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brought to you by the trusts & estates practice team
miller nash llp | Winter 2012
Estate Planning Advisor
inside this issue
2 Benefits of a Dynasty Trust 3 The Many Ways That Gifts Can Reduce Estate Taxes 4 Top Excuses That Owners Use to Avoid Exit Planning 6 Attention All Washington Trustees . . .
(continued on page 8) by Jack B. Schwartz
jack.schwartz@millernash.com 503.205.2560
An estate plan provides an opportu- nity to spell out in considerable detail who (including the government) will get what when a person dies, and when they will receive it. But what about the person himself or herself? How are family members and physicians to know someone’s care preferences when the person is in no condition to give instruction? Enter the health care representative designation, the advance directive, and the POLST (Physician Orders for Life-Sustaining Treatment). Designation of a Health Care Rep-
- resentative. Oregon statute prescribes
a form that includes both the health care representative designation and an advance directive. The form must be signed before two witnesses. Your designated representative, and any alternate you may choose, must also sign the form. Once completed, the form authorizes your health care rep- resentative to communicate on your behalf and make your wishes regarding care known to physicians and hospitals when you are unable to do so because
- f temporary incapacity or irreversible
disease or injury. In Washington, the designation is made by signing and notarizing a durable power of attorney for health care. Advance Directive. The Oregon advance directive form allows you to specify that you would refuse artificial life support and similar heroic mea- sures in the following circumstances: if such steps would not benefit you but would cause you permanent and severe pain; if you are terminally ill; if you are permanently unconscious;
- r if you are in an advanced stage of a
progressive and fatal illness. You may also specify that you desire to have life support provided in any of these
- circumstances. Completion of the form
will not prevent continuing care for cleanliness and comfort. Your health care representative is required to follow your wishes as expressed in the advance
- directive. Washington statute provides
for a similar form, called the health care directive, which must be signed before two witnesses. Your designated health care representative should know how to access your advance directive, and you should provide a copy to your physician.
- POLST. Both Oregon and Washing-
ton recognize the POLST form, which is an order signed by a physician. It is intended primarily for seriously ill patients with life-limiting advanced illness; patients with advanced frailty characterized by significant weak- ness and difficulty with personal-care activities; patients who may lose the capacity to make their own health care decisions in the next year; and persons with strong preferences about current end-of-life care. A POLST can duplicate portions of an advance directive. By turning a person’s advance directive decisions into a physician’s order, the POLST offers additional assurance that wishes as to end-of-life treatment will be recognized and followed. The POLST is particularly helpful in provid-
Planning for Yourself: Health Care Representatives, Advance Directives, and the POLST