[Senate Hearing 108-117] [From the U.S. Government Publishing Office] S. Hrg. 108-117 GUARDIANSHIP OVER THE ELDERLY: SECURITY PROVIDED OR FREEDOMS DENIED? ======================================================================= HEARING before the SPECIAL COMMITTEE ON AGING UNITED STATES SENATE ONE HUNDRED EIGHTH CONGRESS FIRST SESSION __________ WASHINGTON, DC __________ FEBRUARY 11, 2003 __________ Serial No. 108-3 Printed for the use of the Special Committee on Aging 86-496 U.S. GOVERNMENT PRINTING OFFICE WASHINGTON : 2003 ____________________________________________________________________________ For Sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpr.gov Phone: toll free (866) 512-1800; (202) 512�091800 Fax: (202) 512�092250 Mail: Stop SSOP, Washington, DC 20402�090001 SPECIAL COMMITTEE ON AGING LARRY CRAIG, Idaho, Chairman CONRAD BURNS, Montana JOHN B. BREAUX, Louisiana, Ranking RICHARD SHELBY, Alabama Member RICK SANTORUM, Pennsylvania HARRY REID, Nevada SUSAN COLLINS, Maine HERB KOHL, Wisconsin MIKE ENZI, Wyoming JAMES M. JEFFORDS, Vermont GORDON SMITH, Oregon RUSSELL D. FEINGOLD, Wisconsin JAMES M. TALENT, Missouri RON WYDEN, Oregon PETER G. FITZGERALD, Illinois BLANCHE L. LINCOLN, Arkansas ORRIN G. HATCH, Utah EVAN BAYH, Indiana Elizabeth Dole, North Carolina THOMAS R. CARPER, Delaware TED STEVENS, Pennsylvania DEBBIE STABENOW, Michigan Lupe Wissel, Ranking Member Staff Director Michelle Easton, Staff Director (ii) C O N T E N T S ---------- Page Opening statement of Senator Larry Craig......................... 1 Statement of Senator Susan Collins............................... 2 Prepared statement of Senator John Breaux........................ 4 Panel I Jane M. Pollack, New York, NY.................................... 4 Michael S. Kutzin, Attorney at Law, Goldfarb & Abrandt, New York, NY............................................................. 28 Panel II A. Frank Johns, Attorney at Law, Greensboro, NC.................. 39 Diane G. Armstrong, Consultant and Author, Santa Barbara, CA..... 73 Penelope A. Hommel, Co-Director, The Center for Social Gerontology, Ann Arbor, MI..................................... 97 Robin A. Warjone, Seattle, WA.................................... 119 Robert L. Aldridge, Attorney at Law, Boise, ID................... 135 APPENDIX Comments on Guardian Accountability and Monitoring By Erica F. Wood, Associate Staff Director, American Bar Association Commission on Law and Aging.................................... 151 (iii) GUARDIANSHIP OVER THE ELDERLY: SECURITY PROVIDED OR FREEDOMS DENIED? ---------- TUESDAY, FEBRUARY 11, 2003 U.S. Senate, Special Committee on Aging, Washington, D.C. The committee met, pursuant to notice, at 10 a.m., in room SD-628, Dirksen Senate Office Building, Hon. Larry E. Craig (chairman of the committee) presiding. Present: Senators Craig, Collins, and Carper. OPENING STATEMENT OF SENATOR LARRY E. CRAIG, CHAIRMAN The Chairman. The Special Committee on Aging of the U.S. Senate will come to order. My colleague and ranking member, John Breaux, anticipates being here. There is a lot of activity going on on the Hill this morning, so I am not expecting a large turnout of Senators. What is important about this committee is that it is called a ``nonauthorizing committee'' but it is an investigative committee that builds a record for Senators to look at in the shaping of public policy. So your presence here today even in the absence of a large crowd attending is extremely important for this committee and for the Senate as we grapple with an aging population in this country and their responsibilities and their rights. That is what this is all about this morning. Today we are going to explore the issue of guardianship imposed over the elderly. This committee originally addressed abuses of the guardianship system in the early nineties through roundtable discussions that produced a series of recommendations. It is now time to take a close look at how far we have come on this issue of great importance to our Nation's seniors. Guardianships are a judicial intervention allowing for the management of an elderly adult's personal affairs and property. When used correctly in very extreme cases, guardianship can be an important tool in securing the physical and financial safety of an incapacitated elder. At the same time, guardianship can divest an elderly person of all of his or her rights and freedoms that we consider important as citizens in this great country. When full guardianship is imposed, the elderly no longer have the right to get married, vote in elections, enter into contracts, make medical decisions, manage finances, or buy and sell property. They cannot even make decisions on where they want to live. All these rights are taken away from the elderly and vested in a surrogate decisionmaker--the guardian. Our investigation has confirmed that some guardianships can have onerous effects on the elderly. For example, guardianship may drain the elder's estate, result in protracted legal proceedings, and substitute the judgment of a total stranger for those of the elder and their family. A recent case has come to my attention where a court actually terminated a marriage pursuant to a guardianship. Sine people are now living longer, we can expect a significant increase in the number of vulnerable elders potentially harmed by the guardianship process. In addition, the financial management of a significant amount of wealth is at stake. Studies indicate the baby boomers are expected to inherit $10.4 trillion in assets in the next 40 years. I am interested in this issue because our Constitution ensures that all citizens shall not be deprived of liberty or property without due process of law. Also, substantial sums of Federal money, including Social Security and SSI payments, disability and survivor benefits, Federal pensions, and welfare benefits, are administered and potentially misused by guardians. For this reason, I will be asking the GAO to study the accountability of guardians who are charged with managing these funds on behalf of the elderly. Ironically, the imposition of guardianship without adequate protection and oversight may actually result in the loss of liberty and property for the very persons whom these arrangements are intended to protect. In our effort to provide protection for our seniors, we must be cautious that our well-intentioned interventions do not do more harm than good. We have one such case before us here today. Our first panel is going to visit with us about that case. So I welcome Jane Pollack and Michael Kutzin to the committee to tell us what happened to Mollie Orshansky. We will play an interview providing background on this case, and then I will turn to Jane and Michael to discuss the case in testimony with us. So if we could start the video at this time, I think it is very self-explanatory. Thank you very much. That certainly is a bold introduction into the issue that this committee is tackling today. Before I turn to our panel, let me turn to my colleague Susan Collins for any comments and opening statement she would like to make. STATEMENT OF SENATOR SUSAN COLLINS Senator Collins. Thank you very much, Mr. Chairman. First let me thank you for calling this morning's hearing to raise public awareness about guardianship issues and to educate seniors and their families about the potential misuse of guardianships. When an individual becomes mentally or physically incapacitated and can no longer look after his or her own health and financial interests, it may very well be appropriate for the court to appoint someone to serve as his or her guardian. We should keep in mind, however, that once an individual is judged incapacitated and a guardianship imposed, the individual loses most of his or her fundamental rights. They cannot write a check or use a credit card. They no longer have control over where they are going to live. They lose their right to vote and to marry, and their guardianship assumes control over how much contact they can have with family and friends. They even lose the right to refuse medical care or social services. Moreover, while the reason that the court appoints a guardian in the first place is to ensure that sound decisions about money and care are made, there is considerable potential for abuse in the current system since the guardian assumes complete control of their ward's finances. We have seen a lot of examples of those, and I know the chairman is going to get into that today. Again I want to thank the chairman for shedding light on this issue. I would ask that my complete statement be included in the record. The Chairman. Without objection, and thank you very much for joining us this morning. [The prepared statement of Senator Collins follows along with prepared statement of Senator John Breaux:] Prepared Statement of Senator Susan Collins Mr. Chairman, thank you for calling this morning's hearing to raise public awareness about guardianship issues and to educate seniors and their families about the potential misuses of a guardianship system that critics say is too often overzealous and paternalistic, and sometimes even downright abusive. When an individual becomes mentally or physically incapacitated and can no longer look after their own health and financial interests, it may very well be perfectly appropriate for the Court to appoint someone to serve as his or her guardian. We should keep in mind, however, that once an individual is judged incapacitated and guardianship is imposed, they lose most of their fundamental rights. They can't write a check or use a credit card. They no longer have control over where they are going to live. They lose the right to marry, and their guardian assumes control over how much contact they will have with family and friends. They lose the right to refuse medical care or social services. They even lose their right to vote. Moreover, while the reason the court appoints a guardian in the first place is to ensure that sound decisions about money and care are made, there is considerable potential for abuse in the current system since the guardian assumes complete control of their ward's finances. For example, an article in the January 2000 edition of California Lawyer details the case against an employee of the Riverside County public guardian's office who admitted skimming $100,000 from her charges. That's just what she admits to taking. Sources familiar with the case say that the actual amount stolen could well add up to millions. What I find particularly troubling is the fact that the imposition of guardianships appears to be growing rapidly. In New York, for example, 32,000 guardianships were granted in 1997, up from just 15,000 in 1992. Moreover, this number will only increase exponentially as the Baby Boom generation ages. Mr. Chairman, there are alternatives to guardianship for an incapacitated person. Today's hearing gives us an opportunity to discuss these less restrictive alternatives, such as living trusts and durable powers of attorney. It also gives us the opportunity to determine the extent of any abuses in the system, and whether reforms are needed. Perhaps most important, it gives us an opportunity to impress upon all Americans the importance of advance planning for a future in which they may no longer be capable of managing their own affairs. Again, I want to commend the Chairman for calling this important hearing. Prepared Statement of Senator John Breaux I would first like to thank Chairman Craig for holding this vital hearing on guardianship and some of the pitfalls associated with it. I would also like to thank all of our witnesses who have taken time from their busy schedules to testify before us today. Your testimony will assist the Committee greatly in determining how best to address some of these issues of concern that currently exist in the world of guardianship. Let me begin by saying that guardianship is not a new issue to those of us working with and for America's seniors. A National Guardianship Symposium , which became known simply as ``Wingspread'', was held fifteen years ago, resulted in 31 landmark recommendations to better safeguard the rights of incapacitated and allegedly incapacitated individuals. A decade later in 2001, a follow-up conference, ``Wingspan'', showed us that while progress has been made, we still have much to do. Abuse, neglect or exploitation of our nation's elderly will not stand. Whether it be in the form of physical or