Articles
What Is An Ethical Will?
By: Daniel P. Kapsak
Life Testaments/Ethical Wills

Life Testaments, or ethical wills, are a way to share your values, blessings, life’s lessons, hopes and dreams for the future, love, and forgiveness with your family, friends, and community. Although these names frequently cause confusion, Life Testaments/Ethical Wills are simply writings intended to provide loved ones with more formal and tangible expressions of those values, guiding principles, and wishes than conversations that may be planned but never held.

Life Testaments are not new. Their use may be found, for example, in Hebrew Scriptures dating back 3000 years ago (Genesis 49). References to this tradition are also found in the Christian Scriptures (John 15-18) and in other cultures.

Initially, Ethical Wills or Life Testaments were transmitted orally. Over time, they evolved into written documents. “Life Testaments/Ethical wills” are not considered legal documents: they do not convey your wishes in the event of a terminal condition or irreversible come as may be found in a Living Will; nor do they express your wishes as to your materials possessions as may be found in your will.

Today, Life Testaments are being written by people at turning points in their lives: facing challenging life situations and at transitional life stages. They are usually shared with family and community while the writer is still alive, but may also present a person’s legacy of values and beliefs after death.

Life Testaments may be one of the most cherished and meaningful gifts you can leave to your family and community. These personal documents reflects the “voice of the heart.” Think of it as a love letter to your family. Every Life Testament is as unique as the person writing it.

After reading a number of these documents, there are common themes that run through many of them. While many older ethical wills contained burial instructions, blessings, and personal and spiritual values, more modern Life Testaments seem to share the same common themes:

  • Important personal values and beliefs;
  • Important spiritual values;
  • Hopes and blessings for future generations;
  • Life’s lessons;
  • Love;
  • Forgiving others and asking for forgiveness.

There are many personal reasons for writing a Life Testament:

  • We all want to be remembered, and we all will leave something behind;
  • If we don’t tell our stories and the stories from whom we come, no one else will and they will be lost forever;
  • It helps you identify what you value most and what you stand for;
  • By articulating what we value now, we can take steps to insure the continuation of those values for future generations;
  • You learn a lot about yourself in the process of writing an ethical will;
  • It helps us come to terms with our mortality by creating something of meaning that will live on after we are gone;
  • It provides a sense of completion in our lives.
Here are some occasions when you might consider writing an Life Testament.

Betrothed Couples:
Today, the overall divorce rate in our society has “declined” to about 50%. However, 70% of divorces occur within the first 5 years of marriage. A Life Testament can help a couple to clearly understand each other’s values, and it can contribute to building a foundation of common values for the marriage.


Expectant and new parents:
It’s been said that children don’t come with a “user’s manual.” A Life Testament at this stage will provide a foundation of common values upon which to approach childrearing. In addition, it can help in conflict resolution by increasing the understanding of each other’s important values.

Divorcing Couples:
Even in divorce, a Life Testament can provide some security and reassurance for the children involved, by providing tangible evidence what’s important to their parents. It’s even possible that in a divorce situation, the “blame factor” might be minimized.

Growing families:
For growing families a Life Testament can be used to teach values to the children. By writing these values on a document, it has the potential to improve communication with the children.

Empty-Nesters
Provides the opportunity to launch adult children and enter into a new relationship phase.

Middle age and beyond:
This is one life stage that writing a Life Testament is most fitting. It is an opportunity to harvest our life experiences, convert these experiences into wisdom, and allow for the fulfillment of the responsibility of passing this wisdom on to future generations

End of Life:
If energy and time permits, writing a Life Testament at the end of life adds a transcendent dimension to our lives by providing a link to future generations. In essence, you are providing your legacy of values and beliefs for a time when you are gone.

Writing a Life Testament may seem difficult. However, it can be viewed as the writing of a love letter to your family. Life Testaments can include personal and spiritual values, hopes, experiences, love, and forgiveness. It may well be one of the most cherished gifts you can give to your family.

Here are three basic approaches for creating your Life Testament.

Approach #1
Using an outline structure and a list of items to choose from. This is by far the easiest way to get started and it can build your confidence quickly. You can create a rough draft to work from in less than an hour. The Ethical Will Writing Guide Workbook and The Ethical Will Writing Guide software were developed for this approach. This approach is also covered in Ethical Wills: Putting your values on paper.

Approach #2
Using guided writing exercises to help you create content for your Life Testament. The Ethical Will Resource Kit contains several guided exercises to help you. Ethical Wills: Putting your values on paper contains even more exercises.

Here are some ideas to help you get started.

  •  Over time, write down ideas --a few words or a sentence or two about things like:
               o My beliefs and opinions
               o Things I did to act on my values
               o Something I learned from grandparents / parents / siblings / spouse / children
               o Something I learned from experience
               o Something I am grateful for
               o My hopes for the future

  • Write about important events in your life
  • Imagine that you only had a limited time left to live. What would you regret not having done?
  • Save items that articulate your feelings, e.g., quotes, cartoons, etc
  • Review what you’ve collected after a few weeks or months
  • Clump related items together -- patterns will emerge
  • Revise and expand the related categories into paragraphs
  • Arrange the paragraphs in an order that makes sense to you
  • Add an introduction and conclusion
  • Put this aside for a few weeks and then review and revise

Approach #3
Starting with a blank sheet of paper. This is the most open-ended approach. Keeping a journal or diary is an excellent way to write about your thoughts, feelings, and experiences. Over time, review what you’ve written. Themes will emerge from which you can create a comfortable structure for your Life Testament.
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The Deficit Reduction Act of 2005

By: Daniel P. Kapsak

With the enactment of the Deficit Reduction Act of 2005, signed into law by President Bush on February 8th, 2006, Congress has drastically limited the options available to the poor and needy for Medicaid planning, and have made Medicaid planning the realm of the rich. Briefly, the DRA has changed the following aspects of Medicaid planning, among others:

The look back period for transfers. The DRA now applies a five year look back period for all transfers rather than three years for outright transfers and five years for transfers to irrevocable trusts. As a result, transfers that would have otherwise been exempt will now be seen and used to calculate the penalty period.

When the penalty period begins. Instead of the penalty period beginning in the month of the transfer, the DRA now requires that the penalty period not begin until the applicant has spent down to eligibility amounts ($2,000 of countable assets), is requiring skilled assistance, and has applied for Medicaid. As a result, it will now be possible for persons who have gifted assets away for non-Medicaid planning reasons to find themselves facing a lengthy period of ineligibility with no means of paying for the required skilled assistance during that penalty period.

How the penalty period is calculated. With the DRA, the penalty period will now be calculated to include fractions of months rather than the States rounding down to the nearest whole month. As a result, transfers will now run longer and may over lap, causing more serious penalty period exclusions.

The exempt value of a residence. Now, applicants with equity in their personal residence over $500,000 will find that equity countable unless a spouse, a child under 21, or a blind or disabled child is living in the home. As a result, the heretofore useful strategy of using the residence as the “receptacle” for otherwise countable assets has been effectively minimalized if not eliminated.

The potential use of annuities. With the signing of the DRA, all annuities are required to have the State as the primary beneficiary for the remainder of the funds upon the death of the annuitant to the extent of the total amount of medical assistance paid on behalf of the annuitant. If a community spouse, minor child, or disabled or blind child survives and is the primary beneficiary, the State becomes the secondary beneficiary. As a result, the State now will be able to claim an interest in a recipient’s annuity with priority over other family members or loved ones.

How income for the recipient and community spouses are to be allocated. Increased resources may be granted to meet increased resource allowance needs for a community spouse only after the community spouse first receives the income of the institutionalized spouse.

The ultimate impact of the changes wrought by the DRA is yet to be known. We will provide additional information as we see how Colorado implements this law and drafts its own regulations.
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The Terri Schiavo Tragedy
By: Bruce Alan Danford, Esq.

