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Q&A: Choosing the right health care agent

May 19, 2025 By Liz Weston 1 Comment

Dear Liz: There is a lot of dysfunction and drama in my family so in my will, I’ve named a friend to be my executor. But I don’t think she’s the best person for my advance healthcare directive. She’s too nice and I think she would cave under pressure from my family. Can I choose someone else?

Answer: Absolutely, and often that’s the best choice.

Your executor is the person who will settle your estate after you die. You should pick someone you know to be trustworthy and diligent. The executor (or successor trustee, if you have a living trust) doesn’t need to be a financial expert, since they can use estate funds to pay for legal and tax help.

The person who makes healthcare decisions for you may need another set of skills. They may face considerable pressure from others, including family, friends or the medical establishment, so you’ll want someone who not only understands your wishes for end-of-life care but who will fight to carry them out.

Your advance care directive or living will is the document where you articulate your wishes for the care you do and don’t want at the end of your life. You’ll also need to create a medical power of attorney, which is where you name the person you want to speak for you if you become incapacitated. Even a detailed advance care directive can’t cover every circumstance, and the power of attorney will help ensure that your chosen person can advocate for you no matter what happens.

You’ll need one more document, which is a financial power of attorney. This names someone who can pay your bills and otherwise handle your finances if you become incapacitated. You can name your executor, the person you named for healthcare decisions or some other person to serve this role. Check with your financial institutions, since they may have their own documents they’ll want you to use.

If possible, you should name at least one backup for each position, since people may not be able to serve when the time comes. Also, your wishes or circumstances could change over time, so all these documents should be reviewed at least annually and updated as necessary.

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Filed Under: Estate planning, Q&A Tagged With: advanced care directive, Estate Planning, executor, health care proxy, healthcare power of attorney, living will, medical power of attorney, power of attorney, power of attorney agent

Reader Interactions

Comments

  1. Mark Thomas says

    May 26, 2025 at 11:19 am

    Liz, In regards to “How to handle advance care directive”: I recently found myself in a similar situation when my elderly friend with a dysfunctional family history asked me to be both the executor of her estate and to handle her financial power of attorney duties. I mistakenly assumed that all concerned family members were good with me taking on these responsibilities. Wrong! I soon found myself in the middle of all the dysfunction, with family members accusing me of sabotaging the process, conspiring to steal inheritance money, threatening lawsuits, etc. It was an absolute nightmare before the dust eventually settled and I was able to back out gracefully from my assigned responsibilities here. If it’s possible, please inform all parties involved to make sure all avenues of communication have been taken here and that all the involved (dysfunctional) parties are on board with this writer’s plans.

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