sexual abuse, financial exploitation or abuse of the guardianship processes it must end. To this end, Senator Hatch and I, introduced the Elder Justice Act yesterday. Our bill builds upon Wingspan's recommendations by providing for education of all actors in the guardianship system and by developing research to determine how to improve this system and the lives it affects. Thank you once again, Mr. Chairman for holding this important hearing. I look forward to hearing from our witnesses. The Chairman. Now let us turn to our first panel. You have already met Jane Pollack through the video as the niece of Mollie Orshansky. Jane is accompanied by Michael Kutzin, the attorney for Jane Pollack. So with that, Jane, please proceed with your testimony, and welcome to the committee. STATEMENT OF JANE M. POLLACK, NEW YORK, NY Ms. Pollack. Thank you. Good morning, Senators. Thank you for the opportunity to appear before this committee. I come here to testify about the nightmares my family endured to protect my elderly aunt, Mollie Orshansky. Mollie is best known for developing the Federal poverty line formula in 1963. During her 46-year public service career, Mollie received many prizes and honors. However, Mollie has said that her proudest accomplishment was her testimony in 1964 which helped to end the poll tax. Mollie did everything possible to plan for her future. She executed a health care proxy naming me as her agent. She also established a trust which held all of her assets and designated her sister Rose as co-trustee so that her money and assets could be used on her behalf in the event of incapacity. She purchased a New York apartment in the same building as Rose, four blocks from her sister Sarah, my mother, and near her nieces. Mollie planned to move there when the time was right. Her plans were designed to let her family--not strangers--care for her and make the necessary health and financial decisions should she be unable to do so. In 2001, Mollie's building management contacted Adult Protective Services. One day, without notifying the family, the caseworker ordered an ambulance and took Mollie against her will to the hospital. Although the caseworker and the hospital were aware that Mollie had interested family, the hospital instituted guardianship procedures. Once notified, I arrived in Washington and presented the proxy. I found Mollie in four-point restraints. Her speech was slurred, and she was disoriented. I was told that she had to be restrained and was heavily medicated because she kept trying to leave for home. As her agent, my requests to obtain Mollie's release were denied because of the pending guardianship hearing 7 weeks' hence. I was told that she was there only for custodial reasons, and they were waiting for an opening in a nursing home. In informed the administrator and the social workers of Mollie's wishes, plans, and financial arrangements. However, her discharge was denied, and she remained a prisoner. During my visits, Mollie often said: ``I did not know they could do this to me. I cannot live like this.'' Mollie received little attention. Her physical and mental condition deteriorated. Mollie was forced into incontinence. Her muscles atrophied and she could no longer stand or walk. When I was not there, Mollie was deprived of mental stimulation and social interaction. Mollie's rights were trampled, and her health was dangerously put at risk with each moment in captivity. I relied upon my legal authority to remove her. It was the eve of Martin Luther King Day at 7:40 p.m. With a lump in my throat and my heart pounding furiously, I wheeled Mollie out of her room and into the lobby. I prayed the guard would not notice. I took Mollie to a side door and pushed the door open. Aunt Mollie was free at last. At 10:15 p.m., I notified the nurses' station to advise them that Mollie was all right and they need not worry. However, after 2\1/2\ hours, they did not realize that Mollie was gone. In an emergency hearing, the judge voided Mollie's health care proxy, froze her account, and ordered the temporary guardian to enlist the New York Police to have Mollie immediately returned to Washington. Our family lived in fear that the police would storm Mollie's apartment and drag her away. Fortunately, we were able to obtain a court order prohibiting Mollie's removal from New York. I lost my counterbid for guardian-conservator at the February hearing in Washington, DC Mollie's court-appointed attorney supported the court in voiding Mollie's health care proxy and replacing Mollie as co-trustee of her trust. Incredibly, Mollie's attorney has never even spoken to her, and she fought the appeal in Mollie's name. Her guardian and conservator has done nothing to benefit her. However, he diverted money from Mollie's trust and has run up astronomical fees. In August, the appeals court vacated all the decisions of the lower court. However, this is not over. A judge still must decide whether to dismiss the case entirely and whether to grant requests for reimbursement of expenses and legal fees from the DC guardianship fund or from Mollie, forcing her to pay for the errors of the court. Our family, including Mollie, has so far incurred over $160,000 in expenses and bills. That is just the money; the emotional and physical toll is incalculable. I am hopeful that Congress will enact legislation to guarantee that the wishes of seniors and their families are respected so that no other family will suffer the travails that our family did. Thank you. The Chairman. Jane, thank you very much. [The prepared statement of Ms. Pollack follows:] [GRAPHIC] [TIFF OMITTED] T6496.001 [GRAPHIC] [TIFF OMITTED] T6496.002 [GRAPHIC] [TIFF OMITTED] T6496.003 [GRAPHIC] [TIFF OMITTED] T6496.004 [GRAPHIC] [TIFF OMITTED] T6496.005 [GRAPHIC] [TIFF OMITTED] T6496.006 [GRAPHIC] [TIFF OMITTED] T6496.007 [GRAPHIC] [TIFF OMITTED] T6496.008 [GRAPHIC] [TIFF OMITTED] T6496.009 [GRAPHIC] [TIFF OMITTED] T6496.010 [GRAPHIC] [TIFF OMITTED] T6496.011 [GRAPHIC] [TIFF OMITTED] T6496.012 [GRAPHIC] [TIFF OMITTED] T6496.013 [GRAPHIC] [TIFF OMITTED] T6496.014 [GRAPHIC] [TIFF OMITTED] T6496.015 [GRAPHIC] [TIFF OMITTED] T6496.016 [GRAPHIC] [TIFF OMITTED] T6496.017 [GRAPHIC] [TIFF OMITTED] T6496.018 [GRAPHIC] [TIFF OMITTED] T6496.019 [GRAPHIC] [TIFF OMITTED] T6496.020 [GRAPHIC] [TIFF OMITTED] T6496.021 [GRAPHIC] [TIFF OMITTED] T6496.022 The Chairman. Michael, do you have testimony? Mr. Kutzin. Yes, I do, Senator. The Chairman. Please. STATEMENT OF MICHAEL S. KUTZIN, ATTORNEY AT LAW, GOLDFARB & ABRANDT, NEW YORK, NY Mr. Kutzin. Good morning, and thank you for inviting me to testify. My name is Michael Kutzin, and I am a partner in the New York law firm of Goldfarb & Abrandt. In the audience is my colleague, George Teitelbaum, who represented Jane in the D.C. proceedings. The ordeal that my client, Jane Pollack, and her family have endured in carrying out the wishes of her aunt, Mollie Orshansky, demonstrates many of the problems that seniors and their families often face after falling into the guardianship whirlpool. Guardianship statutes generally recite lofty principles of honoring the wishes of an incapacitated person where possible and call for a myriad of protections of due process rights. In addition, so-called modern guardianship statutes such as those found in New York call for judges to provide flexible solutions to meet the needs of an incapacitated person, such as limited guardianships, and to honor the senior's wishes regarding whom she wants to care for her. In practice, however, once a guardianship proceeding is brought against someone, machinery begins that often presumes that a guardianship is required and runs roughshod over the wishes of the senior and his or her family. This is particular true where, as in the case of Mollie Orshansky and her family, the proceeding is commenced by a hospital or nursing home, and family members live in another State. A similar disregard for the wishes of the senior and her family often occurs where the senior has significant assets. Both of these factors were present in the Orshansky case. In this case, once the petition was filed by the hospital, the judge sought to retain control over the case even though (1) Mollie Orshansky's family all lived in New York; (2) Mollie Orshansky owns an apartment in New York City in the same building as her sister; (3) Mollie Orshansky had established years before a revocable trust naming her sister Rose as a trustee to handle her assets if she could not do so herself; (4) Ms. Orshansky had executed a health care proxy naming her niece, Jane Pollack, as the person to make medical decisions for her if she could not do so herself; and (5) Jane Pollack commenced the guardianship proceeding in New York to assure the D.C. court that no one was attempting to avoid court scrutiny. When Mollie Orshansky had been removed from the hospital and transported to her New York City apartment, the judge named one lawyer as Mollie's temporary guardian and appointed another attorney from a large firm as ``Mollie's attorney.'' This judge also ordered the temporary guardian to take all steps necessary, including bringing the police, to have Mollie Orshansky brought back to the District of Columbia. In other words, the judge asserted that the mere fact that someone filed a guardianship petition presumptively made Ms. Orshansky incapacitated and made her a captive of the District of Columbia. In addition to these infringements of Ms. Orshansky's due process rights, Mollie Orshansky's court-appointed attorney never bothered to visit or to speak with her and even represented herself to me as representing the temporary guardian. It was in the temporary guardian's financial best interest to keep the guardianship in the District of Columbia in order to earn large fees from Mollie Orshansky's assets and, not surprisingly, Ms. Orshansky's ``lawyer'' acted accordingly. Fortunately for Ms. Orshansky and her family, the U.S. Court of Appeals for the District of Columbia in a unanimous 50-page decision reversed the trial court for its myriad failures to protect Ms. Orshansky's due process rights and for its abuse of discretion. Senators, there is a role for guardianship proceedings, but where seniors and their families are working together for the senior's best interests, the State must defer to the family. In light of time restraints, I will refer you to my written comments where I have made a two-pronged legislative proposal which I call ``Mollie's Law,'' and I will just have to hope that you ask me about it. Thank you. [The prepared statement of Mr. Kutzin follows:] [GRAPHIC] [TIFF OMITTED] T6496.023 [GRAPHIC] [TIFF OMITTED] T6496.024 [GRAPHIC] [TIFF OMITTED] T6496.025 [GRAPHIC] [TIFF OMITTED] T6496.026 [GRAPHIC] [TIFF OMITTED] T6496.027 The Chairman. Well, Michael, you set us up pretty well for that one, but I do thank you for your testimony. Jane, certainly your testimony and the difficulty of giving it, we understand, and we appreciate you being here today. Senator Collins, what is your time line? Senator Collins. I am fine. Thank you. The Chairman. OK. Let me proceed, then, with a short series of questions, and then I will yield to my colleague. Jane, do you feel that Mollie is being cared for now the way she originally intended when she started planning for her own care years ago? Ms. Pollack. This is exactly what she had originally intended, Senator. Mollie saw the way her sisters Ann and Bernice were cared for by the family--and by the way, both of them lived in the same building that Mollie is living in now. The Chairman. That is where Mollie is now? Ms. Pollack. That is correct. The family was there to care for them, to rally around them, to visit them, and this was very important to my Aunt Bernice and my Aunt Ann, and it was very important to us to be able to do that. This is exactly what Mollie wanted for herself. The Chairman. Can you tell us about the financial cost--you mentioned it--that your family has endured in this battle, and to what degree was Mollie's estate depleted by the guardians appointed to manage her assets? Ms. Pollack. The amount that it will eventually be depleted is at this point still being ruled upon. We have a hearing in March. Thus far, between amounts that have been paid and amounts that have been billed, it is approximately $160,000; and I can give you some examples, and I will read from my written statement if you do not mind. Our family, including Mollie, has so far