This article is not meant to advance the position taken by either the parents of Terri Schiavo nor her husband in this most tragic event. I certainly do not claim any theological or spiritual insight in the arguments advanced by either side. I do strongly advocate the premise that a recurrence of a situation similar to this need not occur in anyone else’s life, especially your life.

Over the past several decades there has been a growing body of both statutory law (laws enacted by either a state legislature or the U.S. Congress) and case law (interpretation of the law or the Constitution by the Courts) as to whether or not and to what extent the refusal to accept medical treatment is effectively assisted suicide or not. The governing law is that the refusal to accept medical treatment is not assisted suicide and is entirely within the rights of an individual. Both statutory and case law have also continually upheld the right of an individual to decide his or her own medical treatment or right to refuse medical treatment. I cannot expound upon this any more eloquently and concisely than Supreme Court Chief Justice Rehnquist did in Cruzan v. Director, Missouri Dep't of Health, 497 U.S. 261, 269-270 (U.S. 1990).

At common law, even the touching of one person by another without consent and without legal justification was a battery. Before the turn of the century, this Court observed that "no right is held more sacred, or is more carefully guarded, by the common law, than the right of every individual to the possession and control of his own person, free from all restraint or interference of others, unless by clear and unquestionable authority of law." This notion of bodily integrity has been embodied in the requirement that informed consent is generally required for medical treatment. Justice Cardozo, while on the Court of Appeals of New York, aptly described this doctrine: "Every human being of adult years and sound mind has a right to determine what shall be done with his own body; and a surgeon who performs an operation without his patient's consent commits an assault, for which he is liable in damages." The informed consent doctrine has become firmly entrenched in American tort law.

The logical corollary of the doctrine of informed consent is that the patient generally possesses the right not to consent, that is, to refuse treatment. Until about 15 years ago and the seminal decision in In re Quinlan the number of right-to-refuse-treatment decisions was relatively few. Most of the earlier cases involved patients who refused medical treatment forbidden by their religious beliefs, thus implicating First Amendment rights as well as common-law rights of self-determination. More recently, however, with the advance of medical technology capable of sustaining life well past the point where natural forces would have brought certain death in earlier times, cases involving the right to refuse life-sustaining treatment have burgeoned. Cruzan v. Director, Missouri Dep't of Health, 497 U.S. 261, 269-270 (U.S. 1990) (Internal citations omitted.)

An individual’s personal ethical, religious, or spiritual beliefs regarding these deeply personal matters are exactly that: theirs and theirs alone as it pertains to themselves. In short, the United States Supreme Court has upheld in several cases the right of an individual to decide for themselves whether or not they wish to accept medical treatment.

The tragedy in the circumstances wasn’t that Terri Schiavo had made the decision to accept or decline medical treatment. The tragedy was she had not written her decisions down. Ms. Schiavo had not prepared a living will or a medical power of attorney expressing her wishes and desires. This left her parents, her husband, her friends, and her loved ones uncertain as to her wishes and desires. I have no great insight as to the motivations behind the acts of either party, the parents or the husband, in this matter. I do know some small modicum of dignity and privacy was denied her during the one period of Ms. Schiavo’s life when all of us should have some. It was denied both her and her family when different groups wishing to advance their own beliefs intruded into Ms. Schiavo’s life and ultimate death.

            Please read the following timeline and answer for yourself the following questions:

Ø      Do I want my family and friends to undergo such a horrific sequence of events spanning the better part of two decades?

Ø      What do I want to happen if I were in similar circumstances?

Ø      Who would I trust to enforce my decisions?

Ø      And most important of all, have I prepared the necessary documents, a living will and a medical power of attorney, to ensure neither I nor my family ever have to undergo such a protracted, exhausting chain of events?

A living will and a medical power of attorney can be the greatest gift you ever give your loved ones.

___________________________________________________________________________

Timeline of the Terri Schiavo case (excerpted in part, from the AP story: Herald Tribune, Sarasota, FL, 10.15.03 and the timeline, Key Events in the Case of Theresa Marie Schiavo, Steven Haidar (Dartmouth College/University of Miami) and Kathy Cerminara (Nova Southeastern University, Shepard Broad Law Center).

- Feb. 25, 1990: Terri Schiavo collapses in her home. Doctors believe a potassium imbalance caused her heart to stop, temporarily cutting off oxygen to her brain.

- Nov. 1992: Terri's husband, Michael, wins malpractice suit that accused doctors of misdiagnosing his wife; jury awards more than more than $700,000 for her care, Michael receives an additional $300,000.

- Feb. 14, 1993: Terri Schiavo's parents, Bob and Mary Schindler, have a falling out with Michael over the malpractice suit money and Terri's care.

- July 29, 1993: Bob and Mary Schindler file petition to have Michael Schiavo removed as Terri's guardian. The case is later dismissed.

- May 1998: Michael Schiavo files petition to remove Terri's feeding tube.

- Feb. 11, 2000: Circuit Judge George W. Greer rules feeding tube can be removed.

- Jan. 24, 2001: 2nd District Court of Appeal upholds Greer's decision.

- March 29, 2001: Greer rules feeding tube to be removed April 20.

- April 18, 2001: Florida Supreme Court refuses to intervene in the case.

- April 20, 2001: U.S. District Judge Richard Lazzara grants the Schindlers a stay until April 23 to exhaust appeals.

- April 23, 2001: U.S. Supreme Court refuses to intervene.

- April 24, 2001: Feeding tube is removed from Terri Schiavo.

- April 26, 2001: Circuit Judge Frank Quesada orders doctors to reinsert Terri's feeding tube; the Schindlers pursue lawsuit against Michael Schiavo, accusing him of committing perjury by saying his wife did not want to be kept on life support.

- April 30, 2001: Lawyers for Michael Schiavo file emergency motion with appellate court asking it to order removal of Terri's feeding tube.

- July 11, 2001: 2nd District Court of Appeal sends case back to Judge Greer.

- July 18, 2001: Schindlers ask Greer to let their doctors evaluate Terri before making a final decision on removing the feeding tube.

- Aug. 10, 2001: Greer denies the Schindlers' evaluation request, as well as their request to remove Michael Schiavo as guardian.

- Sept. 26, 2001: Schindlers' attorneys argue before 2nd District Court of Appeal, citing testimony from seven doctors who say Terri can recover with the right treatment.

- Oct. 3, 2001: 2nd District Court of Appeal delays removal of feeding tube indefinitely.

- Oct. 17, 2001: 2nd District Court of Appeal rules that five doctors can examine Terri to determine whether she has any hope of recovery. Two doctors are picked by the Schindlers, two are picked by Michael Schiavo and one is picked by the court.

- Feb. 13, 2002: Mediation attempts fail; Michael Schiavo again seeks to be allowed to remove Terri's feeding tube.

- Oct. 12, 2002: Weeklong hearing begins in the case. Three doctors, including the one appointed by the court, testify that Terri is in a persistent, vegetative state with no hope of recovery. The two doctors selected by the Schindlers say she can recover.

- Nov. 12, 2002: The Schindlers' attorney says medical records suggest Terri's condition may have been brought on by physical abuse, and asks for more time to get more evidence.

- Nov. 22, 2002: Judge Greer rules that there is no evidence that Terri has any hope of recovery and orders feeding tube to be removed Jan. 3, 2003.

- Dec. 13, 2002: Judge Greer stays order to remove feeding tube on Jan. 3 until the 2nd District Court of Appeal reviews the case.

- April 4, 2003: Schindlers' attorneys ask Second District Court of Appeal panel to "err on the side of life" and overturn Greer's ruling.

- June 6, 2003: 2nd District Court of Appeal upholds Greer's ruling.

- July 15, 2003: The 2nd District Court of Appeal refuses to rehear the case.

- Aug. 22, 2003: The Florida Supreme Court declines to hear case.

