You’ve probably heard of a Living Will. Or maybe a Medical Power of Attorney. Maybe even a Health Care Proxy. Each of these documents can speak for you if you are not able to speak for yourself, such as if you’ve suffered a sudden illness or injury. And all of these documents fall under the category of an Advance Health Care Directive. In other words, “Advance Health Care Directive” is just a fancy way of saying that you’ve written down your wishes about how you want medical decisions to be made if you are unable to make them.
Living Wills were the first of these kinds of documents to be developed. A living will states which life-sustaining mechanisms you do or do not want to receive. Living wills are useful for expressing what your wishes would be in the hypothetical situations included in the document, but sometimes fall short of leaving clear instructions when unexpected medical situations arise.
The solution to the short comings of a living will is to authorize, in writing, a trusted family member or friend to make medical decisions for you. Under Wyoming statutory, law, you can name a decision maker in a document called a power of attorney for health care. You can also put specific instructions in your power of attorney for health care. So, you could name your spouse to make medical decisions for you if you are incapacitated, but also direct that you do or do not want to receive certain procedures.
I look at a power of attorney for health care as sort of a safety net. It is effective only if you are truly unable to communicate or make decisions for yourself. Under Wyoming law, it may be revoked verbally, and even if it is not revoked, your verbal instructions regarding your medical treatment are to be followed.
One more point, and then I’ll tell you how my husband and I handled this issue. If you do not have a power of attorney for health care, and you do not (or are unable) to instruct the physicians of your wishes, Wyoming law “suggests” (which means this is what doctors and hospital administrators will follow in order to avoid being sued) that decision making authority be given to reasonably available family members, in this order:
- the patient’ spouse (unless legally separated)
- an adult child
- a parent
- an adult sibling
- an adult grandchild
This seems logical and workable, until you get past the first suggestion of the patient’s spouse. What if there are two reasonably available adult children? What if they disagree about the course of action? Yikes, things just got complicated.
My husband and I each have a power of attorney for health care. We first name each other as our authorized decision maker, then each of us named our respective mothers, in the case we are both unable to communicate. We did not include specific instructions about treatments we would or would not want, instead trusting in each other and our moms to do what is right in the unlikely (oh please, God, let it be unlikely) event that these decisions need to be made.
Who would you like to make medical decisions for you if you cannot? What do you feel strongly about in terms of medical treatments? Answer these questions, discuss your wishes with your family, and most importantly, put your directions in writing. I can help you with the last step, please take the time to do the first steps.
Tags: You Need a Plan