incurred over $160,000 in expenses and bills. This includes almost $50,000 claimed by the guardian for services rendered; over $18,000 for the colleague he hired from his law firm to fight the appeal; over $6,000 already paid to the guardian as Mollie's original court-appointed lawyer; approximately $13,000 already paid to the guardian in administrative expenses; and my legal fees for Mollie's rescue, which are at least $75,000, covering Washington, DC, and New York. That is just the money, Senator. The emotional toll and the stress on the family is just incalculable. The Chairman. Absolutely. Michael, let me turn to you and ask the question that you have asked of us, because it is important in building a record. Do you see a Federal role here, and what might that be? Mr. Kutzin. Thank you, Senator. Yes, I do. As I said in my written statement, I have made a two-pronged proposal which I have suggested be called ``Mollie's law,'' because frankly, it was this case that inspired me to even think of it. Again, I understand and I recognize the fact that guardianships by their nature are State proceedings, and they should remain State proceedings, and we have to be careful about where the Federal Government intervenes in things that are properly State Government activities. However, there are two appropriate things that the Federal Government can do, one of which is, because of the fact that most institutions are in fact Medicare or Medicaid recipients, hospitals and nursing homes and other such institutions that do receive these Federal funds should be precluded by Federal law from seeking guardianships where they are aware of or should be aware of the fact that there are these sorts of legal instruments out there called ``advance directives,'' such as durable powers of attorney, health care proxies, or the person has assets in a revocable trust. The other prong of the suggestion is that where there are ``dueling jurisdictions,'' such as what happened here in the Mollie Orshansky case, where the family members have brought an action in a different jurisdiction--and we are not talking, by the way, Senator, about disputes in the family where a brother is with mom and the sister and another brother are somewhere else, fighting within the family; I am talking about a united family versus the institutions--there should be deferral to where the family is. In that case, the District of Columbia court in my example would have dismissed its case in favor of the New York court. The Chairman. Well, I thank you for making those recommendations, because you obviously preface them in a way that is appropriate, and that is where does the responsibility currently lie. I would err on the side of that, of State law at this moment; at the same time, there is a Federal nexus as it relates to care and Federal dollars, and that is where we may well explore what might be done here to avoid or attempt to avoid something like Mollie's situation. Was there any basis at all for the Superior Court's decision to disregard the prior planning that Mollie had in place? Mr. Kutzin. Are you asking me, or---- The Chairman. Yes, I am asking you. Mr. Kutzin. I do not believe so. I believe what happened here was the fact that the District of Columbia court was trying to ``punish'' Jane. I use that in quotes again because I think it is a highly inappropriate way to even look at guardianship proceedings. In fact, the judge on a number of occasions said, ``I am not going to reward Jane Pollack. . . ,'' blah, blah, blah, because she felt that Jane had acted in a cavalier manner--I do not agree with that, but I think the judge felt that way--by removing her from the hospital and in fact removing her from the judge's jurisdiction. I think there is a perception that the judge had about this being a reward for Jane Pollack, and I would like to dispel that right now. Being someone's guardian is not a reward for a loved one. It is a responsibility, and it is a very serious responsibility. When you take care of a senior citizen, especially someone you really love and care about, it means your whole life is disrupted. Jane Pollack has been in and out of courts, she has been in and out of attorneys' offices, she has been in and out of hospitals, she has been in and out of all kinds of facilities. Her life has revolved instead of around her own family--and when I say ``her own,'' her husband and her teenage son--she has been running around as the caretaker for Mollie Orshansky. That is not a reward. It is a responsibility that family takes seriously, and it should not be looked at as a reward. The Chairman. I thank you. Let me turn to my colleague, Senator Collins. Susan. Senator Collins. Thank you, Mr. Chairman. First, I want to thank both of you for your extremely compelling and very troubling testimony. What bothers me most is that this is not a case where the senior citizen did not look ahead, did not plan, did not file the documents. Instead, it looks to me as if Ms. Orshansky did everything right--she had established a revocable trust naming her sister as the trustee to handle her assets if she could not do so; she executed the health care proxy naming her niece as the person to make medical decisions for her if she could not do so. So, Mr. Kutzin, I would ask you, is there anything else that Ms. Orshansky and her family could have done to avoid the very unfortunate situation that developed? Mr. Kutzin. I guess not getting sick, but seriously---- Senator Collins. I mean legally. Mr. Kutzin. Yes. The only document that could have been signed in addition would have been a durable power of attorney. In this case, though, it really was not an impediment to managing her financial affairs because she did have a revocable trust, all of her assets were in that trust, and what is more, she had assigned all of her pension rights to that revocable trust. So no moneys were ever escaping the control of either Mollie, when she was well, or later, her sister Rose, when her health was failing. Senator Collins. That is what is most shocking to me. This is not a case where the court stepped in because there was not clear legal guidance from the person affected, and that is what makes it all the more troubling to me. Mr. Kutzin, I would ask you how common is it for a hospital or a nursing home to file this kind of proceeding on behalf of a patient, particularly when there were clearly family members who were ready and willing to assume responsibility for the care of the loved one? Mr. Kutzin. Senator, I have not seen it in my practice that often, and certainly not where there are these sorts of prophylactic measures. I practice in New York, so obviously, I cannot speak for what goes on in DC or other jurisdictions. But it is commonly understood that the courts, certainly in New York, will not even entertain a case like this where there are these sorts of advance directives, or they will only do so when there is some sort of compelling reason to override those advance directives. So I find it to be quite unusual. Senator Collins. If Ms. Orshansky had not had significant financial assets, do you think that the institution would have stepped in to file a petition? Mr. Kutzin. I do not believe so, Senator. Senator Collins. The reason I ask you that is because I was struck by a quote from a USA Today article that was included in the written testimony of Diane Armstrong, who will be appearing on our second panel today. It says: ``For every $100,000 in a given estate, a lawyer shows up; for every $25,000, a family member shows up; and if there isn't any money, then nobody shows up.'' Are financial motives what are driving this problem? Mr. Kutzin. I think to a large measure that is true. Now, as I have stated earlier--or at least I believe I stated earlier--there are times when guardianships are in fact called for and where it is needed for someone's finances or to make sure that they are properly being taken care of. But often, you will see people jumping into the guardianship fray when they see someone who is either a senior citizen or who may be frail or may have some sort of incapacity, and they will jump into the fray because there is a lot of money there. I had a case recently in New York where that was exactly what happened. The person was dull normal to possibly being somewhat mildly retarded, and two lawyers jumped in, started a guardianship proceeding, and eventually guardians were appointed. I represented the alleged incapacitated person and tried to fight it. There is no question what motivated it here. Senator Collins. Thank you very much. The Chairman. Senator, Thank you. Jane, we will give you the last word. You have been through a very difficult time, and we thank you for your persistence in behalf of a loved one. If you had to recommend one change in the way the guardianship system treats the elderly, what might that be? Ms. Pollack. I believe that it would have to be that something has to be put in place to assure that the wishes and the plans of the senior or the incapacitated are honored, unless there is some extremely compelling reason why they should not be. I think that when organizations such as Adult Protective Services get involved, before they are allowed to--how can I put this--before they are allowed to initiate or instruct the initiation of guardianship proceedings, that they have evidence instead of innuendoes, that they have proof that there is some reason to disregard a person's wishes, that if there is a family that is willing to take charge, that they have proof, not innuendo, not suspicion, that there is some wrongdoing, that this person is in danger in being in the family's care. In Mollie's case, this was not there, and this is really what started the whole proceedings, because APS was very knowledgeable and had been speaking to my sister Eda. APS knew about the family, knew about the family's involvement, knew about the family's interest. In fact, the first time the APS worker came to Mollie's house, my brother-in-law was there. I think there should be some oversight and some reining in of the authority that APS has and some mandate that they must have proof before they interfere in the way they did in Mollie's case. The Chairman. Thank you both very much for your testimony. It is extremely value, and we appreciate it. Mr. Kutzin. Thank you, Senator. Ms. Pollack. Thank you. The Chairman. We will now proceed to our second panel. While they are coming up and the table is being prepared for them, let me introduce them to the committee for the record. Thank you, Susan. Frank Johns is a preeminent guardianship reform scholar and author of numerous articles addressing the abuse of guardianship. Dr. Diane Armstrong, as Senator Collins mentioned, is author of ``The Retirement Nightmare: How to Save Yourself from Your Heirs and Protectors.'' Penelope Hommel is co-director of the Center for Social Gerontology, and she will discuss the alternatives to guardianship proceedings, including durable power of attorney, living trust, representative payees and extra-judicial mediation. Robin Warjone from Seattle, WA was the subject of a guardianship petition filed by her three children. She was forced to spend her entire retirement nest egg, $300,000, to successfully retain her independence. Robert Aldridge is an attorney from Boise, an elder law attorney and one of Idaho's foremost guardianship reforms. He will discuss Idaho's progressive laws and practices in these areas. We appreciate all of you being here this morning. With that, I will follow that order, and Mr. Johns, we will allow you to proceed. STATEMENT OF A. FRANK JOHNS, ATTORNEY AT LAW, GREENSBORO, NC Mr. Johns. Thank you, Mr. Chairman. Thank you for the opportunity to testify on these issues relating to due process provided alleged incompetent older persons in guardianship proceedings. The focus of my remarks is on the areas that involve due process within the function of the courts and by the judges sitting in those courts. Mr. Chairman, I do want to mention that I appear before the committee with 25 years litigation experience in guardianship and in writing and research. I am also a member of the National Academy of Elder Law Attorneys, of which I am past president and a fellow, and a charter board member of the National Guardianship Association, two national organizations, along with the ABA Commission on Law and Aging, and sections of AARP which have for years given careful attention to the problems