- Sept. 2, 2003: Schindlers take case to federal court seeking judicial intervention.

- Sept. 17, 2003: Judge Greer sets Oct. 15 date for removal of tube.

- Oct. 3, 2003: Attorney General Charlie Crist says he won't get involved in case.

- Oct. 7, 2003: Gov. Jeb Bush files a federal court brief urging Terri Schiavo be kept alive.

- Oct. 10, 2003: U.S. District Judge Lazzara rules he does not have jurisdiction to intervene in case.

- Oct. 13, 2003: Protesters and Schindler family begin 24-hour vigil at Pinellas Park hospice where Terri Schiavo lives.

- Oct. 14, 2003: 2nd District Court of Appeal again refuses to block tube removal; Schindler attorneys declare legal options exhausted.

- Oct. 15, 2003: Doctors remove feeding tube; Bush pledges to search for possible legal options to resume feedings.

- Oct. 20, 2003: The State of Florida's House of Representatives, vote 68-23 to give Governor Jeb Bush the authority to intervene and reinstate the feedings.

- Oct. 21, 2003: The Florida Senate passes the same measure by a 23-15 vote.  Governor Jeb Bush orders the feeding tube reinserted.

- Oct. 23, 2003: The New York Times reports that legal scholars indicate that the Florida Legislature may have initiated a constitutional crisis.

- Oct. 24, 2003: The ACLU announces that they will join the legal wrangling on the side of Michael Schiavo.  The AARP says that they are also looking into the case.

- Oct. 29, 2003: Michael Schiavo's attorneys file briefs stating that the law granting Governor Bush the power to reinstate Terri's feeding tube is unconstitutional - violating Terri's right to privacy as well as the separation of judicial and executive powers as set forth in the Florida State Constitution.

Bush's lawyers immediately file a counter motion to have the suit thrown out on technical grounds.  This motion is rejected.

- Nov. 7, 2003: Though the Florida legislation provided for a new guardian (Dr. Jay Wolfson) for Terri, a judge rules that the Schindlers can seek to have either Terri's brother or sister appointed to this position.

- Nov. 10, 2003: Bush files his appeal with the Second District Court in Lakeland, FL, resulting in a stay for the removal of the feeding tube.

- Nov. 14, 2003: Circuit Judge W. Douglas Baird lifts the stay, arguing that delaying the removal of Terri's feeding tube violates her right to privacy.

In response, the Second District Court of Appeals issues an indefinite stay on the removal of the feeding tube.

- Nov. 19, 2003: Governor Bush's legal team file briefs stating that a jury trial is necessary to determine whether Terri wishes to be kept alive via medical interventions.  Bush also seeks to remove Judge Baird from the case.

- Nov. 21, 2003: Florida Senators Stephen Wise and Jim Sebesta introduce legislation (S692) that would require persons in persistent vegetative states to be administered medically supplied nutrition and hydration in the absence of a living will, regardless of family beliefs about what those patients would have wanted. (The measure is withdrawn from consideration on April 16, 2004.)
 
 - Dec. 1, 2003: Jay Wolfson, guardian ad litem, concludes in his report that Terri Schiavo is in a persistent vegetative state with no chance of improvement.

- Dec. 7, 2003: A St. Petersburg Times-Miami Herald sponsored poll reveals that 65% of Florida voters oppose "Terri's Law." Opponents of the law cut across party lines, religious affiliation, age, income and ethnicity.
 
- Dec. 10, 2003: The 2nd District Court of Appeals refuses to remove Judge Baird, who is the presiding judge in the state-court lawsuit filed October 21, 2003.
 
- Jan. 5, 2004: The Schindler family petitions the Pinellas County Circuit Court to reappoint Jay Wolfson, the guardian ad litem.

 - Jan. 8, 2004: Judge Demers rejects the request to reappoint the guardian ad litem, citing the pending court decisions over the constitutionality of “Terri’s Law” as reason to wait on any action.
 
- Feb. 13, 2004: The 2nd District Court of Appeals reverses Judge Baird’s ruling (in the case filed October 21, 2003) that denied the Schindlers permission to intervene in Michael Schiavo’s Constitutional challenge to “Terri’s Law.”  The Court explains that Judge Baird did not follow proper procedure.  The court also gives permission to Governor Bush to question several witnesses who Judge Baird previously had ruled could not offer any relevant testimony.
 
- March 12, 2004: Judge Baird again rejects the Schindlers’ request to intervene in Michael Schiavo’s suit that questions the constitutionality of “Terri’s Law.”
 
- March 20, 2004: Pope John Paul II addresses the World Federation of Catholic Medical Associations and Pontifical Academy for Life Congress on Life-Sustaining Treatments and Vegetative State: Scientific Advances and Ethical Dilemmas. His remarks spark widespread interest and controversy.
 
- March 29, 2004: Nursing home workers discover four “fresh puncture wounds” on one arm and a fifth wound on the other arm; the workers state that a hypodermic needle appears to have caused the wounds.  Attendants discovered the wounds shortly after the Schindlers visited Terri Schiavo for 45 minutes.  Toxicology reports indicate that no substance was injected into Terri Schiavo. Clearwater police later conclude that the marks might have been made by a device used to move Ms. Schiavo and, in any case, that no evidence of abuse or other wrongdoing could be found.
 
- March 29, 2004: Judge Greer denies a motion filed by the Schindlers seeking to have Michael Schiavo defend himself in a hearing; they allege that he is violating a 1996 court order that requires him to share a sufficient amount of Terri Schiavo’s medical information.  Michael Schiavo claims that he has shared an adequate amount of information through attorneys.
 
- April 16, 2004: S692 is withdrawn from consideration in the Florida Legislature.
 
- April 23, 2004: The 2nd District Court of Appeals rules that the Pinellas County trial court has jurisdiction to hear and is the proper venue for the case Michael Schiavo has filed against Governor Bush asserting that "Terri's Law" is unconstitutional.
 
- May 6, 2004: Pinellas Circuit Judge W. Douglas Baird rules that "Terri's Law," sought and signed by Gov. Bush and approved by the Legislature on October 21, 2003, is unconstitutional. The governor appeals the ruling.
 
- June 1, 2004: The 2nd District Court of Appeals grants a motion from attorneys for Michael Schiavo to send the case directly to the Florida Supreme Court and bypass a lower-court review. Meanwhile, attorneys for Gov. Bush file a motion asking that all appeals be halted until the issue of whether Michael Schiavo has the authority to fight the governor on his wife's behalf is resolved.
 
- June 16, 2004: Florida's Supreme Court, pointing to "a question of great public importance requiring immediate resolution by this Court," accepts jurisdiction and sets oral arguments for August 31, 2004.
 
- June 30, 2004: 2nd District Court of Appeals affirms Judge Baird's March 12th ruling denying the Schindlers the ability to intervene in the lawsuit over the constitutionality of "Terri's Law."
 
- July 19, 2004: The Schindlers file a motion in the Circuit Court for Pinellas County seeking relief from judgment in Schindler v. Schiavo. Based in part upon the recent statement by Pope John Paul II, they argue that the orders mandating withdrawal of Terri's feeding tube and authorizing Michael to challenge the constitutionality of "Terri's Law" violate her "free exercise of her religious beliefs [and] her right to enjoy and defend her own life and, in fact, imperil her immortal soul."
 
- Aug. 31, 2004: The Florida Supreme Court hears oral arguments in the case.
 
- Aug. 31, 2004: Circuit Judge George Greer, opposed for re-election by an attorney who was known to oppose Greer's rulings in the Schiavo case, is re-elected by a large margin.
 
- Sept. 23, 2004: Florida's Supreme Court, unanimously affirming the trial court order, declares "Terri's Law" unconstitutional.
 
- Oct. 4, 2004: Governor Bush files a motion and then an amended motion for rehearing and clarification of the Florida Supreme Court opinion issued on September 23, 2004.
 
