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California Advanced Health Care Directives - The Law Offices of Andy I. Chen - YouTube
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Hi everybody! It's Andy and welcome to my
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office in Los Altos, California. I'm an
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attorney licensed to practice law in
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California as well as New York. In this
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video I'm going to go over California
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Advanced Healthcare Directives. Now if
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you're like most people, you probably
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have no idea what an Advanced Healthcare
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Directive is so I'll explain the idea to
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you like this. So a while ago I put out a
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video that goes over Powers of Attorney.
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I'll go ahead and link that video right
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over here in case you haven't seen it
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already, but that video obviously, I guess,
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goes over the California Powers of
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Attorney, but if you take the idea of a
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power of attorney just kind of generally
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kind of, you know, in the abstract, the
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basic idea is that a power of attorney
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is a document that you sign that gives
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decision-making authority that you
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normally would exercise over yourself
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and gives that authority to somebody else
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for some reason. A common reason why you
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might do would be let's say that
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you're getting older and you find that
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you're getting more forgetful so to make
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sure that all your bills are paid on
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time, that, you know, you don't get in to
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trouble with the IRS, for example, you
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might give decision-making authority
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over finances -- called a Financial Power
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of Attorney -- to somebody else to make
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sure that, you know, you don't run in to
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trouble financially. That idea of giving
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over authority from you to somebody else
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or, I guess, phrase alternatively the idea
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of receiving authority from somebody
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else to act on their behalf, that idea in
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California applies in two contexts: (1)
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there's the financial context where, you
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know, you might have decision-making
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authority over somebody's bank account,
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over somebody's retirement account, over
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their business, over, you know, real estate
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that they own, things like that, and (2) it
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also applies to health. So the thing is, you
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know, let's say that it's something where,
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you know, you're going in to a hospital
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for surgery and the hospital wants to
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know 'Okay what do we do, who do you want
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to speak for you, who do you want us to take
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decision, like directions, I guess, from in
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the event that you're in a coma, in the
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event that you, you know, can't be, you
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know, woken up, I guess, like you know if
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you're permanently vegetative, who do you
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want us to take instructions from.
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Speaking of that actually, the most
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common situation, I think, that most
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normal people will kind of encounter
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this will be if you go into the hospital
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for surgery of some kind. Every hospital
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that I've ever kind of dealt with, if you
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go into hospital at all, they will want a
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advanced healthcare directive to
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basically prepare themselves if, you know,
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something bad happens and you die, you
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become comatose, etc. So regardless of the
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situation in which you encounter it, the
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terminology used - Power of Attorney for
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Healthcare, Advanced Healthcare
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Directive - I've also heard it called a
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Living Will - not sure if that's an
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antiquated term now - but Living Will,
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Advanced Healthcare Directive, Power of
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Attorney for Healthcare, regardless of
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what you call it, the authorizing law in
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California is the same. So it's
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California Probate Code section 4670
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which, as always, I will go ahead and
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paste and link down below in the
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description for you. 4670 authorizes
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the idea of a document that you can sign
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that gives decision-making authority
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over your health to somebody else. What
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kind of health decisions can this
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document cover? That's going to be in
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California Probate Code section 4671(b),
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which I will also paste and link down
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below, but if you read 4671(b), it's
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very general. It basically says decisions
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related to "personal care" whatever that,
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you know, means in a particular situation,
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can be delegated. 4671(b) also includes a
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non-inclusive list, for example, you know,
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where the person will live - the person
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who gives the authority, I mean, the
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principal - where the principal will live,
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what kind of recreation the principal,
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you know, will engage in, what kind of
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food the principal wants to eat, things
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like that. A better kind of way to look
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at this, I think, which is also related to
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a common question is, what, you know, is
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their sample, I guess, like 'What kind of
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stuff can I put in a power of attorney
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for health care? Is there a sample that I
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can basically look at? And the answer to
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that question about the sample, that is,
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can be answered yes in two ways. So the
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first way to answer the
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question yes, basically, is the Veterans
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Administration in the United States, the
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VA, they put out a template form that
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they use if you go into their hospitals.
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And if you want to look that up yourself
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that's VA form 10-0137, which I'll write
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over here as well as paste and link down
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below for you. It's a PDF you can go
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ahead and download the VA
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template form for free. You can use it as
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a guide. So if you read over that section
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it goes over a lot of stuff about like,
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you know, organ donation. I think,
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if I remember correctly, it allows
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you to specify what you want donated,
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what purposes, you know, you want, you know,
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your organs donated for. What else? It
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goes over, you know, care that you want to
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get if you end up in a vegetative state.
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It goes over what kind of pain
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management care you want. So it's much
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more, kind of, real world useful, I guess,
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than something where it's like 'Okay well,
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you know, personal care decisions can be
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delegated.' Nobody knows what that means.
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The VA sample, the VA template rather, is
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actually much more useful in the real
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world, I think. So, if the VA form is not
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useful for you for whatever reason, the
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California Probate Code actually has a
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sample Advanced Healthcare Directive in
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it and that's California Probate Code
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section 4701 which, as always, over here
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and pasted and linked down below. So if the
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VA template doesn't work for you, you
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can't find another, you know, template or
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sample that is to your liking, go ahead
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and take a look at the statutory one in
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4701 and, you know, if you print it out
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and look at it and kind of format it, etc.,
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cross things out, you know, add things, etc.,
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hopefully you can get a version that is,
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you know, useful for you. So, I guess, the
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take aways for this video. Number one is
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that an Advanced Healthcare Directive
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is basically a power of attorney for
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health care. You can determine what, you
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know, decision-making authority you
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want to give to somebody else in the
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event that you cannot care for yourself
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in terms of health, well-being, etc. If
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you want samples which, I think samples,
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you know, are probably going to be
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the most useful real
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world things for the average person, the
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Veterans Administration in the United
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States has a really great template
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sample, I guess, that you can go ahead and
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look at. Modify it if you want, you
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know, use it as is if you want. California
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Probate Code section 4701 also has a
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fantastic, you know, sample, I guess, that
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you can use. So hopefully all that made
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sense. Go ahead and like this
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video. Share, comment, subscribe all that
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nice stuff and I will talk to you guys
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next time. Thanks
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