that occur in guardianship and how they might be remedied. Mr. Chairman, I ask unanimous consent that my written statement and the supplemental materials that I have appended be a part of this hearing. The Chairman. All of your full statements will be a part of the record, and I thank you for that. Mr. Johns. Thank you, Mr. Chairman. I will forego discussing the history, although it is noteworthy and might help staff members and committee members to look at some of the historical comments I give in the appendix, because guardianship can actually be tracked back through five different cultures going back to Greece and the Athenian times. In this era, however, Senator, let me address the question: Have all of the statutory reforms that have occurred in the last 12 years had an impact that benefits those who are caught in the process? Quite frankly, the simple answer is ``No,'' and that is why we are here before you this morning. In the experience that I have had in the time that I have dealt with guardianship, what I have found is that there is both good and evil in the process. The evil comes from--not to grab a sound bite that is already out there--but there is an axis of three primary pools of actors arbitrarily dealing with the process. It is judges, who violate the rule and the spirit of the law of guardianship. It is social agencies that intervene when intervention is not focused on the protection of the best interests of the persons to be served, but only on their own objectives in the process; and those many family members knowing nothing of the process and using and abusing it, of course, when the dollars are more. I will make one point, however, Mr. Chairman, if you please. That is that social agencies are going to have to serve elder citizens of modest means when they are on Medicaid and incompetent, when they are so vulnerable and at risk in nursing home environments. Those public agencies are going to be the ones to whom we look for serving this rather huge volume of people who are going to need protection. The demographics show us that those numbers of vulnerable elderly citizens are going to increase monumentally. As those numbers increase, budgets of agencies may well be benefited by the numbers of people served. The problem is there is no accountability or monitoring within any agency or over any guardian that well serves the interests of the ones to be protected. Careful attention is drawn this morning, Mr. Chairman, to the judge and to other judges who have arbitrarily exacted what is called ``parens patriae,'' that is, being the benevolent protector of us all, and they do it in a way that circumvents the law and takes issue with what they think is the right thing to do, but in the wrong way. The truth of the matter, Mr. Chairman, is that many judges tend to believe that the ends justify the means, and they are willing to circumvent the laws that are right there on the books to deal with those being served in ways that contravene of the law. I direct your attention to two primary areas that need attention. One primary area is that training of judges and the social agencies that support the guardianship system. This are absolutely necessary. The second primary area comes from the literature and the testimony of 1992 and 1993 before this very committee, when the late Professor John Regan asserted that we have to pay attention to the demographics, and another speaker noted that there is no empirical data from which any of our opinions might be well-grounded. The research that is most recent only comes from 1994 and the data, Mr. Chairman, that that research comes from comes from 1989 and 1990. There is nothing among the States that even shows how many guardianships are out there. In the difficulties that occurred in the State of Michigan 3 years ago when the Detroit Free Press did its expose, it provided documentation of 100,000 guardianships in the State of Michigan alone. If it were possible to count the guardianships in California, or New York, or Texas, the numbers, I believe, Mr. Chairman, would shock this committee. To believe that 90 percent of those who are guardians have no experience, no capability of dealing with it, and are not monitored or called to account is a very difficult proposition. These propositions were addressed, Mr. Chairman, in the second National Guardianship Conference called Wingspan which was held in late 2001. I identify the recommendations that deal sole with due process, and then I highlight three of those recommendations that are critical to this committee's attention in terms of investigating where it should go with what it finds to be problems in the system. I address those three recommendations, the first one being the funding of a major grant narrowly focused on research that would be nationwide, giving us a primary database in guardianship for the first time. The second recommendation is to identify Federal assistance that is already out there, and refocusing it to investigate of ways to implement accountability and monitoring by the very public agencies that are in the States that are receiving Federal funding as we speak. The third recommendation is to investigate ways by which judges might be trained to know that the due process components of the law must be scrupulously exacted in every courtroom, for every case. Mr. Chairman, I suggest that the National College of Probate Judges, an august group of probate judges from around the country, would be a wonderful partner in designing ways by which training and the implementation of their standards could take effect in every county across the country. The Chairman. Frank, thank you very much for that testimony. It is valuable and important, and we do appreciate it. Mr. Johns. Thank you, Mr. Chairman. 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Now let me turn to Dr. Diane Armstrong, author of ``The Retirement Nightmare.'' Doctor, welcome before the committee. STATEMENT OF DIANE G. ARMSTRONG, CONSULTANT AND AUTHOR, SANTA BARBARA, CA Ms. Armstrong. Thank you, Mr. Chairman. Thank you for inviting me to testify today. In discussing the motives that drive these involuntary conservatorship and guardianship proceedings, I am speaking for the hundreds of thousands of men and women whose retirement years have been destroyed by them. Our States designate these proceedings as ``nonadversarial'' in nature, brought out of the goodness of the petitioner's heart to help an elderly person in distress. It is a powerful term, and it is almost always incorrect. These are court battles fought over money, power, and control. Sadly, the elderly lose almost 94 percent of the time, often in proceedings that take only 4 minutes. Their cases are rarely appealed. Let us begin with a brief discussion of the motives guiding family members. The majority of these petitions are filed by adult children who are seeking some form of control over the personal or financial affairs of their aging parents. They are sibling battles rooted in issues of inheritance and control, often described as ``thinly veiled will contests performed before death.'' Anyone who reaches 62 with coveted assets is at risk. As one forensic psychiatrist noted about these so-called protective proceedings and was quoted a moment ago: ``For every $100,000 in a given estate, a lawyer shows up; for every $25,000, a family member shows up; and if there is no money, nobody shows up.'' I have time to present only one case, although five more are contained in the appendix you have before you. I have chosen a typically bizarre family battle. Motive? Follow the money. After the death of her husband, Delphine Wagner of Nebraska decided to lease some of her land to a professional alfalfa company rather than continue to let her son and son-in-law farm the land. In so doing, she generated a 160 percent increase in her income from the leases. Four of her six children filed conservatorship petitions against her and testified in court that she could no longer properly manage her affairs. Their proof? Because she had generated a 160 percent increase in income, Mrs. Wagner would have to pay more in taxes; and what person in their right mind would want to pay Uncle Sam more taxes? The court agreed with the petitioners and appointed a conservator over Delphine. Although already 79 years of age, Delphine had the energy and the money to battle through two more courts, year after year after year, and her freedoms were finally restored. Over 25 percent of the cases I describe in ``The Retirement Nightmare'' involve proceedings that are initiated by social workers and members of the social welfare community. What motives drive these individuals and agencies to file petitions? A desire to control the increasingly independent elders and their money, and a need to expand the number of persons ``helped'' by the agency in order to increase agency funding. What motives drive members of the court? Judges and their favored professional conservators and guardians, expert witnesses and court investigators have unspoken agendas of money, power, and control. When an elderly individual is brought into court and forced to prove his or her competence, we soon see that the system does not work. We have a system rife with court-sanctioned elder abuse. Why? Judges override protections that have been put in place in the codes. It happens every day. Judges disregard durable powers of attorney--the single most important document each of us can create to determine our care should we become incapacitated. We have seen the health care proxy overturned in the Orshansky case. Judges ignore our lists of preselected surrogate decisionmakers. The current system does not work. This reality is most apparent when a wealthy individual falls victim to these involuntary proceedings and his or her wealth becomes a ripe plum to be shared by the judge's favorites. The cost of my mother's 18-month conservatorship battle in Los Angeles Superior Court exceeded $1 million because no court appointee would let the matter end until my mother agreed to settle out of court and pay every bill of every person involved on both sides of the case. Money is a lure. Once the hook is set in a wealthy potential ward, courts have a feeding frenzy. All of Riverside County in Southern California was held hostage by the collusion between a single probate judge and his favorite professional conservator. Third parties such as nursing homes, hospitals, and continuing care facilities often require conservatorships or guardianships over their patients to ensure payment of bills or to evict the elderly from one setting and place them in another. In many cases, nursing homes will refuse admittance to adults who are not represented by court-appointed surrogate decisionmakers. This practice, while not legal, is often the price of admission in the face of an increasing demand for the limited space available in private convalescent centers. Families are destroyed by these proceedings. The hundreds of thousands of unfortunate men and women who have been placed in the velvet handcuffs of contested conservatorships and guardianships in America are without hope. Their conservatorships and guardianships end only when they die--or when the system spends their assets down to $10,000 or less and spits the wads out into a harsh world of poverty. Sibling battles rooted in issues of inheritance and control, social welfare petitions driven by hidden agendas of power and control, nursing homes that quietly require financial guarantees, and court actions that create the very abuse they are tasked to address--our country's involuntary conservatorship and guardianship system is out of control. It is no longer a morally permissible option. I now pose a final question: Is the present hearing merely a 10-year revisiting of an ongoing problem last discussed by the Senate in 1991, 1992, and 1993; or are we here to see, for once and for all, that this court-sanctioned abuse of the elderly finally comes to an end? I thank you. The Chairman. Dr. Armstrong, thank you very much. We will get back to that provocative ending question in a few moments. 