- Oct. 21, 2004: Florida Supreme Court denies Governor Bush's amended motion for rehearing and clarification, as well as a motion seeking permission to file a second amended motion for rehearing and clarification. The Court issues a mandate.
 
- Oct. 22, 2004: In Pinellas County, at the trial-court level, Judge Greer denies the motion filed by the Schindlers on July 19, 2004. He also stays the removal of  Terri's feeding tube until December 6, 2004.
 
- Oct. 25, 2004: Governor Bush files a motion with the Florida Supreme Court asking that it recall the mandate it issued on October 22nd because he will be filing a petition for certiorari regarding this case with the United States Supreme Court.
 
- Oct. 27, 2004: The Florida Supreme Court grants Governor Bush’s motion asking that it recall the mandate issued on October 22nd. Proceedings in the trial and all appellate courts in the case of Bush v. Schiavo are stayed until November 29, 2004.

- Dec. 1, 2004: Governor Bush petitions the U.S. Supreme Court to overturn the Florida Court's September 23rd ruling which struck down "Terri's Law."

- Jan. 24, 2005: The U.S. Supreme Court refused to hear Governor Bush's appeal.  However, other legal motions filed by Terri's parents, Bob and Mary Schindler, are still pending.  Former court appointed guardian for Schiavo, Jay Wolfson, urged an independent medical evaluation.

- Jan. 28, 2005: An attorney for the family of Terri Schiavo asked Greer to allow him to proceed with a motion arguing that her due-process rights were violated because she has never had her own attorney.
 
- Feb. 22, 2005: The 2nd District Court of Appeal cleared the way for Michael Schiavo to remove Terri's feeding tube, then Pinellas Circuit Court Judge George Greer issued an emergency stay blocking removal of Terri Schiavo's feeding tube until 5 p.m. EST the next day.

- Feb. 23, 2005: Greer extended the stay by two days, saying he needed time to decide whether her parents should be allowed to pursue other legal and medical options.

- Feb. 24, 2005: An attorney for the Schindlers claimed that the Department of Children & Families is seeking a 60-day stay on the removal the feeding tube while it investigates new allegations of abuse and neglect.

- Feb. 25, 2005: Greer ruled that Michael Schiavo may order the removal of the feeding tube at 1 p.m. March 18th.

- March 16, 2005: U.S. House passed a bill aimed at keeping Terri alive.

- March 17, 2005: Florida House passed a bill intended to keep Terri alive; U.S. Senate passed a bill different from the U.S. House version.

- March 18, 2005: The feeding tube is removed. Judge Greer ruled against Congressional Republicans who had tried to put off tube removal by seeking Schiavo's appearance at hearings.

- March 19, 2005: Congressional leaders from both parties agreed on a bill that would allow the tube to be reconnected while a federal court reviewed the case. The White House said President George Bush would sign the bill when it is passed.

- March 20, 2005: U.S. Senate passed the bill during an emergency hearing.

- March 21, 2005: U.S. House of Representatives passed the same bill. President Bush signed it into law.

- March 22, 2005: U.S. District Judge James Whittemore refused to order the reinsertion of the tube. The judge said the Schindlers failed to establish a "substantial likelihood of success" on the merits of their arguments. The parents appealed to the U.S. 11th Circuit Court of Appeals in Atlanta.
 
- March 23, 2005: On the fifth day of the tube removal, the 11th Circuit declined to order the reinsertion of the tube. The Schindlers vowed to appeal to the Supreme Court.

- March 24, 2005: The U.S. Supreme Court refused the appeal; Judge Greer rejected a request from Florida's Dept. of Children & Families for custody of Schiavo.

- March 25, 2005: Judge Whittemore refused for a second time, to order the reinsertion of Ms. Schiavo's feeding tube; the Schindlers appeal Judge Whittemore’s order to the U.S. Court of Appeals for the 11th Circuit. The 11th Circuit affirms. The Schindlers announce that they will pursue no more federal appeals; the Schindlers file an emergency motion attempting to convince Judge Greer to reinsert the tube, at least until the 11th Circuit decides their appeal.

- March 26, 2005: Judge Greer denies the Schindlers' motion; the Schindlers appeal to the Florida Supreme Court to reverse Judge Greer's refusal to reinsert the tube, but the Florida Supreme Court refuses to do so, citing a lack of jurisdiction.

- March 27, 2005: In an interview on CNN, Governor Bush says: "I cannot violate a court order. I don't have power from the U.S. Constitution, or the Florida Constitution for that matter, that would allow me to intervene after a decision has been made."
 
- March 29, 2005: The Rev. Jesse Jackson leads a prayer service outside the hospice and speaks out against removal of Schiavo's feeding tube.

- March 30, 2005: The 11th Circuit, acting both through a panel and as a whole, denies the motion for rehearing it permitted the Schindlers to file; the U.S. Supreme Court refuses to review the 11th Circuit ruling.

- March 31, 2005: Terri Schiavo dies.
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Alzheimer's Disease Stages

Many of our clients wonder about the effects of Alzheimer's Disease and what a loved one will suffer as the disease progresses. What follows is a summary of the stages of Alzheimer's Disease, courtesy of the Alzheimer's Association. Please note that the symptoms of each stage are not exclusive to that stage, and very often there will be overlapping of symptoms. Also, the symptom progression will not be uniform in each person suffering from the disease.

Early Stage
Early stage symptoms show a progressive forgetfulness and confusion. The symptoms may include:
  • Problems balancing the checkbook and losing things
  • Forgetting frequently called phone numbers or routes to familiar places
  • Anger, withdrawal from activities previously enjoyed
  • Mood/personality and judgment changes
  • Repetitive actions and statements
  • Confusion or disorientation of time and place
Middle Stage
Middle stage symptoms show decreased attention spans and difficulty recognizing close friends and family. Examples of such symptoms include:
  • Disrupted sleep cycles and late day restlessness, agitation, or exaggerated existing symptoms ("sundowning")
  • Suspiciousness and possible hallucinations
  • Inappropriate behaviors, and/or loss of impulse control
  • Wandering
  • Inability to read signs, write name, or complete simple arithmetic computations
  • Forgetting when the last meal was eaten and/or loss of interest in eating
  • Need for full time supervision
Late Stage
Late stage symptoms present as a need for total care for bathing, dressing, eating, and toileting. At this stage, symptoms may include:
  • Inability to recognize him-or herself or family members
  • Diminished oral communication
  • Impaired swallowing and resultant weight loss

Again, please keep in mind that the above stages and attendant symptoms are in terms of generally recognized patterns, and not everyone suffering from the disease will exhibit all of the above symptoms or exhibit such symptoms exactly at outlined. Suffice to say that the disease sufferer and his or her loved ones will experience a life-changing and challenging course of events. Know that support and guidance are available. For further information regarding the disease and the Alzheimer's Association, you may call them at 1.800.864.4404, or go to www.alzrockymtn.org. If our firm may be of assistance in any way, including preparing appropriate advance directives such as powers of attorney and living wills, or establishing guardianships or conservatorships, do not hesitate to contact us.
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Jobs and Growth Tax Relief Reconciliation Act of 2003

Dear Client,

As you probably know, Congress recently passed the "Jobs and Growth Tax Relief Reconciliation Act of 2003," which contains significant tax cuts for stockholders, individual taxpayers, couples, and businesses. Here's what you need to know right now about this important new legislation:

Reductions in taxes on dividends and capital gains.

An important component of the 2003 Jobs and Growth Act, particularly if you are an investor, is a reduction in the taxes on dividends and capital gains. These lower rates can mean considerable tax savings for taxpayers, although they are not permanent, since they will cease to apply after 2008, barring additional Congressional action to extend them. Here are more details regarding dividends and capital gains under the Act.

