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No family, no problem: Solo agers turn to paid ‘next-of-kin’ for medical and legal backup

Solo agers — older adults without children or close family — are increasingly hiring professional “next-of-kin” services to manage major life decisions. These individuals have financial security and retirement plans in place but lack a trusted person to advocate for them in medical or legal situations.

Professional next-of-kin services fill the gap by providing authorized representatives for healthcare, legal, and financial matters. These services typically include durable power of attorney for healthcare decisions and financial management.

Demographic shifts drive this trend. The number of childless adults over 65 is projected to rise significantly in the coming decades. Many solo agers have substantial assets but no designated person to handle emergencies.

The process involves legal contracts that grant decision-making authority to a professional. Clients pay ongoing fees for this service, which ensures someone is available 24/7 for urgent needs.

These professionals act as surrogate family members for hospital visits, surgery consent, and end-of-life planning. They coordinate with doctors, lawyers, and financial advisors on behalf of the client.

Critics raise concerns about potential conflicts of interest and regulatory oversight. Supporters argue the service provides essential protection for vulnerable populations who might otherwise face guardianship proceedings.

The cost varies widely, with some services charging monthly retainers and others fee-for-service arrangements. Experts recommend background checks and thorough contracts before hiring a professional next-of-kin.

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