Ethical and Public Policy Considerations Related to Medicaid Planning

My latest article, “Ethical and Public Policy Considerations Related to Medicaid Planning,” was just published in the fall issue of the Pennsylvania Bar Association Quarterly.  Here is the abstract:

This paper discusses moral, ethical, and public-policy issues regarding Medicaid planning — transferring or converting assets of a long-term care consumer to create Medicaid eligibility.  The author argues that it is not unethical to qualify a nursing-home resident for Medicaid by means of asset transfers where the resident will receive the same service under Medicaid as he or she would receive as a private-pay patient.  The author further contends that an applicant’s lawyer would have an ethical and moral obligation to the client and the client’s family to maximize Medicaid payments for nursing care where it is clear that the client would want Medicaid to cover the cost of care.  Finally, the author urges that the states or commonwealth’s fiscal concerns should not be given priority by a court above a Medicaid candidate’s legitimate desire to preserve his or her wealth in the face of ruinously expensive nursing home costs.


John B. Payne, Attorney
Garrison LawHouse, PC
Dearborn, Michigan 313.563.4900
Pittsburgh, Pennsylvania 800.220.7200
©2013 John B. Payne, Attorney

For other papers, visit my website,, or, where my author identification number is 748397.

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