Under the 2003 Jobs and Growth Act, effective for sales and exchanges (and installment payments received) after May 5, 2003, and before Jan. 1, 2009, the 10% and 20% rates on adjusted net capital gain are reduced to 5% (zero, in 2008) and 15% respectively, for both regular tax and the alternative minimum tax (AMT). The lower rates apply to sales of capital assets held more than one year. Because this 5% drop in the capital gains rate is more than the 3.6% drop in the top individual rate under the 2003 Jobs and Growth Act and the 2% drop in other individual rates, the advantage of long-term capital gains over other types of taxable income is even greater for high earners than it was before. Note, however, that there is no cut in the 28% capital gains rate affecting collectibles and certain small business stock and the 25% rate affecting gains representing depreciation claimed on MACRS realty.

For dividends received in tax years beginning after 2002 and before 2009, dividends received by an individual shareholder from domestic corporations are treated as adjusted net capital gain for purposes of applying the capital gain tax rates. In other words, the dividends are taxed at rates of 5% (zero, in 2008) and 15% for both regular tax and AMT purposes. This results in substantial tax savings for dividend recipients given the fact that, under pre-2003 Jobs and Growth Act law, the dividends were taxed as ordinary income at rates up to 38.6%.

Acceleration of certain previously enacted tax benefits and reductions for individuals.

An important component of the 2003 Jobs and Growth Act speeds up previously enacted tax benefits and reductions that were scheduled to be phased in over the next several years. These acceleration provisions include:

      ... Acceleration of 10% individual income tax rate bracket expansion. The expansion in the width of the 10% rate bracket for single and joint filers is accelerated from 2008 to 2003. thus, under the 2003 Jobs and Growth Act, the 10% tax bracket for 2003 ends at $14,000 (up from $12,000) of taxable income for joint filers and $7,000 (up from $6,000) for single filers and marrieds filing separately, and for 2004, both these figures will be indexed for inflation. The endpoint of the 10% bracket for heads of household remains unchanged at $12,000. From 2005 through 2007, the end point of the 10% bracket will revert to the $12,000/$6,000 levels (and under 2001 EGTRRA, will go up to $14,000/$7,000 for 2008 through 2010).

      ... Acceleration of reduction in individual income tax rates. The 2003 Jobs and Growth Act change that will affect the widest number of taxpayers is an immediate reduction of the marginal tax brackets paid by all but the lowest earners. Under the change, the tax rates above 15% for 2003 and later years are 25%, 28%, 33%, and 35% (previously rates for 2003 above 15% were 27%, 30%, 35%, and 38.6%). These rate reductions were scheduled for 2006 under 2001 EGTRRA. After 2010, rates above 15% will revert to the pre-2001 EGTRRA levels (i.e., to 28%, 31%, 36%, and 39.6%).

      ... Acceleration of marriage-penalty relief. The 2003 Jobs and Growth Act reduces so-called marriage penalties (i.e., tax-law provisions that force two-income couples to pay more in taxes each year merely because they are married). The basic standard deduction amount for joint returns will be double ($9,500 for 2003) the basic standard deduction amount for single returns (under the Economic Growth and Tax Relief Reconciliation Act of 2001 (2001 EGTRRA), this wasn't scheduled to be fully phased in until 2009). However, for tax years beginning after 2004, a joint return filer's basic standard deduction will revert to pre-2003 Jobs and Growth Act levels (e.g., for 2005, to 174% of a single return filer's basic standard deduction). Furthermore, in 2003 and 2004, the end point of the 15% tax bracket for joint returns will be twice the end point of the 15% tax bracket for single returns (under 2001 EGTRRA, this wasn't scheduled to happen until 2008). In other words, for 2003, the 15% tax bracket for joint filers applies to taxable income over $14,000 (up from $12,000) but not over $56,800 (up from $47,450). However, for tax years beginning after 2004, the end point will, like the basic standard deduction amount, revert to pre-2003 Jobs and Growth Act (e.g., for 2005, 180% of the end point of the 15% tax bracket for single returns).

      ... Acceleration of increase in child tax credit. For 2003, 2004 and 2005, the child tax credit will increase to $1,000 per qualifying dependent child under 17 (up from the $600 per qualifying child for 2003-2004 and $700 for 2005 that was provided for under pre-2003 Jobs and Growth Act law), but after 2005 the child tax credit will fall back to $700 for 2006-2008. What's more, for 2003, the increased amount of the child tax credit will be paid in advance beginning in mid-July over a period of three weeks. Thus, a typical qualifying family will receive an advance payment check for up to $400 per qualifying child who is under age 17 as of the end of 2003. Note that the income limits related to the child tax credit are unchanged by the 2003 Jobs and Growth Act, which means that the amount of the credit allowable is reduced or eliminated for taxpayers with adjusted gross income (AGI) over certain levels: $75,000 for singles and $110,000 for married couples. However, taxpayers who didn't qualify in the past for the child tax credit because of AGI limitations may now qualify for a portion because of the increased credit (even though they won't get an advance payment).

      ... Minimum tax relief to individuals. The 2003 Jobs and Growth Act also includes some relief from the alternative minimum tax, or AMT. For 2003 and 2004, the maximum AMT exemption for joint filers and surviving spouse is increased to $58,000 (up from $49,000 under pre-2003 Jobs and Growth Act law) and for unmarried taxpayers is increased to $40, 250 (up from $35,750) for joint filers and surviving spouses and $40,250 for unmarried taxpayers, reverting to $45,000 and $33,750 after 2004. Under pre-Jobs and Growth Act law, the AMT exemption amount for 2003-2004 was $49,000 for joint filers and surviving spouses and $35,750 for unmarried taxpayers, reverting to $45,000 and $33,750 for 2005 and later tax years.

Tax changes for businesses and corporations.

The 2003 Jobs and Growth Act includes two temporary tax breaks designed to encourage immediate investments. Under the first of these breaks, small companies can expense up to $100,000 in new equipment investments through 2005. Under a second provision, businesses can depreciate more of their assets sooner through 2004. Another change for corporations affects the estimated tax payment rules for 2003.

The 2003 Jobs and Growth Act vastly liberalizes the expensing election, which permits small businesses to expense (i.e., deduct immediately rather than depreciate over several years) a certain amount of the cost of tangible depreciable personal property purchased and placed in service during the tax year in an active trade or business. All of the following expensing changes are effective for tax years beginning after 2002 and before 2006:

      ... The maximum annual expensing amount is $100,000 (it was $25,000 before).

      ... The maximum annual expensing amount is reduced (but not below zero) by the amount by which the cost of qualifying property placed in service during the tax year exceeds a specified dollar level. This dollar level is increased to $400,000 (from $200,000).

      ... The above increased dollar amounts will be inflation-indexed for tax years beginning after 2003.

      ... Off-the-shelf computer software is made eligible for expensing.

      ... Taxpayer revocation of expensing elections will no longer require IRS consent.

A second major change affecting businesses is an increase and extension of bonus first-year depreciation. In general, before the 2003 Jobs and Growth Act, a 30% additional first-year depreciation allowance applied to the non-expensed portion of qualified property (which included most new MACRS property) if: (1) its original use commenced with the taxpayer after Sept. 10, 2001; (2) the asset was acquired by the taxpayer after Sept. 10, 2001 and before Sept. 11, 2004; and (3) it was placed in service by the taxpayer before 2005 (before 2006 for certain property with longer production periods).

The 2003 Jobs and Growth Act makes the following changes:

      ... For 30% bonus first-year depreciation purposes, property can be acquired before 2005.

      ... 50% bonus first-year depreciation applies to qualified property if (1) its original use commences with the taxpayer after May 5, 2003; (2) the asset is acquired by the taxpayer after May 5, 2003 and before 2005 (there can't be a written binding contract for acquisition in effect before May 6, 2003); and (3) it is placed in service by the taxpayer before 2005 (before 2006 for certain property with longer production periods).

