Physicians of the Victorian age had a saying, “The operation was a success, but the patient died.”
Surgeon (and best-selling author) Atul Gawande, in Being Mortal, recounts the horrible last weeks of Joseph Lazarus, the first patient newly-minted Intern Gawande disconnected from … Continue Reading

Sometimes government really does work right. The United State Marine Corps comes immediately to mind. Another program, new to Randolph County and surrounding areas, is the Program of All-inclusive Care for the Elderly. PACE.
In Randolph County, StayWell Senior Care operates the … Continue Reading

It’s time I explain why I have no problem helping out all but the wealthy with Medicaid long term care planning. Bear with me, because at the end I am once again seeking your input.
I recently wrote that the Medicaid-based system of financing long term care (nursing home care) … Continue Reading

Like it or not Medicaid has become a middle class nursing home financing system. Not out of greed, but out of necessity.
The last attempt Congress took at “reforming” the Medicaid rules, they simply came up with more complex rules and “kicked the can down the road.”
Our … Continue Reading

I recently came across this and decided to post it. It was my last column as Chairman of the Elder Law Section of the North Carolina Bar Association for the section publication Gray Matters. I meant it to be advice to newer attorneys. But it pretty well sums up my approach to law … Continue Reading
