Frustrated by responsibility for narcissistic father. Any suggestions?
I left home at an early age due to neglect...yet in my middle age have been repeatedly pulled in to help my father as he dealt with the outcomes of poor financial decisions, and stubbornly resisted adjusting to age-related conditions.
He suffered a stroke this month and is being discharged into a nursing home.
I live several thousand miles away and arranged for that nursing home placement, for which I am financially responsible.
I expect he will be very unhappy, but he is bedridden and unable to return to his home, which is in need of significant repairs. He took out a reverse mortgage on it years back, and it is very poorly maintained.
He has no assets and lives on Social Security in a state where children are legally obligated to support elderly parents, and where Medicaid assistance for nursing home care is severely limited.
My sibling and I had each “moved” him to our respective states during past crises, and “set him up”, but he chose to go back to his home state after either a year or a few months...despite our concerns about lack of equivalent services, difficulty in our helping him there, etc.
“It’s my life,” he said each time. “And I’ll live it my way.”
Because of this, my sibling pretty much stopped talking to him a few years ago, and I feel the weight of his care primarily on my shoulders.
I dread the next phone call or text requiring I scramble through another hoop.
I fret about his situation before I fall asleep, and think about it when I wake up.
And I keep ping ponging between “shoulds” and trying to accept “it is what it is” instead.
I also appreciate being able to share my thoughts and struggles in this forum, and welcome any helpful insights or suggestions.
If your dpoa then you sign, “Jane Smith Jones in her limited capacity as dpoa for John Smith” and on every single piece of paperwork that needs a signature and you copy all and mail a set certified mail with the return receipt green post card to the facility. Duo is like $8.00 and considered legal verification. But your not his DPOA, correct?
Choices are 1. you become his dpoa or 2. you personally sign to be fully re$ponsible, Or 3. you don’t do either & you flat let him become a ward of the state. What that path seems to take is...... facility - if Medicaid can’t be worked though &/or bill won’t get addressed or paid - then contacts APS; APS requests an emergency ward of the state hearing / placement for your dad; hearing request goes before judge or his staff, usually it’s probate court judge as they hear guardianships; request is granted and judge names a temporary guardian or conservator for dad; judge or his staff have a list at the ready for vetted guardians; guardian then takes over all and gets dad SS, etc paid to this NH or transfers him to another NH.
All dads care from this point forward is under guardians purview. The sticky will be whatever the past due bill is. If your living in the state, collections can try to pin on you. If you live in another state that’s harder to almost impossible is my understanding unless the facility is part of a chain that has facilities in your state as well. Like Brookstone is a whole bunch of states.
Honey, your dad is not your problem unless you choose to let him become that.
Also the case that “filial” articles usually revolve around is the Pittas case in Pennsylvania. Pittas is to me NOT at all the typical elder in a NH situation. The lady in Pittas was in her early 60’s & in an auto accident. She entered a rehab facility post hospitalization. Her insurance ran out and she supposedly applied for Medicaid & filed a auto insurance claim/lawsuit. She was NOT on MediCARE as she was too young for MediCARE. She did not complete submitting the paperwork needed to get her MedicAID application filed much less be reviewed for eligibility. Ditto for vehicle lawsuit. AND - this is to me mucho importante- then she signed herself out of the rehab facility and moved back to her home country of Greece where she was still a citizen of & where her husband lived. SHE MOVED BACK TO GREECE. Facility - part of a chain - went to arbitration (as per terms of admissions contract) to get bill paid from the son as he had signed some of the paperwork. In arbitration, Sonny was found NOT responsible. BUT the facility decides to sue him anyway as they do not have to accept arbitration decision (it’s a one sided contract probably). They took Sonny to court. Imo, Sonny & his atty assumed that cause they won in arbitration that they would win easily in traditional court before a single judge hearing. They didn’t prepare a detailed case AND they didn’t include his 2 sisters as co defendants in the lawsuit (which would mean IF Sonny lost it’s all his $$ & not split 3 ways). So judge rules in facilities favor. Sonny gets 90k debt. Sisters not affected at all.
Pittas is not the usual elder in a NH situation. Most are going to be in a NH & old and will be already on Medicare, so a huge part of medical costs are being paid by Medicare as well as paid by the post hospitalization Medicare rehab benefit of 100% first 20 days then 80% aftwards to 100 days in rehab. & mom isn’t moving back home to Greece. So keep this in mind when you read any article that references Pittas. Just saying....
So, no, I don't think you need to con yourself into seeing this as a growth opportunity. And I see no harm in turning the care of your noncompliant dad over to the State. They can actually make him comply; you can't.
The worst scenario I can see ( one which a cousin faced) was having legal guardianship over her mentally ill and noncompliant dad. You end up with all of the wrath of a crazy parent AND all the legal responsibility. Better to let the authorities take over and be the pleasant visitor, in my book.
Who told you that you were responsible?
If it's "his" life, then you aren't responsible for fixing it. Even in States with filial responsibility on the books, exceptions are made for cases of abuse or neglect.
Do not sign ANYTHING regarding discharge or financial responsibility for him.
What state does he live in? Colorado, where I see you live, is NOT a filial responsibility state.
Are you considering guardianship? That seems like not a very good choice. It will cost many thousands of dollars and since he is indigent, it's going to come out of your funds. He will still be non compliant with what is best for him, but as guardian, YOU will be legally responsible for him.
I would also be cautious about taking what his ex wife is telling you the hospital is saying as accurate.. Can you ring up the discharge department and speak with them directly? Is he eligible for rehab, which might be paid for in full by Medicare for up to 20 days?
Are you extremely wealthy? Who told you that you would be responsible for his bills?
https://www.agingcare.com/articles/how-to-use-a-miller-trust-for-medicaid-eligibility-207367.htm
Are you dad's power of attorney?
Dad should sign the admission papers himself.
PS: I just confirmed he was transferred to the nursing home this afternoon.
I don’t have POA, and I sent you a PM...
Thanks for all your feedback, I really appreciate it!
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