      ... Taxpayers can elect on a class-by-class basis to claim 30% instead of 50% bonus first-year depreciation for qualifying property, or elect not to claim bonus first-year depreciation at all. Two situations in which a taxpayer would likely consider making an election to claim smaller bonus first-year depreciation (or to elect out of it entirely) are where the taxpayer (1) has about-to-expire net operating losses, or (2) anticipates being in a higher tax bracket in future years.

Note that there still is no AMT depreciation adjustment for the entire recovery period of qualified property recovered under the bonus first-year depreciation rules (50% or 30%).

Another change for corporations affects only the estimated tax payment rules for 2003. Despite the general rule that estimated tax payment installments must be made no later than Apr. 15, June 15, Sept. 15 and Dec. 15, 25% of the amount of any required installment of corporate estimated tax which is otherwise due in Sept. 2003 will not be due until Oct. 1, 2003. This change affects corporations using (1) the calendar year (third installment of estimated tax would have been due on Sept. 15, 2003); (2) a fiscal year ending Mar. 31, 2004 (second installment would have been due on Sept. 15, 2003); (3) a fiscal year ending May 31, 2004 (first installment would have been due on Sept. 15, 2003); and (4) a fiscal year ending Sept. 30, 2003 (last installment would have been due Sept. 15, 2003). The due dates for all other corporate estimated tax payments aren't changed by the 2003 Jobs and Growth Act provision.

Please keep in mind that I've described only the highlights of the most important changes in the new law. Give me a call at your earliest convenience for more details on how you may be affected, and whether immediate action is needed to take advantage of the tax breaks in this important tax legislation.

Very truly yours,
Bruce Alan Danford
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LAND TRUST TRANSACTION IS A TRAVESTY!
Daniel P. Kapsak, Esq.

A form of fraudulent real estate transaction called the Land Trust (LT) and the Land Trust Transaction (LTT) is in our area. Innocent persons will be suckered into this sham transaction and will suffer irreparably. Instead of the deal they thought was going to get them into the house of their dreams, victims of this fraud will discover that (1) they never owned the house (and never will!), (2) the house may be subject to IRS liens or other judgments or foreclosure that will be satisfied by sale of the property, and (3) the sellers are under no obligation to ultimately transfer the house to the buyers. The buyers will wind up with a house ripped out from under them and no recourse against the seller who has either disappeared or is judgment-proof!

Literature promoting the LT and LTT advertises that the LTT¹s advantages are privacy, asset protection, ease of transfer, avoidance of probate, and facility of sale. Their literature also promotes the LTT as the best way to avoid what are euphemistically called inhibiting circumstances, i.e., bankruptcy, IRS or other creditor liens; foreclosure. The LTT is also perfect (so says the literature) for getting around the due-on-sale clause in most mortgages. All of these so-called advantages are merely smoke and mirrors and will only serve to tempt the gullible into financially and emotionally devastating actions.

Some basic myths about the Land Trust and the Land Trust Transaction:

Myth 1. The purpose of the LT is to hold and manage real property and to permit persons to hold what is called beneficial interest in the property, all without any formal transfers of ownership in the property.

Fact: All the LT does is sucker the victims into believing that they will have some interest in the property which ultimately will allow them to own the property in their own names. Unfortunately, the LT is revocable, thus any interest "conveyed" to the beneficiary may be changed or terminated without recourse.

Myth 2: The LTT provides the parties a "secure method for selling real estate."

Fact: Because there is no change in the deed (the only evidence of property ownership), the purported buyers do not own the property. The formalities of property ownership and transfers, including executing new deeds and issuing title insurance are in place to provide the parties with secure transactions. The title insurance tells the buyers that they are taking possession of a house without liens, judgments, or other clouds on the property¹s title and ownership. Using the LTT only serves to short-circuit this process; the sellers avoid any of those nasty questions such as, "Why are there judgments against the property?" and "How do you think you will be able to sell the property with the IRS lien against it?"

Myth 3: This transaction is deemed to be a private contract between the seller and buyer, requiring no approval from anyone else.

Fact: If we own property subject to a mortgage, we cannot by the terms of the mortgage just up and sell the property without telling the mortgage company (if we sell the property we are obligated by our agreement with the mortgage company to pay off the balance of the mortgage; this is called the "due on sale" clause). Also, if we have liens, judgments, or other "clouds" on our ownership of the property, we are obligated to notify them and pay those obligations before we transfer title of the property to someone else. Thus, by "selling" the property, the sellers are violating the terms of their mortgage, thus defrauding the mortgage company and any other lien holders. Also, because the LTT provides that the buyers do not pay the mortgage company outright but instead make payments to the sellers who then pay the mortgage company, there is nothing to insure that the sellers will pay the mortgage, nor is there is there anything in place to insure that the buyers¹ prompt payments will be reported anywhere.

Conclusion: Land Trusts and Land Trust Transactions are not to be considered as legal, viable means of transferring title to property while avoiding such inhibiting circumstances, such as bankruptcies, IRS or other creditor liens; foreclosures. Remember, any liens, judgments, or the like will follow the property unless satisfied. Thus, taking title or any other interest in a property that is subject to such inhibiting circumstances means that the creditor will have the right to execute against that property to satisfy the obligation, no matter who own‹or think they own‹the property. The old adage that "if it sounds too good to be true, it probably is," applies here. Avoid Land Trust or Land Trust Transactions at all costs.
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How Many Ways Can I make a Gift to Charity?
Bruce Alan Danford, esq.

There are many ways to make a gift to a charity. The way most of us are familiar with is an annual pledge or an outright gift. But what if I want to give something to charity but I need the money to do something else also? Can I make a gift now which will continue on for many years? Can I give some money which will earn income and only the income be used by the charity thereby allowing the principal to continue earning income far into the future eventually exceeding the initial gift? Could I make a gift to the charity which earns money for the charity for a number of years and then the initial amount is returned to me? How about could I make a gift to somebody (child, friend, relative) who would get the earnings for a number of years and then the money would go to the charity? Can I leave money to the charity in my will? The answer to all these questions is YES!

A charitable gift can aid in your retirement planning, your estate planning, and your current tax planning. I will address each of these questions in general in the following paragraphs but please remember this is only meant to be for general information. Always, always check with your attorney or accountant for any specific results you may desire before attempting any of these strategies. Before I address these questions, a little background information may help.

Our society favors charitable giving. The most visible sign of societal support for charitable gifting are the various tax deductions available. There are several reasons for these tax deductions. The House Committee on Ways and Means in one of its few statements regarding charitable tax deductions stated in 1938:

    The exemption from taxation of money or property devoted to charitable or other purposes is based upon the theory that the Government is compensated for the loss of revenues by its relief from financial burden which would otherwise have to be met by appropriations from public funds, and by the benefits resulting from the promotion of the general welfare. HR Rep. No. 1860, 75th Cong., 3d Sess. (1938)

The tax laws allow charitable deductions for income tax under Internal Revenue Code (IRC) §170, estate tax IRC §2055, gift tax IRC §2522. Some of the laws and regulations work against each other intentionally excluding a contribution deduction from being taken for two or more of the taxes at the same time.

A charitable remainder trust (CRT) is an irrevocable trust formed with two distinct parts (interests) to it. The two interests are the income interest and the remainder interest (the amount left over). The income interest is where the donor or another person (or persons) designated by the donor receives an amount from the property for life or a number of years. After the income interest period is over the remainder goes to the charity. A typical CRT could be as follows:

    Bob is 80 years old and very committed to his charity. Bob started working at an early age and thinks everyone should be self-sufficient by age thirty. Bob has only one grandchild who he loves very much and wants to make sure the grandchild is provided for now and until the child reaches the age of thirty. Bob places a sum of money in a trust with instructions a fixed annuity amount (or a percentage of the trust assets) be given to the grandchild every year until the child reaches age thirty. After the grandchild reaches age thirty the balance left in the trust is to be given to Bob's favorite charity. Bob receives a current income tax charity deduction and a gift tax deduction.