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Thank you, Mr. Chairman. It is indeed a privilege to be before you today to discuss the very serious issues of guardianship. However, what I have been asked to do is not to speak directly about problems with guardianship but rather to talk about two alternative approaches that might provide another way of looking at this very difficult and serious issue. The two approaches are the use of mediation in guardianship cases and advance planning for alternative mechanisms that might avoid guardianship in the event of later incapacity. For a couple of reasons--one, because mediation is the one that you are less likely to be familiar with, and two, because we have already heard about some of the alternative mechanisms, both their potential strengths and their weaknesses--I am going to devote the bulk of my comments to mediation. As background, I would like to explain how we arrived at the idea of mediation. The Center for Social Gerontology, along with others at this table and from across the country, had been working on guardianship reform, trying to improve protections for older people, since the 1970's. As you have already heard, a fair amount of success was achieved, and many of the State statutes were revised so that on paper, at least, many of the concerns were addressed. However, in the late 1980's, we began to realize two things that made us look for another alternative. First, we realized that while the statutory changes promised greater protections, they also pushed guardianship hearings to become more formal and more adversarial, and we questioned whether for many of the cases, the adversarial model was the best approach. It can result not only in the significant economic and emotional costs we have already heard about, but it can result in the magnification, rather than the resolution, of differences among the parties who are facing very difficult situations. It typically results in a win-lose situation and may foreclose dialog among the parties at a time when it is most desperately needed. The second thing we noticed was that as Frank Johns has already mentioned, the implementation of the statutes was nowhere near keeping pace with the written law and that the protections that existed on paper did not exist in reality in many cases. Perhaps most important, older persons at risk of guardianship continued to have little or no role in the process and were not even present at the guardianship hearings which would decide their capacity and their need for a guardian. Thus, while we continued to work for statutory reform and implementation, we also looked for a nonadversarial alternative process that might be more meaningful in addressing many of the complex needs and disputes in guardianship cases, and we found it in mediation. While we consider guardianship only as a last resort in all of our work, we particularly felt that in pursuing mediation, it might be helpful in finding less restrictive alternatives. So in 1989, we sought and received funding from the United States Administration on Aging to test the use of mediation, and we have continued to develop it since that time in a number of States across the country. A recent evaluation that we conducted showed that the parties and the attorneys believe that in appropriate cases, it can be very effective in finding more satisfactory resolution, such as fewer guardianships, and resolutions that preserve family relationships rather than destroy them as often happens with contested court decisions. What is mediation? It is a facilitated discussion among the parties in an informal and confidential setting that can occur at any point in the process. The mediator serves as a neutral facilitator, not as a judge, not as a decisionmaker. The parties are the ones who decide how the matter will be resolved. It is the mediator's role to guide the process in a way that leads to better understanding among the parties, clarifies issues, draws out ideas for resolution, and builds consensus that can make agreement by all the parties possible. While a court's response in a guardianship petition is limited to a simple statutory solution to appoint a full or limited guardian or dismiss the case, mediation can focus on other, underlying and important needs and interests of the people at the table and can focus on solving issues that they bring to the table. It can help people explore alternatives and options other than guardianship, because often petitions for guardianship are brought with the idea that guardianship is the only solution, the only alternative ways to go. Issues in mediation tend to revolve around safety, autonomy, living arrangements, and financial management. Oftentimes, the mediators find that the legal issues presented in the court petition have little to do with the issues that are below the surface that are really causing the family turmoil. For example, while the surface issue and battle may be over who should be guardian, the real issue may be longstanding sibling rivalries and controversies over inheritances. Mediation can help the families identify and talk through some of those underlying issues and try to reach a better understanding and resolution. Often, the primary issue is one of safety versus autonomy--to what extent is an older adult allowed to make what others may consider to be bad decisions? Are family members attempting to control decisions that should not be theirs to make? For the court, the question is whether there is sufficient evidence to show that the older person needs a guardian. For mediation, the issue is resolving the real underlying issues, needs and problems that present in so many of these cases. In addition to the potential benefits, however, I want to just mention some of the limitations of mediation. From the moment we thought about this as a possible alternative approach, we recognized that it needed to be approached very carefully and that special policies and procedures needed to be in place, most particularly to safeguard the older person alleged to be incapacitated. So we have made sure that in any mediation programs that go forward, issues of confidentiality, protection of the respondent, appropriate and inappropriate cases--because certainly not all cases are appropriate for mediation--are carefully considered. In terms of where we are today, I think we are at a very exciting point. We have found that mediation can be extremely useful. However, what we have also found is that we become aware of with experience is that by the time the people are on the courthouse steps, by the time the guardianship petition has been filed, it can often be too late for the families and interested parties to come together and really resolve their disputes. People are entrenched in their positions and have, in effect, dug in their heels. We also realized that in addition to trying to get to cases earlier on, many, many of the issues that we were dealing with in mediation were in fact family caregiver issues, and this coincided with the recognition by Congress, as well as by the aging network overall, of the critical importance of family caregivers in providing long-term care and assistance to older persons. So we have recently applied to the Administration on Aging and received funding to test an expanded version of mediation that goes beyond strictly guardianship cases where the petition has been filed and looks at pre-petition caregiver cases. We are looking to the aging network to identify caregiving families that are in need of some assistance in addressing the very difficult issues that they are confronting and the pressure and the tensions, and as a way of possibly avoiding a future need to petition for guardianship. So far, the response has been tremendous. In one of the cases that we mediated, a care manager indicated that in 2\1/2\ hours of mediation, more was achieved than in over a year of casework in that particular situation. So we see tremendous potential for this. I do not have time to go into any of the other alternatives. I would just like to conclude by saying that we are so thankful to you, Senator Craig for having this hearing. We look forward to continuing to work with you, not only on the serious issues of this nations' guardianship systems but also on the potential of mediation to help support caregiving families in this family and also, hopefully, to avoid or restrict the use of guardianship for those situations. Thank you. The Chairman. Penelope, thank you, and thank you for focusing on the dimension of mediation. I think that that is important to understand. [The prepared statement of Ms. Hommel follows:] [GRAPHIC] [TIFF OMITTED] T6496.080 [GRAPHIC] [TIFF OMITTED] T6496.081 [GRAPHIC] [TIFF OMITTED] T6496.082 [GRAPHIC] [TIFF OMITTED] T6496.083 [GRAPHIC] [TIFF OMITTED] T6496.084 [GRAPHIC] [TIFF OMITTED] T6496.085 [GRAPHIC] [TIFF OMITTED] T6496.086 [GRAPHIC] [TIFF OMITTED] T6496.087 [GRAPHIC] [TIFF OMITTED] T6496.088 [GRAPHIC] [TIFF OMITTED] T6496.089 [GRAPHIC] [TIFF OMITTED] T6496.090 [GRAPHIC] [TIFF OMITTED] T6496.091 [GRAPHIC] [TIFF OMITTED] T6496.092 [GRAPHIC] [TIFF OMITTED] T6496.093 [GRAPHIC] [TIFF OMITTED] T6496.094 [GRAPHIC] [TIFF OMITTED] T6496.095 [GRAPHIC] [TIFF OMITTED] T6496.096 [GRAPHIC] [TIFF OMITTED] T6496.097 [GRAPHIC] [TIFF OMITTED] T6496.098 The Chairman. Let us now turn to Robin Warjone of Seattle. I mentioned earlier that she was the subject of a guardianship petition filed by her three children. Please proceed. STATEMENT OF ROBIN A. WARJONE, SEATTLE, WA Ms. Warjone. Hi, everybody. In May 2000, I was 56 years old with grown children 30, 31, and 26. I lived in my own home with a high yearly income of about $140,000 and a vigorous investing program which included T-bills, IRAs, and a small portfolio. I would have had $7,000 minimum each month after I was 65. Now I will have less than $2,000. After my divorce, I left behind an exhausting life as a professional executive wife, and I stopped entertaining, gave up as much cooking and cleaning as I could possibly manage. I was living very happily in my messy house. I had a small antique shop in a large mall. I was gathering items for the shop, which I enjoyed, and that made for dozens of boxes around my house. I had a new man friend. I remember how often the stars spread in all their glory across the night sky that winter. It was the happiest year I had had in 15 years. Today, after being nearly destroyed by a financially and emotionally exhausting guardianship law suit which lasted almost 11 months, from May 18, 2000 until March 29, 2001, it cost me nearly all I had. The first hint that trouble was coming in the spring of 2000, was when my lawyer completed revision of my revocable trust and phoned my three children to come in and sign it. They refused, saying, ``Our lawyers advised us against it,'' and ``our lawyers said it will make us responsible for your debts.'' Wow, I thought, pretty rotten financial advice. Full inheritance, without probate, is not such a bad deal. On May 18, 2000, a ratty little man rang my doorbell and thrust a lawsuit into my hands. It was a Petition for Guardianship naming me as an ``alleged incapacitated person'' and listing my three children as the plaintiffs. Of course, I was horrified. I knew they had not read the statute, and they had not done their homework. They must have had some pretty ruthless lawyers urging them into this extreme, almost violent, action. Later, the kids said things like: ``We did not want to have to take care of you when you were old.'' One volunteered: ``I asked the lawyers how we could get control of our mother, and they said that that it wasn't possible except by one method-- the Guardianship Suit.'' I call this the ``Capone Trick''--they could not get Al Capone on racketeering or murder or prohibition violations, they could get him by income tax evasion. What does this tell you about the guardianship laws? Diane Armstrong's book, ``The Retirement Nightmare,'' has plenty of horror stories about the ``backdoor'' approach. A court appointment was made for the Case Investigator, whom they call the ``G.A.L.'' or ``guardian ad litem.'' I did not get to be the defendant. I called the ``A.I.P.'' alleged incapacitated person. I hired a topnotch private law firm, because I had just learned that almost no one escapes a guardianship perhaps 6 percent, mostly those who have the time and money to resist. Diane Armstrong and I went to college together. The day that the petition was served me, my Alumni Bulletin from Scripps College came, and Diane's book about contested guardianship was reviewed. I called her immediately and she worked with my attorneys throughout the almost one year that this system held me up. If you have not looked at those graphics over there, really, really look