcare decisions
are made by specific people you choose, in the order of your choosing, so
doctors have specific people to turn to for a decision. The last decision of
withholding or giving life support is made in advance by you in a Living
Will. For more information on a living will, please see information on
Living Wills.
In
short, you appoint the people you would want to make healthcare decisions
for you if you were unable to make them yourself or if you were unable to
communicate these wishes. The doctor is bound to follow the legitimate
orders of you healthcare proxy even if the "next of kin" disagrees with the
decision.
What
a Healthcare Power of Attorney does is simple to explain. However, it is
also important to explain what it does not do. Far too many people
have the wrong idea of what a healthcare power of attorney does, and they
consequently avoid this document because they wish to maintain control over
their own healthcare decisions.
First, a Healthcare Power of Attorney does not sign away your own
rights to make medical decisions for yourself. As long as you are competent
and able to communicate your wishes, then you make those decisions.
It is only if you are incapable of handling decisions yourself that a
healthcare power of attorney takes effect, and that must be determined by
two attending physicians.
Next,
your close family members do not have the authority to veto your
appointments. It is a myth that family members can step in and nullify a
healthcare agent's decisions just because they are related. It has been our
experience that people have held the misconception that a healthcare power
of attorney is worthless because the immediate family can override the
document, and that simply is not true. If anything, state laws protect
your interest in appointing a healthcare agent specifically because the
state realizes that you may not want your closest family
members making medical decisions for you. If a doctor disobeys a properly
executed healthcare power of attorney, then that doctor is breaking the law.
After all, you know your family, and you would best understand how they
would react in a medical crisis. It is then up to you to get a healthcare
power of attorney or simply do nothing and allow your closest family members
to make decisions for you. However, make no mistake about it--if you do
nothing, then fighting siblings, arguing adult children, and a close
relative you have not seen in years may be the ones making medical decisions
for you.
Lastly (at least for this discussion), your healthcare power of attorney
does not make your healthcare agent liable for your medical bills.
Regardless of the treatment you receive at the direction of your healthcare
agent, you (and/or your health insurance company under the terms of their
contract with you) are still primarily responsible for the payment of
medical bills. For this reason, many of the state-approved healthcare power
of attorney forms and healthcare proxy forms specifically release the
healthcare agent from any liability, financially and legally, for their
decisions on your behalf. After all, in making a healthcare power of
attorney, you are appointing people that will make decisions for you the way
you would if you were capable of communicating them. Just because they made
the decisions for you does not mean that they now have to pay the tab.
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Revocable Living Trust
Domestic Partnership Property Agreement
Last Will and Testament
Financial Power of Attorney
Healthcare Power of Attorney
Living Will