A provision could be made in Bob's will to accomplish the same thing if Bob is worried about needing the money himself before he dies. There is a veritable alphabet soup of types of Charitable Remainder Trusts ie. CRAT, CRUT, NICRUT, NIMCRUT and FlipCRUT. All have different estate tax, gift tax, generation skipping tax, and income tax implications. The nice thing about such a variety is there is a wide enough range to generally accomplish whatever the donor wishes.

A charitable lead trust (CLT) is almost the opposite of the charitable remainder trust. In a charitable lead trust the charity gets use of the money first with the remainder then going to the beneficiary. The income tax advantages can make a CLT beneficial to the donor as well as the charity.

    Mary is a very, very successful executive. She makes an excellent salary and as part of her employment contract is receiving a very large bonus this year. Mary does not need the bonus money at this time because of her excellent salary but she will need it in about twenty years after she has retired. Mary can form a charitable lead trust, put the money in the trust as the trust corpus and designate the income for twenty years to be paid to her favorite charity. Mary receives a charitable tax deduction on her income taxes equal to the present value of the estimated income of the trust. In the example we used 20 years because at the current allowed rates twenty years would be about the amount of time necessary to allow the present value of all the income to equal the contributed corpus amount. The charity would receive the income for the next twenty years and Mary would receive the corpus back in twenty years.

There may be other factors to consider such as the tax on the yearly earnings of the trust but the above example gives the basic framework. The charity received a steady income stream for twenty years, which allowed the charity a measure of security in their planning and budgeting.

Does the idea of a charitable remainder trust (CRT) sound interesting but the expense and bother of administering a trust sound just a little more complicated than you would like? A pooled income fund may be just the manner of gifting for you. Similar to a CRT, income is paid to the beneficiaries and then the remainder is paid to the charity. However, there are some important differences. One difference is the time period for the income interest can only be for the life or lives of beneficiaries. A CRT can be for either a number of years (say 20 years) or the life or lives of the beneficiaries.

A pooled income fund is just that, the funds are pooled. Say Bob, Fred, and Alice all want to receive income for life and then have the remainder go to the Red Cross. They could all set up individual CRTs (a CRT can not have commingled funds). Unfortunately the expense of administering each trust may eat away any income if the amounts they put into the trust are not sufficiently large. However, a pooled income fund does permit commingling of funds and therefore, because a larger amount can be administered, an economy of scale can be realized saving on costs and thereby allowing more to pass as income to the beneficiaries. This same commingling (pooling) also allows larger amounts to be invested. Larger investment amounts can result in greater percentage yields.

There are many, many ways to gift to a charity. Some can help an defer or completely eliminate taxes. In this brief article I have not explored the gifting of appreciated assets, qualified retirement plan benefits, IRAs, gift annuities, or many other possible manners of gifting to a favorite charity. There are many possible gifting methods which can ensure the charity of a needed gift while affording the donor with possible tax benefits.

Bruce Alan Danford, esq.
Mr. Danford is an estate planning attorney with an Illinois CPA Certificate, a Masters in Taxation, and a Juris Doctorate currently working at The Kapsak Law Firm, LLC and can be reached at (303) 651-9330.
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Does my Religion Approve of Organ Donation?
Daniel P. Kapsak, Esq.

An often-heard question when organ donation is being discussed is: "Does my religion approve? The New York Regional Transplant Program published the views of major religions on the subject. Here are those positions:

AME AME ZION (AFRICAN METHODIST EPISCOPAL)
Organ and tissue donation is viewed as an act of neighborly love and charity by these denominations. They encourage all members to support donation as a way of helping others.

AMISH
Approved if there is a definite indication that the health of the recipient would improve, but reluctant if the outcome is questionable.

ASSEMBLY OF GOD
The Church has no official policy in regards to organ and tissue donation. The decision to donate is left up to the individual. Donation is highly supported by the denomination.

BAPTIST
Donation is supported as an act of charity and the church leaves the decision to donate up to the individual.

BRETHREN
The Church of the Brethren's Annual Conference in 1993 wrote a resolution on organ and tissue donation in support and encouragement of donation. They wrote that, "We have the opportunity to help others out of love for Christ, through the donation of organs and tissues."

BUDDHISM
Donation is a matter of individual conscience.

CATHOLIC
Transplants are acceptable and donation is encouraged as an act of charity.

CHRISTIAN CHURCH (DISCIPLES OF CHRIST)
The Christian Church does not prohibit organ and tissue donation. They feel that it is a personal decision to be made in conjunction with family and medical personnel.

CHRISTIAN SCIENCE
No position, leaving it to the individual.

EPISCOPAL
The Episcopal Church passed a resolution in 1983 that recognizes the life-giving benefits of organ, blood, and tissue donation. All Christians are encouraged to become organ, blood, and tissue donors "as part of their ministry to others in the name of Christ, who gave His life that we may have life in its fullness."

GREEK ORTHODOX
No objection to procedures that contribute to restoration of health, but donation of the entire body for experimentation or research is not consistent with tradition.

GYPSIES (ROMANY)
Gypsies are a people of different ethnic groups without a formalized religion. They share common folk beliefs and tend to be opposed to organ and tissue donation. Their opposition is connected with their beliefs about the afterlife. Traditional belief contends that for one year after death, the soul retraces its steps. Thus, the body must remain intact because the soul maintains its physical shape.

HINDUISM
Donation of organs is an individual decision.

INDEPENDENT CONSERVATIVE EVANGELICAL
Generally, Evangelicals have no opposition to organ and tissue donation. Each church is autonomous and leaves the decision to donate up to the individual.

ISLAM
The religion of Islam strongly believes in the principle of saving human lives. According to A. Sachedina in his Transplantation Proceedings' article, Islamic Views on Organ Transplantation, "the majority of the Muslim scholars belonging to various schools of Islamic law have invoked the principle of priority of saving human life and have permitted the organ transplant as a necessity to procure that noble end."

Moslems approve of donation provided the donors consent in writing in advance and the organs are not stored but are transplanted immediately. You can also read an article on donation posted at the Islamic Center of Southern California.

JEHOVAH'S WITNESSES
Donation is a matter of individual conscience with provision that all organs and tissues be completely drained of blood.

JUDAISM
Jews believe that if it is possible to donate an organ to save a life, it is obligatory to do so. Since restoring sight is considered life saving, this includes cornea organ transplantation.

LUTHERAN
In 1984, the Lutheran Church in America passed a resolution stating that donation contributes to the well-being of humanity and can be "an expression of sacrificial love for a neighbor in need." They call on "members to consider donating organs and to make any necessary family and legal arrangements, including the use of a signed donor card."

MENNONITE
Mennonites have no formal position on donation, but are not opposed to it. They believe the decision to donate is up to the individual and/or their family.

MORMON (CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS)
The Church of Jesus Christ of Latter-Day Saints believes that the decision to donate is an individual one made in conjunction with family, medical personnel, and prayer. They do not oppose donation.

PENTECOSTAL
Pentecostals believe that the decision to donate should be left up to the individual.

PRESBYTERIAN
Presbyterians encourage and support donation. They respect a person's right to make decisions regarding their own body.

PROTESTANTISM
Encourage and endorse organ donation.

SEVENTH-DAY ADVENTIST
Donation and transplantation are strongly encouraged by Seventh-Day Adventists.

SHINTO
In Shinto, the dead body is considered to be impure and dangerous, and thus quite powerful. "In folk belief context, injuring a dead body is a serious crime. . .", according to E. Narnihira in his article, "Shinto Concept Concerning the Dead Human Body." "To this day it is difficult to obtain consent from bereaved families for organ donation or dissection for medical education or pathological anatomy.... the Japanese regard them all in the sense of injuring a dead body." Families are concerned that they not injure the itai Ð the relationship between the dead person and the bereaved people.