now. This can happen to anyone in this room, and that is what you lose. This system is so corrupt--and I do not mean money-under-the-table corrupt the system has no checks and balances; it has no oversight. It is so terribly unorganized that it operates on its own, in a little void. In Seattle it is a department of the Washington State Superior Court, called ``Ex Parte and Probate,'' and it is a law unto itself. We had no appeal system to get me out of it. In my report, I have little checks, and there are dozens of them here--how disorganized and therefore abusive and corrupt, the system is, I have just gone through this. So take a minute and count those checks. I do not think you are a person if your legal identity is taken away, which happens under this law. You do not exist under the law without your rights. If you do not exist under the law, you are a slave in ancient Rome or the Old South, or you are somebody in a concentration camp. You do not exist. Therefore, whether you are capacitated or incapacitated does not matter, because you can be abused either way. When I got the attorneys, I said ``The first thing is that the G.A.L., guardian ad litem, cannot talk to me unless one of you guys is there.'' I had the good sense to do that. The next day, the G.A.L. comes to my door and tried to get in; he was ignoring the injunction. The G.A.L. had to read me the petition, the law, which had just been served to me. That is required in Washington State. We did it in my lawyers' offices. When he is through reading it, Pam leans forward and says, ``Well, tell me, Mr. W., how are you going to go about this investigation? The sole decision on whether you are going to have guardianship or not is based on a single report by this investigator--that is it. There is one other thing, but it does not necessarily work. OK. She leans forward and says, ``How are you going to go about this investigation?'' The G.A.L. is an attorney, but he answers, ``Well, by the nature of the report I have to write, I rely almost solely on hearsay and gossip for my information.'' Everybody's necks at that table went, ``What? Did he just say hearsay and gossip? But he is an attorney, and this is supposed to be a legal matter!'' One of leading judges--and they call them ``commissioners''--they make nice language one of the commissioners sitting on a panel discussion recently said, ``We are not so much a court as a social agency.'' Wait a minute. You are not a social agency. You are a court. According to the statute, you are supposed to be heard. There is a hearing 30 days after you are served the petition. Hopefully, a decision will be made. The G.A.L. canceled that meeting; he was busy. He did not even begin his research on me until August. His research eventually included talking to my accountant, my doctor, the trustee of my revocable trust--all those people. He did not even start until we were mostly through the summer. I had good attorneys. By the middle of July, I have spent $20,000. In July, I had to sell the first of my major investments. Twenty thousand dollars went to the attorneys, and the rest I used to buy a rental house in a nice neighborhood, I figured that financially, I could recover enough on the rental to make up for the interest income I lost by selling the T- bill. My children urged the guardian ad litem and their attorneys, to ask for a special hearing to stop me from buying the house. My attorneys did a precedent search, which had to be done by hand, because the stuff was so old that it was not on the computer. The Chairman. Robin, you are about 5 minutes over. If we could ask you to shape your time a little. Ms. Warjone. I am so sorry. OK, I will. The Chairman. Thank you. Ms. Warjone. They found a precedent in 1852 which ruled that anyone who has not been convicted of a guardianship still has all their civil rights. The trial went on in that fashion. The court abused every law, every custom. It is here if you want to read it; and I recommend Diane's book. So thanks, everybody. The Chairman. Well, Robin, we do appreciate you being here, and I will have some questions, but I have to believe that you viewed that as a living nightmare. We thank you very much for that testimony. [The prepared statement of Ms. Warjone follows:] [GRAPHIC] [TIFF OMITTED] T6496.099 [GRAPHIC] [TIFF OMITTED] T6496.100 [GRAPHIC] [TIFF OMITTED] T6496.101 [GRAPHIC] [TIFF OMITTED] T6496.102 [GRAPHIC] [TIFF OMITTED] T6496.103 [GRAPHIC] [TIFF OMITTED] T6496.104 [GRAPHIC] [TIFF OMITTED] T6496.105 [GRAPHIC] [TIFF OMITTED] T6496.106 [GRAPHIC] [TIFF OMITTED] T6496.107 [GRAPHIC] [TIFF OMITTED] T6496.108 [GRAPHIC] [TIFF OMITTED] T6496.109 [GRAPHIC] [TIFF OMITTED] T6496.110 [GRAPHIC] [TIFF OMITTED] T6496.110 The Chairman. Now let me turn to our concluding witness, Robert Aldridge of Boise, ID, an elder care attorney in Boise who has been a strong advocate in Idaho for guardianship reform. Bob, we appreciate you being before the committee. Please proceed. STATEMENT OF ROBERT L. ALDRIDGE, ATTORNEY AT LAW, BOISE, ID Mr. Aldridge. Thank you, Mr. Chairman. It is a great honor to be here. I believe that one of the defining, fundamental characteristics of any society is how they treat their elderly and their disabled. It is difficult to summarize 14 years and hundreds of bills, so what I am going to go through is merely some tips of what we have done. Each of them tends to come from cases like the Orshansky case. Those cases tend to scar all of the people involved, and each of them then becomes an imperative to change. The first is that we have greatly changed the definitional concepts in the statutes. The existing Idaho probate code as it was adopted in 1972, and the Uniform Probate Act as it exists tend to put people under labels. One of those labels was ``elderly.'' The mere fact of being old was enough to have guardianship. So we removed those and went to a question of legal--not medical--disability, and that incapacity was to be measured by function limitations. The question was not what you fit into, especially if it was chronic conditions, but what you could not do and what you needed help with. We also provided that the evidence and the inability had to be recent and had to be evidenced by actual acts. I have often expressed before the legislature the right of the elderly and all of us to be eccentric and even occasionally stupid. Put more elegantly, we have the right to age, to live our lives with dignity and with individuality. We are not to be put into cookie-cutters of what someone in disinterested status might believe is the only way to do things. We also greatly strengthened the due process changes and the appointment procedures. First, the guardian ad litem. As has been referred to, the guardian ad litem can be a strong advocate for the person, or they can be merely an instrument for bringing them under the system. So we greatly expanded the requirements, what had to be investigated, representation needed, and especially the ethical duties of the guardian ad litem, those of loyalty. We have a separate court visitor. That person is to be a completely independent disinterested person. On what I would have thought would have been inherent and built into their structural methods, we finally ended up writing what I am ashamed to admit is a 485-word statement of what is required to be in their report--an exhaustive listing. But as in many of our laws, we found that we had to create primers. We had to lay out excruciating details of what had to be done so that it had to be followed. We also strengthened the right of the person to absolutely have independent counsel at any point in time. We also went through the priority appointments. As has been noted in many of the cases here, there is often an outside appointment initially. The question has been raised what happens with the person's own planning, so we provided that if the person himself cannot give a recommendation, that is the recommendation that the court has before it; if the person cannot give, either orally or in writing, a recommendation, then we look to their lifetime recommendations made through power of attorney, through durable powers of attorney for health care, and so forth, and those are the next layer. Only after we have gone through all of those and found nothing do we go down the list of family and so forth. Family is always looked at next; we do not go to outside persons unless there is simply no one there. An area of abuse that is often used is temporary and special appointments. Very often, emergency is used as an excuse to place a tremendous amount of restraint on a person without any hearing and without any review. So we almost eliminated that. In order to have a temporary or special appointment, you have to have severely limited powers; it can only be done in extreme emergency and for a limited period of time. There is the required appointment of a guardian ad litem. They have to have hearings within very short time periods, and again, it is to be carried out only as long as necessary to get into the question of whether guardianship is needed at all. In the old days in Idaho, there used to be 6-month appointments which were done without any notice even to the person involved, and they could be renewed indefinitely. We have also striven and will continue to strive to make sure that guardianship is almost the most limited form possible. It is not to be general unless it is absolutely necessary, and it should be the exception, not the rule. We have also worked on having coordination between States. We often have cases where someone has contacts both in the State of California, or Oregon, and Idaho. We have set up a method where the judges can work directly with each other, not through the formal court settings but one-to-one. We have also worked with the question of training of judges and tried to educate them as to what needs to be done. We also need to preserve the estate plan of the person, so it is literally forbidden for the guardian or conservator to interfere with that estate plan; it must be preserved. We have also gone into the post-appointment procedures to make sure that after the appointment is done, if it is necessary, that it is correctly carried out. A lot of the problems are those that have been raised. We found that in the State of Idaho, we could not even find out how many existing or old cases there were. Courts simply would not identify them. So we spent a year and a half reforming that system with the Idaho Supreme Court and then identified cases. We then found that of the approximately 400 open cases in Ada County alone, 90 percent have no recording of any kind of accounting or status reports. We then formed an independent fiduciary review committee on a voluntary basis--I and several other attorneys and a trust officer--and in about 3 years of purely voluntary proceedings, we recovered in Ada County alone well over $3.5 million of misspent money. I would like to say that that had been outside persons, stranger, but it was not--it was family. We have also established an ongoing program to create a list in association with the AARP, the Department of Finance, and the Attorney General's Office, to have a pilot program to monitor those on a statewide basis. Many smaller courts simply do not have the time to do so. We have established another program to do guardianship monitoring and training, again with the assistance initially of the AARP. We also have to look at court enforcement. As has been noted, courts have laws before them, and if they do not follow them, they are not any good. So we have given two different areas to the court. One is the ability to enforce through fines, surcharges, and so forth; and second, we give training to the courts. We try to get to the magistrates conferences and so forth. We have also created guardianship and conservatorship handbooks which are given to both courts and to all appointed conservators and guardians to walk them through their duties. There is obviously much more, but I think it would be better to respond to questions. Thank you. [The prepared statement of Mr. Aldridge follows:] [GRAPHIC] [TIFF OMITTED] T6496.112 [GRAPHIC] [TIFF OMITTED] T6496.113 [GRAPHIC] [TIFF OMITTED] T6496.114 [GRAPHIC] [TIFF OMITTED] T6496.115 The Chairman. Mr. Aldridge, thank you very much for that testimony and example of what one State has done and I hope others are doing to improve this situation. Let me ask you all some questions. Mr. Johns, one