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Mom is Palliative lung cancer, still at home. I am her caregiver. My brother moved into Mom's basement apartment. Living rent-free. Was supposed to be in exchange for helping care for Mom, but the most he does is take out the garbage and occasionally order a pizza. I am there every day doing all the caring and all the giving (which will include giving him over half million $$$ when Mom passes from her estate.) Narcissist brother does nothing to help her... And spends most free evenings out with friends or on random internet dates while I'm cancelling plans and taking leave from work.

Any tips on how to get a son to give a F*CK about his Mother???

The resentment is becoming overwhelming. Thank you

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How long has this been going on? Charge him rent. And pay yourself for the caregiving you do. He isn't going to change, but you can make things more equitable by making sure he gets less of the estate.

I was the sibling left to deal with it all (except one brother handled POA stuff). 3 brothers out of state. When it got to be too much, I requested compensation to the tune of $20/hour from the POA brother. (My mother did not live with me, and I didn't do any personal care/hygiene assistance.) I even got back-pay for the 2 years of increasing demands before that. It made a big difference to me, as I could take myself out of the emotional part of it and consider it to be a job.
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You are asking a person to become someone they are likely incapable of being. You deserve the help and care but it isn't in his nature. It would seem that your mother's days are numbered. I am so sorry you are going through this. My husband and I are both only children. His late mother was widowed early on and my parents divorced in my late teens. My mother is in SN and bedridden. It has always just been us dealing with mothers past 90 and ill. In essence that is the same with your situation. You could try and ask him to step up since the end may be near. Perhaps you could be as emphatic with him as you are in this post. Otherwise I think you just need to accept that sadly this is the reality and continue as best as you can. I hope you find the strength you need.
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I too have a brother who is an alcoholic and lived with my parents for 3 years.  Rent free.  Never lifted a finger unless one of them had to go to the hospital.  I lived 50 miles away and traveled twice a week at least to help them.  So how did I handle it?  You all will probably laugh!  He wanted to go visit a friend out of state, so I helped and paid for his round trip ticket.  When he came back he decided to go live with them.  So I helped, and bought him new tires for his car.  After he left, my husband and my remaining brother found a senior living center closer to us.  We helped them move into the apartment, sold his home, secured funding because Dad was a veteran who qualified for benefits.  Cleaned up the house (two dumpsters plus!) and burned two weeks of vacation. Was it worth it??  Oh yes!  Dad and Mom now have a support of doctors, visiting nurses, and can engage with the senior community where they live.  And my brother?  He is living day to day, still drinking, getting kicked out of every place he has been to over the last year.  There is NO SPACE in my parents apartment for the grifter.  And my other brother and I have secured my parents account so he cannot get a dime of it unless Dad gifts it to him .  I'm glad I did it.  The enabling had gone on for years.
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I am sorry you & your Mom are suffering.

Maybe for now, concentrate on Mom's care & on your own self-care.

You can't change other people. Including your brother. But you CAN charge rent if you are the home owner. If Mom is, well, maybe let Grifter Bro be until later.

There have been a few folks here that had to get legal advice to move on a failure to launch sibling. Charging rent, serving eviction etc. Or even selling a home with a adult in the basement.

What do you want more? His rent money? Or help with Mom?

If help, don't bother with him. He clearly has no apptitude for it. Start researching care agencies & start the process of getting reliable, professional help. Letting go of wanting sibling help is freeing. (Mine is busy cooking cakes...)

Find the help you need.

Then kick him out.
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You need to give him a list of tasks to do in exchange for rent. Be very logical, factual and clear with him. How much would rent cost him? Let's hypothetically say $500 per month. Tasks he could do to earn his keep:
Put Garbage out every Tuesday night = $50 mo
Make mom's dinner daily and wash dishes = $200 mo
Vacuum & dust once a week = $100 mo
Pickup moms meds from pharmacy = $50 mo
Cut grass once a week = $80 mo
Throw in a load of moms towels once a week = $20 mo
Now we are at the break even point of "he has earned his keep". He can move out and pay someone else $500 which is pretty cheap or he can act like an adult and do the bare minimum for living there.
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What power do you have – POA? If you can, evict him unless he fronts up with help. Apart from that, try prayer!
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Your brother is not going to do any more for your mother than he does now. Do not waste your time and energy even thinking about how to persuade him to do more. Do not torture yourself about money he may inherit. If there is an estate such as you describe, why are you not using some of that money to hire help for your mother's care. You may be trying to preserve her resources with inheritance (for both of you) in mind, but it is worth some expenditure to relieve yourself of all the caregiving. Spending some of your mother's money on her care would also reduce what your brother eventually receives from her estate. You could even calculate caregiving costs per hour or per day, and if your brother does not physically do his part, that amount of money comes out of his share of the estate. To !ake that stick you would need to set it up legally, but you get the idea.
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Wow...same leach of a sister. You cannot change this. Your mother lives you all equally in her eyes and feels great guilt over your brothers incompetence. It reflects on her and she is enabling him. My mom is 92 so I decided to put up with it but I am the long distance big spender and problem silver...and slave to both if them. It is my choice of course. That's what I realized. I won't have guilt when they are gone...as my sister's relationship will end when my mother's deceased too. It's tough. I feel for you given my mom has nothing left to give from her estate since a lifetime of helping her alcoholic narcissist youngest has eaten up her home and other family members. If you can no longer be healthy, you need to make yourself scarce. This is the only way to force your brother to do something as he actually sounds healthy. My sister had breast cancer and is drinking and smoking herself to death even though she survived. She blames all of us for her life's bad decisions. I'm currently only visiting my mom and she will have to meet me in a neutral place now that I got her and ....into senior living. Otherwise, my sister can stay in her room.
Hope this helps. I feel best when I see neither of them but I call my mom twice daily and can tell from her voice if she has a bladder infection or becomes forgetful and needs iron. As long mom has agency if mind it is out of your hands. You can let her know how you feel as I finally did and she will cry but stuck up for the bad guy due to her guilt. Stop all contact with your brother if possible. It's sadly. Really their choice to be together and tolerate each other. You and I just make it easier for them...even though you know you love your mother so very much.
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If there is a million dollar estate, that has any liquidity now, spend money on helpers and care givers.
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A child is under no obligation to give up their life to care for a parent. Does not necessarily means they are a narcissist, nor a bad person.

With that said you can take steps to protect yourself and become fairly compensated for your work.
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