SOCIETY OF FRIENDS (QUAKERS)
Organ and tissue donation is believed to be an individual decision. The Society of Friends does not have an official position on donation.

UNITARIAN UNIVERSALIST
Organ and tissue donation is widely supported by Unitarian Universalists. They view it as an act of love and selfless giving.

UNITED CHURCH OF CHRIST
The United Church of Christ supports and encourages donation.

UNITED METHODIST
The United Methodist Church issued a policy statement in regards to organ and tissue donation. In it, they state that "The United Methodist Church recognizes the life-giving benefits of organ and tissue donation, and thereby encourages all Christians to become organ and tissue donors by signing and carrying cards or driver's licenses, attesting to their commitment of such organs upon their death, to those in need, as a part of their ministry to others in the name of Christ, who gave His life that we might have life in its fullness."
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Distance Caregiving; Hands Across the Borders
Daniel P. Kapsak, Esq.

An increasing number of us are owning property in more than one state and/or are spending parts of the year in different states. Because we are more mobile, estate and disability planning require that we--and our legal counselors--consider the specific legal requirements of each state in which we own property or spend our time. These legal requirements include the documents we have drafted for us , the persons we designate as our fiduciaries , and the potential situations in which we may find ourselves. This articles will provide the reader with a brief overview of some of the potential problems and issues involved in addressing our mobile lifestyles.

No matter the type of document--be it a will, power of attorney, health care proxy, or living will--each state will have its own formalities and requirements in its drafting and execution. Many states may follow a uniform code or model law; each state will have its own interpretation of such laws or will have created its own uniform law or collection of laws based upon its particular judicial, customary or statutory idiosyncrasies. A document such as a holographic will (handwritten) may be valid in one jurisdiction but not in another. A living will generally addresses life sustaining surgical or medical treatment, but the specific actions permitted or prohibited may be drastically different depending on where the document was drafted, under which state's laws does it operate, and a particular state's interpretation or definition of a specific term or the medical condition of the executor of the document.

Naming persons to positions of trust (fiduciaries such as agents, guardians, conservators, trustees, personal representatives) requires consideration many issues, such as the relationship of the maker/principal to the proposed fiduciary, the trustworthiness of the fiduciary to the particular responsibility, whether the fiduciary lives in the same locale as the principal, and ability of one fiduciary to work with other fiduciaries. In many instances states will draw distinctions between resident and nonresident fiduciaries. Whether the fiduciary is a person or an entity such as a trust company or bank will also come into play. Making financial decisions may be relatively easy even if out of state (and permitted), but dealing with medical decisions half-way across the country (or the world!) may be a completely different matter entirely! And if family members (or other loved ones) dispute the decisions to be acted upon, who has standing to contest or defend the decisions?

Finally, we need to consider the particular circumstances we wish to address in the documents we have drafted for us, both in terms of the time of effectiveness of the document as well as making sure that the document will do what we wish it to do. A "fill-in-the-blank" power of attorney may supposedly grant the agent a general power or a will may be expected to transfer all one's assets, but without a specific mention of a power such as real estate transactions, an agent may find it impossible to transfer the property of a now disabled/incapacitated principal, or the will may only transfer the clothes on my back, no more! Documents such as wills or titling options such as joint tenancy will become effective upon our deaths. Other documents such as powers of attorney will be effective only during our lifetimes, though we must be careful to insure that they survive our disability--are "durable." Otherwise any ability our loved ones have to act on our behalf will cease upon our becoming disabled or incapacitated.

The most important action anyone can take in this area is to work with persons whose practice (legal, financial, insurance) is devoted to such issues. Documents and the plans they evidence should be comprehensive and deliberate; fiduciaries should be carefully chosen and informed of their responsibilities. Careful planning will insure that what we wish to happen will indeed happen, even across the miles. About Daniel P. Kapsak
Mr. Kapsak's practice is devoted to all aspects of estate and business planning, with a special emphasis in elder law issues. He is a member of the Boulder County Bar Association, the Colorado and Nebraska State Bars, and the American Bar Assocation. Mr. Kapsak is a member of the Boulder County Estate Planning Council as well as the Tax, Probate and Trust Sections of the Colorado and Boulder Bar Associations. He serves as co-chairperson for the Ethics Committee for Longmont United Hospital, and is a member of the National Academy of Elder Law Attorneys (NAELA). Mr. Kapsak is principal of The Kapsak Law Firm, LLC, Longmont, Colorado.

"Will substitutes" such as joint tenancy or other titling options providing for the transfer of ownership by operation of law, or contractual arrangements such as beneficiary designations may be affected by a specific state's laws. The author recommends that these matters be addressed by appropriate legal, insurance or financial professionals.

The author acknowledges that familial relationships are very important in these matters, and the spousal relationship carries with it certain "privileges" related to inheritance of assets and a person's ability to disinherit a spouse, the amount of assets to be inherited, and the ability to make decisions related to a spouse's financial or medical care and treatment. The author recommends that these matters also be addressed by knowledgeable professionals.
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What Elders Need to Know; Changes in the Colorado Guardianship and Conservatorship Laws
Daniel P. Kapsak, Esq.

The Colorado Legislature has revised the Colorado Guardianship and Conservatorship laws, effective in 2001. These changes will have a profound effect on all who are seeking protection for loved ones through either a guardianship or conservatorship . . . or both.

Undoubtedly the most important change in the laws is the definition of an incapacitated person. The new law defines an incapacitated person as an individual who is unable to effectively receive or evaluate information or both or make or communicate decisions to such an extent that the individual lacks the ability to satisfy essential requirements for physical health, safety, or self-care, even with appropriate and reasonably available technological assistance. The old definition emphasized illness, disability, addiction, or deficiency; the new definition focuses on the cognitive and functional ability of the individual and finds incapacity only in the event the individual cannot satisfy essential requirements for health and care, after evaluating the person's resources, person's capabilities, limitations and demonstrated needs in his or her own home and then re-evaluating in light of reasonably available technological assistance.

The protected individual is now afforded greater safeguards: He or she is entitled to an attorney simply by asking. Attendance at hearings is now mandated for the protected person and may be waived only upon a showing of good cause. The protected person has the right to examine all witnesses involved in the conservatorship or guardianship process, including the court appointed "visitor."

The revised laws also address the responsibilities of the persons acting as guardians or conservators: "Dual capacity" is prohibited; that is, a conservator may not also act as guardian, direct service provider, or the like. The priority for appointment as guardian or conservator no longer presumes the spouse as the "shoe-in" fiduciary; currently existing relationships such as agencies and limited conservatorships or guardianships are considered most appropriate.

The guardian is now required to be personally acquainted with the protected person in order to know his or her capabilities, limitations, needs, opportunities, and health. Guardians and conservators are to be held to a higher standard of care.

Thus, a guardianship or conservatorship is considered a harbor of law resort; protection will be afforded only in circumstances where there are no other legal options available such as agencies under general or medical powers, and where available technological assistance cannot make up for the person's limited cognitive or functional abilities.
About Daniel P. Kapsak
Mr. Kapsak's practice is devoted to all aspects of estate and business planning, with a special emphasis in elder law issues. He is a member of the Boulder County Bar Association, the Colorado and Nebraska State Bars, and the American Bar Association. Mr. Kapsak is a member of the Boulder County Estate Planning Council as well as the Tax, Probate and Trust Sections of the Colorado and Boulder Bar Associations. He serves as co-chairperson for the Ethics Committee for Longmont United Hospital, and is a member of the National Academy of Elder Law Attorneys (NAELA). Mr. Kapsak is principal of The Kapsak Law Firm, LLC, Longmont, Colorado.
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The Beneficiary Designation Act