case came to my attention where an elderly man was forced to divorce his wife pursuant to a guardianship order. I find this highly disturbing. On what possible basis can that be allowed to happen in this country? Mr. Johns. Mr. Chairman, if the facts are carefully studied, such a situation could present itself when, for example, the person presenting as spouse is in a late marriage with someone one-fourth the age of the protected person, who may be described by some as a ``golddigger,'' who in fact takes position in such a way that cuts the rest of the family members off from any access to the elder person, begins diverting assets of the estate in a way that truly brings to the attention of the judge a reason for addressing issues that would include divorce. However, the focus of your concern and your question may generate more from this scenario, where the person marries late in life; it is a person within 10 or 15 years of his or her own age; the person has some wealth of his or her own; they are truly in love and are in companionship, and the children of one or the other spouse are irate at the fact that mother or dad would remarry, and that would in fact, maybe, move some of what was to be their inheritance to this new love in life. Those children intervene asserting that the marriage is a sham and should be dealt with by divorce exacted potentially by the probate judge if he or she has jurisdiction, or moved to a family court forum in which the issue of divorce is raised, or even some form of annulment. The Chairman. Well, I thank you for outlining that, because I find this in a Florida case--I think it was referencing an article in The Orlando Sentinel of 1994 on the Norma and Buford Bonds case in Florida--where I think the latter was true. Let me ask another question of you; I will complete my questioning of you before I turn to a colleague who has just joined us for any comments that he would wish to make, and then we will move on with further questioning. Is it typical for guardianship orders to trump prior existing legal arrangements made by an incapacitated individual, and under what circumstances can that occur? Mr. Johns. The answer is yes. Guardianship orders may in fact trump the pre-planning if, on the facts presented before the judge, there is some reason to believe that what had been pre-planned has become something that will in fact do harm to the person who is supposed to be protected. However, the reality is that--much as happened with Mollie Orshansky--many judges do not pay attention to what pre- planning is there and do not examine whether there are benefits to be gained by simply saying the efficiency of the court's time is best-served by dismissing the case. The Chairman. Thank you. We have been joined by Senator Carper, and I appreciate him as a valuable member of this committee who attends on a regular basis. We are glad that you have taken time to come by this morning and be with us. Do you wish to make any opening comment before we proceed with additional questions? Senator Carper. I do not. I am delighted to be here. As you know, we serve on a number of committees, and I have just jumped out of one committee with Chairman Greenspan, who is talking to us about the economy and monetary policy, and I am pleased to be able to join you for a bit and I thank you all for coming and testifying before us. I have a question or two that I would like to ask at the right time. Thank you. The Chairman. Why don't you go ahead and ask questions now, and then I will come back to mine? Senator Carper. Thank you, Mr. Chairman. Mr. Chairman, in reading through the materials that my staff has provided for me for today's hearing and some materials provided by the committee staff, there are several referrals to a State which seems to be doing it right with respect to guardianships and their approach on these issues. The State that kept coming up in the materials I read was Idaho. [Laughter.] Proceed, and we will see if it is a coincidence or not. Senator Carper. When I ran for the U.S. Senate in 2000, I had been Governor of Delaware for 8 years, and I talked a lot on the economy about Delaware as a model for the country and the way we manage our economy, create jobs, overhaul our schools and welfare. But we never thought of trumpeting the way we had overhauled guardianships or addressed alternatives to guardianships. I do notice that Idaho keeps coming up. ``Idaho's statutes and practices are models for emulation.'' That is a quote right out of my materials. I am not sure if any of you are from Idaho, but can somebody just tell me what they figured out in Idaho that the rest of us need to emulate? The Chairman. Just before you came in, or as you were coming in, Robert Aldridge, who is an attorney from Idaho and very much a long-time reformer in this area, had just concluded his comments, so I will turn to Mr. Aldridge to respond to Senator Carper. Mr. Aldridge. Senator, what we decided in Idaho was first of all that society has given us as attorneys a lot of gifts, a lot of prerogatives, and that we owed it to give back something to the community. What we can do best, I think, is first, to see problems and second, write bills to correct them. So in the State of Idaho for now 14 years, we have entered into a very active coalition-building method of going to the Idaho legislature and changing rules, changing laws, when they do not make any sense, when they work incorrectly. We have done that in part looking internally to problems; we have also gone to a lot of other States and attempted to glean from other States what they have done right and then bring that in and incorporate it. There is no single set of model laws out there that can be used. Even Idaho's laws are in a constant state of flux. I have seven bills in front of the legislature right now, and we are working on some huge bills on the Uniform Trust Act, on special powers of attorney and so forth. So it is an ongoing procedure and, to paraphrase Robert Frost, we have many promises yet to keep and many miles to go before we sleep. Senator Carper. Another way of saying that is: The road to improvement is always under construction, even in Idaho. I have one more question if I could, Mr. Chairman. Looking over my materials, one of the possible results of this hearing would be to encourage the use of something called the ``representative payee system'' wherever possible as an alternative to guardianship. I do not understand what a ``representative payee system'' is, and perhaps one of our witnesses could explain that and tell me why that is a good idea, or not. The Chairman. I believe Penelope Hommel might be the person who could respond to that. She certainly has had some experience in observing it and tracking it. Senator Carper. Ms. Hommel, would you be willing to tackle that one? Ms. Hommel. I can try. Basically, representative payeeship is a system that applies to a number of government benefit programs, for example, Social Security, Supplemental Security Income. It provides that when an individual is unable to handle the funds that come through that government benefit program, another individual or representative payee can be appointed to handle those funds. In cases where financial estate is small, the income is limited pretty much to the government benefits that we are talking about, it can be a very important alternative to guardianship that does not deprive the person of the basic right to control their other aspects of life and their decisions. Having said that, it is not one of the alternatives that you plan in advance. It tends to be when you have not done the advance planning and executed a durable power of attorney, then the representative payee program can come into play. Among the downfalls or potential downfalls of representative payeeship are that it looks the procedural safeguards of a court proceeding; there is not court oversight; and there is clearly the potential for misuse of the funds by the person appointed as representative payee, rather than making sure that they get used for the benefit of the individual. There have been a number of hearings, and substantial work has been done by people in this room and others to try and come up with ways to make sure that necessary protections are in place. So it needs to be done very, very carefully, but it is an alternative to guardianship that maintains the individual's rights. Senator Carper. Good. Thanks. Does anyone else want to add to or take away from that response? Mr. Aldridge. If I could, Senator, one of the problems that we have had in the State of Idaho is that the representative payee can sometimes tend to be whomever walks in latest to the local office, is 98.6, and can sign their name. So we have had situations in which financial abuse has been coming from a particular individual; we get a conservatorship, we get a new representative payee, and then that same person walks back in and becomes the new representative payee. That is a problem in the system. Senator Carper. Good. Thank you all again, and Mr. Chairman, thanks for the opportunity to ask those questions. The Chairman. Tom, thank you very much. Dr. Armstrong, I understand that a member of your family went through a legal battle involving the opposition of a guardianship petition. Can you tell us about it and what you learned from that experience? Ms. Armstrong. In California, these are call conservatorship hearings. The case began when four of seven children ganged together, approached an attorney and spent 5 months working on their petitions against my mother, who at the time was 72. The petitions claimed also that an emergency existed in the case. Therefore, when she was served with her petitions on a Friday evening, she had 4 working days to organize a case to defend her freedoms. In that period of 4 days, she arranged for the help of two attorneys; she had a neuropsychiatric evaluation done at UCLA; she had to get testimony from all sorts of individuals; she enlisted the aid of her financial planner, and she appeared in court on a Friday, told by everyone that the court would throw the case out as frivolous and totally unnecessary the moment she said, ``My four children are angry at me, and I am angry at them.'' ``This is a family squabble.'' But the court did not let her speak. He assigned another date, and we came back a week or two later, and the court again would not let her speak. The court said, out of the blue, at the end of the day: ``I think I will assign a conservator of the estate; after all, it will not hurt, and it might help.'' We had time, though, because he did not have the name of a conservator with him. So my mother had to hire a corporate litigator who, just before Thanksgiving, sued to have an evidentiary hearing held so she could be heard. We spent the entire time before Christmas getting ready for that. There was finally a hearing on issues of the temporary in December, 2\1/2\ days of testimony after Christmas. At the end of that proceeding, the judge announced that obviously, this woman did not need a conservator, but we are going to file a court date 6 months hence to see if she needs a permanent conservator. At this point, it felt like the Mad Hatter's tea party. Here was a woman battling for her freedoms, for all of those freedoms listed, and the judge was saying, ``Oh, she obviously is fine, does not need a temporary, and there is no emergency, but let us put her under this stress for 6 more months and see what happens.'' The fees that were generated by this point in time were outrageous. A court-appointed investigator in the role of a guardian from the probate volunteer panel investigated my mother prior to the hearing. They hated one another. When my mother went to court, she fired that woman. She did not need her--she had two attorneys. The woman turned to the judge and said, ``I am not needed in this regard, but I can serve as friend of the court and help you.'' The judge permitted her to be on the payroll as amicus of the court, and that woman made my life, my family's life, just turn upside-down and split down the middle. It went on and on for 18 months. The Chairman. So from that experience, what conclusions can you draw that might have put in place from those conclusions a law that would have protected your mother from this kind of proceeding? Ms. Armstrong. I think the fundamental change that needs to be made is that these proceedings cannot be brought against any adult