March 12, 2002
Lifelong
Concerns for a Special Child
By NEIL GENZLINGER
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Cynthia Howe
for The New York Times
UNCERTAIN
FUTURES, UNENDING LOVE Betty Stone and her son, Craig.
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Retirement: A Special
Section
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For a Disabled Adult, $2,001 in Assets Is Too Much (March 12,
2002)
Resting Sooner Than Planned (March 12, 2002)
Setting the Time on the Benefits Clock (March 12, 2002)
Taking Social Security: Now, Later or Whenever (March 12, 2002)
Ready to Quit, but Deep in Debt (March 12, 2002)
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Chris Ramirez
for The New York Times
Rosalind and
Joe Vargo, right, with their daughter Ro.

Michelle V.
Agins/The New York Times
Susan and
Albert Colacello, with their sons Kevin, foreground, and
Christopher.
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HEN
Susan Colacello says she is afraid of death, she doesn't mean it in the
generic way that most people use the phrase. Her fear is very specific.
She doesn't want to die because she worries what will become of her son,
Kevin, who has Down syndrome.
"I'm in a group of mothers who have disabled kids, and we all share
the same thing," said Mrs. Colacello, 42, who lives in West Windsor,
N.J. "We're terrified of dying."
For the parents of disabled children, that is often the essence of
retirement and estate planning. There are few idyllic thoughts of golf
courses and warm weather, few pleasant musings about who should inherit
the family antiques. Instead there is dread, an underlying knowledge
that no matter how many arrangements have been made and how much money
has been provided, no one will care for a child with Down syndrome or
autism or cerebral palsy the way parents have.
That worrying starts early: Kevin is only 3. And it is difficult to
escape. Betty Stone of Des Plaines, Ill., also has a son with Down
syndrome, but he is 40, and she is 81.
"My main concern is the future," said Mrs. Stone, whose husband died
six months ago. "That's the big concern for all parents, no matter how
old your child is."
There was a time when few parents worried that their disabled
children would outlive them. Early intervention and improved health care
have changed that. The mean age at death for a person with mental
retardation was 18.5 in the 1930's, but by 1993 it was 66.2, one study
found.
As longevity was increasing, the notion of placing severely disabled
people in large, impersonal institutions was being discredited. In a
1999 study, David Braddock, now at the Coleman Institute for Cognitive
Disabilities at the University of Colorado, calculated that almost
480,000 developmentally disabled people were living with family
caregivers age 60 or older, with another 1.4 million living with family
members younger than 60.
All this has turned estate planning into a financial and emotional
maze for parents with disabled children. The government, in its
Kafkaesque way, is both godsend and hindrance, providing a safety net
but setting out an exacting procedure for any parent who wants to do
more than that.
Federal and state programs pay for the basic care of a disabled
adult; parents need not fear that their child will end up in the street.
But the government generally does not pay for enhancements that parents
view as crucial for their children special camps, visits with
relatives, private health insurance, therapeutic recreation like
horseback riding and hundreds of other things. And, of course, many
parents do not want to leave their disabled child at the mercy of the
government, with its ever- changing cast of administrators and fickle
budgets.
Yet if the disabled person has more than $2,000 in assets, the
government claims them to cover its own costs, so leaving money to a
disabled child in a traditional will does nothing. The government,
though, has created a way around the $2,000 hurdle: parents can
establish what is called a special-needs trust, using life insurance,
real estate and other assets to create a fund that can pay for an
enhanced life while leaving basic benefits like Supplemental Security
Income intact.
Such is the planning gantlet parents of disabled children must run.
That's the easy part. Going through the financial planning process,
parents say, forces them to confront difficult, draining questions,
like: What, exactly, are our child's long- term prospects? Who might be
willing to act as guardian? Should we expect our nondisabled children to
care for their sibling? What about our own hopes for retirement?
Like many parents, Susan and Albert Colacello put off facing those
issues. Kevin makes procrastination easy; he is high-functioning for a
child with Down syndrome, active and mischievous.
"You sometimes forget," Mr. Colacello, 40, said the other day,
watching the boy wreak havoc in the living room like any other toddler.
"And then the reality sets in: someone's going to have to take care of
him."
An insistent aunt finally nudged the Colacellos toward a lawyer's
office. So did the attacks of Sept. 11.
"We lost a really good friend," Mrs. Colacello said, "and he had his
affairs really in order. It made things so much easier for his family."
Last month the Colacellos signed documents creating a special- needs
trust and establishing guardianship. They achieved a measure of security
but lost some dreams. "This is a very necessary thing, but the reality
of doing it really shatters your hopes," Mrs. Colacello said. "It's just
a constant reminder that Kevin is never going to be able to make
decisions."
And, she said, it is often jarringly at odds with the upbeat message
that veterans in the world of disabilities use to ease the way for
newcomers.
"On the one hand," Mrs. Colacello said, "we're supposed to feel that
Kevin didn't change our lives. We're supposed to be positive. But Kevin
can't even own anything."
The Colacellos know that the plans they have created will need to be
revisited as Kevin ages. One delicate point will be what role his older
brother, Christopher, now just 7, will play.
Rosalind and Joe Vargo of Syracuse, at 48, are just a few years older
than the Colacellos, but they already have two decades' worth of
experience dealing with such issues. Their daughter, also named Rosalind
Ro is 21 and has Rett syndrome, a little-known neurological disorder
that leaves its victims unable to talk and impairs cognition, mobility
and muscle control.
Mrs. Vargo has a vivid memory from 20 years ago, when her daughter's
disabilities were becoming evident, and a neighbor asked, "When are you
going to send her away?" Though that is exactly what many parents were
doing then, it was an image Mrs. Vargo could not bear.
"I was having nightmares that Ro would someday die alone in one of
those developmental centers," she said. "That's not what we had dreamed,
and that's not what we envision, now or when we're gone." |