You moved our parent hours away from the rest of the family to be near you. Now you complain you "are the only one doing anything". Why? You moved our elderly parent hours away from the rest of the family(including the grandchildren) in order that you would have them closer to you. Those of us left behind did everything we could think of to prevent this move, including letting you know we would not be able to visit. You did it anyway and now complain all the time and are furious because you are "doing everything alone". You made this mess and now want to blame it on all your siblings who did not want this situation to take place from the start.
Expecting siblings to help is not tantamount to blaming them for the caregiver's bad decision. Their help for the parent would still be needed, and needed even more, if the first sibling had not decided to help. After all, it's not as if the parent got old and frail in reliance on the first sibling's commitment to help.
I think the only case in which the caregiving sibling has no right to complain is if he or she is preventing the parent from moving to assisted living or a nursing home, and is expecting the other siblings, who don't agree with that decision, to help make it work. That is something that happens occasionally, but it's not the typical case.
Out-of-pocket health costs of dementia soar at the end of life
"Families may spend almost twice as much caring for dementia patients at the end of life than they might if their loved one suffered from a different disease, a U.S. study suggests.
But the average out-of-pocket costs absorbed by families of dementia patients totaled $61,522 over those five years, far greater than the typical tab of $34,068 for patients without dementia.
"Many costs related to daily care for patients with dementia are not covered by health insurance, and these care needs, including everything from supervision to bathing and feeding, may span several years," lead author Dr. Amy Kelley of the Icahn School of Medicine at Mount Sinai in New York said by email.
Over the five years prior to each patient's date of death, the average total cost, including what Medicare covered as well as what families paid, was about $287,000 for dementia patients. That compares with roughly $175,000 for heart disease, $173,000 for cancer, and $197,000 for people who died of other causes.
Families caring for dementia patients also spent a greater proportion of their wealth than families helping loved ones with other conditions. The financial burden as a proportion of wealth was even more pronounced for patients who were black, had less than a high school education, or were unmarried or widowed women
Even so, the study findings highlight a financial burden posed by end-of-life care for elderly dementia patients that care reverberate through multiple generations, noted Carol Levine, director of the Families and Health Care Project at the United Hospital Fund, an independent policy group in New York City.
"There is a cascading effect: the financial drain for the older person's care means fewer resources not only for the caregiver but also for the younger generation's education and future prospects," Levine, who wasn't involved in the study, said by email.
"The immediate need for assistance is so compelling that future needs are often disregarded," Levine added. "The impact is greatest on families with the fewest resources to start with."
Policy changes that might pay family members to be dementia caregivers would also help ease the financial strain, Lachs added.
Out-of-pocket health costs of dementia soar at the end of life
Families may spend almost twice as much caring for dementia patients at the end of life than they might if their loved one suffered from a different disease, a U.S. study suggests.
But the average out-of-pocket costs absorbed by families of dementia patients totaled $61,522 over those five years, far greater than the typical tab of $34,068 for patients without dementia.
"Many costs related to daily care for patients with dementia are not covered by health insurance, and these care needs, including everything from supervision to bathing and feeding, may span several years," lead author Dr. Amy Kelley of the Icahn School of Medicine at Mount Sinai in New York said by email.
Over the five years prior to each patient's date of death, the average total cost, including what Medicare covered as well as what families paid, was about $287,000 for dementia patients. That compares with roughly $175,000 for heart disease, $173,000 for cancer, and $197,000 for people who died of other causes.
Families caring for dementia patients also spent a greater proportion of their wealth than families helping loved ones with other conditions. The financial burden as a proportion of wealth was even more pronounced for patients who were black, had less than a high school education, or were unmarried or widowed women
Even so, the study findings highlight a financial burden posed by end-of-life care for elderly dementia patients that care reverberate through multiple generations, noted Carol Levine, director of the Families and Health Care Project at the United Hospital Fund, an independent policy group in New York City.