whose decisionmaking powers are intact. They do not have to be reasonable, they do not have to be fashionable, they do not have to be like the judge's. The Chairman. In other words, in Mr. Aldridge's words, they can be ``eccentric'' if they wish. Ms. Armstrong. Absolutely. Why can you not be eccentric at 40? The Chairman. Some are. [Laughter.] Ms. Armstrong. Sure. They can lose all their money at 40, and they do not risk their freedoms. But if this happens when you are 62 and older, you are at risk of losing every freedom you have. I do not think it is correct to require that decisions be ``reasonable'' or ``responsible.'' If they can make the decisions they have always made, these proceedings should be thrown out of court, and any proceeding that is brought should either be at the wish of that elderly person as a voluntary conservatorship or guardianship, or it should be an incredibly limited one, as are the limited proceedings against the developmentally disabled in the State of California-- terribly respectful of the individual's unique way of going through the world. The Chairman. In your writings, are there concerns of financial abuses perpetrated by professional guardians, whether it be excessive fees or direct mismanagement of funds? Ms. Armstrong. It is rife in the system, absolutely. The Chairman. You asked a question--Tom, Ms. Armstrong asked a question; she has written on these issues and has spent a good deal of time studying them--what would come of these proceedings. This committee held hearings on this issue in the 1990's, primarily to lift awareness, and while some activity has gone on and some effort is underway, and Ms. Hommel has spoken to that work being done, one of the things that we found in beginning to delve into this is the absence of information and records and realities of the extent to which guardianships are used, and we are beginning to pick up a little of that in the testimony offered here when we hear some of the numbers cited. Ms. Armstrong, I cannot give you an answer. Obviously, the testimony that you are giving and the record that we are building here is going to be extremely valuable, and the recommendations, for example, that Mr. Johns and Mr. Aldridge have made as to what might be done. Clearly, there is growing evidence that very large problems exist out there and that bad things are happening to good people. Also, as I said in my opening statement, we are on a very large bubble, if you will, of aging people who are going to and may need to seek these services in their lifetimes, in numbers heretofore that we have certainly not experienced in this country. That is part of what we are doing to build a record to see where we might go with this, and I am going to do some more probing, as I said with Mr. Aldridge's comments--while I want to err on the right and the side of the State in many of these instances, there is a Federal nexus--there is no question about it--and in many instances, there are sizable amounts of, if you will, while it is the individual's money, it is derived through the Federal Treasury, if you will, and there is a connection and a responsibility there. This committee certainly continues to plan to pursue this, and I think it is important that we do, to build a record, to decide whether in fact there are some areas that we can move into to deal in an appropriate fashion and to begin to not only deal with this but certainly lower the level of abuse. Ms. Hommel, do you think that prior planning alone makes an elderly person guardianship-proof? I say that in relation to Mollie Orshansky as a good example, from her niece and the attorney representing her who were before us. Could you respond to that, because that is certainly something that we are at business preaching in society today--plans, trusteeships, all those kinds of things that relate to an individual's assets. Ms. Hommel. That is an excellent question. Clearly, as we have heard, it does not make an individual guardianship-proof. The Mollie Orshansky case is a prime example where a tremendous amount of planning was done, and the court chose, for a variety of reasons, to ignore that. We are seeing--and I think Frank John's addressed this a bit--some States beginning to write priority provisions into their guardianship statutes. These provisions may specify that if you have an advance directive for health care, the person that you have appointed to make your health care decisions will take precedence--Michigan is an example of a State that has done that--and that make provisions, if you have done planning for financial alternatives, that those will take precedence over a guardianship. I think other things that people can do include making sure that when they do that advance planning, it is done in dialog with the family, with other interested parties, so that there is communication about what is going on, what is planned, and so that everybody realizes that these mechanisms are in place. Often, the reason that an advance directive for health care does not get honored is because the doctor is not aware that it even exists. There are other reasons too. Sometimes the physicians and the medical personnel will not honor it. But sometimes it is as basic as that they do not know about its existence. So advance planning clearly is not a complete protection. But I think the more people can be educated about it's importances, the more they understand and address its limitations, and the more they recognize the need to make sure that all the other interested parties are on board with the advance planning that has been done, then the more likely it is to succeed in avoiding guardianship. The Chairman. If you had to guess, how many court-appointed guardians are handling Social Security money without being appointed as a representative payee? Do you have any feel for that? Ms. Hommel. I'm afraid. I have no idea of the numbers. I would guess that the majority are handling Social Security funds and many without being appointed representative payee, but I really am not aware of data to support that. The Chairman. OK. I see a lot of head-nodding out there among the panel. Mr. Aldridge, you mentioned $3 million recovered in Ada County. Mr. Aldridge. Yes, Senator. What we did first was find out---- The Chairman. First of all, you and I know the size of Ada County; compared to Los Angeles County, it is a very small count, respectively, is it not? Mr. Aldridge. That is true. We are very proud of the fact that the State finally has over a million people, and Ada County is approximately 200,000 to 290,000 today. The Chairman. So that is a sizable amount of money in actuality. Mr. Aldridge. It is a huge amount of money, and I think, Senator, that reflects on what has been mentioned before--the literally trillions of dollars now in the hands of the elderly and getting ready to move to the next generation. That is the kind of money that we are seeing misappropriated. There are also now huge amounts of money coming through such things as life insurance and such that is now up for grabs, literally. So I think that we are at the tip of a very large iceberg. As I said, ``That was just a voluntary effort by approximately four of us in our own time, and we recovered that amount of dollars in that short a period of time.'' The Chairman. Well, you are certainly to be commended for the work that you have done and what you are doing in Idaho as it relates to guardianship reform. What is on the burner now for advanced reform from the work that has already been done? Mr. Aldridge. There is a series of things yet to be done. First of all, we need to continue to make guardians and court visitors more independent. We are looking at potential licensing, bonding situations, approved lists, truly random appointment. Too often, the person who is the petitioning attorney in essence picks those people, and that is not independence. Second, we need to create more outside methods. We have talked about trusts and lifetime planning, but those need to be done correctly, and they need to be strong before courts can rely on those. So we are looking at first of all much strengthening of protection of the elderly in powers of attorney, financial powers, and also getting good trust acts in place that will again help protect, so the courts can say instead of doing guardianships, let us use those existing ones. We also need to clarify a lot of things on how care should be provided. A fundamental problem in the Medicaid area, for example, which I deal with--I think an answer that follows on a question to Mr. Johns--is that the current systems says the best way to do financial planning in Medicaid is to be divorced; you can save much more assets. But we also need to look at home care. We need to let the elderly stay at home. Too many things in our society, from Medicaid to Medicare to tax law to guardianship tend to push people into institutions. We need to have some way to strengthen the ability to stay at home and be independent. The Chairman. Thank you for that. With the experience you have had in Idaho, what might other States gain from that in reforming their laws? Mr. Aldridge. I think, Senator, two different things. One, they can look at the process. We are able to, essentially with no dollars, just by voluntary efforts, make major changes in the statutes. No. 2, through sharing of experience, sharing of statistics, States can make better laws. We were able to go to other States. In the case of California, there are pieces of their law that are good; there are pieces of their law that are terrible. By looking at that experience, we were able to judge what we should take and what we should reject. So I think that that is the major thing to learn, that we need to pool our knowledge and pool our statistics. The Chairman. I had asked Mr. Johns, and he made some recommendations for change in Federal law or new Federal law. Let me ask you the similar question. Do you see a Federal role in this, Mr. Aldridge? Mr. Aldridge. Yes, I think there is a Federal role in all of this. No. 1, Idaho, as you probably know, is for the first time in a long time running deficits, and because of that, we have seen literally the gutting of many of the traditional protections of the elderly through the Commission on Aging, Adult Protection, and so forth. We need the ability to fund innovative State programs for protection. We need--even through existing programs, the Older Americans Act, Title IIIB funds, and so forth--to be able to get money down to the States to do the things that they cannot necessarily afford. We are often in a Catch-22 where the legislature says, ``We will fund the program if you show that it is successful,'' but we cannot show that it is successful, because we cannot start it without funds. I think many of those, if they had seed money from the Federal side, would eventually become State programs. The Chairman. There are a good many more questions I could ask all of you, but I am running out of time. Robin, we thank you very much for your testimony. I think everyone gathered from it that you are a very capable, talented, alert woman, and that the attack or the approach to the attack was amazing. We hear of horror stories like this, and when I hear them, I view them in just that context. Certainly, that should not go on through our legal system today, but it does, tragically enough. You were able to fight it with some success but also with substantial injury, and that is tragic. Again, I thank all of you. I view you as resources to this committee and to our effort here, and we will continue, Ms. Armstrong, to pursue this, to see if there are not some ways that we can nexus the Federal law to cause this to be a finer- tuned process that assures and guarantees the rights of our citizens in a way that obviously is now not being protected and/or guaranteed. I thank you all very much for that, and the committee will stand adjourned. [Whereupon, at 11:52 a.m., the committee was adjourned.] A P P E N D I X ---------- [GRAPHIC] [TIFF OMITTED] T6496.116 [GRAPHIC] [TIFF OMITTED] T6496.117 [GRAPHIC] [TIFF OMITTED] T6496.118 [GRAPHIC] [TIFF OMITTED] T6496.119 [GRAPHIC] [TIFF OMITTED] T6496.120 [GRAPHIC] [TIFF OMITTED] T6496.121 [GRAPHIC] [TIFF OMITTED] T6496.122 [GRAPHIC] [TIFF OMITTED] T6496.123 [GRAPHIC] [TIFF OMITTED] T6496.124 [GRAPHIC] [TIFF OMITTED] T6496.125 [GRAPHIC] [TIFF OMITTED] T6496.126 [GRAPHIC] [TIFF OMITTED] T6496.127 [GRAPHIC] [TIFF OMITTED] T6496.128