"There is a cascading effect: the financial drain for the older person's care means fewer resources not only for the caregiver but also for the younger generation's education and future prospects," Levine, who wasn't involved in the study, said by email.
"The immediate need for assistance is so compelling that future needs are often disregarded," Levine added. "The impact is greatest on families with the fewest resources to start with."
Policy changes that might pay family members to be dementia caregivers would also help ease the financial strain, Lachs added.
Single sibling with no children and in poor health (one that wondered in and out of Mom and Dad's lives forever (too busy, no money, depressed, etc) encourages Mom to move closer to them. This sibling cannot handle the loss of Dad and feels guilt for not being around. . . Completely estranged sibling (lives thousands of miles away from all of us) joins in the promotion of moving Mom 10 hours away from the rest of the family. Mom already vulnerable after the loss of Dad, a bit narcissistic and with arrested development is fed a story of how green the grass is on the other side. . .
In the meantime the other siblings protest (strongly). We are told "it's her decision" - after she has been talked into it. The two worst financial advisers in the family are now Mom's mentors. . . She buys a house in a bad neighborhood, with a mortgage, and only the one sibling around. She is convinced to give what money Dad left to the one estrangled sibling (thousands of miles away) - but is told to keep it secret (which she does). Both estranged siblings are the only ones who know. All our lives we told M&D to enjoy what they had and never mind leaving anything to us, we don't want it. But now, my mother is living 10 hours from all but one family member and is flat broke with an albatross of a house that will never sell!
The sibling who insisted it was her choice and wanted the move because of a benefit to them (I cannot share the details) does nothing but complain, blame, behave irrationaly, create family drama, and division and frankly is quite rude about the entire situation.
I begged Mom not to move so far away. I told her we did not have available funds to visit. Until the move I saw her every day. I told her it was a terrible move financialy (especially for a woman her age). Dad died and Mom ran away. She was encouraged during the most vulnerable time in her life, to make the worst possible move she could make. The entire family has lost her. When she left I mourned. Not only had I lost my father, but now I had lost my mother as well, even after dedicating my life to staying nearby them. My mother was duped, I had her taken away from me and my family - the last thing I feel like doing is feeling bad for the person who did this to me (even though I still love them).
This account here still only scratches the surface, but I know how awful long winded posts can be. . . So, paint me as the do nothing villian if you will. But always remember, every coin has two sides and so does every story.
So, everything that you could do amounted to saying 'you're on your own'? That was it? Where were the alternative proposals? What was the better idea that the family had that would have achieved a fairer sharing out of the work with an equally good outcome for the elders?
I actually agree with the main message, that it's important to make your own decisions on your own terms, be aware of what you're doing, and not blame others for your own assumptions. If you choose to prioritise your parents over other things that are important to you, that's your choice: nobody can make you and it's simply irrational to blame anyone else for it. Or, indeed, to blame them for failing to fall in with your plans when they said all along that they wouldn't. But does that absolve them of any obligation to involve themselves in caregiving full stop? They don't have any responsibility to help you; but does that mean they owe no care at all to their parent(s)?
Taking my own circumstances as an example - well, you're bound to, aren't you - I don't blame my siblings for failing to support me. I blame my siblings for actively making my life more difficult, and more to the point I blame them for their indifference to their mother and their active, voiced resentment of feeling any kind of obligation to her. If they'd had a better idea, or any ideas at all come to that, and I'd overruled them, then I wouldn't now feel justified in continuing to be angry with them.
So how can I blame others... Is 'by blaming them for what they actually did' an acceptable answer?
"So, everything that you could do amounted to saying 'you're on your own'? That was it?"
Where did you get that idea from? There were lots of ideas, including building an addition onto my home just for her (with her money of course). I could not bring myself to take my father's life savings to build an addition onto my home, knowing it would become an asset to my family. We never had a chance to work out the details before two estranged controllers were grabbing what they could. Don't make assumptions about people, especially those you do not know.